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Veterans and suicide: A reexamination of the National Death Index-linked National Health Interview Survey

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  • Miller, M.
  • Barber, C.
  • Young, M.
  • Azrael, D.
  • Mukamal, K.
  • Lawler, E.

Abstract

Objectives: We assessed the risk of suicide among veterans compared with nonveterans. Methods: Cox proportional hazards models estimated the relative risk of suicide, by self-reported veteran status, among 500 822 adult male participants in the National Death Index (NDI)-linked National Health Interview Survey (NHIS), a nationally representative cohort study. Results. A total of 482 male veterans died by suicide during 1 837 886 personyears of follow-up (76% by firearm); 835 male nonveterans died by suicide during 4 438 515 person-years of follow-up (62% by firearm). Crude suicide rates for veterans and nonveterans were, respectively, 26.2 and 18.8 per 100 000 person-years. The risk of suicide was not significantly higher among veterans, compared with nonveterans, after adjustment for differences in age, race, and survey year (hazard ratio = 1.11; 95% confidence interval = 0.96, 1.29). Conclusions: Consistent with most studies of suicide risk among veterans of conflicts before Operation Iraqi Freedom/Operation Enduring Freedom, but in contrast to a previous study using the NDI-linked NHIS data, we found that male veterans responding to the NHIS were modestly, but not significantly, at higher risk for suicide compared with male nonveterans.

Suggested Citation

  • Miller, M. & Barber, C. & Young, M. & Azrael, D. & Mukamal, K. & Lawler, E., 2012. "Veterans and suicide: A reexamination of the National Death Index-linked National Health Interview Survey," American Journal of Public Health, American Public Health Association, vol. 102(S1), pages 154-159.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300409_6
    DOI: 10.2105/AJPH.2011.300409
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    Cited by:

    1. Landes, Scott D. & Wilder, JeffriAnne & Williams, Desiree, 2017. "The effect of race and birth cohort on the veteran mortality differential," Social Science & Medicine, Elsevier, vol. 179(C), pages 36-44.
    2. Scott D. Landes & Andrew S. London & Janet M. Wilmoth, 2018. "Mortality Among Veterans and Non-veterans: Does Type of Health Care Coverage Matter?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(4), pages 517-537, August.
    3. Steven P. Cassidy & Alair MacLean & Justin T. Denney, 2023. "Military Service, Education, and Mortality Across Cohorts from World War II to the Post-Vietnam Era," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-25, August.

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