Characteristics of suicidal male and female soldiers in various military forces
1Department of Health and Well-Being, IDF's Medical Corps, Israel Defense Forces, 52620 Ramat Gan, Israel
DOI: 10.31083/jomh.2021.056 Vol.17,Issue 3,July 2021 pp.36-40
Submitted: 22 February 2021 Accepted: 31 March 2021
Published: 08 July 2021
The gender paradox in suicidality is a documented phenomenon, the existence of which has been established by many studies in recent decades. However, despite being repeatedly shown to exist in civilian populations, it has not been researched much in military settings. This paper aims to explore the existence of the gender paradox in various military forces around the world, as reﬂected in the published literature and to assess the need for further investigation of the subject.
Suicide; Gender paradox; Military; Soldiers
Ishai Nir. Characteristics of suicidal male and female soldiers in various military forces. Journal of Men's Health. 2021. 17(3);36-40.
 Bachmann S. Epidemiology of suicide and the psychiatric perspective. International Journal of Environmental Research and Public Health. 2018; 15: 1425.
 Stone DM, Simon TR, Fowler KA, Kegler SR, Yuan K, Holland KM, et al. Vital signs: trends in state suicide rates - United States, 1999–2016 and circumstances contributing to suicide—27 States, 2015. Morbidity and Mortality Weekly Report. 2018; 67: 617–624.
 World Health Organization. Suicide in the World: Global Health Estimates. World Health Organisation: Genva, Switzerland. 2019.
 National Institute of Health. 2019 Suicide. 2019. Available at: https: //www.nimh.nih.gov/health/statistics/suicide.shtml (Accessed: 1 January 2019)
 WHO Figure: Age-Standardized Suicide Rates: Male: Female Ratio (Per 100,000). 2017. Available at: http: //www.who.int/gho/mental_health/suicide_rates_male_female/en/ (Accessed: 10 October 2017).
 Schrijvers DL, Bollen J, Sabbe BG. The gender paradox in suicidal behavior and its impact on the suicidal process. Journal of Affective Disorders. 2012; 138: 19–26.
 Barrigon ML, Cegla-Schvartzman F. Sex, gender, and suicidal behav-ior. Behavioral Neurobiology of Suicide and Self Harm. 2020; 46: 89–115.
 Canetto SS, Sakinofsky I. The gender paradox in suicide. Suicide & Life-Threatening Behavior. 1998; 28: 1–23.
 Reimann CA, Mazuchowski EL. Suicide rates among active-duty service members compared with civilian counterparts, 2005–2014. Military Medicine. 2018; 183: 396–402.
 Nock MK, Stein MB, Heeringa SG, Ursano RJ, Colpe LJ, Fullerton CS, et al. Prevalence and correlates of suicidal behavior among soldiers: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry. 2014; 71: 514–522.
 Schoenbaum M, Kessler RC, Gilman SE, Colpe LJ, Heeringa SG, Stein MB, et al. Predictors of suicide and accident death in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry. 2014; 71: 493–503.
 Alexander CL, Reger MA, Smolenski DJ, Fullerton NR. Comparing U.S. Army suicide cases to a control sample: initial data and methodological lessons. Military Medicine. 2014; 179: 1062–1066.
 Ghahramanlou-Holloway M, Baer MM, Neely LL, Koltko V, Nielsen MK. Suicide Prevention in the United States Military. In Handbook of Military Psychology 2017 (pp. 73–87). Springer, Cham. 2017.
 Mann JJ, Michel CA. Prevention of firearm suicide in the United States: what works and what is possible. American Journal of Psychiatry. 2016; 173: 969–979.
 Bryan CJ, Cukrowicz KC. Associations between types of combat violence and the acquired capability for suicide. Suicide & Life-Threatening Behavior. 2011; 41: 126–136.
 Nademin E, Jobes DA, Pflanz SE, Jacoby AM, Ghahramanlou-Holloway M, Campise R, et al. An investigation of interpersonal-psychological variables in air force suicides: a controlled-comparison study. Archives of Suicide Research. 2008; 12: 309–326.
 Ravindran C, Morley SW, Stephens BM, Stanley IH, Reger MA. Association of suicide risk with transition to civilian life among us military service members. JAMA Network Open. 2020; 3: e2016261.
 Reger MA, Pruitt LD, Smolenski DJ. Lessons from the latest US military suicide surveillance data. The Journal of Clinical Psychiatry. 2018; 79: 17l11790.
 Pruitt LD, Smolenski DJ, Reger MA, Bush NE, Skopp NA, Campise RL. Department of Defense Suicide Event Report (DoDSER) Calendar Year 2014 Annual Report. Joint Base Lewis-McChord. WA: National Center for Telehealth and Technology. 2015.
 Tsai J, Snitkin M, Trevisan L, Kraus SW, Pietrzak RH. Awareness of suicide prevention programs among U.S. military veterans. Ad-ministration and Policy in Mental Health and Mental Health Services Research. 2020; 47: 115–125.
 Wyman PA, Pisani AR, Brown CH, Yates B, Morgan-DeVelder L, Schmeelk-Cone K, et al. Effect of the wingman-connect upstream suicide prevention program for Air Force personnel in training. JAMA Network Open. 2020; 3: e2022532.
 Curley JM, Duffy FF, Kim PY, Clarke-Walper KM, Nugent KL, Penix EA, et al. Methodology of the U.S. Army’s suicide prevention leadership tool study: the behavioral health readiness and suicide risk reduction review (R4). Military Medicine. 2021; 186: 336–343.
 Hoge CW, Ivany CG, Adler AB. Suicidal behaviours within army units: contagion and implications for public health interventions. JAMA Psychiatry. 2017; 74: .872–871
 Street AE, Gilman SE, Rosellini AJ, Stein MB, Bromet EJ, Cox KL, et al. Understanding the elevated suicide risk of female soldiers during deployments. Psychological Medicine. 2015; 45: 717–726.
 Pruitt LD, Smolenski DJ, Bush NE, Tucker J, Issa F, Hoyt TV, et al. Suicide in the military: understanding rates and risk factors across the United States’ armed forces. Military Medicine. 2019; 184: 432–437.
 Gilman SE, Bromet EJ, Cox KL, Colpe LJ, Fullerton CS, Gruber MJ, et al. Sociodemographic and career history predictors of suicide mortality in the United States Army 2004–2009. Psychological Medicine. 2014; 44: 2579–2592.
 Gradus JL, Shipherd JC, Suvak MK, Giasson HL, Miller M. Suicide attempts and suicide among Marines: a decade of follow-up. Suicide & Life-Threatening Behavior. 2013; 43: 39–49.
 Maguen S, Skopp NA, Zhang Y, Smolenski DJ. Gender differences in suicide and suicide attempts among US Army soldiers. Psychiatry Research. 2015; 225: 545–549.
 Snarr JD, Heyman RE, Slep AMS. Recent suicidal ideation and suicide attempts in a large-scale survey of the U.S. Air Force: prevalences and demographic risk factors. Suicide & Life-Threatening Behavior. 2011; 40: 544–552.
 Ursano RJ, Kessler RC, Heeringa SG, Cox KL, Naifeh JA, Fullerton CS, et al. Nonfatal suicidal behaviors in US Army administrative records, 2004–2009: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Psychiatry. 2015;78: 1–21.
 Robinson ME, Teyhen DS, Wu SS, Dugan JL, Wright AC, Childs JD, et al. Mental health symptoms in combat medic training: a longitudinal examination. Military Medicine. 2009; 174: 572–577.
 Tien HCN, Acharya S, Redelmeier DA. Preventing deaths in the Canadian military. American Journal of Preventive Medicine. 2010; 38: 331–339.
 Zamorski MA. Suicide prevention in military organizations. Interna-tional Review of Psychiatry. 2011; 23: 173–180.
 Thompson JM, Heber A, VanTil L, Simkus K, Carrese L, Sareen J, et al. Life course well-being framework for suicide prevention in Canadian Armed Forces Veterans. Journal of Military, Veteran and Family Health. 2019; 5: 176–194.
 Rolland-Harris E. 2019 Report on Suicide Mortality in the Canadian Armed Forces (1995 to 2018). 2019. Availabla at: https: //www.canada.ca/en/department-national-defence/corporate/reports-publications/health/2019-report-on-suicide-mortality-in-the-caf-1995-to-2018.html (Accessed: 30 January 2021).
 Sareen J, Afifi TO, Taillieu T, Cheung K, Turner S, Bolton S, et al. Trends in suicidal behaviour and use of mental health services in Canadian military and civilian populations. Canadian Medical Association Journal. 2016; 188: E261–E267.
 Thompson AE, Anisimowicz Y, Miedema B, Hogg W, Wodchis WP, Aubrey-Bassler K. The influence of gender and other patient characteristics on health care-seeking behaviour: a QUALICOPC study. BMC Family Practice. 2016; 17: 1–7.
 Fear NT, Ward VR, Harrison K, Davison L, Williamson S, Blatchley NF. Suicide among male regular UK Armed Forces personnel, 1984-2007. Occupational and Environmental Medicine. 2009; 66: 438–441.
 Kapur N, While D, Blatchley N, Bray I, Harrison K. Suicide after leaving the UK. K. Armed Forces—a cohort study. PLoS Medicine. 2009; 6: e1000026.
 Jones N, Sharp M, Phillips A, Stevelink SAM. Suicidal ideation, suicidal attempts, and self‐harm in the UK Armed Forces. Suicide and Life-Threatening Behavior. 2019; 49: 1762–1779.
 Ministry of Defense. Suicides in the UK Regular Armed Forces: Annual Summary and Trends Over Time 1 January 1984 to 31 December 2019. 2020. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/880253/ 20200326_UK_AF_Suicide_National_Statistic_2020_O. pdf (Accessed: 30 January 2021).
 Shelef L, Tatsa-Laur L, Derazne E, Mann JJ, Fruchter E. An effective suicide prevention program in the Israeli Defense Forces: a cohort study. European Psychiatry. 2016; 31: 37–43.
 Tzur D, Kedem R, Twig G, Ben Yehuda A, Abergil M, Glassberg E. Death circumstances in IDF: description data for 1990–2016. Journal of Israeli Military Medicine. 2018; 15: 50–56. (In Hebrew)
 Shelef L, Nir I, Tatsa-Laur L, Kedem R, Gold N, Bader T, et al. The effect of the Suicide Prevention Program (SPP) on the characteristics of Israeli soldiers who died by suicide after its implementation. European Psychiatry. 2019; 62: 74–81.
 Shakarchy N, Yacobi A, Tatsa-Laur L, Kedem R, Ben Yehuda A, Shelef L. Risk factors associated with suicidal and non-suicidal self-harm of different severities among Israeli Defense Forces soldiers – a nested case-control study. 2021. (in press)
 McKay K, Milner A, Maple M. Women and suicide: beyond the gender paradox. International Journal of Culture and Mental Health. 2014; 7: 168–178.
 Cardona RA, Ritchie EC. U.S. military enlisted accession mental health screening: history and current practice. Military Medicine. 2007; 172: 31–35.
 Rostami M, Rahmati-Najarkolaei F, Salesi M, Azad E. A systematic review of suicide prevention interventions in military personnel. Archives of Suicide Research, 2020; 1–19.
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