scholarly journals Sociodemographic and career history predictors of suicide mortality in the United States Army 2004–2009

2014 ◽  
Vol 44 (12) ◽  
pp. 2579-2592 ◽  
Author(s):  
S. E. Gilman ◽  
E. J. Bromet ◽  
K. L. Cox ◽  
L. J. Colpe ◽  
C. S. Fullerton ◽  
...  
Keyword(s):  
United States Army ◽  
Administrative Data ◽  
The United States ◽  
Suicide Mortality ◽  
Risk And Resilience ◽  
Data Systems ◽  
Us Army ◽  
Regular Army ◽  
History Approach ◽  
Time In Service

BackgroundThe US Army suicide rate has increased sharply in recent years. Identifying significant predictors of Army suicides in Army and Department of Defense (DoD) administrative records might help focus prevention efforts and guide intervention content. Previous studies of administrative data, although documenting significant predictors, were based on limited samples and models. A career history perspective is used here to develop more textured models.MethodThe analysis was carried out as part of the Historical Administrative Data Study (HADS) of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). De-identified data were combined across numerous Army and DoD administrative data systems for all Regular Army soldiers on active duty in 2004–2009. Multivariate associations of sociodemographics and Army career variables with suicide were examined in subgroups defined by time in service, rank and deployment history.ResultsSeveral novel results were found that could have intervention implications. The most notable of these were significantly elevated suicide rates (69.6–80.0 suicides per 100 000 person-years compared with 18.5 suicides per 100 000 person-years in the total Army) among enlisted soldiers deployed either during their first year of service or with less than expected (based on time in service) junior enlisted rank; a substantially greater rise in suicide among women than men during deployment; and a protective effect of marriage against suicide only during deployment.ConclusionsA career history approach produces several actionable insights missed in less textured analyses of administrative data predictors. Expansion of analyses to a richer set of predictors might help refine understanding of intervention implications.

Major Harvey Cushing's difficulties with the British and American armies during World War I

2014 ◽  
Vol 121 (2) ◽  
pp. 319-327 ◽  
Author(s):  
Michael E. Carey
Keyword(s):  
United States ◽  
World War I ◽  
United States Army ◽  
Historical Review ◽  
The United States ◽  
World War ◽  
Us Army ◽  
Hospital Units ◽  
The Us ◽  
Initial Inability

This historical review explores Harvey Cushing's difficulties with both the British and American armies during his World War I service to definitively examine the rumor of his possible court martial. It also provides a further understanding of Cushing the man. While in France during World War I, Cushing was initially assigned to British hospital units. This service began in May 1917 and ended abruptly in May 1918 when the British cashiered him for repeated censorship violations. Returning to American command, he feared court martial. The army file on this matter (retrieved from the United States National Archives) indicates that US Army authorities recommended that Cushing be reprimanded and returned to the US for his violations. The army carried out neither recommendation, and no evidence exists that a court martial was considered. Cushing's army career and possible future academic life were protected by the actions of his surgical peers and Merritte Ireland, Chief Surgeon of the US Army in France. After this censorship episode, Cushing was made a neurosurgical consultant but was also sternly warned that further rule violations would not be tolerated by the US Army. Thereafter, despite the onset of a severe peripheral neuropathy, probably Guillian Barré's syndrome, Cushing was indefatigable in ministering to neurosurgical needs in the US sector in France. Cushing's repeated defying of censorship regulations reveals poor judgment plus an initial inability to be a “team player.” The explanations he offered for his censorship violations showed an ability to bend the truth. Cushing's war journal is unclear as to exactly what transpired between him and the British and US armies. It also shows no recognition of the help he received from others who were instrumental in preventing his ignominious removal from service in France. Had that happened, his academic future and ability to train future neurosurgical leaders may have been seriously threatened. Cushing's foibles notwithstanding, all realized that he contributed greatly to both British and US war neurosurgery. United States Army surgeons who operated upon brain wounds in France recognized Cushing as their leader.

scholarly journals Understanding the elevated suicide risk of female soldiers during deployments

2014 ◽  
Vol 45 (4) ◽  
pp. 717-726 ◽  
Author(s):  
A. E. Street ◽  
S. E. Gilman ◽  
A. J. Rosellini ◽  
M. B. Stein ◽  
E. J. Bromet ◽  
...  
Keyword(s):  
Suicide Rate ◽  
Administrative Database ◽  
Survival Models ◽  
Future Research ◽  
Risk And Resilience ◽  
Us Army ◽  
Explanatory Variables ◽  
The Us ◽  
Regular Army ◽  
History Of

BackgroundThe Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) has found that the proportional elevation in the US Army enlisted soldier suicide rate during deployment (compared with the never-deployed or previously deployed) is significantly higher among women than men, raising the possibility of gender differences in the adverse psychological effects of deployment.MethodPerson-month survival models based on a consolidated administrative database for active duty enlisted Regular Army soldiers in 2004–2009 (n = 975 057) were used to characterize the gender × deployment interaction predicting suicide. Four explanatory hypotheses were explored involving the proportion of females in each soldier's occupation, the proportion of same-gender soldiers in each soldier's unit, whether the soldier reported sexual assault victimization in the previous 12 months, and the soldier's pre-deployment history of treated mental/behavioral disorders.ResultsThe suicide rate of currently deployed women (14.0/100 000 person-years) was 3.1–3.5 times the rates of other (i.e. never-deployed/previously deployed) women. The suicide rate of currently deployed men (22.6/100 000 person-years) was 0.9–1.2 times the rates of other men. The adjusted (for time trends, sociodemographics, and Army career variables) female:male odds ratio comparing the suicide rates of currently deployed v. other women v. men was 2.8 (95% confidence interval 1.1–6.8), became 2.4 after excluding soldiers with Direct Combat Arms occupations, and remained elevated (in the range 1.9–2.8) after adjusting for the hypothesized explanatory variables.ConclusionsThese results are valuable in excluding otherwise plausible hypotheses for the elevated suicide rate of deployed women and point to the importance of expanding future research on the psychological challenges of deployment for women.

‘We Have to Pay the Price’: German Workers and the US Army, 1945–1989

2019 ◽  
Vol 26 (4) ◽  
pp. 563-584
Author(s):  
Adam R. Seipp
Keyword(s):  
Cold War ◽  
United States Army ◽  
The United States ◽  
Federal Republic Of Germany ◽  
Labour Unions ◽  
Us Army ◽  
Labour Policy ◽  
History Of ◽  
The Cold War ◽  
The Military

This article examines the relationship between German civilian workers and the United States Army in the Federal Republic of Germany during the Cold War. Using archival and published sources, the article offers an entangled history of ‘local national’ employees and their role in maintaining the American presence in Central Europe. Beginning in the late 1960s, German labour unions began to challenge American labour policy. In doing so, they consistently argued for a more forceful assertion of German sovereignty. This labour relationship was therefore important for both the military history of the Cold War and for the development of German democracy.

scholarly journals Strategies for centering equity and public engagement in the ethical use of integrated administrative data

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Adelia Jenkins ◽  
Amy Hawn Nelson
Keyword(s):  
Data Integration ◽  
Administrative Data ◽  
Public Engagement ◽  
Data Access ◽  
The United States ◽  
Extensive Literature ◽  
Risk Modeling ◽  
Data Systems ◽  
Data Infrastructure ◽  
The Public

Background with rationaleData integration is undertaken for the public good, yet institutions rarely address structural bias in their history, or the ways data are biased due to systemic inequities in the administration of policies and programs. Meanwhile, the public are rarely consulted in data use. Though data infrastructure can be a powerful tool to support equity-oriented reforms, equity is rarely a stated goal for data integration. This raises fundamental concerns, as integrated data increasingly provide the raw materials for evaluation, research, and risk modeling that inform policy, practice, and resource allocation. Actionable Intelligence for Social Policy (AISP) is an initiative of the University of Pennsylvania that focuses on the development, use, and innovation of integrated data systems (IDS). We convene a network of IDS across the United States while supporting developing sites, and as such are uniquely situated to convene experts to develop guidance for centering equity within integrated data infrastructure. Main AimThis project aims to generate guidance for agencies supporting data sharing infrastructure to ensure an emphasis on equity and public engagement for ethical use. Methods/ApproachA variety of data collection methods are being used, including expert panel convenings and interviews with sites piloting or exemplifying strategies for public engagement and equitable data access and use. An extensive literature review is also in progress and will inform a suite of forthcoming products, including a white paper, communications and training materials. ResultsThe results will provide strategies for centering equity across the spectrum of data integration activities, including inclusive governance, staffing considerations, decisions about data quality, and the ethical use of data models and algorithms. Initial findings indicate there are few exemplar sites that routinely center equity within data integration efforts, yet there are promising incremental steps that sites can take to ensure ethical use. ConclusionWhile centering equity within data integration is an emerging focus, initial findings indicate the importance of such efforts, particularly in acknowledging and mitigating the risks of unacknowledged bias across use of administrative data for research and evaluation purposes.

LSD experiments by the United States Army

2017 ◽  
Vol 28 (4) ◽  
pp. 427-442
Author(s):  
Colin A Ross
Keyword(s):  
United States ◽  
Side Effects ◽  
United States Army ◽  
The United States ◽  
Veterans Health ◽  
Us Army ◽  
Health Initiative ◽  
The Us ◽  
Short And Long Term

Extensive LSD testing was conducted by the US Army at Edgewood Arsenal and other locations from 1955 to 1967. A number of different reports have been produced describing the health effects of this testing, including the Veterans Health Initiative Report in 2003. By and large, these reports gloss over and minimize the short and long-term side effects and complications of this testing. However, the reports themselves document frequent, severe complications of the LSD. These side effects were regarded by the Army as having been directly caused by the LSD exposure. In view of the current resurgence of interest in hallucinogens within psychiatry, the sanitized version of the effects of LSD exposure on US soldiers needs to be replaced with a more accurate account.

scholarly journals Exploring the Causal Relationship between Factors Affecting US Army Recruitment

2022 ◽  
Vol 9 (2) ◽  
pp. 83-90
Author(s):  
Graham Ungrady ◽  
Matthew Dabkowski
Keyword(s):  
United States ◽  
United States Army ◽  
Cognitive Mapping ◽  
Armed Forces ◽  
The United States ◽  
Factors Affecting ◽  
Us Army ◽  
United States Armed Forces ◽  
Future Work ◽  
Army Recruiting

Every year, United States Army Recruiting Command (USAREC) dedicates considerable resources to recruiting and accessing soldiers. As the largest branch of the United States Armed Forces, the Army must meet a high recruiting quota while competing in the free-labor market for quality recruits. Over the past two decades, the Army’s success in recruiting ebbed and flowed within the broader context of society and global events. While numerous studies have examined the statistical relationship between factors associated with recruitment, these studies are observational and definitively ascribing causality in retrospect is difficult. With this in mind, we apply fuzzy cognitive mapping (FCM), a graphical method of representing uncertainty in a dynamic system, to model and explore the complex causal relationships between factors. We conclude our paper with implications for USAREC’s efforts, as well as our model’s limitations and opportunities for future work.

scholarly journals ASTP: MODEL PEMBELAJARAN BAHASA ASING BAGI MILITER

2009 ◽  
Vol 4 (2) ◽  
Author(s):  
A. Sayuti Anshari Nasution
Keyword(s):  
Foreign Language ◽  
United States Army ◽  
Teaching Experience ◽  
The United States ◽  
Language Program ◽  
General Picture ◽  
Us Army ◽  
The Us ◽  
Specialized Training Program ◽  
Second World

The United States Army during the Second World War stunned the education world with their foreign language teaching experience. Their program that is called “The Army Specialized Training Program” (ASTP) was able to successfully train many participants with a very high success rate. Dr. Hamada Ibrahim, a professor in foreign languages at Cairo University, Egypt, described the “ASTP” as the most immense and successful program of learning foreign language in the history. The US Army foreign language program encompasses the background for the emergence of this program, a general picture of the program, the teaching subjects as well as the teaching techniques.

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