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Comment & Response |

Mental Health and the Army—Reply

Ronald C. Kessler, PhD1; Matthew K. Nock, PhD2; Michael Schoenbaum, PhD3
[+] Author Affiliations
1Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
2Department of Psychology, Harvard University, Cambridge, Massachusetts
3National Institute of Mental Health, Bethesda, Maryland
JAMA Psychiatry. 2014;71(8):967-968. doi:10.1001/jamapsychiatry.2014.716.
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In Reply On behalf of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) Collaborators, we would like to address the 3 main criticisms of our articles13 by Hoge et al in their letter. As detailed here, all available data suggest that these criticisms are without scientific merit. Hoge et al also made a number of secondary criticisms that, like the primary criticisms, are without merit. However, we focus here only on the 3 main criticisms: (1) that we were incorrect in asserting that soldiers have higher rates of current mental disorders than comparable civilians; (2) that we were incorrect in asserting that most soldiers with current mental disorders had first onsets prior to enlistment; and (3) that we were incorrect in concluding that Army suicides are a “direct result” of deployment (a criticism of something we did not say).

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August 1, 2014
Charles W. Hoge, MD; Christopher H. Warner, MD; Carl A. Castro, PhD
1Center for Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland
2Psychiatry Consultant to the Army Surgeon General and Division Surgeon (Rear), 101st Airborne Division, Ft Campbell, Kentucky
3School of Social Work, University of Southern California, Los Angeles
JAMA Psychiatry. 2014;71(8):965-966. doi:10.1001/jamapsychiatry.2014.689.
August 1, 2014
Mark C. Russell, PhD, ABPP; Sue Nicholson Butkus, PhD
1Antioch University Seattle, Seattle, Washington2retired US Navy commander
3Washington State University, Pullman, Tacoma
JAMA Psychiatry. 2014;71(8):966-967. doi:10.1001/jamapsychiatry.2014.695.
August 1, 2014
Brandon J. Hill, PhD; Joshua Trey Barnett, MA
1Department of Obstetrics and Gynecology, Center for the Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, University of Chicago, Chicago, Illinois2The Kinsey Institute for Research in Sex, Gender, and Reproduction, Bloomington, Indiana
3Department of Communication, University of Utah, Salt Lake City
JAMA Psychiatry. 2014;71(8):967. doi:10.1001/jamapsychiatry.2014.697.
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