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Comment & Response |

Suicide Attempts in the US Army—Reply

Robert J. Ursano, MD1; Ronald C. Kessler, PhD2; Murray B. Stein, MD, MPH3,4,5
[+] Author Affiliations
1Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland
2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
3Department of Psychiatry, University of California–San Diego, La Jolla
4Department of Family Medicine and Public Health, University of California–San Diego, La Jolla
5Psychiatry Service, Veterans Affairs San Diego Healthcare System, San Diego, California
JAMA Psychiatry. 2016;73(2):176-177. doi:10.1001/jamapsychiatry.2015.2559.
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In Reply We agree with Ivany and Hoge about the importance of recognizing the limitations of administrative data in comparing officially recognized suicide attempts during deployment compared with other times during Army service. Our only point of disagreement is in the statement by Ivany and Hoge that “(t)he authors...did not acknowledge...” this methodological problem. We did. And in fact, we pointed this out in the Discussion section of our article.1


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February 1, 2016
Christopher G. Ivany, MD; Charles W. Hoge, MD
1Office of the Army Surgeon General, Falls Church, Virginia
2Walter Reed Army Institute of Research, Silver Spring, Maryland
JAMA Psychiatry. 2016;73(2):176. doi:10.1001/jamapsychiatry.2015.2363.
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