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Military Behavioral Health Volume 7, 2019 - Issue 3
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Original Articles

Characterizing Sexual Assault Among Female U.S. Soldiers With Suicidal Behavior

Kristin K. SznajderBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland;
,
Ihsan Abdur-RahmanBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland; Correspondence[email protected]
,
Eren Youmans WatkinsBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland;
,
Brent Edward ManchaBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland;
,
Kirsten AnkeBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland;
,
Keri KateleyBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland;
,
Marc RattiganUnited States Army
&
Amy Millikan BellBehavioral Health Monitoring Section, Behavioral & Social Health Outcomes Practice, Clinical Public Health and Epidemiology, U.S. Army Public Health Center, Aberdeen Proving Ground–Edgewood Area, Maryland;
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Pages 268-278 | Published online: 12 Jan 2019
 
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Abstract

Associations between sexual assault and demographic and military characteristics, health indicators, and socioenvironmental factors among female U.S. Army soldiers who exhibited suicidal behavior from 2004 to 2013 and had data on sexual assault were examined. Multivariable logistic regression models were used to determine factors associated with a history of sexual assault stratified by type of suicidal event. The sample included 2,236 female soldiers with suicidal behavior: died by suicide (n = 43), suicide attempt (n = 1,142), and suicidal ideation (n = 1,051). Among soldiers in each of the suicide behavior categories, those diagnosed with posttraumatic stress disorder (PTSD) had significantly higher odds of a sexual assault compared to those who were not diagnosed with PTSD. Future research is needed to improve the U.S. Army’s prevention of sexual assault in this population.

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