Additional research needs to address the increasing rates of suicide in active duty personnel. This should include careful evaluation of suicide prevention programs and the possible increase in risk associated with SSRIs and other mental health drugs, as well as the possible impact of shorter deployments, age, mental health diagnoses, and relationship problems.
Objective: To examine incidence of mental health diagnoses during initial service of U.S. active duty military members and identify associations with deployment, attrition, and suicide. Methods: A retrospective cohort of 576,502 service members (SMs) newly enlisted between 2003 and 2006 was identified. Data included medical encounter, deployment and attrition, and suicide. Multivariable logistic regression models examine the association between mental health diagnoses coded within the SMs' first 6 months of eligibility for health care benefits and deployment. Multivariable Cox proportional hazards models quantify the association between mental health diagnoses and attrition and suicide. Results: The cumulative incidence of mental health diagnoses was approximately 9% at 6 months of service. Adjustment, depressive, and anxiety disorders were most common. Those with any mental health diagnosis during initial eligibility had increased risk of early attrition and were 77% less likely to deploy.
The pleurocarpous moss genus Isopterygium (Hypnaceae) is revised for Latin America. Although as many as 92 species and varieties have been reported for the region over past years, these are currently accommodated by the present revision into only eight species. The most common taxon throughout most of Latin America, Isopterygium tenerum (Sw.) Mitt., is also the most polymophic and presently 45 taxa are recognized as synonyms. The other seven species are I. affusum Mitt. (Guadeloupe, Honduras, Venezuela, Brazil), I. acutifolium Irel. (Venezuela, Guyana), I. byssobolax (C. Müll.) Par. (Brazil, Bolivia, Argentina), I. jamaicense (Bartr.) Buck (Mexico, Guatemala, Jamaica), I. subbrevisetum (Hampe) Broth. (West Indies, Costa Rica to southern Brazil), I. subglobosum Herz. (Bolivia), and I. tenerifolium Mitt. (West Indies, southern Mexico to northern Argentina).
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