To the Editor We read with interest a series of reports by Schoenbaum et al,1 Kessler et al,2 and Nock et al3 but wondered where gender identity disorder (GID) fits in the picture. The authors described the predictors, prevalence, and correlates of suicidal risk, ideation, and behavior among servicemembers who completed the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). These reports concluded that, given the large proportion of post-enlistment suicide attempts, pre-enlistment mental disorders might be targets for screening for suicidality and potential motivations for intervention. According to Kessler et al,2 there is reason to believe that comorbidity is likely to influence suicide risk and specific subpopulations may have elevated risks.
Hill BJ, Barnett JT. Mental Health and the Army. JAMA Psychiatry. 2014;71(8):967. doi:10.1001/jamapsychiatry.2014.697