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 articles1- 3 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).
Kessler RC, Nock MK, Schoenbaum M. Mental Health and the Army—Reply. JAMA Psychiatry. 2014;71(8):967-968. doi:10.1001/jamapsychiatry.2014.716