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Comment & Response
August 2014

Mental Health and the Army—Reply

Author Affiliations
  • 1Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
  • 2Department of Psychology, Harvard University, Cambridge, Massachusetts
  • 3National Institute of Mental Health, Bethesda, Maryland
JAMA Psychiatry. 2014;71(8):967-968. doi:10.1001/jamapsychiatry.2014.716

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 articles13 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).

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