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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 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).

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