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Published Online:https://doi.org/10.1176/ajp.130.6.643

A one-year study at West Point revealed that most cadets seen in the mental hygiene service did not have symptoms indicative of a major psychiatric illness; many were diagnosed as having adjustment reactions. Similar findings have been reported among students at civilian institutions. However, the cadets had lower rates of self-referrals and diagnoses of personality disorder and higher frequencies of suicide gestures and psychophysiological reactions.

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