The finding that a significant proportion of the variance in high- and low-risk trauma can be traced to heritable sources is somewhat consistent with the study by Stein et al.24 They used a sample of 406 twin pairs to estimate the relative contributions of genetic factors to different trauma types, assaultive vs nonassaultive traumas, which, except for combat exposure, closely map onto the present high- and low-risk trauma categories. The present heritability estimates are considerably larger than the comparable values from the study by Stein et al24: high risk (60%) vs assaultive (20%) and low risk (47%) vs nonassaultive (0%). Substantial methodological differences may have contributed to the discrepancy in heritability estimates. Their sample was composed solely of twin pairs and opposite-sex pairs were excluded from their calculations of heritability estimates for trauma exposure. The intrapair correlations they reported, which include all pairs, suggest that higher heritability estimates would have been obtained if opposite-sex pairs were retained (approximated by twice the difference in MZ-DZ correlation as 30% for assaultive and 28% for nonassaultive trauma). The inclusion of data from both