Prevalence Comparison of Past-year Mental Disorders and Suicidal Behaviours in the Canadian Armed Forces and the Canadian General Population

Rusu, Corneliu; Zamorski, Mark A.; Boulos, David; Garber, Bryan G.

doi:10.1177/0706743716628856

Cited by 63 publications

(58 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, other studies of military recruits have not estimated the prevalence of AUDs. However, the prevalence of probable past-year AUD in our restricted sample (5.7%) is similar to that observed in a recent study of Canadian Regular Military Forces Personnel (4.5%) (Rusu et al, 2016). …”

Section: Discussionsupporting

confidence: 90%

Alcohol Misuse and Co‐Occurring Mental Disorders Among New Soldiers in the U.S. Army

Stein

Campbell‐Sills

et al. 2016

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

BACKGROUND Problem drinking that predates enlistment into military service may contribute to the overall burden of alcohol misuse in the Armed Forces; however, evidence bearing on this issue is limited. The current study examines prevalence and correlates of alcohol misuse among new US Army soldiers. METHODS Cross-sectional survey data were collected from soldiers reporting for basic combat training. The survey retrospectively assessed lifetime alcohol consumption and substance abuse/dependence, enabling estimation of the prevalence of lifetime binge drinking and heavy drinking in a sample of 30,583 soldiers and of probable alcohol use disorder (AUD) among 26,754 soldiers with no/minimal lifetime use of other drugs. Co-occurrence of mental disorders and other adverse outcomes with binge drinking, heavy drinking, and AUD was examined. Discrete-time survival analysis, with person-year the unit of analysis and a logistic link function, was used to estimate associations of AUD with subsequent onset of mental disorders and vice versa. RESULTS Weighted prevalence of lifetime binge drinking was 27.2% (SE=0.4%) among males and 18.9% (SE=0.7%) among females; respective estimates for heavy drinking were 13.9% (SE=0.3%) and 9.4% (SE=0.4%). Among soldiers with no/minimal drug use, 9.5% (SE=0.2%) of males and 7.2% (SE=0.5%) of females had lifetime AUD. Relative to no alcohol misuse, binge drinking, heavy drinking, and AUD were associated with increased odds of all adverse outcomes under consideration [adjusted odds ratios (AORs)=1.5 to 4.6; ps<.001]. Prior mental disorders and suicidal ideation were associated with onset of AUD (AORs=2.3 to 2.8; ps<.001); and prior AUD was associated with onset of mental disorders and suicidal ideation (AORs=2.0 to 3.2, ps<0.005). CONCLUSIONS Strong bidirectional associations between alcohol misuse and mental disorders were observed in a cohort of soldiers beginning Army service. Conjoint recognition of alcohol misuse and mental disorders upon enlistment may provide opportunities for risk mitigation early in a soldier's career.

show abstract

Section: Discussionsupporting

confidence: 90%

Alcohol Misuse and Co‐Occurring Mental Disorders Among New Soldiers in the U.S. Army

Stein

Campbell‐Sills

et al. 2016

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

show abstract

“…Previous studies on mortality after peacekeeping service are mainly concentrated on total mortality, psychiatric conditions in relation to suicides, intoxications, accidents and in the disease-related deaths cancer, acute myocardial infarction, heart failure and pneumonia 14 5 8 – 10 12 14 – 19 The SMR for all-cause mortality was 0.44 for Gulf War veterans in a study with a large sample but a short follow-up of 2–3 years 2021…”

Section: Discussionmentioning

confidence: 99%

Total and cause-specific mortality of Finnish military personnel following service in international peacekeeping operations 1990–2010: a comprehensive register-based cohort study

et al. 2016

View full text Add to dashboard Cite

ObjectivesTo estimate total and cause-specific mortality after international peacekeeping deployments among the Finnish military peacekeeping personnel in comparison to the general population of similar age and sex.DesignA register-based study of a cohort of military peacekeeping personnel in 1990–2010 followed for mortality until the end of 2013. Causes of death were obtained from the national Causes of Death Register. The standardised mortality ratio (SMR) for total and cause-specific mortality was calculated as the ratio of observed and expected number of deaths.SettingFinland (peacekeeping operations in different countries in Africa, Asia and in an area of former Yugoslavia in Europe).Participants14 584 men and 418 women who had participated in international military peacekeeping operations ending between 1990 and 2010.InterventionsParticipation in military peacekeeping operations.Main outcomeTotal and cause-specific mortality.Results209 men and 3 women died after their peacekeeping service. The SMR for all-cause mortality was 0.55 (95% CI 0.48 to 0.62). For the male peacekeeping personnel, the SMR for all diseases was 0.44 (95% CI 0.35 to 0.53) and for accidental and violent deaths 0.69 (95% CI 0.57 to 0.82). The SMR for suicides was 0.71 (95% CI 0.53 to 0.92).ConclusionsEven though military peacekeeping personnel are working in unique and often stressful conditions, their mortality after their service is lower compared with the general population. Military peacekeeping personnel appear to be a selected population group with low general mortality and no excess risk of any cause of death after peacekeeping service.

show abstract

“…This explanation is likely, given the prevalence of alcohol use disorder is lower in the regular force population compared with the general population. 38 This may be particularly true for personnel with pain conditions, where the combination may result in an inability to work.…”

Section: Openmentioning

confidence: 99%

Prevalence of comorbid chronic pain and mental health conditions in Canadian Armed Forces active personnel: analysis of a cross-sectional survey

Vun¹,

Turner²,

Sareen³

et al. 2018

cmajo

View full text Add to dashboard Cite

C hronic pain, physical conditions and mental disorders are prevalent among military personnel. Chronic pain estimates in former members of the Canadian Armed Forces (CAF) are estimated to be about 41%. 1 Although some research has shown higher chronic pain estimates in the Canadian veteran population compared with the general population, 2 other studies have shown comparable prevalence estimates among the two populations. 3 In addition, there are no recent estimates of the prevalence of chronic pain in the serving CAF. Canadian regular force veterans have higher rates of conditions characterized by pain, including arthritis, back pain and bowel disorders compared with the general population. 4 High estimates of mental health conditions are also seen. In 2002, the Canadian Community Health Survey Canadian Forces Supplement (CCHS-CF) showed significantly higher pastyear prevalence rates of depression and panic disorder among regular members of the CAF compared with the rates seen in the general population. 5 High prevalence rates in the CAF are corroborated by more recent research, with the prevalence of general anxiety disorder being twice as high as that of the general population in 2008. 4

show abstract

Prevalence Comparison of Past-year Mental Disorders and Suicidal Behaviours in the Canadian Armed Forces and the Canadian General Population

Abstract: Comparaison de la pré valence des troubles mentaux et des comportements suicidaires de l'anné e pré cé dente entre les Forces armé es canadiennes et la population gé né rale canadienne

Cited by 63 publications

References 33 publications

Alcohol Misuse and Co‐Occurring Mental Disorders Among New Soldiers in the U.S. Army

Alcohol Misuse and Co‐Occurring Mental Disorders Among New Soldiers in the U.S. Army

Total and cause-specific mortality of Finnish military personnel following service in international peacekeeping operations 1990–2010: a comprehensive register-based cohort study

Prevalence of comorbid chronic pain and mental health conditions in Canadian Armed Forces active personnel: analysis of a cross-sectional survey

Contact Info

Product

Resources

About