Psychiatric Management of Suicide Problems in Military Service

Offenkrantz, William; Church, Edwin; Elliott, Robert B.

doi:10.1176/ajp.114.1.33

Cited by 11 publications

(4 citation statements)

References 2 publications

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“…According to research, it has been shown that the prevalence of these disorders in military families was higher than that in other families in the society. Factors such as workplace stress, sensitive and critical situations, high job responsibilities, job stress, unwanted relocation, problems in the family and home, lack of confidence in individual abilities, mental fatigue caused by hard work, thinking the possibility of death are some of the depression and mental distress causes in the military and their families [ 53 , 54 ]. In a study entitled Environment, Lifestyle and Psychological Factors in the Health and Welfare of Military Families, the results showed that the psychological factors resulting from military missions were divided into 5 stages which included the stage before deployment, deployment, return, reinforcement and re-deployment, respectively.…”

Section: Discussionmentioning

confidence: 99%

The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies

2021

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Background Given the wide range of depressive disorders, suicidal ideation and suicide attempts in various military studies around the world, determining the exact prevalence of these disorders in line with health planning as well as care and treatment service designing for military forces can be useful. The aim of the present meta-analysis was to determine the pooled prevalence of depressive disorders, suicide thoughts, and attempts in the military. Methods The present systematic review and meta-analysis study was performed based on PRISMA criteria in 5 steps of the search strategy, screening and selection of articles, data extraction, evaluation of article quality and meta-analysis. International databases (PubMed (Medline), Scopus, Web of science, Embase (Elsevier), PsycInfo (Ovid), Cochrane CENTRAL (Ovid)) were searched using related keywords extracted from Mesh and Emtree. After screening and final selection of articles, data were extracted and qualitative evaluation was performed using the NOS checklist. Results The results of meta-analysis showed that the prevalence of depression in active military forces and veterans was 23% (%95 CI: 20–26%) and 20% (%95 CI: 18–22%), respectively. In addition, the prevalence of suicidal ideation and attempts in the military was 11% (%95 CI: 10–13%) and 11% (%95 CI: 9–13%), respectively. The prevalence of suicide ideation and attempts in drug-using military was 18% (%95 CI: 7–33%) and 30% (%95 CI: 23–36%), respectively. The prevalence of suicidal ideation and attempts in military consuming alcohol were 9% (%95 CI: 4–13%) and 8% (%95 CI: 7–10%), respectively. In militaries with AIDS / HIV, the prevalence of suicide attempts was 5% (%95 CI: 4–8%). Conclusion Therefore, it is necessary to develop and design training and intervention programs in order to increase the awareness of the military, especially veterans, to prevent the occurrence of suicide and depression.

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Section: Discussionmentioning

confidence: 99%

The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies

2021

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“…According to research, it has been shown that the prevalence of these disorders in military families was higher than that in other families in the society. Factors such as workplace stress, sensitive and critical situations, high job responsibilities, job stress, unwanted relocation, problems in the family and home, lack of con dence in individual abilities, mental fatigue caused by hard work, thinking the possibility of death are some of the depression and mental distress causes in the military and their families (48,49). In a study entitled Environment, Lifestyle and Psychological Factors in the Health and Welfare of Military Families, the results showed that the psychological factors resulting from military missions were divided into 5 stages which included the stage before deployment, deployment, return, reinforcement and re-deployment, respectively.…”

Section: Discussionmentioning

confidence: 99%

The Global Prevalence of Depression, Suicide Ideation, and Attempts in the Military Forces: A Systematic Review and Meta-Analysis of Cross Sectional Studies

Moradi

Dowran

Sepandi

2021

Preprint

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Background Given the wide range of depressive disorders, suicidal ideation and suicide attempts in various military studies around the world, determining the exact prevalence of these disorders in line with health planning as well as care and treatment service designing for military forces can be useful. The aim of the present meta-analysis was to determine the pooled prevalence of depressive disorders, suicide thoughts, and attempts in the military. Methods The present systematic review and meta-analysis study was performed based on PRISMA criteria in 5 steps of the search strategy, screening and selection of articles, data extraction, evaluation of article quality and meta-analysis. International databases (PubMed, Scopus, Web of Sciences, Embase, Cochrane, PsycInfo) were searched using related keywords extracted from Mesh and Emtree. After screening and final selection of articles, data were extracted and qualitative evaluation was performed using the NOS checklist. Results The results of meta-analysis showed that the prevalence of depression in active military forces and veterans was 23% (%95 CI: 20–26 %) and 20% (%95 CI: 18–22 %), respectively. In addition, the prevalence of suicidal ideation and attempts in the military was 11% (%95 CI: 10–13 %) and 11% (%95 CI: 9–13 %), respectively. The prevalence of suicide ideation and attempts in drug-using military was 18% (%95 CI: 7–33 %) and 30% (%95 CI: 23–36 %), respectively. The prevalence of suicidal ideation and attempts in military consuming alcohol were 9% (%95 CI: 4–13 %) and 8% (%95 CI: 7–10 %), respectively. In militaries with AIDS / HIV, the prevalence of suicide attempts was 5% (%95 CI: 4–8 %). Conclusion Therefore, it is necessary to develop and design training and intervention programs in order to increase the awareness of the military, especially veterans, to prevent the occurrence of suicide and depression.

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“…152 Yet in the immediately ensuing years, little was written on institutional suicide prevention programs within the military, although periodic articles on individual clinical assessment and treatment appeared. 74,76,[153][154][155][156][157][158][159] McDowell et al 25 suggest three reasons for this phenomena: (1) Suicides were rare events within the military (as noted earlier in this chapter), and they were often masked by the mobility and turnover of the force. (2) Suicide was the purview of the medical department and not considered a command responsibility per se.…”

Section: Prevention Of Recruit Suicidementioning

confidence: 99%

Management of recruit suicide

Cox¹,

Edison²,

Stewart³

et al. 2006

PsycEXTRA Dataset

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introduCtion stress in MiLitarY training suiCide statistiCs Military and recruit suicide statistics Problems with suicide statistics risk faCtors and VuLnerabLe indiViduaLs Military-specific risk recruit-specific risk research on risk risk Prediction Models Protective factors suicide Contagion and epidemics risk assessMent ProCedures echelons of Care trust and rapport systematic assessment Models of assessment and assignment of risk Category Methodology: elements of suicide risk assessment ManageMent of suiCidaL reCruits Management according to Level of risk Management Plans and strategies staff burnout and Mistakes

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Psychiatric Management of Suicide Problems in Military Service

Cited by 11 publications

References 2 publications

The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies

The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies

The Global Prevalence of Depression, Suicide Ideation, and Attempts in the Military Forces: A Systematic Review and Meta-Analysis of Cross Sectional Studies

Management of recruit suicide

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