A Concept Analysis of Stigma Perceived by Military Service Members Who Seek Mental Health Services

Nursing Forum ◽  
2016 ◽  
Vol 52 (3) ◽  
pp. 188-195 ◽  
Author(s):  
Stephen H. A. Hernandez ◽  
Brenda J. Morgan ◽  
Mark. B. Parshall
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Military Service ◽  
Concept Analysis ◽  
Service Members ◽  
Military Service Members

Risk Factors Explaining Military Deaths From Suicide, 2008–2017: A Latent Class Analysis

2021 ◽  
pp. 0095327X2110469
Author(s):  
Scott D. Landes ◽  
Janet M. Wilmoth ◽  
Andrew S. London ◽  
Ann T. Landes
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Latent Class Analysis ◽  
Military Service ◽  
Latent Class ◽  
Service Providers ◽  
Service Members ◽  
Latent Classes ◽  
Class Analysis ◽  
Military Service Members

Military suicide prevention efforts would benefit from population-based research documenting patterns in risk factors among service members who die from suicide. We use latent class analysis to analyze patterns in identified risk factors among the population of 2660 active-duty military service members that the Department of Defense Suicide Event Report (DoDSER) system indicates died by suicide between 2008 and 2017. The largest of five empirically derived latent classes was primarily characterized by the dissolution of an intimate relationship in the past year. Relationship dissolution was common in the other four latent classes, but those classes were also characterized by job, administrative, or legal problems, or mental health factors. Distinct demographic and military-status differences were apparent across the latent classes. Results point to the need to increase awareness among mental health service providers and others that suicide among military service members often involves a constellation of potentially interrelated risk factors.

scholarly journals Mental Health Outcomes Among Military Service Members After Severe Injury in Combat and TBI

2019 ◽  
Vol 185 (5-6) ◽  
pp. e711-e718 ◽  
Author(s):  
David L Chin ◽  
John E Zeber
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Traumatic Stress ◽  
Military Service ◽  
Mental Health Outcomes ◽  
Service Members ◽  
Post Traumatic Stress ◽  
Military Service Members ◽  
Severe Tbi ◽  
Post Traumatic

Abstract Introduction Studies examining the mental health outcomes of military personnel deployed into combat zones have focused on the risk of developing post-traumatic stress disorder conferred by mild or moderate traumatic brain injury (TBI). However, other mental health outcomes among veterans who sustained critical combat injuries have not been described. Materials and Method We examined the associations of moderate and severe TBI and combat injury with the risk for anxiety and mood disorders, adjustment reactions, schizophrenia and other psychotic disorders, cognitive disorders, and post-traumatic stress disorder. We conducted a retrospective cohort study of U.S. military service members critically injured in combat during military operations in Iraq and Afghanistan from February 1, 2002, to February 1, 2011. Health care encounters from (1) the Department of Defense (DoD) Trauma Registry (TR), (2) acute and ambulatory care in military facilities, and (3) civilian facilities are reimbursed by Tricare. Service members who sustained severe combat injury require critical care. We estimated the risk of mental health outcomes using risk-adjusted logit models for demographic and clinical factors. We explored the relationship between TBI and the total number of mental health diagnoses. Results Of the 4,980 subjects who met inclusion criteria, most injuries occurred among members of the Army (72%) or Marines (25%), with mean (SD) age of 25.5(6.1) years. The prevalence of moderate or severe TBI was 31.6% with explosion as the most common mechanism of injury (78%). We found 71% of the cohort was diagnosed with at least one poor mental health condition, and the adjusted risk conferred by TBI ranged from a modest increase for anxiety disorder (odds ratio, 1.27; 95% confidence interval [CI], 1.11–1.45) to a large increase for cognitive disorder (odds ratio, 3.24; 95% CI, 2.78–3.77). We found TBI was associated with an increased number of mental health diagnoses (incidence rate ratio, 1.52; 95% CI, 1.42–1.63). Conclusions Combat-associated TBI may have a broad effect on several mental health conditions among critically injured combat casualties. Early recognition and treatment for trauma-associated mental health are crucial to improving outcomes among service personnel as they transition to post-deployment care in the DoD, Department of Veterans Affairs, or community health systems.

scholarly journals Suicide Attempt Characteristics Among Veterans and Active-Duty Service Members Receiving Mental Health Services: A Pooled Data Analysis

2015 ◽  
Vol 3 (4) ◽  
pp. 316-327 ◽  
Author(s):  
Jennifer L. Villatte ◽  
Stephen S. O'Connor ◽  
Rebecca Leitner ◽  
Amanda H. Kerbrat ◽  
Lora L. Johnson ◽  
...  
Keyword(s):  
Mental Health ◽  
Data Analysis ◽  
Mental Health Services ◽  
Health Services ◽  
Suicide Attempt ◽  
Active Duty ◽  
Service Members ◽  
Pooled Data
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