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Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Suicide | Research

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

Authors: Yousef Moradi, Behnaz Dowran, Mojtaba Sepandi

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

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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Literature
3.
go back to reference Foxx CL, et al. Effects of immunization with the soil-derived bacterium mycobacterium vaccae on stress coping behaviors and cognitive performance in a "two hit" stressor model. Front Physiol. 2020;11:524833.CrossRefPubMed Foxx CL, et al. Effects of immunization with the soil-derived bacterium mycobacterium vaccae on stress coping behaviors and cognitive performance in a "two hit" stressor model. Front Physiol. 2020;11:524833.CrossRefPubMed
4.
go back to reference Mota N, et al. Course and Predictors of Posttraumatic Stress Disorder in the Canadian Armed Forces: A Nationally Representative, 16-Year Follow-up Study: Cours et prédicteurs du trouble de stress post-traumatique dans les Forces armées canadiennes: une étude de suivi de 16 ans nationalement représentative. Can J Psychiatr. 2021;70(6):743–72. https://doi.org/10.1177/0706743721989167. Mota N, et al. Course and Predictors of Posttraumatic Stress Disorder in the Canadian Armed Forces: A Nationally Representative, 16-Year Follow-up Study: Cours et prédicteurs du trouble de stress post-traumatique dans les Forces armées canadiennes: une étude de suivi de 16 ans nationalement représentative. Can J Psychiatr. 2021;70(6):743–72. https://​doi.​org/​10.​1177/​0706743721989167​.
9.
go back to reference Brockelmeyer MC. The impact of military culture on veterans entering the private workforce: a qualitative ethnographic study. Northcentral University; 2020. Brockelmeyer MC. The impact of military culture on veterans entering the private workforce: a qualitative ethnographic study. Northcentral University; 2020.
12.
go back to reference Sticha PJ, et al. Personnel tempo: definition, measurement, and effects on retention, readiness, and quality of life. Alexandria: Human Resources Research Organization; 1999.CrossRef Sticha PJ, et al. Personnel tempo: definition, measurement, and effects on retention, readiness, and quality of life. Alexandria: Human Resources Research Organization; 1999.CrossRef
16.
go back to reference Reyes ME, et al. Self-esteem and optimism as predictors of resilience among selected Filipino active duty military personnel in military camps. J Posit School Psychol. 2020;4(1):15–25. Reyes ME, et al. Self-esteem and optimism as predictors of resilience among selected Filipino active duty military personnel in military camps. J Posit School Psychol. 2020;4(1):15–25.
32.
35.
go back to reference Higgins JP, et al. Cochrane handbook for systematic reviews of interventions: Wiley; 2019. Higgins JP, et al. Cochrane handbook for systematic reviews of interventions: Wiley; 2019.
37.
go back to reference Zandi A, et al. Abundance of depression, anxiety and stress in militant nurses. J Mil Med. 2011;13(2):103–8. Zandi A, et al. Abundance of depression, anxiety and stress in militant nurses. J Mil Med. 2011;13(2):103–8.
38.
go back to reference Mohammadi M, et al. Prevalence of depression in nurses working in Iranian hospitals: a systematic review and Meta-analysis. Int J Med Rev. 2020;7(1):32–8. Mohammadi M, et al. Prevalence of depression in nurses working in Iranian hospitals: a systematic review and Meta-analysis. Int J Med Rev. 2020;7(1):32–8.
52.
go back to reference Kamm BA. Depressive, aggressive and paranoid reactions. Psychoanal Rev. 1951;38(2):127–38.PubMed Kamm BA. Depressive, aggressive and paranoid reactions. Psychoanal Rev. 1951;38(2):127–38.PubMed
56.
go back to reference SIu P. Mental disorders in men enlisted into military service and in soldiers (clinico-epidemiological study). Zhurnal nevrologii i psikhiatrii imeni SS Korsakova. 1999;99(8):16–20. SIu P. Mental disorders in men enlisted into military service and in soldiers (clinico-epidemiological study). Zhurnal nevrologii i psikhiatrii imeni SS Korsakova. 1999;99(8):16–20.
68.
go back to reference Farsi Z, JABARI MM, Saghiri Z. The relationship between depression with self injury in Army soldiers seen in a military medical outpatient Clinic in Tehran; 2010. Farsi Z, JABARI MM, Saghiri Z. The relationship between depression with self injury in Army soldiers seen in a military medical outpatient Clinic in Tehran; 2010.
69.
go back to reference Rohani, S., et al., The frequency of suicidal-thinking in NEZAJA personnel in Tehran at 2004–5 year. 2006. Rohani, S., et al., The frequency of suicidal-thinking in NEZAJA personnel in Tehran at 2004–5 year. 2006.
Metadata
Title
The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies
Authors
Yousef Moradi
Behnaz Dowran
Mojtaba Sepandi
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03526-2

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