Association between mental health conditions diagnosed during initial eligibility for military health care benefits and subsequent deployment, attrition, and death by suicide among active duty service members

Military Medicine

Volumn 177, Issue 10, 2012, Pages 1149-1156

  Ireland, Col Robert R ^a   Kress, Amii M ^a   Frost, Lucinda Z ^a  

^a NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; HUMAN; INSURANCE; MALE; MENTAL DISEASE; MILITARY MEDICINE; PERSONNEL MANAGEMENT; PROPORTIONAL HAZARDS MODEL; PSYCHOLOGICAL ASPECT; SOLDIER; STATISTICAL MODEL; STATISTICS; SUICIDE;

ADOLESCENT; ADULT; HUMANS; INSURANCE BENEFITS; LOGISTIC MODELS; MALE; MENTAL DISORDERS; MILITARY MEDICINE; MILITARY PERSONNEL; PERSONNEL SELECTION; PROPORTIONAL HAZARDS MODELS; SUICIDE; YOUNG ADULT;

EID: 84867501686     PISSN: 00264075     EISSN: 1930613X     Source Type: Journal    
DOI: 10.7205/MILMED-D-12-00051     Document Type: Article

References (24)

1. Clark KL, Mahmoud RA, Krauss MR, et al: Reducing medical attrition: the role of the accession medical standards analysis and research activity. Mil Med 1999; 164(7): 485-7.
2. Government Accountability Office: Military Attrition: Better Data, Coupled with Policy Changes, Could Help the Services Reduce Early Separations. GAO, 1998. Available at www.gao.gov/archive/1998/ ns98213.pdf; accessed January 22, 2012.
3. Government Accountability Office: Financial Costs and Loss of Critical Skills Due to DOD's Homosexual Conduct Policy Cannot Be Completely Estimated. GAO, 2005. Available at www.gao.gov/new.items/d05299.pdf; accessed January 22, 2012.
4. Government Printing Office: Military Attrition: DOD Could Save Millions by Better Screening Enlisted Personnel. GAO, 1997. Available at www.gao.gov/archive/1997/ns97039.pdf; accessed January 22, 2012.
5. Englert DR, Hunter CL, Sweeney BJ: Mental health evaluations of U.S. Air Force basic military training and technical training students. Mil Med 2003; 168(11): 904-10.
6. Cigrang JA, Carbone EG, Todd S, Fiedler E: Mental health attrition from Air Force basic military training. Mil Med 1998; 163(12): 834-8.
7. Hoge CW, Lesikar SE, Guevara R, et al: Mental disorders among U.S. military personnel in the 1990s: association with high levels of health care utilization and early military attrition. Am J Psychiatry 2002; 159(9): 1576-83.
8. USAF Medical Support Agency, Population Health Support Division: Behavioral Health Coding Handbook, 2005. Intellectual property of the Department of Defense used with permissions. Available at http://www.pdhealth.mil/guidelines/downloads/AFBehavioralHealthCodingHandbook05.pdf; accessed January 22, 2012.
9. American Psychiatric Association Website: DSM-ICD Coding Crosswalk. Available at http://www.psych.org/MainMenu/Research/DSMIV/ DSMIVTR/DSMICDCodingCrosswalk.aspx; accessed January 22, 2012.
10. Statistical Analysis Software: SAS Version 9.1.3. Cary, NC, SAS Institute Inc., 2008. Available at www.sas.com, accessed January 22, 2012.
11. Data Analysis and Statistical Software: Statistical Software: Release 10.0. College Station, TX, Stata Corporation, 2008. Available at www.stata.com; accessed January 22, 2012.
12. Wilson J, Jones M, Fear NT, et al: Is previous psychological health associated with the likelihood of Iraq War deployment? An investigation of the "healthy warrior effect". Am J Epidemiol 2009; 169(11): 1362-9.
13. Black SA, Gallaway MS, Bell MR, Ritchie EC: Prevalence and risk factors associated with suicides of Army Soldiers 2001-2009. Mil Psychol 2011; 23: 433-51.
14. Hoge CW, Toboni HE, Messer SC, Bell N, Amoroso P, Orman DT: The occupational burden of mental disorders in the U.S. military: psychiatric hospitalizations, involuntary separations, and disability. Am J Psychiatry 2005; 162: 585-91.
15. Broadhead WE, Blazer DG, George LK, Tse CK: Depression, disability days and days lost from work in a prospective epidemiologic survey. JAMA 1990; 264: 2524-8.
16. Hays RD, Wells KB, Sherbourne CD, et al: Functioning and well-being outcomes of patients with depression compared with chronic general medical illness. Arch Gen Psychiatry 1995; 52: 11-9.
17. Kessler RC, Frank RG: The impact of psychiatric disorders on work loss days. Psychol Med 1997; 27: 861-73.
18. Klerman GL, Weissman MM, Ouellette R, et al: Panic attacks in the community: social morbidity and health care utilization. JAMA 1991; 265: 742-6.
19. Klerman GL, Weissman MM: The course, morbidity, and costs of depression. Arch Gen Psychiatry 1992; 49: 831-4.
20. Murray CJL, Lopez AD (editors): Global Burden of Disease and Injury Series: The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability From Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Cambridge, Harvard University Press on behalf of World Health Organization and World Bank, 1996.
21. Simon G, Ormel J, VonKorff M, Barlow W: Health care costs associated with depressive and anxiety disorders in primary care. Am J Psychiatry 1995; 152: 352-7.
22. Wells KB, Sherbourne CD: Functioning and utility for current health of patients with depression or chronic medical conditions in managed, primary care practices. Arch Gen Psychiatry 1999; 56: 897-904.
23. U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health: Mental Health: A Report of the Surgeon General. Rockville, MD, 1999. Available at http://profiles.nlm.nih.gov/NN/ListByDate.html; accessed January 28, 2012.
24. Wells KB, Stewart A, Hays RD, et al: The functioning and well-being of depressed patients: results from the Medical Outcomes Study. JAMA 1989; 262: 914-9.