Abstract：
OBJECTIVE:To examine incidence of mental health diagnoses during initial service of U.S. active duty military members and identify associations with deployment, attrition, and suicide. METHODS:A retrospective cohort of 576,502 service members (SMs) newly enlisted between 2003 and 2006 was identified. Data included medical encounter, deployment and attrition, and suicide. Multivariable logistic regression models examine the association between mental health diagnoses coded within the SMs' first 6 months of eligibility for health care benefits and deployment. Multivariable Cox proportional hazards models quantify the association between mental health diagnoses and attrition and suicide. RESULTS:The cumulative incidence of mental health diagnoses was approximately 9% at 6 months of service. Adjustment, depressive, and anxiety disorders were most common. Those with any mental health diagnosis during initial eligibility had increased risk of early attrition and were 77% less likely to deploy. Early mental health diagnoses were not statistically significantly associated with death by suicide. CONCLUSION:Mental health diagnoses during initial eligibility are common and associated with reduced odds of deployment and increased risk of early attrition. Policies designed to either retain or discharge SMs with a mental health diagnosis identified during initial training merit close examination in light of these findings.
journal_name
Mil Medjournal_title
Military medicineauthors
Ireland RR,Kress AM,Frost LZdoi
10.7205/milmed-d-12-00051subject
Has Abstractpub_date
2012-10-01 00:00:00pages
1149-56issue
10eissn
0026-4075issn
1930-613Xjournal_volume
177pub_type
杂志文章abstract：OBJECTIVES:This was a pilot study to determine (1) whether it is feasible to effectively blind human subjects to the presence of the insect repellents N,N-diethyl-m-toluamide (DEET) and permethrin; (2) whether DEET affects the absorption of permethrin; and (3) whether combat videotape viewing and mental arithmetic are ...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
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abstract：:This article describes, from the perspective of Project HOPE volunteers, the precedent-setting, military-civilian partnership in staffing the USNS Mercy as part of the rapid response of the United States to the overwhelming devastation and loss of life resulting from the tsunami off the coast of Indonesia. The article...
journal_title：Military medicine
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abstract：:The type and number of injuries sustained by soldiers of a Croatian Army brigade in an offensive action during the war in Croatia (1991/1992) were analyzed according to the mechanism of wounding. About 1,000 soldiers participated in a 6-hour offensive action in a flat, partially swampy, and wooded area, convenient for...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：:This article looks at the historical rationale behind the development of the healthcare administration structure currently used at Walter Reed Army Medical Center (WRAMC). This type of healthcare administration structure is unique to WRAMC and is not found in any other United States Army Medical Department healthcare ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
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journal_title：Military medicine
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journal_title：Military medicine
pub_type： 临床试验,杂志文章
doi：
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doi：10.7205/milmed.172.5.511
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa284
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journal_title：Military medicine
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journal_title：Military medicine
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doi：
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doi：10.7205/milmed.173.1.42
更新日期：2008-01-01 00:00:00
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doi：10.7205/MILMED-D-12-00500
更新日期：2013-05-01 00:00:00
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journal_title：Military medicine
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doi：
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doi：
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doi：10.7205/milmed.173.2.146
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journal_title：Military medicine
pub_type： 杂志文章
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journal_title：Military medicine
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doi：
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journal_title：Military medicine
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doi：
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