Suicide Among Regular-Duty Military Personnel: A Retrospective Case-Control Study of Occupation-Specific Risk Factors for Workplace Suicide

Hdl Handle:
http://hdl.handle.net/10147/221317
Title:
Suicide Among Regular-Duty Military Personnel: A Retrospective Case-Control Study of Occupation-Specific Risk Factors for Workplace Suicide
Authors:
Mahon, M. J.
Citation:
Suicide Among Regular-Duty Military Personnel: A Retrospective Case-Control Study of Occupation-Specific Risk Factors for Workplace Suicide 2005, 162 (9):1688 American Journal of Psychiatry
Journal:
American Journal of Psychiatry
Issue Date:
1-May-2012
URI:
http://hdl.handle.net/10147/221317
DOI:
10.1176/appi.ajp.162.9.1688
Additional Links:
http://ajp.psychiatryonline.org/cgi/doi/10.1176/appi.ajp.162.9.1688
Abstract:
Objective: The purpose of this study was to examine the epidemiology, phenomenology, and occupation-specific risk factors for suicide among regular-duty military personnel as a model for other professions at risk for workplace suicide. Method: Suicide incidence and methods were determined in a retrospective military cohort comprising all deaths (N=732) of regular-duty military personnel in the Irish Defence Forces between 1970 and 2002. A retrospective, case-control study using pair-matched military comparison subjects was conducted to determine occupation- specific risk factors for suicide, particularly by firearm, among military personnel. Risk factors were subjected to chi-square analysis or independent t tests and entered into a binary logistic regression analysis model. Results: The period-averaged suicide rate for the cohort was 15.3/100,000. Firearm suicides accounted for 53% of the cases. Suicides that took place on duty occurred predominantly when personnel were alone shortly after duty commencement in the morning. Bivariate and logistic regression analyses identified psychiatric illness and a past history of deliberate selfharm, morning duty (shortly after duty assumption and consequent access to firearms), and a recent medical downgrading as independent risk factors predicting firearm suicide among military personnel. Conclusions: Occupation influences suicide method. Access to and opportunity to use lethal means in the workplace are distinct but related occupation-specific suicide risk factors in the military and in other at-risk professions. In professions where access to lethal means is inevitable, moderating opportunity for suicide is crucially important. In regular-duty military personnel, a medical downgrading, combined with risk factors established in civilians such as younger age, male gender, psychiatric illness, and past self-harm, increases the risk of suicide. The findings may be used to guide military harm-reduction strategies and have applicability in strategies for other professions at risk for workplace suicide.
Item Type:
Article
Language:
en
ISSN:
0002-953X; 1535-7228

Full metadata record

DC FieldValue Language
dc.contributor.authorMahon, M. J.en_GB
dc.date.accessioned2012-05-01T08:33:47Z-
dc.date.available2012-05-01T08:33:47Z-
dc.date.issued2012-05-01-
dc.identifier.citationSuicide Among Regular-Duty Military Personnel: A Retrospective Case-Control Study of Occupation-Specific Risk Factors for Workplace Suicide 2005, 162 (9):1688 American Journal of Psychiatryen_GB
dc.identifier.issn0002-953X-
dc.identifier.issn1535-7228-
dc.identifier.doi10.1176/appi.ajp.162.9.1688-
dc.identifier.urihttp://hdl.handle.net/10147/221317-
dc.description.abstractObjective: The purpose of this study was to examine the epidemiology, phenomenology, and occupation-specific risk factors for suicide among regular-duty military personnel as a model for other professions at risk for workplace suicide. Method: Suicide incidence and methods were determined in a retrospective military cohort comprising all deaths (N=732) of regular-duty military personnel in the Irish Defence Forces between 1970 and 2002. A retrospective, case-control study using pair-matched military comparison subjects was conducted to determine occupation- specific risk factors for suicide, particularly by firearm, among military personnel. Risk factors were subjected to chi-square analysis or independent t tests and entered into a binary logistic regression analysis model. Results: The period-averaged suicide rate for the cohort was 15.3/100,000. Firearm suicides accounted for 53% of the cases. Suicides that took place on duty occurred predominantly when personnel were alone shortly after duty commencement in the morning. Bivariate and logistic regression analyses identified psychiatric illness and a past history of deliberate selfharm, morning duty (shortly after duty assumption and consequent access to firearms), and a recent medical downgrading as independent risk factors predicting firearm suicide among military personnel. Conclusions: Occupation influences suicide method. Access to and opportunity to use lethal means in the workplace are distinct but related occupation-specific suicide risk factors in the military and in other at-risk professions. In professions where access to lethal means is inevitable, moderating opportunity for suicide is crucially important. In regular-duty military personnel, a medical downgrading, combined with risk factors established in civilians such as younger age, male gender, psychiatric illness, and past self-harm, increases the risk of suicide. The findings may be used to guide military harm-reduction strategies and have applicability in strategies for other professions at risk for workplace suicide.-
dc.language.isoenen
dc.relation.urlhttp://ajp.psychiatryonline.org/cgi/doi/10.1176/appi.ajp.162.9.1688en_GB
dc.rightsArchived with thanks to American Journal of Psychiatryen_GB
dc.titleSuicide Among Regular-Duty Military Personnel: A Retrospective Case-Control Study of Occupation-Specific Risk Factors for Workplace Suicideen_GB
dc.typeArticleen
dc.identifier.journalAmerican Journal of Psychiatryen_GB
dc.description.provinceLeinsteren
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