Fragala M R, McCaughey B G
Department of Psychiatry/SGHA, Malcolm Grow USAF Medical Center, Andrews Air Force Base, MD 20331-5300.
Mil Med. 1991 Apr;156(4):206-9.
Psychiatrically hospitalized military members are at risk for suicide during Medical/Physical Evaluation Board processing. Following initial hospitalization and treatment, usually for major depression, members are entered into medical administrative channels. During this period they are often returned to duty, placed on "casual" status in a holding company, or moved to a "transition unit" within the hospital, often under the care of other than mental health personnel. It is in this situation that they must face the reality of the loss of their military identity and career. This stressor may occasion a reoccurrence of the presenting illness which may be missed by medical personnel because the member is viewed by them as treated, or no longer actually a patient, but rather in the process of leaving. Medical personnel are reminded that ongoing or de novo psychiatric illness, including the risk of suicide, can and does occur on the occasion of separation from the military as stressor-independent from the reason for admission.
在医疗/体能评估委员会程序处理期间，因精神问题住院的军人有自杀风险。在最初住院并接受治疗（通常是针对重度抑郁症）后，这些军人进入医疗行政渠道。在此期间，他们常常被恢复服役、在一个待编连队处于“临时”状态，或者被转移到医院内的“过渡单位”，而且通常由非心理健康人员护理。正是在这种情况下，他们必须面对失去军人身份和职业的现实。这种压力源可能导致所患疾病复发，而医务人员可能会忽略这一点，因为在他们看来，该军人已接受治疗，或者实际上已不再是患者，而是处于离开的过程中。医务人员需谨记，在与军队分离之际，会出现与入院原因无关的、作为压力源的持续性或新发精神疾病，包括自杀风险。
