Shelef Leah, Laur Lucian, Fruchter Eyal
Psychology Branch, Israeli Air Force, Kragujevac, Israel ; Mental Health Department, Israel Defense Force Medical Corps, Ramat Gan, Israel.
Mental Health Department, Israel Defense Force Medical Corps, Ramat Gan, Israel.
Disaster Mil Med. 2015 Apr 6;1:10. doi: 10.1186/2054-314X-1-10. eCollection 2015.
Suicide is the third leading cause of death among adolescents in most Western world countries. Similar findings have been reported among adolescents in Israel (including the Israeli army) in times of peace; nonetheless, suicide rate has decreased significantly in recent years. In Israel, IDF service is mandatory and adolescents are obligated to serve by law. Therefore, the IDF is responsible under state and moral law to care for the physical and mental health of its soldiers. Additionally, there is an understanding that the Israeli soldiers represent a mentally healthy population as prior to their enlistment they undergo a series of tests and evaluations to determine their suitability for service. The IDF is one of the few organizations in the world that is comprised of the majority of a country's healthy adolescent population. International literature defines this population (i.e., the adolescent population) as having the highest risk of suicidality. Moreover, the risk of suicide increases in the face of two additional circumstances within the context of military service: the army service as a stressor and the availability of weapons. The IDF invests significant resources in delineating the characteristics of suicidal soldiers, realizing its importance for suicide prevention during military service. This article reviews studies regarding complete suicide cases of Israeli soldiers in the aim of characterising a 'suicidal soldier's profile' to inform better screening and prevention policies.
在大多数西方国家,自杀是青少年死亡的第三大主要原因。在以色列,包括以色列军队在内,青少年在和平时期也有类似的情况;不过,近年来自杀率已显著下降。在以色列,服兵役是强制性的,青少年依法有义务服役。因此,以色列军队在国家法律和道德法律下有责任照顾其士兵的身心健康。此外,人们认为以色列士兵代表着心理健康的人群,因为在入伍前他们要接受一系列测试和评估,以确定他们是否适合服役。以色列军队是世界上少数几个由该国大多数健康青少年组成的组织之一。国际文献将这一人群(即青少年人群)定义为自杀风险最高的人群。此外,在服兵役的情况下,面对另外两种情况,自杀风险会增加:军队服役作为一种压力源以及武器的可得性。以色列军队投入大量资源来描绘自杀士兵的特征,认识到这对预防服役期间的自杀至关重要。本文回顾了关于以色列士兵完全自杀案例的研究,旨在刻画“自杀士兵的形象”,以制定更好的筛查和预防政策。