Academic Department of Military Mental Health, Floor 3 Weston Education Centre, King's College London, London, UK.
King's Centre for Military Mental Health Research, Weston Education Centre, King's College London, London, UK.
Suicide Life Threat Behav. 2019 Dec;49(6):1762-1779. doi: 10.1111/sltb.12570. Epub 2019 Jul 10.
In the UK military, suicide is infrequent and studies of self-harm behavior in this population are rare.
To compare lifetime self-harm rates estimated on three occasions between 2004 and 2016 and to explore the associates of lifetime self-harm.
Three phases of a UK AF cohort study (n = 10,272, 9,990, and 8,581, respectively) provided data. Telephone interviews assessed associates of self-harm among cohort members who reported subjective mental health problems in the past 3 years (n = 1,448). Validated measures of mental health and related stigmatization, social support, and help-seeking were obtained.
Lifetime self-harm increased significantly (p < .001) from 1.8% among serving personnel and 3.8% among veterans in 2004/06 to 1.9% and 4.5% in 2007/09 and to 4.2% and 6.6% in 2014/16 in the two groups, respectively. Veterans were consistently significantly more likely to report lifetime self-harm than serving personnel. Significant determinants of lifetime self-harm included current mental disorder symptoms, stigmatization, poor social support, suicidal ideation, and seeking help from formal medical sources.
Self-harm has increased over time in the UK serving and veteran community. Suicide prevention should focus on ameliorating mental disorder by encouraging engagement with health care, reducing negative views of mental illness, and fostering social support.
在英国军队中，自杀现象较为罕见，针对该人群的自残行为研究也较为少见。
比较 2004 年至 2016 年期间三次随访中估算的终身自残率，并探讨其相关因素。
该研究纳入了英国空军队列研究的三个阶段（分别有 10272、9990 和 8581 名参与者）的数据。通过电话访谈评估了过去 3 年内报告有心理健康问题的队列成员（共 1448 人）的自残相关因素。采用了经过验证的心理健康和相关污名化、社会支持和寻求帮助的测量方法。
从 2004/06 年的现役人员中 1.8%和退伍军人中 3.8%，到 2007/09 年的现役人员中 1.9%和退伍军人中 4.5%，再到 2014/16 年的现役人员中 4.2%和退伍军人中 6.6%，终身自残的发生率呈显著上升趋势（p<0.001）。退伍军人报告终身自残的可能性始终显著高于现役人员。终身自残的显著决定因素包括当前的精神障碍症状、污名化、较差的社会支持、自杀意念和向正式医疗资源寻求帮助。
在英国现役和退伍军人社区中，自残行为随时间推移而增加。预防自杀应侧重于通过鼓励他们接受医疗保健、减少对精神疾病的负面看法和培养社会支持来改善精神障碍。
