Early Service leavers: a study of the factors associated with premature separation from the UK Armed Forces and the mental health of those that leave early
Early Service leavers: a study of the factors associated with premature separation from the UK Armed Forces and the mental health of those that leave early
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DOI：
10.1093/eurpub/cks042
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发表时间：
2013-06-01
影响因子：
4.4
通讯作者：
Fear, Nicola T.
中科院分区：
文献类型：
--
作者：
Buckman, Joshua E. J.;Forbes, Harriet J.;Fear, Nicola T.
背景：每年大约有18，000人离开英国武装部队。那些在完成最低合同期限之前离职的人被称为提前离职者（ESL）。本研究旨在确定与ESL相关的特征，并比较ESL和其他服务离开者（非ESL）的出院后心理健康。方法：一项横断面研究使用的数据前服役的英国武装部队人员。ESL是在完成3-4.5年最低服务合同之前离职的人员，并与非ESL进行了比较。多变量logistic回归用于估计离职状态与社会人口统计学、军事特征和心理健康结果之间关联的比值比和95%置信区间。结果：在845名离职人员中，80名（9.5%）为ESL。作为一个ESL与年轻的年龄，女性性别，没有关系，较低的级别，在军队服役，并与报告更高水平的童年逆境的趋势，但不是部署到伊拉克。ESL可能会增加创伤后应激障碍（PTSD）、常见精神障碍、疲劳和多种身体症状的风险，但不会增加酗酒的风险。结论：本研究表明，业务服务不是一个因素，导致人员成为ESL。目前的心理健康问题更常见于ESL比其他服务离开者。可能有必要针对退役的非英语专业人员采取干预措施，使他们顺利过渡到平民生活，并防止非英语专业人员今后经历负面的心理健康结果。
Background: Approximately 18 000 personnel leave the UK Armed Forces annually. Those leaving before completing the minimum term of their contracts are called early Service leavers (ESLs). This study aims to identify characteristics associated with being an ESL, and compare the post-discharge mental health of ESLs and other Service leavers (non-ESLs). Method: A cross-sectional study used data on ex-Serving UK Armed Forces personnel. ESLs were personnel leaving before completing their 3-4.5 years minimum Service contracts and were compared with non-ESLs. Multivariable logistic regression was used to estimate odds ratios and 95% confidence intervals for the associations between Service leaving status with socio-demographics, military characteristics and mental health outcomes. Results: Of 845 Service leavers, 80 (9.5%) were ESLs. Being an ESL was associated with younger age, female sex, not being in a relationship, lower rank, serving in the Army and with a trend of reporting higher levels of childhood adversity, but not with deployment to Iraq. ESLs were at an increased risk of probable post-traumatic stress disorder (PTSD), common mental disorders, fatigue and multiple physical symptoms, but not alcohol misuse. Conclusions: The study suggests that operational Service is not a factor causing personnel to become an ESL. Current mental health problems were more commonly reported among ESLs than other Service leavers. There may be a need to target interventions to ESLs on leaving Service to smooth their transition to civilian life and prevent the negative mental health outcomes experienced by ESLs further down the line.