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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Suicide and suicidality in contemporary serving and ex-serving Australian Defence Force personnel
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Suicide and suicidality in contemporary serving and ex-serving Australian Defence Force personnel

机译：自杀与自杀当代服务和前澳大利亚国防军人员

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Objective: The risk of suicide in contemporary serving and ex-serving Australian Defence Force personnel is an area of significant concern, driving government-directed inquiries, community campaigns and most recently, the establishment of a permanent National Commissioner for Defence and Veteran Suicide Prevention. This concern is mirrored in international militaries and despite investment in prevention programmes, suicide is a leading cause of death in military populations. This review seeks to summarise recent findings from Australian research regarding the magnitude and factors associated with suicide and suicidality in contemporary serving and ex-serving Australian Defence Force populations and discusses research findings, implications and future opportunities. Methods: Initial review of the prevalence of suicide and suicidality in the general community and military populations is presented, followed by review of recent research findings pertaining to suicides and suicidal thoughts, plans and attempts in contemporary serving and ex-serving Australian Defence Force personnel. Key findings are presented from the 2010 Australian Defence Force Mental Health and Wellbeing Prevalence Study and the 2015 Transition and Wellbeing Research Programme. Results: Differences between serving and ex-serving Australian Defence Force cohorts were observed, with rates of completed suicide in ex-serving Australian Defence Force males more than double that of serving Australian Defence Force males, and increased risk for suicidality observed among those who had recently transitioned out of full-time Australian Defence Force service. Risk for increased suicidality and completed suicide is particularly evident for younger males of lower ranks, and those who have been medically discharged. Conclusions: The findings provide insight into career phases and groups that should be followed-up and targeted for prevention and early intervention programmes, including prior to and several years following transition out of full-time military service. Further research to better understand the factors that influence those who develop suicidal ideation, and those who progress to plans and attempts, will inform a more sophisticated approach to suicide prevention programmes.
机译：目标：当代现役和退役澳大利亚国防军人员的自杀风险是一个令人严重关切的领域，推动了政府指导的调查、社区运动，最近还推动了设立国防和退伍军人自杀预防常设国家专员。这种担忧反映在国际军队中，尽管对预防计划进行了投资，自杀仍然是军人死亡的主要原因。本综述旨在总结澳大利亚关于当代服役和退役澳大利亚国防军人群中自杀和自杀的规模和相关因素的最新研究结果，并讨论研究结果、影响和未来机会。方法：对一般社区和军队人群中自杀和自杀的患病率进行初步审查，然后审查与当代服役和退役澳大利亚国防军人员自杀和自杀想法、计划和企图有关的最新研究结果。主要研究结果来自2010年澳大利亚国防军心理健康和福利患病率研究和2015年过渡和福利研究计划。结果：观察到现役和退役澳大利亚国防军同伙之间的差异，退役澳大利亚国防军男性的完全自杀率是现役澳大利亚国防军男性的两倍以上，并且在最近从全职澳大利亚国防军服役过渡的人中观察到自杀风险增加。对于级别较低的年轻男性和已出院的男性来说，自杀率增加和自杀完成的风险尤其明显。结论：研究结果提供了对职业阶段和群体的深入了解，这些阶段和群体应采取后续行动，并有针对性地开展预防和早期干预计划，包括退出全职兵役之前和之后的几年。进一步研究，更好地了解影响那些产生自杀想法的人以及那些计划和尝试的人的因素，将为自杀预防计划提供更复杂的方法。

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