Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.

Studies identified service members of the United States (US) Armed Forces as a high-risk group for suicide. A significant increase in the suicide rate in the US Armed Forces was found in recent years. To date, there is no military suicide statistic available for the German Armed Forces. This study e...

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Autores principales:	Christian Helms, Florian Wertenauer, Kai-Uwe Spaniol, Peter Lutz Zimmermann, Gerd-Dieter Willmund
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/55b203a230cc429492e593902101b08a
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spelling	oai:doaj.org-article:55b203a230cc429492e593902101b08a2021-12-02T20:17:44ZSuicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.1932-620310.1371/journal.pone.0256104https://doaj.org/article/55b203a230cc429492e593902101b08a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256104https://doaj.org/toc/1932-6203Studies identified service members of the United States (US) Armed Forces as a high-risk group for suicide. A significant increase in the suicide rate in the US Armed Forces was found in recent years. To date, there is no military suicide statistic available for the German Armed Forces. This study examined attempted and completed suicides in active service members of the German Armed Forces between 2010 and 2016 retrospectively, on the basis of archived personal and medical records in the central archives of the Medical Service of German Armed Forces. The primary goal was to establish a suicide-statistic for the German Armed Forces and to calculate and compare the suicides rates with the German population. Secondary every case's data was analysed the groups of attempted and completed suicides were compared. 262 attempted suicides and 148 completed suicides were included in this study (N = 410). The suicide rates of the German Armed Forces peaked over the years 2014-2015 with a suicide rate of 15-16/100.000 active military service members and exceeded the civilian suicide rate in Germany of around 12/100.000 people during those years, although no general trend could be determined. These service members were mostly young men (attempted suicide 81.7%, completed suicide 99.3%), at the age of 17 - <35 years old (87% attempted suicide, 68,3% completed suicide), and were employed less than 6 years in the German Armed Forces (attempted suicide 72.9%, completed suicide 46.3%). Service members with attempted suicides belonged mostly to the military North Atlantic Treaty Organization (NATO)-rank-group for other ranks (lowermost military professionals) OR-1 -OR-4 (48.1%) or to the rank-group OR-6 -OR-9 in the group of completed suicides (34.5%). Only in about one third of cases a psychiatric diagnosis could be found in the records. Most frequent diagnoses were neurotic, stress-related and somatoform disorders (International Classification of Diseases Tenth Revision^ICD-10: F4) in 46.8%, and affective disorders (ICD-10: F3) in 43.3% of all cases. In the majority of cases there were signs for potential stressors in the private sector (attempted suicide 90.6%, completed suicide 82.6%). No typical risk factors which would enable a specific prevention could be identified in this analysis. Therefore, should preventive strategies be aiming at a multi-level intervention program.Christian HelmsFlorian WertenauerKai-Uwe SpaniolPeter Lutz ZimmermannGerd-Dieter WillmundPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256104 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Christian Helms Florian Wertenauer Kai-Uwe Spaniol Peter Lutz Zimmermann Gerd-Dieter Willmund Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.
description	Studies identified service members of the United States (US) Armed Forces as a high-risk group for suicide. A significant increase in the suicide rate in the US Armed Forces was found in recent years. To date, there is no military suicide statistic available for the German Armed Forces. This study examined attempted and completed suicides in active service members of the German Armed Forces between 2010 and 2016 retrospectively, on the basis of archived personal and medical records in the central archives of the Medical Service of German Armed Forces. The primary goal was to establish a suicide-statistic for the German Armed Forces and to calculate and compare the suicides rates with the German population. Secondary every case's data was analysed the groups of attempted and completed suicides were compared. 262 attempted suicides and 148 completed suicides were included in this study (N = 410). The suicide rates of the German Armed Forces peaked over the years 2014-2015 with a suicide rate of 15-16/100.000 active military service members and exceeded the civilian suicide rate in Germany of around 12/100.000 people during those years, although no general trend could be determined. These service members were mostly young men (attempted suicide 81.7%, completed suicide 99.3%), at the age of 17 - <35 years old (87% attempted suicide, 68,3% completed suicide), and were employed less than 6 years in the German Armed Forces (attempted suicide 72.9%, completed suicide 46.3%). Service members with attempted suicides belonged mostly to the military North Atlantic Treaty Organization (NATO)-rank-group for other ranks (lowermost military professionals) OR-1 -OR-4 (48.1%) or to the rank-group OR-6 -OR-9 in the group of completed suicides (34.5%). Only in about one third of cases a psychiatric diagnosis could be found in the records. Most frequent diagnoses were neurotic, stress-related and somatoform disorders (International Classification of Diseases Tenth Revision^ICD-10: F4) in 46.8%, and affective disorders (ICD-10: F3) in 43.3% of all cases. In the majority of cases there were signs for potential stressors in the private sector (attempted suicide 90.6%, completed suicide 82.6%). No typical risk factors which would enable a specific prevention could be identified in this analysis. Therefore, should preventive strategies be aiming at a multi-level intervention program.
format	article
author	Christian Helms Florian Wertenauer Kai-Uwe Spaniol Peter Lutz Zimmermann Gerd-Dieter Willmund
author_facet	Christian Helms Florian Wertenauer Kai-Uwe Spaniol Peter Lutz Zimmermann Gerd-Dieter Willmund
author_sort	Christian Helms
title	Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.
title_short	Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.
title_full	Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.
title_fullStr	Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.
title_full_unstemmed	Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.
title_sort	suicidal behavior in german military service members: an analysis of attempted- and completed suicides between 2010 and 2016.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/55b203a230cc429492e593902101b08a
work_keys_str_mv	AT christianhelms suicidalbehavioringermanmilitaryservicemembersananalysisofattemptedandcompletedsuicidesbetween2010and2016 AT florianwertenauer suicidalbehavioringermanmilitaryservicemembersananalysisofattemptedandcompletedsuicidesbetween2010and2016 AT kaiuwespaniol suicidalbehavioringermanmilitaryservicemembersananalysisofattemptedandcompletedsuicidesbetween2010and2016 AT peterlutzzimmermann suicidalbehavioringermanmilitaryservicemembersananalysisofattemptedandcompletedsuicidesbetween2010and2016 AT gerddieterwillmund suicidalbehavioringermanmilitaryservicemembersananalysisofattemptedandcompletedsuicidesbetween2010and2016
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Suicidal behavior in German military service members: An analysis of attempted- and completed suicides between 2010 and 2016.

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