McFarlane Australian serving Mental health of 3.9% of Australian Defence personnel Compared with the community, Provides clearly 24,481 High generalisability et al., 2010 military personnel Australian serving reported suicidal ideation, 1.1% reported Australian Defence Force personnel defined Australian to Australian in 2010 military personnel, making a plan, and 0.4% reported had more than double the risk of population and Defence serving military including non-fatal attempting suicide suicidality (ideation and plans) but reliable Force personnel suicidal behaviour were equally likely to make an standardised data personnel attempt. Mental illness was a major collection method risk factor for suicide attempts in ADF personnel’ with 2.8% of personnel with a mental illness attempting suicide in the preceding year (compared with 0.1% with no disorder). This suggested that 90% of the ADF personnel who attempted suicide in the preceding 12 months had a psychiatric disorder (95% CI 75%, 100%) Kõlves et al., Australian serving Suicide rate in in the Australian Defence Force had The mean annual crude suicide rate Provides clearly 73 Moderate 2012 military personnel Australian military significantly lower suicide rates than males was highest in the Navy (16.6 per defined Australian generalisability to 2000 to 2010 personnel, as in the general population in the 25–29 100,000), followed by the Army population and Defence Australian serving retrieved from year age group (13.31 per 100,000 (14.3) and the Air Force (7.4) reliable suicides military personnel Australian Defence compared with 25.82 per 100,000), 30–34 standardised data (68 males number of suicide database year age group (15.08 per 100,000 collection method and females limited compared with 28.61 per 100,000) and 5 females) analysis for this 35–39 year age group (2.81 per 100,000 group compared with 26.78 per 100,000). Small numbers of females limited the ability to calculate female rates n.a. Not available. Table A.3 Suicide mortality among international serving military personnel Summary of results Evaluation criteria Quantity Country, study Quality and risk of (number of Author(s) group and period Main measure Rates/prevalence Risk factors/groups bias participants) Generalisability
McFarlane et al., 2010 Australian serving military personnel in 2010 Mental health of Australian serving military personnel, including non-fatal suicidal behaviour 3.9% of Australian Defence personnel reported suicidal ideation, 1.1% reported making a plan, and 0.4% reported attempting suicide Compared with the community, Australian Defence Force personnel had more than double the risk of suicidality (ideation and plans) but were equally likely to make an attempt. Mental illness was a major risk factor for suicide attempts in ADF personnel’ with 2.8% of personnel with a mental illness attempting suicide in the preceding year (compared with 0.1% with no disorder). This suggested that 90% of the ADF personnel who attempted suicide in the preceding 12 months had a psychiatric disorder (95% CI 75%, 100%) Provides clearly defined population and reliable standardised data collection method 24,481 Australian Defence Force personnel High generalisability to Australian serving military personnel Kõlves et al., 2012 Australian serving military personnel 2000 to 2010 Suicide rate in Australian military personnel, as retrieved from Australian Defence suicide database in the Australian Defence Force had significantly lower suicide rates than males in the general population in the 25–29 year age group (13.31 per 100,000 compared with 25.82 per 100,000), 30–34 year age group (15.08 per 100,000 compared with 28.61 per 100,000) and 35–39 year age group (2.81 per 100,000 compared with 26.78 per 100,000). Small numbers of females limited the ability to calculate female rates The mean annual crude suicide rate was highest in the Navy (16.6 per 100,000), followed by the Army (14.3) and the Air Force (7.4) Provides clearly defined population and reliable standardised data collection method 73 Australian Defence suicides (68 males and 5 females) Moderate generalisability to Australian serving military personnel number of females limited analysis for this group n.a. Not available. Table A.3 Suicide mortality among international serving military personnel Author(s) Country, study group and period Main measure Summary of results Evaluation criteria Rates/prevalence Risk factors/groups Quality and risk of bias Quantity (number of participants) Generalisability
ARP1417%20Evidence%20Profile%20-%20Suicidal%20behaviour%20and%20ideation%20among%20military%20personnel.docx