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The mental health of military veterans in the UK

Published online by Cambridge University Press:  02 January 2018

Howard Burdett
Affiliation:
King's Centre for Military Health Research (KCMHR), King's College London, UK, email howard.burdett@kcl.ac.uk
Neil Greenberg
Affiliation:
Psychological Medicine, King's Centre for Military Health Research (KCMHR), King's College London, UK
Nicola T. Fear
Affiliation:
King's Centre for Military Health Research (KCMHR), King's College London, UK
Norman Jones
Affiliation:
Academic Department for Defence Mental Health, King's College London, UK
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Abstract

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Risk factors for poor mental health among UK veterans include demonstrating symptoms while in service, being unmarried, holding lower rank, experiencing childhood adversity and having a combat role; however, deploy ment to a combat zone does not appear to be associated with mental health outcomes. While presentation of late-onset, post-service difficulties may explain some of the difference between veterans and those in service, delayed-onset post-traumatic stress disorder (PTSD) appears to be partly explained by prior subthreshold PTSD, as well as other mental health difficulties. In the longer term, veterans do not appear to suffer worse mental health than equivalent civilians. This overall lack of difference, despite increased mental health difficulties in those who have recently left, suggests that veterans are not at risk of worse mental health and/or that poor mental health is a cause, rather than a consequence, of leaving service.

Type
Thematic papers
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2014

References

Brewin, C., Garnett, R. & Andrews, B. (2011) Trauma, identity and mental health in UK military veterans. Psychological Medicine, 41, 17331740.CrossRefGoogle ScholarPubMed
Du Preez, J., Sundin, J., Wessely, S., et al (2012) Unit cohesion and mental health in the UK armed forces. Occupational Medicine, 62, 4753.CrossRefGoogle ScholarPubMed
Goodwin, L., Jones, M., Rona, R. J., et al (2012) Prevalence of delayed-onset posttraumatic stress disorder in military personnel: is there evidence for this disorder? Results of a prospective UK cohort study. Journal of Nervous and Mental Disease, 200, 429437.CrossRefGoogle ScholarPubMed
Gribble, R., Wessely, S., Klein, S., et al (2014) Public awareness of UK veterans' charities. RUSI Journal, 159, 5057.CrossRefGoogle Scholar
Hatch, S. L., Harvey, S. B., Dandeker, C., et al (2013) Life in and after the armed forces: social networks and mental health in the UK military. Sociology of Health and Illness, 35, 10451064.CrossRefGoogle ScholarPubMed
Iversen, A., Nikolaou, V., Greenberg, N., et al (2005a) What happens to British veterans when they leave the armed forces? European Journal of Public Health, 15, 175184.CrossRefGoogle ScholarPubMed
Iversen, A., Dyson, C., Smith, N., et al (2005b) ‘Goodbye and good luck’: the mental health needs and treatment experiences of British ex-service personnel. British Journal of Psychiatry, 186, 480486.CrossRefGoogle Scholar
Jones, E. & Fear, N. T. (2011) Alcohol use and misuse within the military: a review. International Review of Psychiatry, 23, 166172.CrossRefGoogle ScholarPubMed
Jones, M., Sundin, J., Goodwin, L., et al (2013) What explains post-traumatic stress disorder (PTSD) in UK service personnel: deployment or something else? Psychological Medicine, 43, 17031712.CrossRefGoogle ScholarPubMed
Macmanus, D. & Wessely, S. (2013) Veteran mental health services in the UK: are we headed in the right direction? Journal of Mental Health, 22, 301305.CrossRefGoogle ScholarPubMed
van Hoorn, L. A., Jones, N., Busuttil, W., et al (2013) Iraq and Afghanistan veteran presentations to Combat Stress, since 2003. Occupational Medicine, 63, 238241.CrossRefGoogle ScholarPubMed
Woodhead, C., Sloggett, A., Bray, I., et al (2009) An estimate of the veteran population in England: based on data from the 2007 Adult Psychiatric Morbidity Survey. Population Trends, 138, 5054.CrossRefGoogle Scholar
Woodhead, C., Rona, R. J., Iversen, A., et al (2011) Mental health and health service use among post-national service veterans: results from the 2007 Adult Psychiatric Morbidity Survey of England. Psychological Medicine, 41, 363372.CrossRefGoogle ScholarPubMed
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