Violent behaviour in UK military personnel returning home after deployment

Psychological Medicine - Tập 42 Số 8 - Trang 1663-1673 - 2012
Deirdre MacManus1,2, Kimberlie Dean1, Mohammed Bakir2, Ann‐Charlotte Iversen2, Lisa Hull2, Thomas Fahy1, Simon Wessely1,2, Nicola T. Fear2
1Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, King’s College London, London, UK
2King's Centre for Military Health Research, King's College London, London, UK

Tóm tắt

BackgroundThere is growing concern about an alleged rise in violent behaviour amongst military personnel returning from deployment to Iraq and Afghanistan. The aims of this study were to determine the prevalence of violence in a sample of UK military personnel following homecoming from deployment in Iraq and to examine the impact of deployment-related experiences, such as combat trauma, on violence, and the role of sociodemographics and pre-enlistment antisocial behaviour.MethodThis study used baseline data from a cohort study of a large randomly selected sample of UK Armed Forces personnel in service at the time of the Iraq war (2003). Regular personnel (n=4928) who had been deployed to Iraq were included. Data, collected by questionnaire, included information on deployment experiences, sociodemographic and military characteristics, pre-enlistment antisocial behaviour, post-deployment health outcomes and a self-report measure of physical violence in the weeks following return from deployment.ResultsPrevalence of violence was 12.6%. This was strongly associated with pre-enlistment antisocial behaviour [adjusted odds ratio (aOR) 3.6, 95% confidence interval (CI) 2.9–4.4]. After controlling for pre-enlistment antisocial behaviour, sociodemographics and military factors, violence was still strongly associated with holding a combat role (aOR 2.0, 95% CI 1.6–2.5) and having experienced multiple traumatic events on deployment (aOR for four or more traumatic events 3.7, 95% CI 2.5–5.5). Violence on homecoming was also associated with mental health problems such as post-traumatic stress disorder (aOR 4.8, 95% CI 3.2–7.2) and alcohol misuse (aOR 3.1, 95% CI 2.5–3.9).ConclusionsExperiences of combat and trauma during deployment were significantly associated with violent behaviour following homecoming in UK military personnel. Post-deployment mental health problems and alcohol misuse are also associated with increased violence.

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Tài liệu tham khảo

10.1016/S0140-6736(06)68662-5

10.1017/S0033291710000759

Babor, 2001, AUDIT: The Alcohol Use Disorders Identification Test

MacManus, 2011, Impact of pre-enlistment antisocial behaviour on behavioural outcomes among UK military personnel, Social Psychiatry and Psychiatric Epidemiology

Booth-Kewley, 2010, Factors associated with antisocial behavior in combat veterans, Aggressive Behavior, 36, 330, 10.1002/ab.20355

10.1192/bjp.bp.106.030544

James, 2010, Why are so many former soldiers in prison?, The Guardian

Kulka, 1990, The National Vietnam Veterans Readjustment Study: Tables of Findings and Technical Appendices

10.1023/A:1024470103325

10.1016/0005-7967(96)00033-2

Goldberg, 1972, The Detection of Psychiatric Illness by Questionnaire: A Technique for the Identification and Assessment of Non-Psychotic Psychiatric Illness

10.7205/MILMED.170.7.612

10.1023/A:1024771121189

10.1001/jama.298.18.2141

10.1186/1471-244X-9-68

Johnstone, 1978, Social class, social areas and delinquency, Sociology and Social Research, 63, 49

10.1016/S0140-6736(10)60672-1

Swartz, 1998, Violence and severe mental illness: the effects of substance abuse and nonadherence to medication, American Journal of Psychiatry, 155, 226, 10.1176/ajp.155.2.226

10.1001/archgenpsychiatry.2010.54

10.1176/appi.ajp.2010.09050739

10.1016/0010-440X(94)90278-X

10.1097/NMD.0b013e3181cc45e9

Byrne, 1996, The cycle of trauma: relationship aggression in male Vietnam veterans with symptoms of posttraumatic stress disorder, Violence and Victims, 11, 213, 10.1891/0886-6708.11.3.213

10.1017/S0033291796004242

2003, Historical National Statistics Publications [Annual Publication]

10.1037/0022-006X.74.4.698

10.1002/(SICI)1097-4679(199712)53:8<859::AID-JCLP11>3.0.CO;2-J

10.1001/jama.1993.03500080055032

Clayton, 1993, Statistical Models in Epidemiology

10.1016/j.jpsychires.2008.01.001

10.2307/352879

Caesar, 2010, From hero to zero, The Sunday Times

10.1111/j.1360-0443.2007.01978.x

10.1097/01.nmd.0000154835.92962.e5

Vaughan, 2006, Demobilised and addicted to danger, Today's Officer, Fall, 20

10.1001/archpsyc.1984.01790150017003

10.1002/jts.20197

10.1097/00005053-198306000-00009

10.1002/1097-4679(198911)45:6<860::AID-JCLP2270450605>3.0.CO;2-5

King, 2009, We all have a duty to our troops, The Guardian

10.1037/0021-843X.116.3.498

10.1192/bjp.bp.107.039818

10.1136/bmj.39430.638241.AE

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Psychological Medicine

Tập 42 Số 8

1663-1673

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