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Understanding Mental Health in the Military: Depression, Substance Abuse & Suicide

Explore the prevalence of major depression, substance use disorder, and anxiety among Marines and soldiers post-Iraq/Afghanistan deployments. Learn about the Mental Health Advisory Team's report on morale and psychological problems, comparing data from 2009 to 2013. Discover the rates of soldiers meeting criteria for acute stress, depression, and anxiety, and the lower rates of suicidal ideation compared to earlier years in this comprehensive examination of military psychology.

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Understanding Mental Health in the Military: Depression, Substance Abuse & Suicide

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  1. Military Psychology: Depression, Substance Abuse & Suicide

  2. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety

  3. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan

  4. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression

  5. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol

  6. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009

  7. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010

  8. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010

  9. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010

  10. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010

  11. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • prevalence: 20% of Marines, soldiers require mental health treatment post-Iraq/Afghanistan • 15% depression • 10%-12% substance abuse disorder including alcohol • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010

  12. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty

  13. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents

  14. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents

  15. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents

  16. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents

  17. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents * *further study: research indicate many problems attributable to noncombat, personal life issues.

  18. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents * *further study: research indicate many problems attributable to noncombat, personal life issues.

  19. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: • morale: significant rise in reports of individual and unit morale relative to 2012, but comparable to 2009 • psychological problems: rates of soldiers meeting criteria for acute stress, depression, or anxiety lower than 2009/2010 • suicidal ideation: lower than rates than 2009/2010 • sleep problems: 27.3% in 2013, lower than 2012 (33.8%): 18.4% report falling asleep on guard duty • increased psychological problems and accidents • concussive/blast events: Self-report of exposure to blast declined, percent reported by medic following blast increased

  20. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems Criteria: fighting killing threat to oneself death/injury of others atrocities

  21. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems criteria: fighting, killing, threat to oneself, death/injury of others, atrocities

  22. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems criteria: fighting, killing, threat to oneself, death/injury of others, atrocities

  23. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems criteria: fighting, killing, threat to oneself, death/injury of others, atrocities

  24. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist. criteria: fighting, killing, threat to oneself, death/injury of others, atrocities

  25. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist.

  26. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist.

  27. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist.

  28. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist.

  29. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist.

  30. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist • multiple deployments: • first time deployment: 2012 = 57.7%; 2013 = 64.3%

  31. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist • multiple deployments: • first time deployment: 2012 = 57.7%; 2013 = 64.3% • multiple deployers: noncommissionedOfficers (NCOs) = 7.7%

  32. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist • multiple deployments: • first time deployment: 2012 = 57.7%; 2013 = 64.3% • multiple deployers: noncommissionedOfficers (NCOs) = 7.7% • second time: 63.9%

  33. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist • multiple deployments: • first time deployment: 2012 = 57.7%; 2013 = 64.3% • multiple deployers: noncommissionedOfficers (NCOs) = 7.7% • second time: 63.9% • 3rd/4th: 86.3%

  34. Military Psychology: Depression, Substance Abuse & Suicide • PTSD, TBI focus of media, but • major depression • substance use disorder • anxiety • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist • multiple deployments: • first time deployment: 2012 = 57.7%; 2013 = 64.3% • multiple deployers: noncommissionedOfficers (NCOs) = 7.7% • second time: 63.9% • 3rd/4th: 86.3% • relationship problems: divorce/infidelity

  35. Military Psychology: Depression, Substance Abuse & Suicide • Mental Health Advisory Team (MHAT) 9 OEF report, 10/10/13: risk factors • combat exposure: principal risk factors for behavioral health problems • change reflect from combat to advise and assist • multiple deployments

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