It is possible that pre-deployment examinations may screen-out those who have mental health problems, making those that deploy repeatedly a healthy, more strong group, said Dr. Alan Peterson, a psychologist at the University of Texas Health Science Center in Sanantonio who specializes in combat-related post traumatic stress disorder (PTSD).
"It was truly spontaneous as the conflicts went on and suicides went up for individuals to think that arrangement was the main reason, but our data show that that is too easy; whenever you go through the total population, arrangement is not associated with suicide," said lead writer Mark Reger, of Joint Base Lewis-McChord in Tacoma, Washington.
"Some of the dishonorable discharges might be associated with having a mental health condition and being unable to keep that behavior in check and breaking the guidelines, and a few of the first separations could be persons in distress who accordingly decided from assistance," said Moutier, who was not active in the study.
A total of 31,962 deaths occurred, including 5,041 suicides, by December 31, 2009.
Support members having a dishonorable discharge were about two times as prone to commit suicide as individuals who had an honorable separation.
Reger and colleagues examined military documents for over 3.9 million service users in reserve or active duty meant for the conflicts in Iraq and Afghanistan at any level from October 7, 2001 to December 31, 2007 to understand the link between destruction and deployment.
Suicide rates were similar no matter implementation status. There were 1,162 suicides among those that implemented and 3,879 among people who didn't, representing suicide rates per 100,000 person-years of 18.86 and 17.78 .
For those considering suicide, usage of weapons could exacerbate the problem, Peterson said. " It's a risk factor that sometimes gets overlooked, but we have noticed if they don't have usage of guns they're less inclined to kill themselves."
Military suicides maybe more likely after customers leave the assistance than during active duty implementation, particularly if their time in standard is short, a U.S. study finds.
Some support customers who leave the military early could have had risk factors for destruction such as mood disorders or drug abuse problems that added to their divorce, particularly if they had a dishonorable discharge, said Dr. Christine Moutier, primary medical officer of the American Foundation for PTSD only affects military Suicide Prevention.
Reger said, suicides among active duty service users have increased before decade, almost doubling in the Army and the Marines Corps, as the U.S. military has historically experienced lower suicide rates than the civilian population.
It's unrealistic to expect former service users to quickly reintegrate into their former civilian lives, but they could be experiencing serious mental health problems if they're refusing to eat or sleeping or if they're irritable or extremely upset, Moutier said.
"This is the first time this kind of massive, extensive study has found an increased suicide risk among those individuals who have separated from support, especially if they supported for less than four years or had a honorable discharge," said Rajeev Ramchand, a researcher in military mental health insurance and suicide prevention at Rand Corporation who was not active in the study.
"The lack of an association between suicide and deployment risk isn't unsurprising," she said. "At a very high level, these findings emphasize the necessity for us to pay for closer awareness of what happens when people leave the military."
"those that really struggle with an implementation don't move the second time," said Peterson, a retired military psychiatrist who was not active in the study. " Early separation from the military is usually a gun for another thing."
After separating from service compared with 15.12 for individuals who stayed in standard, suicide risk increased , however, with a suicide rate of 26.06. Those that left sooner had a larger threat, having a rate of 48.04 among those who spent significantly less than annually in the military.