Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study.
<h4>Purpose</h4>Accidents are the most common cause of death among UK military personnel. It is a common misconception in the general public that accidental injuries are always the result of random events, however research suggests that mental health problems and the increased levels of...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0280938 |
| _version_ | 1811176366138195968 |
|---|---|
| author | Zoe Chui Daniel Leightley Margaret Jones Sabine Landau Paul McCrone Richard D Hayes Simon Wessely Nicola T Fear Laura Goodwin |
| author_facet | Zoe Chui Daniel Leightley Margaret Jones Sabine Landau Paul McCrone Richard D Hayes Simon Wessely Nicola T Fear Laura Goodwin |
| author_sort | Zoe Chui |
| collection | DOAJ |
| description | <h4>Purpose</h4>Accidents are the most common cause of death among UK military personnel. It is a common misconception in the general public that accidental injuries are always the result of random events, however research suggests that mental health problems and the increased levels of risky behaviour in military personnel may play a role. The objective of this study was to further our understanding of injuries and deaths not related to deployment by examining the associations of mental health, alcohol misuse and smoking with inpatient admission to hospital for accidents and injuries, and attendance to accident and emergency (A&E) departments.<h4>Methods</h4>Data on all hospital admissions for accidents and injuries and A&E attendance at NHS hospitals in England, Scotland and Wales were linked to data on self-reported mental health problems, alcohol misuse and smoking from a large, representative UK military cohort of serving and ex-serving personnel (n = 8,602). Logistic regression was used to examine the associations between having a hospital admission for an accident or injury with self-reported mental health problems, alcohol misuse and smoking. Cox proportional-hazards regression was then conducted to assess the associations of mental health problems, alcohol misuse and smoking with time to hospital admission for an accident or injury. Finally, negative binomial regression was used to examine associations between the number of A&E attendances with mental health problems, alcohol misuse and smoking.<h4>Results</h4>Personnel reporting symptoms of common mental disorder (CMD) or probable post-traumatic stress disorder (PTSD) were more likely to have an admission to hospital for an accident or injury (fully adjusted odds ratio 1.39, 95% confidence interval [CI] 1.05-1.84), than those who did not report these symptoms, and also had more attendances to A&E (fully adjusted incidence rate ratio [IRR] 1.32, 95% CI 1.16-1.51). A&E attendances were also more common in personnel who were smokers (fully adjusted IRR 1.21, 95% CI 1.09-1.35) following adjustment for demographic, military and health characteristics.<h4>Conclusions</h4>The findings suggest that accidents and injuries among military personnel are not always random events and that there are health and behavioural factors, including poor mental health and smoking, which are associated (with small effect sizes) with an increased risk of being involved in an accident. Clinicians treating individuals attending hospital after an accident should consider their healthcare needs holistically, including issues related to mental health and health damaging behaviours. |
| first_indexed | 2024-04-10T19:51:20Z |
| format | Article |
| id | doaj.art-1571db42c1894f78a629ef0150c1eaec |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-10T19:51:20Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-1571db42c1894f78a629ef0150c1eaec2023-01-28T05:30:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e028093810.1371/journal.pone.0280938Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study.Zoe ChuiDaniel LeightleyMargaret JonesSabine LandauPaul McCroneRichard D HayesSimon WesselyNicola T FearLaura Goodwin<h4>Purpose</h4>Accidents are the most common cause of death among UK military personnel. It is a common misconception in the general public that accidental injuries are always the result of random events, however research suggests that mental health problems and the increased levels of risky behaviour in military personnel may play a role. The objective of this study was to further our understanding of injuries and deaths not related to deployment by examining the associations of mental health, alcohol misuse and smoking with inpatient admission to hospital for accidents and injuries, and attendance to accident and emergency (A&E) departments.<h4>Methods</h4>Data on all hospital admissions for accidents and injuries and A&E attendance at NHS hospitals in England, Scotland and Wales were linked to data on self-reported mental health problems, alcohol misuse and smoking from a large, representative UK military cohort of serving and ex-serving personnel (n = 8,602). Logistic regression was used to examine the associations between having a hospital admission for an accident or injury with self-reported mental health problems, alcohol misuse and smoking. Cox proportional-hazards regression was then conducted to assess the associations of mental health problems, alcohol misuse and smoking with time to hospital admission for an accident or injury. Finally, negative binomial regression was used to examine associations between the number of A&E attendances with mental health problems, alcohol misuse and smoking.<h4>Results</h4>Personnel reporting symptoms of common mental disorder (CMD) or probable post-traumatic stress disorder (PTSD) were more likely to have an admission to hospital for an accident or injury (fully adjusted odds ratio 1.39, 95% confidence interval [CI] 1.05-1.84), than those who did not report these symptoms, and also had more attendances to A&E (fully adjusted incidence rate ratio [IRR] 1.32, 95% CI 1.16-1.51). A&E attendances were also more common in personnel who were smokers (fully adjusted IRR 1.21, 95% CI 1.09-1.35) following adjustment for demographic, military and health characteristics.<h4>Conclusions</h4>The findings suggest that accidents and injuries among military personnel are not always random events and that there are health and behavioural factors, including poor mental health and smoking, which are associated (with small effect sizes) with an increased risk of being involved in an accident. Clinicians treating individuals attending hospital after an accident should consider their healthcare needs holistically, including issues related to mental health and health damaging behaviours.https://doi.org/10.1371/journal.pone.0280938 |
| spellingShingle | Zoe Chui Daniel Leightley Margaret Jones Sabine Landau Paul McCrone Richard D Hayes Simon Wessely Nicola T Fear Laura Goodwin Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study. PLoS ONE |
| title | Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study. |
| title_full | Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study. |
| title_fullStr | Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study. |
| title_full_unstemmed | Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study. |
| title_short | Mental health problems and admissions to hospital for accidents and injuries in the UK military: A data linkage study. |
| title_sort | mental health problems and admissions to hospital for accidents and injuries in the uk military a data linkage study |
| url | https://doi.org/10.1371/journal.pone.0280938 |
| work_keys_str_mv | AT zoechui mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT danielleightley mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT margaretjones mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT sabinelandau mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT paulmccrone mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT richarddhayes mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT simonwessely mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT nicolatfear mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy AT lauragoodwin mentalhealthproblemsandadmissionstohospitalforaccidentsandinjuriesintheukmilitaryadatalinkagestudy |