This Mental Health Prevalence Report is the first of eight reports and two papers that comprise the Transition and Wellbeing Research Programme (the Programme). The Programme is the most comprehensive study undertaken in Australia on the impact of military service on the mental, physical and social health of Transitioned and 2015 Regular Australian Defence Force (ADF) members and their families (the study populations).

This report investigates the prevalence of 12-month and lifetime mental disorders, trauma exposure, suicidal ideation and self-reported mental health symptoms among Transitioned ADF members. Comparisons are also made between the self-reported mental health symptoms in Transitioned ADF with 2015 Regular ADF members and where possible, with the Australian Community.

The second report in the Programme, Pathways to Care, tells the next phase in the ADF mental health story by investigating how Transitioned ADF and 2015 Regular ADF members access, use and value mental health care services.

The Physical Health Status Report provides a comprehensive, high-level overview of the physical health and wellbeing of ADF personnel who transitioned between January 2010 and December 2014 and members of the 2015 Regular ADF in connection with several key health outcomes previously found to be of importance among deployed and non-deployed military and veteran populations in Australia and internationally.

This report is part of the Transition and Wellbeing Research Programme (TWRP), which is the most comprehensive study undertaken in Australia on the impact of military service on the mental, physical and social health of serving and ex-serving ADF members and their families. The Programme is made up of three studies, with this report comprising part of the Mental Health and Transition Study. The other two studies are Impact of Combat and Family Wellbeing.

The two most recent Australian Defence Force Firefighter occupational health research studies are now available.

DVA commissioned an independent Occupational Health Research Studies Review Examining the Occupational Health of Firefighters (October 2017) to assess the current level of medical-scientific evidence for 12 cancers prescribed under the Safety, Rehabilitation and Compensation Amendment (Fair Protection for Firefighters) Act 2011 (Firefighters Act), plus melanoma. The review was led by Professor Nicola Fear at King’s Centre for Military Health Research, King’s College London, United Kingdom and consists of three reports:

The Family Wellbeing Study focuses on how families are faring at two of the major stages of a military career: during service, and in the first years after the transition to civilian life. An additional focus is how differing types of family members are faring — spouses/partners, adult children and parents.

This report is part of the Transition and Wellbeing Research Programme, which is the most comprehensive study undertaken in Australia on the impact of military service on the mental, physical and social health of serving and ex-serving ADF members and their families.

This project was commissioned to add to the field of research arising from the Mental Health in the Australian Defence Force: 2010 Australian Defence Force Mental Health Prevalence and Wellbeing Study (MHPWS).

One aim of the MHPWS was to refine methods for detecting mental health conditions in the Australian Defence Force population, including the use of the Kessler Psychological Distress Scale (K10).

This project explored further the potential for identifying specific K10 screening cut-offs to maximise early intervention, and K10 epidemiological cut-offs to accurately monitor prevalence of disorders over time, using Australian Bureau of Statistics (ABS) health survey data.

This literature review was funded under the Department of Veterans' Affairs Applied Research Program and conducted by the Australian Institute for Suicide Research and Prevention.  The review examined Australian and international sources to determine prevalence and risk factors for suicide and non-fatal suicidal behaviour in serving and ex-serving military personnel.  

Fifty-one Australian and international papers and reports were included in the review.  The review indicated that there is no current research that would allow a comparison of suicide mortality rates between Australian ex-serving personnel and the general community.  However, there is some evidence that Australian Vietnam veterans could be at increased risk of non-fatal suicidal behaviour and suicidal ideation.  Other research suggests that veterans might experience veteran-specific risk factors such as difficulty returning to civilian life and a reluctance to seek help for their problems.  International research, from the United States in particular, provides a different spectrum of evidence.  However, international findings have limited generalisability to the Australian context due to differing military sizes, operational tempo, models of health care, and access to firearms.

The limited number of Australian publications available for review points to the need for high-quality studies that analyse the prevalence of and risk factors for suicide among Australian ex-serving personnel. The Department of Veterans’ Affairs, in collaboration with the Department of Defence, is continuing to explore rates of suicidal behaviour and ideation as part of its Transition and Wellbeing Research Programme.

Suicidal behaviour and ideation among military personnel: Australian and international trends: