The aim of this Rapid Evidence Assessment (REA) was to examine the evidence to establish whether ageing veterans experience challenges and issues that differ from those of the general population. Also, the factors and interventions that positively affect health and wellbeing outcomes for older people (particularly those from military backgrounds).

The 'Veterans’ Advocacy and Support Services Scoping Study' led by Mr Robert Cornall AO was released in December 2018. The aim of this study was to recommend the most suitable advocacy model for Australian veterans and families. You can learn more about this in the Terms of Reference.

Read more about reviews and reports on the veteran advocacy system.

The Review of PTSD Group Treatment Programs was undertaken by the Centre for Military and Veterans’ Health (CMVH) to ensure that services offered to clients of the Department of Veterans’ Affairs (DVA) were evidence-based and met the needs of both older and contemporary veteran cohorts.

This review came about following a recommendation out of the Independent Study into Suicide in the Ex-Service Community, undertaken by Professor David Dunt in 2009 comprised two phases. The first was a literature review of evidence-based best practice treatment for PTSD.

The second phase critically reviewed PTSD programs offered by providers contracted to DVA. This included the process of referral, the programs themselves, discharge planning and follow-up.

The report offers guidance on the next phase of group treatment programs and DVA will work closely with providers and the Australian Centre for Posttraumatic Mental Health to ensure treatment programs better met the needs of contemporary veterans. Changes to programs will only be implemented where more effective treatment and improved treatment outcomes for participants will be achieved.

Final Report for the DVA Lifecycle Review

The mental health Lifecycle Initiatives were implemented as a 2008-09 budget measure. The goals included enhancing psychological resilience among service personnel, improving mental health surveillance, supporting successful transition from defence to civilian life, and providing effective rehabilitation and support. The purpose of the current analysis was to consider the implications of the project outcomes, as well as to examine the usefulness of the lifecycle concept for future policy and program development. This document is a discussion paper designed to raise issues for consideration. It is not intended to provide specific recommendations. 

The Lifecycle Initiative outcomes were reviewed and interviews conducted with the Department of Veterans’ Affairs (DVA) and Defence stakeholders. Key themes were identified and used to guide both a literature review and consultation with overseas military and veteran mental health experts. The material was then integrated for consideration by key DVA and Defence personnel.

As part of the Government response to the 'Independent Study into Suicide in the Ex-service Community', DVA commissioned the Australian Institute of Suicide Research and Prevention to undertake a review of the Operation Life Suicide Awareness workshops to ensure they were evidenced based. DVA accepted all recommendations made in the final report. 

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: