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Table 2 The study characteristics of included studies about suicide attempted and thought

From: The global prevalence of depression, suicide ideation, and attempts in the military forces: a systematic review and Meta-analysis of cross sectional studies

Authors (Years)

Country

Type of Sampling

(Type of Study)

Study Population

Depression Assessment Method

Age (Mean)

Sample size

Prevalence of Suicide (%)

NOS Score

Attempts

Thoughts

 

Helzer, J. E. et al. (1976) (66)

USA

Random Sampling

(CS)

Army men

Clinical Symptoms (Interviews)

–

470

NR

42 (9%)

7

Bohnker, B. et al. (1992) (195)

USA

Random Sampling

(CS)

Aircraft Carrier (men)

NR

–

150

102 (68%)

NR

6

Brown, G. R. et al. (1993) (70)

USA

Random Sampling

(CS)

Air Forces men with HIV

Structured Interview Guide for the Hamilton

Anxiety and Depression Scales (SIGH-AD)

35

442

24 (5.4%)

NR

8

Lish, J. D. et al. (1996) (74)

USA

Random Sampling

(CS)

Army men and women

Brief self-report questionnaire (SCRENNER)

21.2

669

NR

51 (7.62%)

7

Benda, B. B. (2003) (196)

USA

Convenience Sampling

(CS)

Veterans

Who Abuse Substances

Multi-Problem Screening Inventory (MPSI)

50.3

600

240 (40%)

184 (30.7%)

7

Ritchie, E. C. et al. (2003)(197)

USA

Convenience Sampling

(CS)

Men and Women in the Navy and Marine Corps

–

43

100

54 (54%)

NR

5

Benda, B. B. et al. (2005)(198)

USA

Convenience Sampling

(CS)

Veterans

Who Abuse Substances

The Multi-Problem Screening Inventory (MPSI)

40.3

625

197 (31.5%)

291 (46.5%)

6

Hoge, C. W. et al. (2006)(101)

USA

Random Sampling (CS)

Army soldiers and Marines

The PRIME-MD

Patient Health Questionnaire

(PHQ)

31.2

303,905

NR

3501 (1.15%)

8

Dove, M. B. et al. (2007)(104)

USA

Convenience Sampling

(CS)

Women Entering a Military Substance

Use Disorder

Depression Checklist

–

86

NR

15 (17.4%)

5

Kline, A. et al. (2009)(109)

USA

Convenience Sampling

(CS)

Vietnam veterans with Substance

Use Disorder

SCID DSM-IV Diagnoses

55.20

82

23 (27.8%)

5 (6.1%)

8

Post-Vietnam veterans with Substance

Use Disorder

46.76

236

63 (26.8%)

16 (6.8%)

Persian Gulf veterans with Substance

Use Disorder

34

55

9 (15.4%)

5 (9.1%)

Rehn, L. M. et al. (2009)(110)

Finland

Convenience Sampling

(CS)

Male Finnish military

conscripts

The Beck Depression Inventory

(BDI)

20

126

NR

9 (7.1%)

6

Belik, S. L. et al. (2010)(199)

Canada

Convenience Sampling

(CS)

The Canadian Forces

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

–

37,129

236 (0.8%)

1613 (4.34%)

8

Guerra, V. S. et al. (2011)(120)

USA

Convenience Sampling

(CS)

Veterans in Operations Enduring Freedom and

Iraqi Freedom (OEF/OIF)

The Beck Depression Inventory

(BDI)

Beck Scale for Suicide Ideation Scale for Suicide Ideation-Adapted

38.3

393

34 (8.7%)

45 (11.5%)

8

Mansfield, A. J. et al. (2011)(200)

USA

Convenience Sampling

(CS)

Military Personnel

The Center for

Epidemiological Studies Depression (CES-D) scale,

The PRIME-MD

Patient Health

Questionnaire

(PHQ)

28.1

3069

NR

215 (7%)

6

Military Personnel (Navy)

31.8

1843

98 (5.3%)

25.8

1226

110 (9%)

Military

Personnel (Marine)

 

Female (7255)

Maguen, S. et al. (2012)(201)

USA

Convenience Sampling

(CS)

Vietnam veterans

Checklist

40

244

12 (4.9%)

40 (16.4%)

6

Swinkels, C. M. et al. (2013)(130)

UK

Convenience Sampling

(CS)

U.S. Afghanistan/Iraq Veterans

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

37.40

1640

132 (8%)

NR

6

Bryan, C. J. et al. (2013)(202)

USA

Convenience Sampling

(CS)

Deployed Military Personnel

The 4-item Suicidal Behaviors Questionnaire– Revised (SBQ-R)

–

161

NR

35 (21.7%)

5

Bryan, C. J. et al. (2013)(203)

USA

Convenience Sampling

(CS)

Deployed Military

Personnel

The 4-item Suicidal Behaviors Questionnaire– Revised (SBQ-R)

–

158

3 (1.5%)

21 (13.1%)

5

Bryan, C. J. et al. (2013)(204)

USA

Convenience Sampling

(CS)

Air

Force Personnel

Beck Scale for Suicidal Ideation-Current

(BSSI-C)

25.9

273

NR

53 (19.4%)

5

Bryan, C. J. et al. (2013)(205)

USA

Convenience Sampling

(CS)

Deployed Military Personnel

The Self-Injurious Thoughts and Behaviors Interview (SITBI)

34.2

69

NR

25 (36.2%)

5

Blosnich, J. R. et al. (2014)(206)

USA

Convenience Sampling

(CS)

Deployed Military Personnel

Checklist

–

4250

NR

154 (3.3%)

5

Bryan, C. J. et al. (2014)(207)

USA

Convenience Sampling

(CS)

Deployed Military Personnel

The Self-Injurious Thoughts and Behaviors Interview (SITBI)

36.7

374

29 (7.8%)

136 (36.4%)

6

Mash, H. B. et al. (2014)(208)

USA

Convenience Sampling

(CS)

US Army

Checklist

–

4999

NR

303(6%)

6

Don Richardson, J. et al. (2014)(135)

Canada

Convenience Sampling

(CS)

Canadian Forces members and veterans

The PRIME-MD

Patient Health

Questionnaire

(PHQ)

–

404

NR

68 (16.8%)

7

Ramsawh, H. J. et al. (2014)(139)

USA

Convenience Sampling

(CS)

Active Duty Military

Personnel

10-item Center for Epidemiologic Studies Depression Scale

35

5461

346 (6.33%)

NR

8

Bryan, C. J. et al. (2015)(209)

USA

Convenience Sampling

(CS)

Air Force

personnel

The Suicidal Behaviors Questionnaire Revised (SBQ-R)

–

168

2 (1.2%)

29 (17.3%)

7

Cleveland, S. D. et al. (2015)(141)

USA

Convenience Sampling

(CS)

Veterans and Civilian College Students

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

–

26,969

282 (1.07%)

1730 (6.54%)

8

Kim, N. Y. et al. (2015) (145)

USA

Convenience Sampling

(CS)

Korean Soldiers

Scale for suicide ideation (SSI),

The Beck Depression Inventory

(BDI)

21.3

414

NR

80 (19.3%)

6

Ursano, R. J. et al. (2015)(210)

USA

Convenience Sampling

(CS)

Soldiers

The Columbia Suicidal Severity Rating Scale (C-SSRS)

20

38,237

536 (1.9%)

5353 (14%)

8

Vanderploeg, R. D. et al. (2015) (150)

USA

Convenience Sampling

(CS)

Florida National Guard

Members

The PRIME-MD

Patient Health

Questionnaire

(PHQ)

–

3098

NR

130 (4.2%)

7

Forbes, D. et al. (2016)(152)

Australia

Convenience Sampling

(CS)

Australian peacekeepers

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

46.5

2050

25 (1.2%)

275 (13.4%)

8

Herberman Mash, H. B. et al. (2016)(155)

USA

Convenience Sampling

(CS)

U.S. Army soldiers

The 10-item

Center for Epidemiologic Studies Depression Scale

–

3813

230 (6%)

NR

8

U.S. Army soldiers with alcohol use

1210

100 (8.3%)

Monteith, L. L. et al. (2016)(156)

USA

Convenience Sampling

(CS)

Veterans

Beck Scale for Suicide Ideation (BSS),

Multidimensional Suicide Inventory-28 (MSI) Negative Affect scale

49.6

Total (354)

92 (26.8%)

NR

8

Male (310)

82 (26.5%)

Female (44)

13 (29.5%)

Cohen, G. H. et al. (2017)(160)

USA

Convenience Sampling

(CS)

Army National Guard Soldiers

The PRIME-MD

Patient Health

Questionnaire

(PHQ),

The PHQ-9 Item

–

1582

NR

42 (2.6%)

8

Army National with Alcohol Use

93

8 (8.6%)

Gradus, J. L. et al. (2017)(161)

USA

Random Sampling

(CS)

Veterans of the Iraq and Afghanistan Wars

20-

item, self-report Center for Epidemiological Studies Depression Scale (CES-D),

The 4-item Suicidal Behaviors

Questionnaire-Short Form (SBQ-SF)

34

Total (2244)

NR

370 (16.5%)

7

Male (1062)

179 (16.9%)

Female (1099)

191 (17.4%)

Weeks, M. et al. (2017)(163)

Canada

Convenience Sampling

(CS)

Canadian Military and Civilian Populations

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

35

6696

NR

289 (4. %)

8

Bartlett, B. A. et al. (2018)(164)

USA

Convenience Sampling

(CS)

Military veterans

20-

item, self-report Center for Epidemiological Studies Depression Scale (CES-D)

38.40

910

62 (7.5%)

NR

6

Boulos, D. et al. (2018)(166)

Canada

Random Sampling

(CS)

Regular Force personnel

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

–

3385

NR

156 (4.6%)

7

Reserve Force personnel

1469

82 (5.6%)

Dillon, K. H. et al. (2018)(167)

USA

Convenience Sampling

(CS)

Iraq/Afghanistan-era veterans

The Beck Scale for Suicide Ideation (BSS), The Structured Clinical Interview for DSM-IV-TR (SCID)

–

3238

291 (9%)

NR

7

Elbogen, E. B. et al. (2018)(169)

USA

Convenience Sampling

(CS)

Iraq/Afghanistan-era veterans

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

34.9

1172

87 (7.5%)

NR

6

Hourani, L. L. et al. (2018)(170)

USA

Convenience Sampling

(CS)

Active duty military personnel

The PRIME-MD

Patient Health

Questionnaire

(PHQ), Checklist

–

947

16 (2.1%)

71 (9.2%)

7

Kachadourian, L. K. et al. (2018)(211)

USA

Convenience Sampling

(CS)

Veterans

The Columbia-Suicide Severity Rating Scale (C-SSRS)

43.9

93

19 (21.6%)

NR

6

Kerr, K. et al. (2018)(212)

Australia

Convenience Sampling

(CS)

Australian veterans

Checklist

54.6

229

54 (23.6%)

NR

6

Waitzkin, H. et al. (2018)(175)

USA

Convenience Sampling

(CS)

Military Personnel

The PRIME-MD

Patient Health

Questionnaire

(PHQ)

–

198

NR

92 (48%)

7

Byrne, S. P. et al. (2019)(176)

USA

Convenience Sampling

(CS)

U.S. military veterans

The PRIME-MD

Patient Health

Questionnaire

(PHQ)

53.4

158

40 (24.4%)

39 (30.2%)

7

Nichter, B. et al. (2019)(180)

USA

Random Sampling

(CS)

U.S.

veteran population

The Patient Health

Questionnaire-4 (PHQ-4), The Patient Health

Questionnaire-9 (PHQ-9)

60.3

2732

134 (4.9%)

248 (9%)

9

Start, A. R. et al. (2019)(181)

USA

Convenience Sampling

(CS)

Military Personnel

The Patient Health

Questionnaire-9 (PHQ-9)

–

944

NR

31 (3.3%)

7

Blosnich, J. R. et al. (2020)(182)

USA

Random Sampling

(CS)

Military Veterans

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

–

293,872

1035 (0.3%)

2999 (1%)

9

Cramer, R. J. et al. (2020)(213)

USA

Random Sampling

(CS)

Military Personnel

The Suicide Behaviors Questionnaire-Revised (SBQ-R)

–

200

96 (48%)

NR

6

Groll, D. L. et al. (2020)(185)

Canada

Convenience Sampling

(CS)

Canadian military persons

The Patient Health

Questionnaire-9 (PHQ-9)

–

477

19 (4%)

76 (16%)

8

Shim, E. J. et al. (2020)(187)

Korea

Random Sampling

(CS)

Korean military population

The Mini

International Neuropsychiatric Interview Plus (MINI-Plus), The Patient Health

Questionnaire-9 (PHQ-9)

50.6

1937

87 (4.5%)

NR

8

Smigelsky, M. A. et al. (2020)(188)

USA

Convenience Sampling

(CS)

U.S. military population

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

37.6

1002

41 (4%)

NR

6

Stefanovics, E. A. et al. (2020)(190)

USA

Convenience Sampling

(CS)

U.S. Military Veterans

The Mini International Neuropsychiatric Interview (MINI), The Patient Health

Questionnaire-9 (PHQ-9)

55

1308

118 (9%)

165(12.6%)

5

Wang, J. et al. (2020)(192)

USA

Convenience Sampling

(CS)

U.S.

Reserve and National Guard Personnel

The Patient Health

Questionnaire-9 (PHQ-9)

34.4

3503

NR

101 (2.9%)

6

Anestis, M. D. et al. (2020)(214)

USA

Convenience Sampling

(CS)

U.S. Military Veterans

The Suicide Behaviors Questionnaire-Revised (SBQ-R)

27.0

953

NR

105 (15.2%)

5

Monteith, L. L. et al. (2020)(215)

USA

Convenience Sampling

(CS)

Female veterans

Checklist

55.6

439

158(36%)

113(25.7%)

5

Ursano, R. J. et al. (2020)(193)

USA

Convenience Sampling

(CS)

US Army Soldiers During Deployment

in Afghanistan

Diagnostic and Statistical Manual of Mental Disorders-IV

(DSM-IV)

–

3957

NR

85 (2.1%)

7

Yeom, C. W. et al. (2020)(194)

Korea

Convenience Sampling

(CS)

Korean military personal

The Mini

International Neuropsychiatric Interview Plus

(MINI-Plus Suicidality module), The Patient Health

Questionnaire-9 (PHQ-9)

21.4

480

22(4.5%)

NR

6