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A band of brothers’—an exploration of the rangeof medical ethical issues faced by British seniormilitary clinicians on deployment to Afghanistan:a qualitative study

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A band of brothers’—an exploration of the rangeof medical ethical issues faced by British seniormilitary clinicians on deployment to Afghanistan:a qualitative study

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'A band of brothers'-an exploration of the range of medical ethical issues faced by British senior military clinicians on deployment to Afghanistan: a qualitative study

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Aims To identify and explore features of ethical issues that senior clinicians faced as deployed medical directors (DMDs) to the British Field Hospital in Afghanistan as well as to determine the ethical training requirements for future deployments. Method A qualitative study in two phases conducted from November 2014 to June 2015.

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Military trainees can accurately measure optic nerve sheath diameter after a brief training session 

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Military trainees can accurately measure optic nerve sheath diameter after a brief training session 

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Combat lifesaver-trained, first-responder application of junctional tourniquets: a prospective, randomized, crossover trial 

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Combat lifesaver-trained, first-responder application of junctional tourniquets: a prospective, randomized, crossover trial 

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Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study

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Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study

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Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

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Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

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Reporting of occupational exposures to blood and body fluids in the primary dental care setting in Scotland: an evaluation of current practice and attitudes 

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Reporting of occupational exposures to blood and body fluids in the primary dental care setting in Scotland: an evaluation of current practice and attitudes 

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Alcohol Used as Disinfectant before Venipuncture does not Lead to Sample Haemolysis or Sample Dilution

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Alcohol Used as Disinfectant before Venipuncture does not Lead to Sample Haemolysis or Sample Dilution

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Medical and Welfare Officers beliefs about post-deployment screening for mental health disorders in the UK Armed Forces: A qualitative study Health behavior, health promotion and society

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Medical and Welfare Officers beliefs about post-deployment screening for mental health disorders in the UK Armed Forces: A qualitative study Health behavior, health promotion and society

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Medical and Welfare Officers beliefs about post-deployment screening for mental health disorders in the UK Armed Forces: a qualitative study

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The main argument in support of post-deployment screening of military personnel for mental ill health, is that it could identify mental health problems sooner or whilst these are less severe. Early identification allows for early intervention and could potentially decrease the impact that mental ill health has on the individual [13].

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Exploring the health risks of help-seeking military
veterans living in different parts of the UK

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Background Little is known about the mental and physical health differences of treatment-seeking military veterans across the different nations that make up the UK. The aim of this research was to explore potential health differences in order to support better service planning.

Methods A random cross-sectional sample of treatment-seeking veterans residing in England, Scotland, Wales and Northern Ireland was identified from a national mental health charity. 403 veterans completed a questionnaire highlighting their demographics, mental health and physical health difficulties. The data were analysed using a multinomial logistic regression with England as the baseline comparison.

Results Help-seeking veterans residing in Northern Ireland tended to be older, have experienced less childhood adversity, joined the military after the age of 18 and took longer to seek help. Additionally, veterans from Northern Ireland had higher levels of obesity, sensory, mobility and systemic problems and a greater number of physical health conditions. Scottish and Welsh veterans had a higher risk of smoking and alcohol misuse. No differences were found in mental health presentations.

Conclusion The findings from this paper suggest that a greater focus needs to be placed on treating physical problems in Northern Irish veterans. Alcohol misuse should be addressed in more detail in treatment programmes, particularly in Scotland and Wales. As few differences were found in the mental health presentations, this suggests that standardised services are adequate.

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Exploring the health risks of help-seeking military veterans living in different parts of the UK

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Background Little is known about the mental and physical health differences of treatment-seeking military veterans across the different nations that make up the UK. The aim of this research was to explore potential health differences in order to support better service planning.

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UK military doctors; stigma, mental health and help-seeking: a comparative cohort study

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Introduction Studies suggest that medical doctors can suffer from substantial levels of mental ill-health. Little is known about military doctors' mental health and well-being; we therefore assessed attitudes to mental health, self-stigma, psychological distress and help-seeking among UK Armed Forces doctors.

Methods Six hundred and seventy-eight military doctors (response rate 59%) completed an anonymous online survey. Comparisons were made with serving and ex-military personnel (n=1448, response rate 84.5%) participating in a mental health-related help-seeking survey. Basic sociodemographic data were gathered, and participants completed measures of mental health-related stigmatisation, perceived barriers to care and the 12-Item General Health Questionnaire. All participants were asked if in the last three years they had experienced stress, emotional, mental health, alcohol, family or relationship problems, and whether they had sought help from formal sources.

Results Military doctors reported fewer mental disorder symptoms than the comparison groups. They endorsed higher levels of stigmatising beliefs, negative attitudes to mental healthcare, desire to self-manage and self-stigmatisation than each of the comparison groups. They were most concerned about potential negative effects of and peer perceptions about receiving a mental disorder diagnosis. Military doctors reporting historical and current relationship, and alcohol or mental health problems were significantly and substantially less likely to seek help than the comparison groups.

Conclusions Although there are a number of study limitations, outcomes suggest that UK military doctors report lower levels of mental disorder symptoms, higher levels of stigmatising beliefs and a lower propensity to seek formal support than other military reference groups.

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UK military doctors; stigma, mental health and help-seeking: a comparative cohort study

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Introduction Studies suggest that medical doctors can suffer from substantial levels of mental ill-health. Little is known about military doctors' mental health and well-being; we therefore assessed attitudes to mental health, self-stigma, psychological distress and help-seeking among UK Armed Forces doctors. Methods Six hundred and seventy-eight military doctors (response rate 59%) completed an anonymous online survey.