The prevalence of depression in the military is higher than in the general population. This may stem from the fact that military life involves significant stressors like deployment, combat, and relocations.
Additionally, the increased depression rate affects families of active-duty military. This may be due to the stressors associated with being separated from a spouse, such as loneliness and increased parenting demands.
This article investigates the prevalence of depression in the military and after discharge, as well as risk factors, symptoms, and sources of support. It also includes firsthand stories from Danny Mayberry, an Iraq and Afghanistan combat veteran, and Michael Allen, a Marine Corps veteran.
Doctors define a major depressive episode as having
- loss of pleasure or interest in activities
- sleeping too little or too much
- weight loss or gain
- reduced concentration
- repetitive or unintentional movements
- slowing of mental or physical activities
- feeling worthless or excessive guilt
- thoughts of death or suicide
- Depression affects 23% of active-duty military.
- Suicidal ideation or suicide attempts occur in 11% of active-duty military. Suicidal ideation refers to thoughts of or preoccupation with ending one’s life.
- Suicidal ideation or attempts happen in 18% of active-duty military who use drugs and 9% of those who consume alcohol.
To compare these statistics to the general population,
The elevated risk of depression persists after a person’s military service ends. Veterans, particularly those who have served in combat, have experienced more trauma in their lives than non-veterans.
- Depression affects 20% of veterans.
- Suicidal ideation or attempts occur in 11% of veterans.
- In veterans who use drugs, the rates of suicidal ideation and attempts are 18% and 30%, respectively.
- Suicidal ideation or attempts occur in 8% of veterans who consume alcohol.
In the military, mental health stigma derives from the misperception that a service member should be deficit-free to engage in combat. A person with depression may fear ridicule or worry that others will perceive them as weak.
The stigma can also involve career concerns.
Underlying the stigma is an erroneous belief that mental health conditions are just “in a person’s head.” In reality, the mind and physical body are intricately interwoven.
Additionally, being in the military may also increase a person’s risk of depression.
- being separated from a support system of loved ones and friends
- seeing themselves and others in danger
- experiencing the intense stress of combat
Other risk factors that the military poses include:
- physical fitness concerns
- legal concerns from the uniform code of justice
- command leadership discord
- rank and promotion complications
- frequent relocations
- financial concerns
- lack of sleep
- increased parenting demands
Additionally, once the deployed spouse returns home, it causes drastic role shifts within the family. Consequently, the at-home spouse may need time to adjust to changes, such as a loss of independence.
The associated stress during and following deployment depletes the at-home spouse’s resources. This may result in the worsening of a mental health condition, such as depression.
Without treatment, stress can affect the spouse’s mental health and children’s well-being. It can also reduce the military member’s support system and have a negative effect on reintegration into the family. The study authors concluded that depression interventions for military families are necessary.
The following are sources of support for service members and their families:
- Military OneSource: The Department of Defense provides this free resource for the military and their families to help with an array of issues, including mental health concerns. It offers a 24/7 toll-free number of 1-(800) 342-9647.
- Psychological Health Center of Excellence (PHCoE): PHCoE offers psychological health research consultations for the military and their families. It has a 24/7 toll-free number of 1-(866) 966-1020. Alternatively, it provides live chat and email contact options.
- VA Mental Health: This is a branch of the US Department of Veterans Affairs that connects veterans and their families to mental health services.
Depression in the military affects active duty members and their families, along with veterans. The rate of depression is higher than the rate in the general population because of the stressors that military life poses.
Aside from the stress of combat and separation from families, some soldiers with depression also experience stigma surrounding their mental health. Any person with symptoms of depression should seek professional help. The 24/7 toll-free hotlines make it possible to speak with someone immediately.