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Suicide in the French armed forces.

Guillaume Desjeux1, José Labarère, Laurent Galoisy-Guibal

  • 1Service de Médecine des Collectivités--Hôpital d'lInstruction des Armées Desgenettes, Boulevard Pinel, Lyon Armées, France. hiad.medco@fr.oleane.com

European Journal of Epidemiology
|October 27, 2004
PubMed
Summary

French army personnel have a lower suicide risk than the general population. However, Gendarmerie and young soldiers under 25 face higher risks, necessitating targeted prevention strategies.

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Area of Science:

  • Military health
  • Epidemiology
  • Public health

Background:

  • Suicide rates in the military are a growing concern for several nations, including France.
  • Previous studies have indicated varying suicide risks within military populations compared to civilians.

Purpose of the Study:

  • To determine if French army personnel have a higher suicide risk than the general population.
  • To identify specific personnel categories within the French army at higher risk of self-harm.

Main Methods:

  • An observational longitudinal cohort study was conducted from 1997 to 2000.
  • Data included 315,934 person-years and 230 suicides.
  • Poisson regression analysis was used to compare suicide rates and identify risk factors.

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Main Results:

  • The overall annual crude suicide rate in the French army was 18.2 per 100,000 personnel.
  • French army men had a lower suicide risk (standardised mortality ratio = 67) than the general population.
  • The Gendarmerie showed twice the incidence rate of Land Forces, and risk increased threefold over 4 years.
  • Personnel under 25 and aged 40-44 had nearly double the incidence rate of 25-29-year-olds.
  • Firearm use (51%) and hanging (28%) were the primary suicide methods.

Conclusions:

  • While overall suicide risk is lower in the French army than the general population, specific groups require focused attention.
  • Gendarmerie personnel and younger soldiers (under 25) are identified as high-risk categories.
  • Targeted surveillance and preventive measures are recommended for these identified subgroups within the military.