Acute Stress Disorder in Soldiers Injured During the October 7 War

This study aimed to identify background variables, trauma history, social support, combat-related factors, and injury severity score (ISS) factors associated with Acute Stress Disorder (ASD) to detect soldiers at an increased risk of developing stress disorders and post-traumatic stress disorder (PTSD).

This cross-sectional retrospective study analyzed the files of 142 soldiers who were hospitalized at Medical Center between October 7, 2023 and December 31, 2024 following combat-related injuries. A multivariable logistic regression model to determine which factors were independently associated with ASD. Sensitivity analyses was also conducted to compare a subgroup (patients with ASD to those without ASD), ensuring robust findings.

A total of 142 soldiers of which 137 (96.5%) were males with a mean age of 25.58 (SD = 7.17). Of all the participants, n = 64 (45.1%) were in compulsory service. Most of the participants served in the War Zone (n = 113; 79.6%). Trauma exposure (compared to no trauma) (personal history of trauma [OR = 6.49, P < .001]; combat [OR 3.90, P = .004], and exposure to fatalities [OR = 2.90, P = .011]) were identified as significant risk factors for developing ASD. No significant association was found between demographic and social factors and the development of ASD.

The study highlights the importance of early identification of soldiers at high risk for developing ASD, particularly those with a personal history of trauma. In relation to combat events, individuals who have been exposed to fatalities require intervention after the war.