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Mental health attrition from Air Force basic military training
J A Cigrang1, E G Carbone, S Todd
1Behavioral Analysis Service, 59th Medical Wing/MMPBF, Lackland Air Force Base, San Antonio, TX 78236-5300, USA.
Military Medicine
|December 29, 1998
Summary
Military recruits discharged for mental health issues often have prior depression, lack motivation, and hide their history. This study examines 1,138 Air Force trainees to identify factors contributing to early attrition.
Area of Science:
- Military Psychology
- Mental Health Services Research
- Recruitment and Retention Studies
Background:
- Significant financial investment in military recruitment and training is lost due to mental health discharges.
- Early attrition, particularly within the first six months of active duty, impacts force readiness and resource allocation.
Purpose of the Study:
- To describe the characteristics of Air Force recruits referred for mental health evaluations during basic training.
- To identify factors associated with mental health attrition in early military service.
Main Methods:
- Retrospective analysis of 1,138 Air Force basic military trainees referred for mental health evaluations.
- Examination of disposition, demographics, diagnoses, mental health history, and attitudinal/motivational factors.
Main Results:
- Recruits recommended for discharge frequently reported a history of depression and suicidal ideation.
- Lack of motivation and withholding of mental health history during initial processing were common.
- Pre-existing mental health conditions and issues with motivation are key factors in early discharge.
Conclusions:
- Mental health attrition in basic military training is linked to pre-enlistment issues and motivation.
- Strategies to improve screening and support during basic training may reduce early mental health discharges.
- Addressing historical mental health information and motivational deficits is crucial for retention.