@article{ref1,
title="Mental health and turnover following an initial term of military service",
journal="Military medicine",
year="2012",
author="Schmied, Emily A. and Highfill-McRoy, Robyn M. and Larson, Gerald E.",
volume="177",
number="7",
pages="766-772",
abstract="OBJECTIVE: This study compared the rates of mental disorders between Marines who re-enlisted and Marines who separated after 1 term, distinguishing between Marines who were and were not recommended for re-enlistment. METHODS: Participants included 28,693 male Marines enlisting for 4-year terms between 2002 and 2003, including 9,338 who re-enlisted after 1 term, 18,177 who voluntarily separated after 1 term, and 1,184 who were not recommended for re-enlistment and separated after 1 term. RESULTS: Analysis revealed disproportionately high rates of mental disorders among Marines not recommended for re-enlistment (Odds Ratio = 8.5, 95% Confidence Interval 7.5-9.8) compared with Marines who re-enlisted. Mental disorder prevalence was also elevated among service members who voluntarily separated after 1 term (Odds Ratio = 1.2, 95% Confidence Interval 1.1-1.3). Several specific categories of disorders, including personality disorders, substance use disorders, and post-traumatic stress disorder, predicted re-enlistment status. CONCLUSIONS: These results suggest that mental disorders influence personnel retention in diverse ways, including heightened turnover, which could have a substantial impact on military manpower costs.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="",
url="http://dx.doi.org/"
}