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Evaluate the impact of the US Air Force suicide prevention programme on suicide rates and adverse outcomes sharing common underlying risk factors.

December 11, 2003BMJOpen Access

Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study

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Evaluate the impact of the US Air Force suicide prevention programme on suicide rates and adverse outcomes sharing common underlying risk factors.
Quasi-experimental cohort study evaluating US Air Force personnel (N=5,260,292; approximately 84% men) before (1990–1996) and after (1997–2002) programme rollout.
Implemented a multilayered intervention targeted at destigmatizing mental health help-seeking, increasing psychosocial awareness, and altering organizational policies.
Assessed relative risk reductions (prevented fraction) for suicide and related endpoints, including accidental death, family violence, and homicide.
Observed a 33% relative risk reduction for suicide following implementation of the intervention.
Demonstrated relative risk reductions ranging from 18% to 54% for other adverse outcomes, including accidental death, family violence, and homicide.

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Cohort study reveals reduced suicide and adverse outcome rates in military personnel, indicating the efficacy of systemic community prevention.

Knox et al. (2003) studied this question.

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Cohort study reveals reduced suicide and adverse outcome rates in military personnel, indicating the efficacy of systemic community prevention.