title: 'Goodbye and good luck': the mental health needs and treatment experiences of British ex-service personnel.
abstract: BACKGROUND
  Little is known about the psychological health or treatment experiences of those who have left the British armed forces.
  
  
  OBJECTIVE
  To describe the frequency and associations of common mental disorders and help-seeking behaviours in a representative sample of UK veterans at high risk of mental health problems.
  
  
  METHODS
  A cross-sectional telephone survey of 496 'vulnerable' ex-service personnel selected from an existing epidemiological military cohort.
  
  
  RESULTS
  The response rate was 64%; 44% of these had a psychiatric diagnosis, most commonly depression. Those with a diagnosis were more likely to be of lower rank and divorced or separated. Just over half of those with self-reported mental health problems were currently seeking help, most from their general practitioners. Most help-seekers received treatment, usually medication; 28% were in touch with a service charity and 4% were receiving cognitive-behavioural therapy.
  
  
  CONCLUSIONS
  Depression is more common than post-traumatic stress disorder in UK ex-service personnel. Only about half of those who have a diagnosis are seeking help currently, and few see specialists.
authors.affiliation: King's Centre for Military Health Research, Guy's, King's and St Thomas' School of Medicine, King's College, London, UK. A.Iversen@iop.kcl.ac.uk
authors.forename: Amy
authors.initials: A
authors.lastname: Iversen
authors.forename: Claire
authors.initials: C
authors.lastname: Dyson
authors.forename: Naomi
authors.initials: N
authors.lastname: Smith
authors.forename: Neil
authors.initials: N
authors.lastname: Greenberg
authors.forename: Rebecca
authors.initials: R
authors.lastname: Walwyn
authors.forename: Catherine
authors.initials: C
authors.lastname: Unwin
authors.forename: Lisa
authors.initials: L
authors.lastname: Hull
authors.forename: Matthew
authors.initials: M
authors.lastname: Hotopf
authors.forename: Christopher
authors.initials: C
authors.lastname: Dandeker
authors.forename: John
authors.initials: J
authors.lastname: Ross
authors.forename: Simon
authors.initials: S
authors.lastname: Wessely
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D017060:Patient Satisfaction; D011569:Psychiatric Status Rating Scales; D040921:Stress Disorders, Traumatic / Q000453:epidemiology / Q000628:therapy*; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology; D014728:Veterans / Q000523:psychology*