title: A systematic review of mental disorders and perpetration of domestic violence among military populations.
abstract: OBJECTIVE
  Military populations may experience more severe forms of domestic violence than the general population. Although mental disorders are associated with domestic violence perpetration among the general population, it is not clear whether this is the case for military populations. This review aimed to establish the prevalence and odds of domestic violence perpetration among male and female military personnel with mental disorders.
  
  
  METHODS
  Systematic review: searches of eleven electronic databases were supplemented by hand searches, reference screening, citation tracking and expert recommendations.
  
  
  RESULTS
  Ten studies were included; nine reporting on partner violence and one on violence against an adult family member. Median prevalence estimates were calculated for partner violence perpetration among male military personnel with post-traumatic stress disorder (PTSD); estimates on other disorders were not possible due to lack of data. 27.5 % of men with PTSD reported past year physical violence perpetration against a partner and 91.0 % reported past year psychological violence perpetration against a partner. Due to limited data, no median estimates could be calculated for female military personnel. Data from individual papers indicate increased odds of past year partner violence perpetration among male and female military personnel with depression; inconsistent findings were reported for risk of partner violence perpetration among male and female military personnel with PTSD.
  
  
  CONCLUSIONS
  There is some evidence that mental disorders among military personnel are associated with past year domestic violence perpetration, though current data cannot confirm direction of causality. Research is needed to inform the development of interventions targeted to reduce domestic violence perpetration among military personnel.
authors.affiliation: Section of Women's Mental Health, Health Service and Population Research Department, PO31 Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF, UK. kylee.trevillion@kcl.ac.uk.
authors.forename: Kylee
authors.initials: K
authors.lastname: Trevillion
authors.affiliation: Centre for Gender and Violence Research, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK. e.williamson@bristol.ac.uk.
authors.forename: Emma
authors.initials: E
authors.lastname: Williamson
authors.affiliation: Academic Department of Military Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 10 Cutcombe Road, Denmark Hill, London, SE5 9RJ, UK. gursimran.thandi@kcl.ac.uk.
authors.forename: Gursimran
authors.initials: G
authors.lastname: Thandi
authors.affiliation: Centre for Mental Health, School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, 3010, Australia. rohan.borschmann@unimelb.edu.au.|Centre for Adolescent Health, Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, Melbourne, 3052, Australia. rohan.borschmann@unimelb.edu.au.
authors.forename: Rohan
authors.initials: R
authors.lastname: Borschmann
authors.affiliation: Section of Women's Mental Health, Health Service and Population Research Department, PO31 Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF, UK. sian.oram@kcl.ac.uk.
authors.forename: Sian
authors.initials: S
authors.lastname: Oram
authors.affiliation: Section of Women's Mental Health, Health Service and Population Research Department, PO31 Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF, UK. louise.howard@kcl.ac.uk.
authors.forename: Louise M
authors.initials: LM
authors.lastname: Howard
mesh_terms: D003863:Depression / Q000453:epidemiology*; D017579:Domestic Violence / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D013179:Spouse Abuse / Q000706:statistics & numerical data; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*
keywords: Mental disorders; Military personnel; Prevalence; Review