scholarly journals ACTUAL PROBLEMS OF PREVENTION OF SUICIDE IN THE ARMED FORCES OF THE RUSSIAN FEDERATIO

Author(s):  
V. K. Shamrei ◽  
K. V. Dnov ◽  
V. I. Evdokimov

Relevance. The level of suicides, according to several authors, is one of the most significant indicators of mental health in society, including in the armies of the world.Intention. To analyze suicides and their existing prevention system in the Russian Federation population and Armed Forces in 2007–2018.Methodology. Mental disorders and behavioral disorders (F00–F99 by Chapter V, the International Classification of Diseases of the 10th revision) were analyzed according to 3/MED Form in the military units, where ≥ 80 % of the military personnel served. The longterm trends of the main statistical indicators of suicides and mental disorders among military personnel compared to the Russian population have been established.Results and Discussion. In 2007–2018, the level of suicides in the Russian Armed Forces was (12.00 ± 1.35) per 100 thousand military personnel and was 1.7 times lower than in the population of Russia (20.12 ± 1.56) per 100 thousand (p < 0.001). The level of suicides seems to decrease among the military personnel of the Russian Armed Forces. When analyzing the longterm incidence of mental disorders and the level of suicides in the personnel of the Armed Forces of Russia, no significant correlation was found. At the same time, in a cohort of officers and ensigns, a statistically significant correlation was established between the level of suicides and the general incidence of the Chapter V diseases (r = 0.87; p < 0.01), including stressrelated neurotic and somatoform disorders (F40–F48; r = 0.72; p < 0.01), mental and behavioral disorders associated with the use of psychoactive substances (F10–F19; r = 0.89; p < 0.001). In the military conscripts, there was a correlation between the level of suicides and general morbidity related to Chapter V diseases (r = 0.72; p < 0.05), including personality and behavior disorders in adulthood (F60–F69; r = 0.81; p < 0.01) and organic, including symptomatic, mental disorders (F00– F09; r = 0.76; p < 0.05). It was revealed that among the officers and military personnel under the contract, family and domestic causes of suicide prevailed in contrast to the draft servicemen. Meanwhile somatic and mental diseases as a predominant cause of suicide accounted for a relatively small proportion.Conclusion. Psychoprophylactic measures should be aimed at early detection of servicemen prone to suicidal behavior, effective assistance in resolving militaryprofessional difficulties and domestic problems, as well as at improving their adaptation to military service. Special attention should be paid to the early detection of people with addictive disorders, especially alcohol abusers.

2019 ◽  
Vol 21 (2) ◽  
pp. 74-77
Author(s):  
V K Shamrey ◽  
K V Dnov

The issues of prevention of suicidal incidents in the Armed Forces of the Russian Federation are considered. The analysis of suicide prevalence among military personnel of various categories and their prevailing causes for the period from 2013 to 2017 is indicated. Indicates a change in the percentage ratio of various categories of military personnel who committed suicide, with a steady increase in the proportion of privates and sergeants serving in military service under the contract (from 24,6% in 2011 to 57,4% in 2017). It was established that among the servicemen under the contract family and everyday reasons for suicide prevailed, while conscripts were military professional. A comparison was also made of the long-term (2007-2017) dynamics of suicide rates and the incidence of mental disorders among military personnel, and certain patterns were identified. Thus, in the group of officers and ensigns, a significant correlation was noted between the long-term dynamics of suicide rates with neurotic (r=0,74) and addictive disorders (r=0,86), as well as general mental morbidity (r=0,83), and for conscripts, with personality disorders (r=0,79) and organic mental disorders (r=0,71). A comparison of the long-term dynamics of the overall incidence of mental disorders and the suicide rate among conscripts also showed a positive correlation (r=0,69). Analyzed the system of prevention of suicidal incidents in military personnel, which currently exists and proposed measures for its improvement, including the areas of activity of officials for the prevention of suicidal incidents in the military. It also indicates the need to shift the focus from specific prevention (direct detection and prevention of suicidal actions in military personnel with mental disorders) to non-specific (prevention of general mental distress and suicidal tendencies in mentally healthy people).


Author(s):  
Sergey Aleksandrovich Kuzmin ◽  
◽  
Lyubov Kuzminichna Grigorieva ◽  
Margarita Vadimovna Mirzaeva ◽  
◽  
...  

In the context of the reform of the Armed Forces of the Russian Federation and a significant increase in the proportion of military personnel doing military service under contract, the issues of manning the troops with healthy, physically developed citizens with high moral and business qualities are of paramount importance. Of particular importance in the selection of candidates for military service under the contract is the conduct of laboratory and instrumental studies, professional and psychological selection, determination of the level of citizens’ physical fitness. The Federal Law «On Military Duty and Military Service» defines a two-stage system for medical examination of citizens entering military service under contract, which is necessary as a barrier in order to prevent citizenswho do not meet the necessary requirements for military personnel from entering the Russian Armed Forces. At the first stage (preliminary examination), the military and medical examination of citizens was carried out by specialist doctors working in medical organizations of the outpatient-polyclinic link of municipalities at the place of citizens’ permanent residence. Medical specialists of the regular military medical commission of the military commissariat of the constituent entity of the Russian Federation participated in the second stage (final examination) of the military medical examination. During the five-year period under study, 5,133 citizens (72.9 %) were selected out of 7,043 candidates for military service under contract, who fully met all the criteria for defenders of the Fatherland.


Author(s):  
Serhii Diachenko ◽  
Liudmyla Tsiukalo

The article deals with the modern legal framework that regulates the issues related to social security of the military of the Armed Forces of Ukraine. One of the components of the personnel social security - pension - is analyzed. Peculiarities of pension provision of personnel retired from military service are considered. The focus is on the issues of recalculation of pensions due to changes in legislation. Ways to improve the pension provision of persons retired from military service considered are proposed.


Author(s):  
ERIK KOPAČ ◽  
JANJA VUGA

Ob prehodu na poklicno popolnjevanje je proučevanje posameznikovega odločanja za različne oblike vojaške službe postalo zelo pomembno, saj so se oborožene sile soočile s konkurenčnimi iskalci delovne sile, s katerimi pogosto glede na ugodnosti, ki jih lahko ponudijo, in glede na posebnosti in zahtevnost dela težko tekmujejo. V primerjavi s proučevanjem pridobivanja in zadrževanja kadra za stalno sestavo oboroženih sil so analize, ki se ukvarjajo s pridobivanjem in zadrževanjem kadra za rezervno sestavo, predvsem zaradi pomanjkanja podatkov, veliko redkejše. S socio- -psihološkim proučevanjem smo tako pri pogodbenih pripadnikih rezerve sestave Slovenske vojske preverili, kateri so ključni dejavniki odločanja za zaposlitev v pogodbeni rezervi. Pri tem smo prišli do ugotovitve, da imajo poleg ekonomskih spodbud pri odločitvah posameznikov za zaposlitev v pogodbeni rezervi pomembno vlogo tudi dejavniki, ki izhajajo iz osebnega odnosa posameznika do zaposlitve v pogodbeni rezervi, normativnih pritiskov oziroma podpore, deskriptivnih norm in ocene samoučinkovitosti, pa tudi številni drugi, bolj oddaljeni dejavniki, kot sta de- mografija in informiranost. During the transition to professional armed forces, the study of individual’s motives for various forms of military service became increasingly important. The profession- al armed forces have been confronted with competitive employers, who are often hard to compete with, considering the benefits they can offer as well as the charac- teristics and complexity of the work. Compared to the studies regarding the recruit- ment and retention of permanent military personnel, the analysis of the recruitment and retention of reserve military staff are much rarer, mainly due to the lack of data. With the help of socio-psychological framework applied to Slovenian Armed Forces contract reserve members, we thus determine the key factors triggering decisions for the employment in the contract military reserve. In doing so, we came to the con- clusion that, in addition to the economic stimulation, the factors contributing to the individuals’ decision to seek employment in the contract reserve are the following: factors resulting from individual’s personal attitude towards the employment in the military contract reserve, normative pressures or support, descriptive norms, self- efficacy assessment, and many other more remote factors, such as demographics and information.


Author(s):  
D. A. Chernov ◽  
V. I. Evdokimov ◽  
I. A. Cheshyk

Relevance. One of the most reliable and robust indicators of the health of military personnel is dismissal due to health reasons, it is practically not affected by external distortions, and dismissal-related nosologies are determined in hospital and subsequently approved by military medical experts.Intention. Analysis of the dismissal rate due to health reasons among conscripts in the Republic of Belarus for 16 years (2003-2018).Methodology. We conducted a statistical analysis of annual medical reports about the state of health and morbidity of conscripts (form N 3/MED) and annual reports about medical examination (form N 5/CVVK). Dismissal rates for the entire service time and for the periods I (0–6 months), II (7–12 months) and III (13–18 months) were identified and analyzed. Dismissal-related nosologies were correlated with the codes of the International Statistical Classification of Diseases, Behavioral Disorders and Injuries, 10th revision (ICD-10).Results and Discussion. The average annual dismissal rate for conscripts from the Armed Forces of the Republic of Belarus for 16 years from 2003 to 2018 amounted to (15.62 ± 0.58) ‰, including (8.11 ± 0.36) ‰ in the first period of service, (5.24 ± 0.28) ‰ in the II period and (2.27 ± 0.09) ‰ in the III period, i.e. 51.9, 33.5 and 14.6 %, respectively in the structure of dismissal for the entire period of service. The main reasons for the dismissal of conscripts from the Armed Forces of the Republic of Belarus were mental and behavioral disorders (ICD-10 chapter V), digestive diseases (chapter XI), diseases of the musculoskeletal system and connective tissue (chapter XIII), cardiovascular system diseases (chapter IX) and skin and subcutaneous tissue diseases (chapter XII) with levels of (4.74 ± 0.35), (2.74 ± 0.31), (2.13 ± 0.18), (1.80 ± 0.30) and (0.73 ± 0.09) ‰, respectively. In the structure of dismissal, the rates of these diseases amounted to 77.7 %. When analyzing the leading classes, during the periods of service the military-epidemiological significance of dismissals due to mental disorders and behavioral disorders (chapter V), cardiovascular system diseases (chapter IX), skin and subcutaneous tissue diseases (chapter XII) turned out to decrease, and military-epidemiological significance of dismissals due to diseases of the digestive system (chapter XI) increased. In addition, during periods of service the number of dismissals of conscripts with certain infectious and parasitic diseases (chapter I), with injuries, poisoning and some other consequences of external causes (chapter XIX) increased. Most commonly, conscripts were dismissed from the Armed Forces of the Republic of Belarus due to diseases of the esophagus, stomach and duodenum (K20–K31 according to ICD-10), personality and behavioral disorders in adulthood (F60– F69), neurotic, associated with stress, and somatoform disorders (F40–F48), other heart diseases (pericarditis, endocarditis, etc., I30–I52) and mood disorders (affective disorders, F30–F39). In the structure of dismissal, percentages amounted to 13.7, 9.1, 6.3, 4.1 and 4.1 %, respectively; in total – 37.3 %.Conclusion. The medical and statistical indicators of dismissal can help calculate the likelihood of health disorders associated with daily life and military service, and determine the strategy of the medical service in taking measures for recreation and rehabilitation of potential and actual conscripts.


2021 ◽  
Vol 13 (1) ◽  
pp. 93-101
Author(s):  
Yu. I. Bulankov ◽  
M. A. Bulygin ◽  
A. V. Bespalov ◽  
K. V. Zhdanov ◽  
A. A. Murachev ◽  
...  

The goals of the research are to determine the latent morbidity and financial losses of the Russian Ministry of Defense due to the dismissal of service members with HIV infection at symptomatic stages; to establish the supposed clinical and pharmacoeconomic effectiveness of the early detection and treatment of service members.The materials compile 379 case histories of patients of the only specialized department for HIV-positive military personnel in the Armed Forces for 2017–2019, as well as various reporting forms. The study uses the following methods for the analysis: Markov chains are employed to calculate QALYs (Quality Adjusted Life Years), “cost-effectiveness”, and “willingness to pay”. The research compares two competitive models: “Current Situation” - without the introduction of algorithms for early detection and treatment of HIV infection, and “Prognosis” - with the introduction of these algorithms.The following results are obtained: implementing a mandatory triennial screening for HIV-antibodies among military personnel allows to raise the detection of HIV-positive military personnel in the early stages of the disease by 55%. At the same time, early administered antiretroviral therapy prevents the progression of HIV infection, while the number of military personnel who have reached symptomatic stages of HIV infection and the number of deaths decreases by 35,6% and 80,2% (six-fold), respectively. The economic effectiveness of these measures includes a reduced cost of treatment and an increased length of military service. The sensitivity analysis of the method shows that the proposed measures remain pharmacoeconomically highly effective with a wide variability of the initial data.Conclusion. The results of the study demonstrate that a significant improvement of the epidemiological situation in the field of HIV infection in the Armed Forces is achievable at very low economic costs. With the full implementation of the proposed measures, the cohort of military personnel of the Armed Forces is able to achieve the World Health Organization’s “90-90-90”criteria of in 3–5 years.


2019 ◽  
pp. 180-189
Author(s):  

The article focuses on the importance of the successful conduct of investigative actions aimed at gathering evidence in the investigation of the creation of militarized or armed groups not provided for by law. Among these procedural actions, a special role belongs to the inspection. After the inspection, the investigator has a real opportunity to use the obtained evidence to verify existing evidence and to obtain new evidence, to substantiate important procedural decisions in a particular criminal proceeding. However, the inspection on the temporarily occupied territory of Ukraine is associated with a few features. First of all these include the need to conduct an inspection in a combat zone, with the involvement of sappers and other specialists, in order to maximally secure the life and health of the members of the investigative team. In addition, it complicates the inspection of the delivery of suspected persons to the investigator after a considerable period. However, despite these circumstances, which significantly complicate the investigation, an inspection of the scene of an incident must be carried out in each specific case of the creation of militarized or armed formations not provided for by law. It is advisable to entrust the investigation of these crimes to the investigative and operational group, which includes the investigator of the security agencies, the investigator of the National Police, employees of the operational units of these agencies, the forensic inspector, explosives (sapper), dog handlers with an investigative dog (if necessary), military personnel specialists in the field of rocket troops and artillery, military personnel of the Military service of law and order in the Armed Forces of Ukraine. The algorithm of activities that need to be carried out before going to the scene of action includes actions aimed at verifying the objectivity of the message received, promptly collecting all specialists, going to the scene of the incident, equipping the team leader with a radio station. Work at the scene is preceded by preparatory activities: assisting possible victims, defining the boundaries of the inspection, guarding it, taking photos, video filming, and preliminary survey of the territory by sappers to identify unexploded whizz-bang. What the peculiarities of direct inspection of the scene of an incident is its maximally limited time of holding, fixing with the help of specialistsʼ traces of the crime, their withdrawal for further necessary examinations. Abidance of the procedural order and tactical recommendations of the inspection will contribute to the work of the investigative and operational team in terms of maximally preventing a real threat to the life and health of its participants. Key words: creation of paranoid or armed formations not provided by law, pre-trial investigation, review, tactical recommendations, investigation-operational group.


2020 ◽  
Vol 10 (1) ◽  
pp. 113-127
Author(s):  
Mykola Dumenko ◽  
Dmytro Nosov ◽  
Vitaliy Murashko

This article examines and analyzes the basic directions of development and improvement of the system of manning of the Armed Forces of Ukraine with the sergeants (and other enlisted grades) , based on the experience gained and on analysis of manning systems of the leading countries of the world. In Ukraine, with the onset of the armed aggression of the Russian Federation, the tasks assigned to the personnel services and military commissariats required rapid response and aimed at implementing mobilization deployment of the Armed Forces of Ukraine. 126 To date, the main focus on staffing the Armed Forces of Ukraine is the priority of providing operational (tactical) grouping of troops to contracted military servicemen to accomplish tasks during the operation of the Joint Forces and further readiness of the troops (forces) to repel the armed aggression. At the same time, an important issue to resolve is the recruitment of a professional sergeant (and other enlisted grades) for the military service, with the encouragement of military personnel to prolong their military service. The article describes the reasons that may deter citizens from joining the military service and ways to resolve this issue. Particular attention in the article is devoted to the work of recruiting units, which provide selection for contracted military service using the latest selection technologies and techniques. The importance of the practical activity of the territorial recruitment and social support centers for the instructors of the recruiting and recruitment departments is also considered.


Author(s):  
Vladislav Kazimirovich Shamrey ◽  
Vladimir Ivanovich Evdokimov ◽  
Stepan Grigorjevich Grigoriev ◽  
Pavel Pavlovich Sivashchenko ◽  
Aleksander Vasilievich Lobachev

2020 ◽  
Vol 10 (4) ◽  
pp. 137-142
Author(s):  
ALEXEY ROMAKHIN ◽  

This article reveals the problem of the role of the religious factor in the formation of the value orientations of the military personnel of the Russian army from its inception to the present state. In the article, the author reveals the significance of the Church in the formation of the value orientations of military personnel. The problem of religious situation in foreign armies is considered. The article presents data from sociological studies confirming the increase in the number of religious servicemen in the modern Armed Forces. The concept of “religious factor” is revealed. The author suggests considering the influence of the religious factor on the formation of value orientations through the functions of religion. The article provides examples of the influence of religion on the formation of value orientations of military personnel from the time of the Baptism of Russia to the present. Examples of writers of Russian classical literature about the influence of religion on the morale of troops are given. Examples of religious participation in major battles and wars of the past years are shown. The significance of the religious factor in uniting the people and the army is shown. The work of officials of the Ministry of defense of the Russian Federation in strengthening values among military personnel in modern conditions is demonstrated. The role of the Minister of defense of the Russian Federation, General of the army S.K. Shoigu in strengthening the faith of the Russian army is outlined. Issues related to the construction of the Main Temple of the Armed Forces and its impact on the public masses were discussed. In this study, the author aims to show the significant role of religion in the formation of value orientations in Russian military personnel. The analysis shows an increasing role of religion in the minds of military personnel in modern conditions.


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