Bipolar Disorder in the Australian Defence Force: estimating prevalence from Defence electronic Health System records

D. Wallace*, E. Heffernan, C. Meurk, D. McKay, C. Nas Jones

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background and purpose: This study aimed to establish the treated prevalence of Bipolar Disorder (BD) in serving members of the Australian Defence Force (ADF) in light of a 2018 study of mental disorders in the ADF and Veteran population that found a surprisingly high 12-month prevalence rate. Method: A retrospective review of the Defence electronic Health System (DeHS) was conducted for the periods 2015-16 and 2016-17 of all eligible Defence personnel. Two psychiatrists then reviewed each record with an entry for BD to confirm whether a clinical diagnosis was present with measures to optimise inter-rater reliability. Results: 138 431 DeHS clinical records were searched, and 36 potential cases of BD were identified in the financial year 2015-16, of which 21 were confirmed to have a diagnosis of BD. Thirty-two potential cases of BD were found in the financial year (FY) 2016-17, of which 24 were confirmed to have a diagnosis of BD. The average 12-month prevalence of BD across FY 2015-16 and FY 2016-17 was 0.03% or 2.51 per 10 000. Conclusion: The prevalence of BD in serving members was considerably lower than in the 2018 study. Possible explanations for this finding are examined.

Original languageEnglish
Pages (from-to)13-21
Number of pages9
JournalJournal of Military and Veterans' Health
Volume31
Issue number2
Publication statusPublished - Apr 2023

Bibliographical note

Copyright the Australian Military Medicine Association 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Bipolar Disorder (BD)
  • military
  • prevalence

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