Psychosocial factors associated with suicidal ideation among young men exempted from compulsory military or civil service.

AIMS The aim of this study was to identify factors associated with suicidal ideation among young men exempted from compulsory military or civil service in Finland. METHODS The study involved a total of 356 men exempted from military or civil service. The research data were collected using questionnaires and register data. RESULTS One third of the young men exempted from compulsory military or civil service reported serious suicidal ideation. Of the men with serious suicidal ideation, one third had attempted suicide. Various childhood adversities and current stressful life events and problems were associated with suicidal ideation. Multivariate logistic regression analysis showed that the following factors were independently associated with suicidal ideation: maternal alcohol-related problems, changes in the family, discord with the boss over the past 12 months, and lack of social support. Accumulation of problems predicted suicidal ideation. CONCLUSIONS Men exempted from compulsory military or civil service comprise an important target group in the prevention of suicide. In order to prevent suicidal behaviour among young men at risk, it is important to address the significance of social support and relationships, and likewise to be aware of early risk indicators such as maternal alcohol-related problems.