COIOSDeep risk insights through multi-disciplinary research across the globe
a rope is laying on a wooden dock
Item refines Peer-reviewed Added

Former US service members die more often of alcohol, drugs or suicide than civilians

Among 176,719 deaths at ages 18-64 in Massachusetts and Minnesota, alcohol, drug and suicide causes accounted for 12% and 7% more of former service members' deaths than of non-military deaths.

Death certificates for 176,719 decedents aged 18-64 in Massachusetts and Minnesota were linked to military personnel files, and 9.5% had served. In Massachusetts, alcohol, drug and suicide causes accounted for 12% more of former service members' deaths, with suicide raised in both states. These deaths occurred a median of 20 to 30 years after separation, most often after Coast Guard, Marine or Army service.

Why it is interesting: Puts a size on the veteran excess and places it a median of 20 to 30 years after separation.

Source
American Journal of Epidemiology, 21 September 2026
Paper
Deaths of Despair among Former Military Service Members, Massachusetts (2014-2021) and Minnesota (2014-2022)
Authors
Holliday KM, Hill ED, Batchelder HR, Price AE, Johnson CY, Viera AJ et al.
DOI
10.1093/aje/kwag233
Type
Peer-reviewed article
Design
Linkage of state death certificates to military personnel files, 176,719 decedents aged 18-64 (Massachusetts 2014-2021, Minnesota 2014-2022)
Verdict
Refines prior evidence
Driver
Alcohol and drug use
Driver
Mental health
Driver
Revisions and new sources
Driver
What linked data reveals
Free full text
Free to read at the publisher

Other drivers in Behavioural science