Brief report: Synthetic cannabinoid use among military personnel
Abstract: Background and Objectives: Synthetic cannabinoids (SCs) may function as a marijuana alternative for soldiers subject to frequent drug screens, yet no study has interviewed past military users of SCs. Methods: Veterans participating in eight US veterans treatment courts were interviewed (n = 318; response rate = 54.9%). Thematic analyses were completed. Results: Sixty-five veterans (21.3%) reported SC use. Three major themes were identified: SCs were not a suitable marijuana replacement, the experience was unpleasant/problematic, and curiosity, sometimes paired with the perception of safely eluding drug screens, facilitated use. Conclusion and Scientific Significance: While members of the military experimented with SCs, habitual use of SCs within the Armed Forces does not appear widespread. The perception that SCs are excluded from all urinalyses may contribute to experimentation, but the unpleasant experience generally discourages recurrent use.
Abstract: Few studies have examined long-term mortality following traumatic brain injury (TBI) in a military population. This is a secondary analysis of a prospective, longitudinal study that examines long-term mortality (up to 10 years) post-TBI, including analyses of life expectancy, causes of death and risk factors for death in service members and veterans (SM/V) who survived the acute TBI and inpatient rehabilitation. Among 922 participants in the study, the mortality rate was 8.3% following discharge from inpatient rehabilitation. The mean age of death was 54.5 years, with death occurring on average 3.2 years after injury, and with an average 7-year life expectancy reduction. SM/V with TBI were nearly 4 times more likely to die compared with the US general population. Leading causes of death were external causes of injury, circulatory disease, and respiratory disorders. Also notable were deaths due to late effects of TBI itself and suicide. Falls were a significant mechanism of injury for those who died. Those who died were also more likely to be older at injury, unemployed, non-active duty status, not currently married, and had longer post-traumatic amnesia, longer rehabilitation stays, worse independence and disability scores at rehabilitation discharge, and a history of mental health issues prior to injury. These findings indicate that higher disability and less social supportive infrastructure are associated with higher mortality. Our investigation into the vulnerabilities underlying premature mortality and into the major causes of death may help target future prevention, surveillance, and monitoring interventions.