TY - JOUR AU - Cesur,Resul AU - Sabia,Joseph J. AU - Tekin,Erdal TI - The Psychological Costs of War: Military Combat and Mental Health JF - National Bureau of Economic Research Working Paper Series VL - No. 16927 PY - 2011 Y2 - April 2011 UR - http://www.nber.org/papers/w16927 L1 - http://www.nber.org/papers/w16927.pdf N1 - Author contact info: Resul Cesur Finance Department University of Connecticut 2100 Hillside Road Unit 1041 Storrs, CT 06269-1041 E-Mail: cesur@business.uconn.edu Joseph J. Sabia United States Military Academy Office of Economic and Manpower Analysis Department of Economics West Point, N.Y. 10996 E-Mail: joe_sabia@yahoo.com Erdal Tekin Department of Economics Andrew Young School of Policy Studies Georgia State University P.O. Box 3992 Atlanta, GA 30302-3992 Tel: 404/413-0163 Fax: 404/413-0145 E-Mail: tekin@gsu.edu M2 - featured in NBER digest on 2011-08-01 AB - While descriptive evidence suggests that deployment in the Global War on Terrorism is associated with adverse mental health, the causal effect of combat is not well established. Using data drawn from the National Longitudinal Study of Adolescent Health, we exploit exogenous variation in deployment assignment and find that soldiers deployed to combat zones where they engage in frequent enemy firefight or witness allied or civilian deaths are at substantially increased risk for suicidal ideation, psychological counseling, and post-traumatic stress disorder (PTSD). Our estimates imply lower-bound health care costs of $1.5 to $2.7 billion for combat-induced PTSD. ER -