Multiple Stressors Up Suicide Risk Among Military Personnel

Multiple Stressors Up Suicide Risk Among Military Personnel

By: NEIL OSTERWEIL, Internal Medicine News Digital Network

BOSTON – Both veterans and active-duty military are at significantly greater risk for suicide than is the general population, underscoring the critical need for identification of suicidal thoughts and prevention of suicidal actions, said clinicians who specialize in the mental health needs of current and former armed service members.

Of the 30,000-32,000 Americans annually who commit suicide, about one in five is a veteran – an average of 18 veteran suicides a day, according to the National Violent Death Reporting System of the Centers for Disease Control and Prevention.

From 1950 through 2005, despite four wars, seven recessions, and unprecedented advances in the diagnosis and treatment of mental illness, the overall American suicide rate has not changed, said Dr. Janet Kemp, Veterans Affairs national mental health director for suicide prevention at the VA Office of Mental Health in Washington.

"It’s not that people haven’t been paying attention to it, but to be perfectly honest, we’re not that far ahead in our ability to change the problem," she said at a symposium on the complexities and challenges of posttraumatic stress disorder (PTSD) and traumatic brain injury.

For active duty military, particularly those who are deployed to combat zones, a combination of "rage, guilt, and despair" and ready access to firearms can be a deadly combination, added Col. John Bradley, a physician who serves as chair of Integrated Health Services in the department of psychiatry at Walter Reed Army Medical Center, Washington, D.C.

"It’s not simply exposure to bad things, but it’s the emotional response to those things that really creates the distress for our returning veterans, and in particular, anger and survivor’s guilt are important themes," Dr. Bradley said.
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Multiple Stressors Up Suicide Risk Among Military Personnel