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We Can’t Avoid PTSD and Suicides

In: Uncategorized

11 Aug 2010

The latest information released by the US Army reveals that last year American soldiers attempted suicide at the rate of about 5 /day. There were 160 successful suicides last year and during June the rate was 1/day. Military research has reported that one in 10 Iraq veterans may develop a severe case of PTSD.

We Are Not More Dangerous to Ourselves Than The Enemy

As statistics such as these continue to emerge there is a continued outcry that something should be done about this. A report  issued by the US Army, in my opinion minimized the fact that these psychological causalities are a result combat and the realities of war. The Army review concluded “simply stated, we are often more dangerous to ourselves than the enemy” It went on to say that commanders have failed to identify and monitor soldiers prone to risk taking behavior and as a result suicides among soldier have soared. I believe that this is a misguided view that some somehow if we did the right thing we could prevent these events. There were 250 recommendations in the recent report and the Army has already implanted 240 of them. While these are positive things done to provide good mental health care, they  won’t prevent  PTSD and sadly it won’t eliminate suicides.

We haven’t been able to prevent the increasing number of Americans being killed by IEDs. War is hell and soldiers get killed. We train them the best way that we know how but inevitably soldiers die when there is a war. Maybe one soldiers, despite the best training available isn’t quite as good in a combat zone as another one. Some may be able to know when to zig rather than zag . Some have better instincts than others and that may make them more likely to survive. Some inherently may be able to handle the stress of war better than others.  However, the best training in the world and all the preventive measures in the world will not eliminate combat injuries and death. Nor can PTSD and suicides be avoided.   The most combat savvy soldiers in our military cannot hide from a  bullet with their name on it nor can the most well adjusted soldiers avoid  being  affected by extraordinary human experiences in a war zone.

Of course , we should always strive to improve our training, safety and efficiency in the battle field. Of course we should always strive to provide the best medical care (which includes psychological care) to our soldiers.

Soldiers Injured With  PTSD Deserves to Receive a Purple Heart

Families Deserve Presidential Condolence After Soldier Suicide

We honor our soldiers who are injured serving their country. We give “Purple Hearts“ to soldiers who have been wounded and bury with honor those who have given their lives for their country with the exception of those soldiers who suffer psychological injuries. There is no Purple Heart for them. There is no letter of condolence from the President to the families of those who died from suicide. This is outrageous!  These men and women have all volunteered and knew they could be in harms way. There is no basis for treating them as if they purposefully became psychological causalities. There is no way to minimize the grief of their loved ones but this failure to acknowledge their loss only compounds it.

5 Responses to We Can’t Avoid PTSD and Suicides

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Mental Disorders 101

August 11th, 2010 at 1:58 am

We Can't Avoid PTSD and Suicides – PsychiatryTalk…

I found your entry interesting do I’ve added a Trackback to it on my weblog :)

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Bulletin board; Aug 12, 2010 North Capitol Street

August 11th, 2010 at 1:18 pm

[...] We Can't Avoid PTSD and Suicides – PsychiatryTalk [...]

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Kym McConnell

September 26th, 2010 at 8:57 pm

Per military regulations suicide in considered a Line of Duty death 100% of the time. No different than a combat death, a car accident or a heart attack. Yet the recognition for the soldier and support for their survivors is vastly different.
My husband of 30 years took his own life after 34 years of service (while on Active Duty.) Yet it has been nearly 16 months since his death and the Veteran’s and Survivor Benefits are still being withheld. My husband’s body remains in storage. If I were an isolated incident, this would a nightmare for my family alone. But I have learned that the families of Suicide victims are waiting a year or more for their benefits and they are having to do the legwork themselves. Their Casualty Officer is only forwarding paperwork.
Again, per regulations a LOD investigation must be completed within 70 days of the death and is first and separate from any criminal or other investigations. The maximum a family should be forced to wait for their benefits is 71 days.
That this has happened to even one more family than mine should be considered criminal and punishable under the Uniform Code of Military Justice. We have suffered the worst of a military career. The military is “stepping up” it’s preventative training, but clearly they have no compassion for those of us who they failed. And yes, they failed my husband and they failed my family, because I told them, many times!
In Loving Memory
LTC Stephen D. McConnell, OASAALT, Pentagon (WRAMC MedHold)
Deceased June 1, 2009
(He has not as yet even been listed as a Casualty.)

My personal insight after living with the secondary effects of PTSD is that all returning soldiers should be categorized with PTSD, removing any stigma attached. It is not physically possible to endure what they do and not suffer some physical changes. From there it be determined, over an extended period of time, to what degree the condition has manifested. Anyone can answer a multiple choice questionnaire and be cleared to return to duty immediately upon returning home. It takes weeks or months for the symptoms to become obvious and not just attributed to readjustment.
The military also needs to listen and involve the family members. We know the soldiers better than anyone. We know them as sons, daughters, husbands, fathers, wives and mothers. We see the vulnerability that surfaces when the uniform comes off. A soldier needs the tough talk and bravado to survive in a combat environment, but the family will recognize the subtle changes in the soldier when he is at home and not on duty.

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Bobbi

October 22nd, 2010 at 4:54 pm

I agree, I also lost my beautiful Marine Reserve son to PTSD/suicide after returning from Iraq. Our family did not know what was wrong with him. I was grasping at straws when I told him, two preachers and a civilian counselor that I thought he had PTSD. Before hand, families are not aware of what is, I just knew he had changes that scared me. The military was aware of this and did not monitor it or educate him or us about it. The civilain counselor I went to knew nothing about it, but yet she took my money and gave disastrous advice, tell him to go in for counseling, he said he didn’t have time. Then, I think one night it got the best of him, and he was left like a damaged animal to fin for himself. It’s a horrible loss for our family and a gorgeous young man. It’s lipservice from the military, not understanding it by the ones over the soldiers, and negligence. A psychiatrist from UCLA that I saw on TV said the “sick” ones are the last to see it, while their poor families are left unknowingly with a battle scarred, mentally changed loved one and not knowing what to do for them.

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FIrst Anniversary of PsychiatryTalk.com - PsychiatryTalk

December 2nd, 2010 at 1:00 am

[...] soldiers who have died by suicide. Another blog was written on this subject in August  2010 titled We Can’t Avoid PTSD and Suicides . While the President has still not changed his policy, the Secretary of the Army has recently [...]

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