Suicide Among the Armed Forces

Suicide Among the Armed Forces

Author: Antoon Leenaars

Publisher: Routledge

Published: 2016-12-05

Total Pages: 348

ISBN-13: 1351863541

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Not since the great military suicide epidemic of the American Civil War have we seen so many of our heroes, our soldiers and veterans, die by suicide. Why? War is violence. There is intent to cause death, or serious injury, or threat to the physical and psychological integrity of others. War stress is unforgiving. Suicide is an all too frequent response. Today, one member of the military dies by suicide every day. This is a new epidemic. This book addresses some tough questions: What do we know about suicides in the military? Are rates high? Or low? Is military suicide the same or different in the United States and Canada? Is military culture relevant? Do we know the causes, patterns, and associations? Is suicide among the armed forces similar to or different from suicide among civilians? Can it be altruistic? Through individual case studies and general/population approaches, we attempt to understand the cost of military service. It is especially through the personal stories of the great Civil War hero General Emory Upton, Admiral of the Navy Mike Boorda, and Hospital Corpsman Chris Purcell that we find answers. We learn there is a relative lack of understanding about military suicides, mainly due to the very complexity of suicide. The nature of suicide is not monolithic--it is multi-determined. Military service, we find, is a risk factor for suicide and suicidal behavior. Military veterans are twice as likely as civilians to die by suicide. Posttraumatic stress disorder (PTSD) and traumatic brain Injury (TBI) are especially noted to be huge risk factors, but so are other physical and psychological injuries. Sadly, the aftershocks of war include not only suicides but also incarceration, motor vehicle accidents, homicides, homicide(s)-suicides, and many more faces of violence. And there are many more, uncounted, wounded and dead. The families of traumatized soldiers and veterans, too, are indirect victims of their traumatic experience and, for some, their suicides; there is secondary traumatization. Yet, as this book shows, we must not forget that despite the unbearable pain of war, soldiers, veterans, and their military families, including children, are typically resilient. They can survive! Without question, our vulnerable heroes and veterans are at risk for suicide. But there is secrecy surrounding this, which may well be the biggest barrier. The government, the Department of Defense, the military, veterans groups, survivors, health providers, and other stakeholders need to develop and support more research, more programs, and more care for suicidal and disabled armed services personnel, veterans, and survivors. This war stress needs to stop.


Oxford Textbook of Suicidology and Suicide Prevention

Oxford Textbook of Suicidology and Suicide Prevention

Author: Danuta Wasserman

Publisher: Oxford University Press, USA

Published: 2021-01-08

Total Pages: 857

ISBN-13: 0198834446

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Part of the authoritative Oxford Textbooks in Psychiatry series, the new edition of the Oxford Textbook of Suicidology and Suicide Prevention remains a key text in the field of suicidology, fully updated with new chapters devoted to major psychiatric disorders and their relation to suicide.


Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-03-29

Total Pages: 467

ISBN-13: 0309466601

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Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.


Death Squads or Self-Defense Forces?

Death Squads or Self-Defense Forces?

Author: Julie Mazzei

Publisher: Univ of North Carolina Press

Published: 2009-09-01

Total Pages: 272

ISBN-13: 0807898619

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In an era when the global community is confronted with challenges posed by violent nonstate organizations--from FARC in Colombia to the Taliban in Afghanistan--our understanding of the nature and emergence of these groups takes on heightened importance. Julie Mazzei's timely study offers a comprehensive analysis of the dynamics that facilitate the organization and mobilization of one of the most virulent types of these organizations, paramilitary groups (PMGs). Mazzei reconstructs in rich historical context the organization of PMGs in Colombia, El Salvador, and Mexico, identifying the variables that together create a triad of factors enabling paramilitary emergence: ambivalent state officials, powerful military personnel, and privileged members of the economic elite. Nations embroiled in domestic conflicts often find themselves stuck between a rock and a hard place when global demands for human rights contradict internal expectations and demands for political stability. Mazzei elucidates the importance of such circumstances in the emergence of PMGs, exploring the roles played by interests and policies at both the domestic and international levels. By offering an explanatory model of paramilitary emergence, Mazzei provides a framework to facilitate more effective policy making aimed at mitigating and undermining the political potency of these dangerous forces.


Brief Cognitive-Behavioral Therapy for Suicide Prevention

Brief Cognitive-Behavioral Therapy for Suicide Prevention

Author: Craig J. Bryan

Publisher: Guilford Publications

Published: 2018-06-13

Total Pages: 306

ISBN-13: 1462536689

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An innovative treatment approach with a strong empirical evidence base, brief cognitive-behavioral therapy for suicide prevention (BCBT) is presented in step-by-step detail in this authoritative manual. Leading treatment developers show how to establish a strong collaborative relationship with a suicidal patient, assess risk, and immediately work to establish safety. Proven interventions are described for building emotion regulation and crisis management skills and dismantling the patient's suicidal belief system. The book includes case examples, sample dialogues, and 17 reproducible handouts, forms, scripts, and other clinical tools. The large-size format facilitates photocopying; purchasers also get access to a webpage where they can download and print the reproducible materials.


Suicide and Homicide-Suicide Among Police

Suicide and Homicide-Suicide Among Police

Author: Antoon A Leenaars

Publisher: Routledge

Published: 2017-07-28

Total Pages: 216

ISBN-13: 1351841475

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The goal of this book is to fully explore what the author refers to as 'the near epidemic levels of suicide and homicide-suicide' among law enforcement officers, and ultimately to offer recommendations and best practices with which to better address the problem. The book begins by discussing suicide in some depth, for one has to know suicide, unequivocally, to understand a suicidal or homicidal-suicidal officer. Suicide and homicide-suicide are complex, multi-determined events - the result of an interplay of individual, relational, social, cultural and environmental factors. The complexity of causation necessitates a parallel complexity of knowledge. There are at least two avenues to understanding: the nomothetic (general) approach, which deals with generalizations using empirical, statistical and demographic methods or techniques; and the idiographic (specific) approach, which typically involves the intense study of individuals. This book explores both. Attempting to be mindful of the needs of the office on the street, the mental health provider, the administrator, the forensic specialist, and the survivors of these needless tragedies, the belief is that by amalgamating the concerns of a diverse audience, we can meet the challenge of identifying at-risk individuals and situations, and saving lives.