The U.S. military continues to face many challenges when it comes to mental health care for both their active duty personnel in the field, and when soldiers return home to inadequate care.
The numbers are staggering. In July 2011, 33 active and reserve component service members died as a result of suicide — a record high month. Additionally, the U.S. Department of Veterans Affairs estimates 18 veterans die by suicide each and every day.
While the military has worked hard to focus on the problem in recent years, the new report released by the Center for a New American Security suggests it still has a long way to go.
Part of the problem remains staffing levels, which are still inadequate to meet the needs of most VAs:
Also cited as problematic is a shortage of mental health care providers to treat both active duty troops and veterans. Research by the VA has found that suicide rates decreased by 3.6 deaths per 100,000 in seven regions where staff numbers increased to levels recommended in the 2008 Veterans Health Administration Handbook.
Sixteen regions are still not manned to these levels, the report says. In addition, the Army has filled only 80 percent of its psychiatrist positions and 88 percent of its social work and behavioral health nurse jobs.
Given the current economy and so many people looking for work, it’s odd the military hasn’t been able to staff up to recommended levels across the board.
Nearly half of all suicides in the Army are caused by drug or alcohol overdose. But about 14 percent of active soldiers in the Army are on an opiate medication for pain — the exact same medication that’s ripe for abuse and use as a suicide method.
And while the report commends recent progress on changing the attitude toward mental health issues in the military, it’s clear we still have a long way to go:
[The report] raps the “prevailing wisdom” in the military that suicides are not linked directly to deployments to war.
While an estimated 31 percent of Army suicides are associated with factors that can be traced back prior to enlistment, recent reports have shown that soldiers who have deployed are more likely to die by suicide.
Talk about burying one’s head in the sand… How could the two not be related? Astounding.
Last, because of the ongoing stigma connected to admitting to mental health problems while serving in the military, most personnel are reluctant to volunteer information about their own concerns:
The report also finds flaws in the mental-health screening process following deployment, in which troops are asked to fill out a health-assessment form that asks questions about their physical and psychological status. A 2008 study found that when Army soldiers completed an anonymous survey, their reported rates of depression, PTSD, suicidal thoughts and interest in receiving care were two to four times higher than the responses on the official forms.
The CNAS researchers said that many returning troops lie — and are encouraged to lie — for fear that if they admit to mental health problems, they will not be allowed to go home.
Such assessments also follow military personnel throughout their career, affecting their career advancement and forward movement.
The report isn’t entirely negative. It notes that while the percentage of service members seeking help has improved — from 36 percent in 2009 to 57 percent in 2010 — “the stigmatization of mental health care remains an issue.”
The solutions are fairly simple:
- Fully fund to recommended staffing levels all mental health professions in both active military and veterans’ roles.
- Acknowledge the connection between increased suicidal ideation and other mental health concerns with serving in combat roles.
- Increase health record privacy protections and disconnect a person’s military health record from their formal personnel evaluations, so that admitting and seeking treatment for a mental health concern doesn’t negatively impact a person’s career. If this cannot be done, then:
- Support and fully fund the use of external mental health services for a soldier once stateside, with complete patient privacy rights for such treatment.
- Support greater use of peer-to-peer programs that seek to lessen the stigma associated with mental health concerns.
Read the full article here: New Report: U.S. Losing The Battle Against Military Suicides
Read the full report here: Losing the Battle: The Challenge of Military Suicide
8 comments
I work for the Army and I truly hate the mandatory suicide awareness training. I’ve lost three relatives to suicide, the most recent eight years ago, and having to sit through the training is a cruel reminder of the people who are no longer in my life. I am still required to go despite the discomfort that fills me at the “training”. Everyone must go. There are no exceptions.
My brother, who was a Viet Nam veteran, took his life in 2010 at the age of 62. His mental decline began when the war in Irag started. I’m aware that a new war brings up lots of painful memories in veterans of past wars and my brother was deeply affected. I tried to get help, to no avail. He didn’t trust the veterans associations and would not speak with anyone about his conflict.
I’m sorry for your loss. None of my relatives who committed suicide served in the military, nor have I. I used to work at a place where they did test firing of various large-caliber weapons, and even though the range was still a distance away, there were times that the windows shook and we heard the explosions regularly.
The military reacts to situations by making everyone go through training. The issue almost doesn’t matter. The Army has training on it. Unfortunately, what should be helpful is often counterproductive because it is crammed down your throat.
I work at an overseas military post, and my feeling is that we don’t do re-integration back into garrison life well after troops have deployed. I could be wrong. I truly hope that I am wrong. There is a process and it makes a degree of sense, but there is something about the “Wounded Warriors” hooha that bothers me. They absolutely should be taken care of, but there is a certain amount of pressure to return to normal duty if they can.
It’s very, very hard to break down the “No problems. Sir!” or “Too easy, sergeant!” culture and ask for help even when the help is available.
I really dislike articles like this – they make me feel so powerless. What can the LAY person do to help? I lost my brother to suicide last year.
Become a vocal advocate for change by contacting your friends and family to ask them to contact their Congress-people to tell them about these issues. Congress can provide the necessary funding and/or direct that funding to such mental health programs and staffing.
And either the President or Congress can direct the military to divorce mental health records from personnel records, so that the one won’t affect the other or put a damper on future advancement.
We must get involved to stop this tragedy from continuing. The military, while working hard on this issue and is mostly well-meaning, often has its hands tied by its funding mandates, or by higher-ups who won’t acknowledge the extent and seriousness of the problem. If dragged before Congress to explain, they might think differently.
The ongoing stigma connected to admitting to mental health problems while serving in the military and also when you are in leadership positions in business shortchange the entire world.
This is a problem that permeates the field not only in the US but in many countries.
The level of trauma in the military is far higher and this type of help is needed is far more than in other situations.
Knowing this, it is a shame that the stigma has not been challenged effectively.
Does over percribed opiates play a roll in the problem. opiate addiction at the VA is way up.
Female Veteran here. I’m in a group composed of disabled female veterans. We all agree on one thing. That is if you are having issues with coping with something or need help do not call the help line, ever. The military and the VA full well have the capability to weaponize any info they have on you. Historically , for women, if you report something that might upset the apple cart the go to was to slap a mental illness label on you. The good old boy network is alive and thriving. The military puts you in little boxes with little labels and will only ever read that label and will not look further or deeper than that label for anything ever again. We each paid dearly for that knowledge.
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