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In 2014, suicide was the 10th leading cause of death in the U.S. and rates of suicide in the U.S. general population are increasing. The Department of Veterans Affairs (VA) has worked tirelessly to develop suicide prevention resources for every Veteran who is experiencing a mental health crisis. VA is committed to identifying and reaching all Veterans who may be at risk for suicide and continues to enhance programs designed to reduce risk among those who receive services from the Veterans Health Administration (VHA). This report is unprecedented in its breadth and depth of information about the characteristics of suicide among Veterans. It contains the first comprehensive assessment of differences in rates of suicide among Veterans with and without use of VHA services and comparisons between Veterans and other Americans. Figures and tables. This is a print on demand report.
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.
In the wake of a suicide, the most troubling questions are invariably the most difficult to answer: How could we have known? What could we have done? And always, unremittingly: Why? Written by a clinical psychologist whose own life has been touched by suicide, this book offers the clearest account ever given of why some people choose to die. Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner brings a comprehensive understanding to seemingly incomprehensible behavior. Among the many people who have considered, attempted, or died by suicide, he finds three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, chillingly, the learned ability to hurt oneself. Joiner tests his theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology--facts about suicide rates among men and women; white and African-American men; anorexics, athletes, prostitutes, and physicians; members of cults, sports fans, and citizens of nations in crisis. The result is the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. Joiner's is a work that makes sense of the bewildering array of statistics and stories surrounding suicidal behavior; at the same time, it offers insight, guidance, and essential information to clinicians, scientists, and health practitioners, and to anyone whose life has been affected by suicide.
This book offers a theoretical framework for diagnosis and risk assessment of a patient's entry into the world of suicidality, and for the creation of preventive and public-health campaigns aimed at the disorder. The book also provides clinical guidelines for crisis intervention and therapeutic alliances in psychotherapy and suicide prevention.
Every veteran has a story. You just have to listen to it. It can be surprising how difficult it is...and also how easy...for a veteran to be able to tell their story. The impacts of combat, deployments, or even just military experience in general are felt long after a veteran leaves the service. The guns do not always go silent when a veteran leaves the military...neither should the veteran. When combat veteran and retired Army Noncommissioned Officer Duane France retired, he knew he wanted to continue to serve his fellow veterans. As a grandson, nephew, and son of combat veterans, he grew up knowing the impact of combat and military service on veterans and their families, and as a leader with five combat and operational deployments, he saw the same things happening in the service members of his generation. After starting to work as a clinical mental health counselor exclusively for veterans and their spouses, Duane started to write his observations and experiences on his blog, Head Space and Timing, located at www.veteranmentalhealth.com. This book is a collection of 52 articles designed to help veterans, those who support them, and those who care for them to understand the military experience and to change the way they think about veteran mental health.
Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop.
The unforgettable story of a military family that lost two sons—one to suicide and one in combat—and channeled their grief into fighting the armed forces’ suicide epidemic. Major General Mark Graham was a decorated two-star officer whose integrity and patriotism inspired his sons, Jeff and Kevin, to pursue military careers of their own. His wife Carol was a teacher who held the family together while Mark's career took them to bases around the world. When Kevin and Jeff die within nine months of each other—Kevin commits suicide and Jeff is killed by a roadside bomb in Iraq—Mark and Carol are astonished by the drastically different responses their sons’ deaths receive from the Army. While Jeff is lauded as a hero, Kevin’s death is met with silence, evidence of the terrible stigma that surrounds suicide and mental illness in the military. Convinced that their sons died fighting different battles, Mark and Carol commit themselves to transforming the institution that is the cornerstone of their lives. The Invisible Front is the story of how one family tries to set aside their grief and find purpose in almost unimaginable loss. The Grahams work to change how the Army treats those with PTSD and to erase the stigma that prevents suicidal troops from getting the help they need before making the darkest of choices. Their fight offers a window into the military’s institutional shortcomings and its resistance to change – failures that have allowed more than 3,000 troops to take their own lives since 2001. Yochi Dreazen, an award-winning journalist who has covered the military since 2003, has been granted remarkable access to the Graham family and tells their story in the full context of two of America’s longest wars. Dreazen places Mark and Carol’s personal journey, which begins when they fall in love in college and continues through the end of Mark's thirty-four year career in the Army, against the backdrop of the military’s ongoing suicide spike, which shows no signs of slowing. With great sympathy and profound insight, The Invisible Front details America's problematic treatment of the troops who return from war far different than when they'd left and uses the Graham family’s work as a new way of understanding the human cost of war and its lingering effects off the battlefield.
Expert public psychiatrists use cases to share best-practice strategies in this clinically-oriented introduction to community mental health. This book provides clinicians with knowledge needed to combat serious mental illness in the context of trauma, poverty, and discrimination. Case studies bring to life foundational concepts and evidence-based treatment for diverse populations, affirming the potential of every individual to achieve recovery.