Soldiers suicide rise 80%

Suicides among U.S. soldiers rose 80 percent from 2004 to 2008, an Army study found.
As many as 40 percent of these suicides may have been linked to combat experience in Iraq, yet nearly a third of the soldiers who committed suicide saw no combat at all, said the researchers, from the U.S. Army Public Health Command.
"Our study confirmed earlier studies by other military researchers that found increased risk of suicide among those who experience mental-health diagnoses associated with the stresses of war," said lead researcher Michelle Canham-Chervak, a senior epidemiologist with the command.
"This study suggests that an army engaged in prolonged combat operations is a population under stress, and that mental-health conditions and suicide can be expected to increase under these circumstances," Canham-Chervak said. "By establishing that soldiers who are diagnosed with a mental-health disorder or substance abuse are at greater risk of suicide, we then have a place to target our prevention strategies."
The report was published in the March 7 online edition of the journal Injury Prevention.
The findings are based on analysis of data from the U.S. Army Behavioral Health Integrated Data Environment, a registry containing information -- including consultations, diagnoses and treatment -- on suicides from many military sources.
This analysis found that the rates of suicide among Army personnel from 1977 to 2003 were mostly in keeping with trends in the general population, and were actually slightly lower than expected in that 27-year period, the researchers said.
In 2004, however, suicides started to increase. By 2008 they had risen by more than 80 percent, to a rate higher than in the civilian population.
In 2007 and 2008, 255 soldiers on active duty took their own lives, which is equivalent to a suicide rate of 20 per 100,000 people, compared with a rate of 12 per 100,000 among the general population, the researchers found.
Historical trends for military suicides, compared with 2008 rates, suggested that 39 percent of the suicides might be associated with service in Iraq, where the United States began military action in 2003, or Afghanistan, the researchers said.
Almost half (45 percent) of those who took their lives were between 18 and 24 years old. More than half (54 percent) were among low-ranking soldiers. And 69 percent had been in active combat, researchers said. Male soldiers were at higher risk.
The soldiers who committed suicide were more likely to have been diagnosed with a mental illness in the year before their suicide, the researchers found.
Suicide rates among those hospitalized for mental-health problems were more than 15 times higher than among those who weren't hospitalized. For soldiers who had outpatient consultations for mental problems, the suicide rate was almost four times higher.
The increase in the suicide rate appears related to increased rates of depression, anxiety, post-traumatic stress, substance abuse, personality and adjustment disorders, and serious mental illness, the researchers said. Those with severe depression were more than 11 times more likely to take their lives, and those with anxiety disorders were 10 times more likely to do so, the researchers found.
"A troubling finding was that over 25 percent of the soldiers who committed suicide carried a primary diagnosis of an adjustment disorder," said Simon Rego, supervising psychologist at Montefiore Medical Center in New York City. "Adjustment disorder" is a catchall term for emotional problems resulting from being in a stressful environment, such as combat.
"[Adjustment disorder] is generally used as a short-term diagnosis and/or when a more precise diagnosis has not been identified," Rego said. "[It] is especially prevalent among military trainees."
Researchers also found that 31 percent of suicides were committed by soldiers who had never deployed, which implies that mental problems and stress other than combat exposure may contribute to suicide risk in this population, Rego said.
"While suicide remains a relatively rare event, the results of this study suggest it is increasing at an unprecedented rate and, unlike any other time in history, U.S. military suicide rates now appear to have surpassed those among comparable civilian populations," he said. "It is therefore critical that we address this emerging public-health problem by focusing our efforts on studies like this one, which allow us to identify any and all risk factors for suicide, in order to improve our prevention efforts."

http://news.yahoo.com/us-army-suicides-rose-80-start-iraq-war-234357191.html


US military suicide rate at record high

American troops are taking their own lives in the largest numbers since records began to be kept in 1980. In 2008, there were 128 confirmed suicides by serving army personnel and 41 by serving marines. Another 15 army deaths are still being investigated. The toll is another of the terrible consequences that have flowed from Washington's neo-colonial wars in Afghanistan and Iraq.

The army suicide rate is now higher than that among the general American population. The rate has been calculated as 20.2 per 100,000 soldiers, compared with 19.5 per 100,000 civilians. This is a shocking statistic, as soldiers theoretically are screened for mental illnesses before enlistment and have access to counselling and health services that millions of ordinary people cannot afford.

As there is an average of 10 failed suicide attempts for each actual loss of life, the figures suggest that more than 1,600 serving army and marine personnel tried to kill themselves last year.

Army Secretary Pete Geren told the Associated Press that "we cannot tell you" why the number of military suicides was rising. It is indisputable, however, that it is linked to the stresses on soldiers caused by the wars in Afghanistan and Iraq. In 2002, the army suicide rate was just 9.8 per 100,000. The last time it exceeded the civilian rate was in the late 1960s, at the highpoint of the US war in Vietnam.

An estimated 30 percent of soldiers who took their own lives in 2008 did so while on deployment. Another 35 percent committed suicide after returning from a tour of duty. In one reported case, a highly regarded marine pilot hanged himself just one month before he was scheduled to return to Iraq.

Dozens of men and women who have left the armed forces since serving in Afghanistan or Iraq also committed suicide in 2008. The Department of Veterans Affairs recorded 144 such cases. The suicide rate among veterans aged 20 to 24 was 22.9 per 100,000 in 2007—four times higher than non-veterans in the same age bracket. A hotline for veterans has received over 85,000 calls since mid-2007 and arranged some 2,100 suicide prevention interventions.

The rise in army suicides was registered despite an information campaign in the US military intended to end stigmas over seeking medical health for Post Traumatic Stress Disorder (PTSD) and depression—psychological conditions that afflict tens of thousands of Afghanistan and Iraq veterans and in severe cases can trigger suicidal tendencies.

Veterans Affairs (VA) reported in January that 178,483 veterans of the two wars had been diagnosed with one or more mental illnesses between 2002 and September 2008. The conditions diagnosed included 92,998 cases of possible PTSD; 63,009 possible depressive disorders; 50,569 neurotic disorders; 35,937 cases of affective psychoses; 27,246 cases of drug abuse and 16,217 cases of alcohol dependency.

VA deputy director for mental health services, Antonette Zeiss, told the Air Force Times: "Most of these conditions would not have been present prior to being in the military. In VA, we assume that these are veterans coming to us who have had significant stresses as a result of their involvement with the military and the war."

The "significant stresses" would include killing; repeated exposure to scenes of death and injury; the constant threat of death or injury; and the dehumanising policing operations that American soldiers have been ordered to conduct against civilian populations. No-one who has taken part in the occupations of Afghanistan and Iraq could have returned completely unscathed by the experience.

The true extent of mental illness among war veterans is believed to be far worse than VA's figures. It has only treated around 400,000 of the 1.7 million men and women who have served. "We know there are guys who desperately need help who aren't coming to us," a spokesman told the Air Force Times. A Rand Corporation study last year estimated that 20 percent of Afghanistan and Iraq veterans—some 350,000 people—were suffering from PTSD.

As many as 18 veterans of American wars take their own lives in the United States every day—more than 6,500 per year. Vietnam veteran advocates have estimated that suicide ultimately killed more of the soldiers who fought in that conflict than the actual war itself. The same trend is now surfacing among the veterans of Afghanistan and Iraq.

A recent case was the suicide of Specialist Larry Applegate on January 16. After an argument with his wife, during which shots were fired, Applegate barricaded himself inside his Colorado Springs home. Shortly after, he killed himself with a bullet to the head.

The Army Times reported that the 27-year-old soldier, who served in Iraq during 2006, had been under the supervision of a Warrior Transition Unit (WTU) since February 2008 for an undisclosed condition. WTUs were established in June 2007 after the exposure of substandard treatment of wounded troops at the Walter Reed Medical Centre. There are currently some 9,000 soldiers assigned to 36 WTUs across the US.

A total of 68 soldiers had died under WTU care by October 2008. More than half the deaths were ruled to have resulted from natural causes, but nine were determined to be suicides. Six others were classified as accidental deaths caused by "combined lethal drug toxicity".

http://www.wsws.org/articles/2009/feb2009/suic-f04.shtml

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