Blending illustrative narratives from veterans with cutting-edge research, this book provides a model for a needed shift from treatment post-trauma to psychological training pre-trauma to prevent deep depression and resulting suicides. As suicides among members of the U.S. military and veterans continue at a rate higher than in the general population—nearly 20 each day—and their calls for help become louder, with three veterans waiting for treatment outside Veterans Administration hospitals in 2019 committing suicide, authors and former U.S. Marines Kate Hendricks Thomas and Sarah Plummer Taylor present a call for a new approach to help halt the needless deaths. Thomas, now a researcher and assistant professor of public health, and Plummer Taylor, now a social worker and adjunct professor, detail a plan to establish preventative training for mental fitness that will help psychologically "vaccinate" service members against depression and PTSD, the most common precursors to suicidal thoughts. Thomas and Plummer Taylor detail their mental fitness training program to shift from post-trauma treatment to pre-trauma prevention. Each topic addressed is illustrated with stories from veterans. Part of the solution, Thomas and Plummer Taylor explain, is to present prevention as something for all service members and as a positive, strength-building, challenging activity for champions, as opposed to a post-trauma treatment only for "weak and broken" warriors.

Veteran Suicide: A Public Health Imperative educates readers on the critical issue of veteran suicide that has become a national imperative. Eighteen veterans kill themselves daily. An average of one active-duty GI commits suicide every 1.1 days. More GIs deployed to Iraq and Afghanistan will die from suicide than from combat. These troubling facts are undeniable. Published with assistance from the Veterans Administration, this collection of papers offers peer reviewed research from the leading experts from public health, clinical, and scientific communities. Some of the topics include: * Surveillance of Suicide and Suicide Attempts Among Veterans * Suicide Prevention for Veterans and Active Duty Personnel * Preventing Suicide by Preventing Lethal Injury * Estimating the Risk of Suicide Among US Veterans: * Suicide Prevention Is a Winnable Battle * Facilitating Treatment Engagement During High-Risk Transition Periods "The research represented by the collection of manuscripts included in this volume is an important step towards addressing the national problem of suicide and a reminder that even one death by suicide is too many." Janet Kemp, RN, Ph.D. -- VA National Mental Health Program Director, Suicide Prevention and Community Engagement

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.

Handbook of Military and Veteran Suicide reviews the most advanced scientific understanding of the phenomenon of active duty and veteran suicide, while providing a useful, hands-on clinical guide for those working with this population.

Nearly every day an active-duty soldier in the United States military resorts to suicide, and nearly every hour a veteran does the same. In recent years the problem of military suicides has reached epidemic proportions, but it's all too easy for most of us to gloss over the headlines or tune out the details. In The Last and Greatest Battle--the first book devoted exclusively to the problem of military suicides--John Bateson brings this neglected crisis into the spotlight. Bateson, the former executive director of a nationally certified suicide prevention center, surveys the history of suicide in the United States military from the Civil War to the present day and outlines a plan to save lives-and ultimately end the tragedy of military suicides. He uses the stories of individual soldiers to illuminate the unique challenges faced by American troops today. Transitioning from the front lines to the home front is difficult for many service members, and many need help both during and after their deployments. But even though the military is spending millions of dollars on suicide prevention programs, record numbers of soldiers continue to take their lives. To that end, Bateson outlines a plan of action. If the military works to remove stigma, to make treatment more effective and more accessible, and to limit risk factors for suicide in the first place by taking measures like reducing the number and length of deployments and adjusting pre-deployment training to take into account the way that wars are waged today, an end to the problem of military suicide is as possible as it is essential.

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.

It is estimated that approximately 32% of all suicide deaths have occurred in the Western Pacific Region. Suicide rates in some countries/areas like Japan, the Republic of Korea, Taiwan and China have had significant increases recently and remained at historically high levels. This monograph attempts to set out the basic framework for suicide prevention strategies. It provides details in formulating and evaluating suicide prevention programs. The public health approaches suggested offer a multilayer intervention model, which has been adopted by a number of developed countries for setting up national prevention strategies. Also included are details of some well-established suicide prevention programs worldwide and in the Western Pacific Region.

This book explores suicide prevention perspectives from around the world, considering both professionals’ points of view as well as first-person accounts from suicidal individuals. Scholars around the globe have puzzled over what makes a person suicidal and what is in the minds of those individuals who die by suicide. Most often the focus is not on the motives for suicide, nor on the phenomenology of this act, but on what is found from small cohorts of suicidal individuals. This book offers a tentative synthesis of a complex phenomenon, and sheds some light on models of suicide that are less frequently encountered in the literature. Written by international experts, it makes a valuable contribution to the field of suicidology that appeals to a wide readership, from mental health professionals to researchers in suicidology and students.

Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.