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Suicide prevention in a deployed military unit
Christopher H Warner1, George N Appenzeller, Jessica R Parker
1USA Commander and General Staff College, Fort Leavenworth, Kansas, USA.
Psychiatry
|June 22, 2011
Summary
A military suicide prevention plan tailored to deployment cycles reduced suicide rates in a U.S. Army division during their Iraq deployment. This model shows promise for combat environments.
Area of Science:
- Military medicine
- Psychiatry
- Public health
Background:
- Military suicide and parasuicidal behaviors are increasing, particularly in deployed settings.
- Existing prevention strategies may not adequately address the unique stressors of deployment cycles.
Purpose of the Study:
- To present a deployment cycle-specific suicide prevention plan implemented in a U.S. Army division during a 15-month deployment to Iraq.
- To evaluate the effectiveness of this tailored prevention program in reducing suicide rates.
Main Methods:
- Implementation of education, identification, and intervention programs at each phase of the deployment cycle.
- Programs were designed based on specific unit activities and predicted stressors.
Main Results:
- The annual suicide rate in the trial cohort was 16/100,000, compared to the theater rate of 24/100,000.
- Peaks in suicidal ideation and behaviors were observed at months two, six, and twelve of deployment.
Conclusions:
- A deployment cycle-specific prevention program may effectively decrease suicide rates in combat environments.
- This program can serve as a model for future military suicide prevention initiatives.
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