The U.S. Army released its monthly suicide numbers yesterday and the news is once again tragic: 27 soldiers may have taken their lives in April, one less than the 2012 high of 28 in March. Each suicide is its own tragedy, but the fact that the numbers continue to stay high, even as the Army has made fighting this suicide epidemic a top priority, raises many questions. One question is whether there is a physical reason for at least some of these deaths – and what that would mean for treating an epidemic that is hitting service members and veterans hard.
Last week Junior Seau joined a growing list of seemingly healthy retired football players who committed suicide, raising the potential prospect that he suffered from chronic traumatic encephalopathy (CET). CET is a disease that causes degeneration in the brain and can lead to behavioral changes, moodiness, difficulties learning and remembering and sometimes, suicide. The disease is caused by repeated blows to the head – a problem that afflicts not only professional sports players, but also service members fighting in two wars whose signature weapons are explosive devices.
Currently, the only way to diagnose CET is through a brain autopsy, though scientists are searching for ways to diagnose it earlier. So far, only a few veterans have been diagnosed with CET, and only one case has been peer-reviewed for a journal. But Nicholas Kristof recently reported that more studies are in process. Not all soldiers and veterans who commit suicide have deployed, but these initial findings raise the possibility that there is a physical reason for at least some of the suicides in the Army – and even more so among veterans, who have a much higher suicide rate.
Psychiatrists are asking the same question about Post-Traumatic Stress Disorder (PTSD), an invisible injury that in extreme cases can lead to suicide. The American Psychiatric Association (APA) met this week to debate and revise its diagnostic guide that serves as the primary tool for recognizing and treating mental health issues. One of the big debates at this year’s meeting was what to do about PTSD. The military was lobbying for it to be changed to Post-Traumatic Stress or “PTS” - no “D” for Disorder - to destigmatize the diagnosis among service members. Others suggested that what troops suffer is often different because its cause is different; there is an external influence on troops that essentially causes injury, one that changes the brain. The APA may end up with a compromise of Post-Traumatic Stress Injury (PTSI), to acknowledge this distinction, though such hasn’t yet been finalized.
Invisible injuries are the most common wounds of the Iraq and Afghanistan wars. As the APA sets out to potentially redefine PTSD, it is possible that yet another wound is going unseen among our service members and veterans – a physical injury to the brain that may be playing a role in the military and veteran suicide epidemic. Just as PTSI might need to be treated differently if it has a physical component, we may need to rethink our approach to fighting the suicide epidemic to take into account the impact of CET, a physical injury that we cannot yet diagnose before death.
WASHINGTON — Spouses of veterans suffering mental health war wounds know the stresses those illnesses can bring to the entire family. Now, a new study from Syracuse’s Institute for Veterans and Military Families suggests that treating that “secondary traumatization” can be an important step in helping cure the veterans’ issues.
The study, released Friday, notes that research on those family issues so far have “largely focused on improving relationships and reducing veterans’ symptoms, rather than targeting improvements in the psychological well-being of the spouse and children.”
But researchers said reducing the burden on caregivers and dependents, and helping them address their own stresses and trauma, can lead to more positive treatment outcomes for veterans. “The practical implications of this paper include the need for further collaboration among institutions and social organizations serving veterans to expand services to the families as well,” the report states.
The report also suggests broadening Veterans Affairs programs for families, although researchers acknowledge that the department is already overwhelmed with its caseload of veterans.
“Although the family relationships with the veteran would not be the primary focus in such programming, the direct benefit to the veteran of improving family life and supports would be substantial,” the study states.
Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
Quote by Mondobubba:
Dear AP Binghampton is not by any stretch of the imagination "Upstate New York" that is the Lower Tier. As for the yougurt, no comment.
Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
Quote by Scoopster:
So did you hear the latest about hyper-conservative asshole Curt Schilling's company?
He has the nerve to push the austerity garbage and claims he's against handouts, meanwhile his company took a giant loan from the state of RI and his company's shitting the bed, leaving the taxpayers on the hook.
Quote by Mondobubba:Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
Been there, done that.
Quote by Raine:the Rain? Accident?Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
Quote by Raine:It's actually part of the Southern Tier of the State.Quote by Mondobubba:
Dear AP Binghampton is not by any stretch of the imagination "Upstate New York" that is the Lower Tier. As for the yougurt, no comment.
And that is a nasty thing to spill.
Quote by Raine:It's actually part of the Southern Tier of the State.Quote by Mondobubba:
Dear AP Binghampton is not by any stretch of the imagination "Upstate New York" that is the Lower Tier. As for the yougurt, no comment.
And that is a nasty thing to spill.
Quote by Mondobubba:Quote by Raine:It's actually part of the Southern Tier of the State.Quote by Mondobubba:
Dear AP Binghampton is not by any stretch of the imagination "Upstate New York" that is the Lower Tier. As for the yougurt, no comment.
And that is a nasty thing to spill.
It begs the question, how do you clean up a yogurt spill?
Quote by wickedpam:Quote by Raine:the Rain? Accident?Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
supposedly an accident on Duke that caused Van Dorn to it to get re-routed to Holmgrin
Quote by BobR:Quote by wickedpam:Quote by Raine:the Rain? Accident?Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
supposedly an accident on Duke that caused Van Dorn to it to get re-routed to Holmgrin
Where is Holmgrin? I haven't seen that road before
Quote by BobR:Quote by Mondobubba:Quote by Raine:It's actually part of the Southern Tier of the State.Quote by Mondobubba:
Dear AP Binghampton is not by any stretch of the imagination "Upstate New York" that is the Lower Tier. As for the yougurt, no comment.
And that is a nasty thing to spill.
It begs the question, how do you clean up a yogurt spill?
Call the Kardashians!
Quote by Raine:
Americans Elect appears to have folded. I say fine with me.
Quote by wickedpam:Quote by BobR:Quote by wickedpam:Quote by Raine:the Rain? Accident?Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
supposedly an accident on Duke that caused Van Dorn to it to get re-routed to Holmgrin
Where is Holmgrin? I haven't seen that road before
I probably spelled it wrong or merged two things together, I have no clue where it is either - around Duke and Van Dorn somewhere I'm guessing
Quote by BobR:Quote by wickedpam:Quote by BobR:Quote by wickedpam:Quote by Raine:the Rain? Accident?Quote by wickedpam:
Morning
2 1/2 hours in traffic!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! and 1 1/2 of that just sitting on f-ing VAN DORN!!!!!!!!!!!!!!!!!!!!!!
supposedly an accident on Duke that caused Van Dorn to it to get re-routed to Holmgrin
Where is Holmgrin? I haven't seen that road before
I probably spelled it wrong or merged two things together, I have no clue where it is either - around Duke and Van Dorn somewhere I'm guessing
Holmes Run?
Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
Quote by Mondobubba:Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
I first read that as I am making a huge pot of marijuana.
My bad. Marinara not marijuana!
Quote by Raine:HA!Quote by Mondobubba:Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
I first read that as I am making a huge pot of marijuana.
My bad. Marinara not marijuana!
Quote by Mondobubba:Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
I first read that as I am making a huge pot of marijuana.
My bad. Marinara not marijuana!
Quote by Scoopster:Quote by Mondobubba:Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
I first read that as I am making a huge pot of marijuana.
My bad. Marinara not marijuana!
Quote by Mondobubba:Quote by Scoopster:Quote by Mondobubba:Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
I first read that as I am making a huge pot of marijuana.
My bad. Marinara not marijuana!
Scoop, I was waiting for you to chime in!
Quote by Raine:
WAIT until you here what WTOP is reporting about this.
4 LGBT agencies were evacuated this afternoon.
Quote by Raine:here is what is being reported from MetroWeekly.Quote by Raine:
WAIT until you here what WTOP is reporting about this.
4 LGBT agencies were evacuated this afternoon.
Quote by Raine:I bet that would make the sauce kinda awesome...Quote by Mondobubba:Quote by Scoopster:Quote by Mondobubba:Quote by Raine:
i am making a huge pot of marinara. It smells amazing already!
I first read that as I am making a huge pot of marijuana.
My bad. Marinara not marijuana!
Scoop, I was waiting for you to chime in!
Quote by Raine:
Holy crap. Mala, can you fill me in on the first 15 minutes of Randi?
Quote by wickedpam:Quote by Raine:
Holy crap. Mala, can you fill me in on the first 15 minutes of Randi?
not listening today - have Thom on for a change - what she do?
Quote by wickedpam:Quote by wickedpam:Quote by Raine:
Holy crap. Mala, can you fill me in on the first 15 minutes of Randi?
not listening today - have Thom on for a change - what she do?
switching over now
Quote by Raine:I was tryingto figure out if she was talking aboutTHE howard or Howard stern -- It was the latter. evidently the season premier of 'America's got Talent' moved her.Quote by wickedpam:Quote by wickedpam:Quote by Raine:
Holy crap. Mala, can you fill me in on the first 15 minutes of Randi?
not listening today - have Thom on for a change - what she do?
switching over now
Quote by Raine:
and something about Jess and Jeff Goldblum.
Quote by wickedpam:Quote by Raine:
and something about Jess and Jeff Goldblum.
I think Jess is her new puppy, I have no idea why she was talking about Jeff Goldblum.
Quote by Raine:Alan is her new puppy. (not so new... ) and Jess is her daughter/niece.Quote by wickedpam:Quote by Raine:
and something about Jess and Jeff Goldblum.
I think Jess is her new puppy, I have no idea why she was talking about Jeff Goldblum.
Quote by Raine:I was tryingto figure out if she was talking aboutTHE howard or Howard stern -- It was the latter. evidently the season premier of 'America's got Talent' moved her.Quote by wickedpam:Quote by wickedpam:Quote by Raine:
Holy crap. Mala, can you fill me in on the first 15 minutes of Randi?
not listening today - have Thom on for a change - what she do?
switching over now
Quote by Mondobubba:
Stern has a gig as a judge on America's Talent this year. I'm not sure what his special skills in judging talent are exactly? Pole dancing? Porn stars riding a Sybian?
Quote by Raine:Quote by Mondobubba:
Stern has a gig as a judge on America's Talent this year. I'm not sure what his special skills in judging talent are exactly? Pole dancing? Porn stars riding a Sybian?
I came into a riff where she was actually talking about her Howard.
... and then she segued into Howard Stern. I really wish I had heard the whole thing.
Quote by Raine:Quote by Mondobubba:
Stern has a gig as a judge on America's Talent this year. I'm not sure what his special skills in judging talent are exactly? Pole dancing? Porn stars riding a Sybian?
I came into a riff where she was actually talking about her Howard.
... and then she segued into Howard Stern. I really wish I had heard the whole thing.