We Can't Avoid PTSD and Suicides

This post originally appeared online at psychiatrytalk.com.

The latest information released by the US Army reveals that last year American soldiers attempted suicide at the rate of about 5/day. There were 160 successful suicides last year and during June the rate was 1/day. Military research has reported that one in 10 Iraq veterans may develop a severe case of PTSD.

We Are Not More Dangerous to Ourselves Than The Enemy

As statistics such as these continue to emerge there is a continued outcry that something should be done about this. Areport issued by the US Army, in my opinion minimized the fact that these psychological causalities are a result combat and the realities of war. The Army review concluded “simply stated, we are often more dangerous to ourselves than the enemy” It went on to say that commanders have failed to identify and monitor soldiers prone to risk taking behavior and as a result suicides among soldier have soared. I believe that this is a misguided view that some somehow if we did the right thing we could prevent these events. There were 250 recommendations in the recent report and the Army has already implanted 240 of them. While these are positive things done to provide good mental health care, they won’t prevent PTSD and sadly it won’t eliminate suicides.

We haven’t been able to prevent the increasing number of Americans being killed by IEDs. War is hell and soldiers get killed. We train them the best way that we know how but inevitably soldiers die when there is a war. Maybe one soldiers, despite the best training available isn’t quite as good in a combat zone as another one. Some may be able to know when to zig rather than zag . Some have better instincts than others and that may make them more likely to survive. Some inherently may be able to handle the stress of war better than others. However, the best training in the world and all the preventive measures in the world will not eliminate combat injuries and death. Nor can PTSD and suicides be avoided. The most combat savvy soldiers in our military cannot hide from a bullet with their name on it nor can the most well adjusted soldiers avoid being affected by extraordinary human experiences in a war zone.

Of course , we should always strive to improve our training, safety and efficiency in the battle field. Of course we should always strive to provide the best medical care (which includes psychological care) to our soldiers.

Soldiers Injured With PTSD Deserves to Receive a Purple Heart

Families Deserve Presidential Condolence After Soldier Suicide

We honor our soldiers who are injured serving their country. We give “Purple Hearts“ to soldiers who have been wounded and bury with honor those who have given their lives for their country with the exception of those soldiers who suffer psychological injuries. There is no Purple Heart for them. There is no letter of condolence from the President to the families of those who died from suicide. This is outrageous! These men and women have all volunteered and knew they could be in harms way. There is no basis for treating them as if they purposefully became psychological causalities. There is no way to minimize the grief of their loved ones but this failure to acknowledge their loss only compounds it.

Michael Blumenfield, MD, is a board-certified psychiatrist practicing in Woodland Hills, CA. He blogs at PsychiatryTalk.com — a blog for everyone interested in mental health issues.