The Pentagon finally has detailed
the psychological toll of combat in Iraq. It came in the form
of a U.S. Army Mental Health Advisory Team survey released in
late March after a delay of three months. According to the
report, the suicide rate among American soldiers in Iraq is
much higher than it is for the Army as a whole. It is, in
fact, 35 percent higher than for soldiers stationed elsewhere,
according to a March 30 article in Newsweek.
The Pentagon claims that the Army as a whole had a suicide
rate of 12.8 per 100,000 last year, but that the rate among
soldiers in Iraq was 15.6-17.3 per 100,000. While there have
been 24 confirmed soldier suicides in Iraq since the start of
the war, the circumstances of several other deaths still are
under investigation. That is why the range of percentages is
used. Despite this high suicide rate and a report from the
commander of the Army's Landstuhl Germany Medical Center that
10 percent of casualties arriving from Iraq were evacuated
with mental health problems, Army mental health experts claim
there is "no crisis."
The Army, however, has established a toll-free suicide hotline
(800-464-8107 for stateside soldiers and 800-464-81077 for
overseas soldiers). It also offers Applied Suicide
Intervention Skills Training, a suicide-awareness training
plan, at several bases. This program focuses on four areas:
the encouragement of help-seeking behavior, the development of
life-coping skills, raised vigilance on suicide awareness, and
the integration and synchronization of unit and community
programs. The Army also has distributed wallet- and dog-tag
size suicide awareness cards and desk cubes at Fort Lewis,
Washington.
The Army planned to handle psychological injuries in Iraq
through the use of roving Combat Stress Control teams. But
there weren't enough teams in the field with every unit; the
teams often didn't have proper equipment such as radios. Most
importantly, there was no senior mental health leader in Iraq,
a recommendation after the first Gulf War. On the other hand,
the Marine Corps established a combat stress program,
Operational Stress Control and Readiness (OSCAR), in which
teams are integral to the units back in garrison.
The fact of the matter is that the stress is going to get
worse for soldiers and their families as units are held over
in Iraq andas was the case in Vietnamand the frequency of
terrorist and guerilla attacks increases.
In other news, although the program schedule has not been
finalized as of this writing, the PTSD/Substance Abuse
Committee has organized a seminar for the Leadership
Conference in Nashville. It features Dr. Joe Boscarino, one of
the nation's leading PTSD researchers. Boscarino's
presentation will focus on the relationship of PTSD and other
diseases such as diabetes, hepatitis, and cardiovascular
disease. Plan to attend this very informative seminar. See you
in Nashville.