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Marine and Family Programs Marine Corps Suicide Prevention Program (MCSPP). LCDR Andrew L. Martin, Psy.D. Suicide Prevention Program Manager Headquarters, Marine Corps (M&RA) andrew.l.martin@usmc.mil 703-784-9542. Mission and Strategy.

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Marine and Family Programs Marine Corps Suicide Prevention Program (MCSPP)

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Marine and Family Programs

Marine Corps Suicide Prevention Program (MCSPP)

LCDR Andrew L. Martin, Psy.D.

Suicide Prevention Program Manager

Headquarters, Marine Corps (M&RA)

andrew.l.martin@usmc.mil

703-784-9542


Mission and Strategy

Mission: Year over year reduction in suicides until zero;

then sustain.

Strategy: Leaders foster resilience and encourage Marines to

engage helping services early, before problems

worsen to crisis levels.


USMC Suicides and Attempts

USMC Rate per 100,000

*

Civilian Rate per 100,000

Through

August 2011

* Last available civilian suicide rate information from the Centers for Disease Control and Prevention. Rate adjusted for Marine demographics.

** Includes 1 suspected suicide that has yet to be confirmed by the Armed Forces Medical Examiner.

*** Includes 12 suspected suicides that have yet to be confirmed by the Armed Forces Medical Examiner.

Source: HQMC (MFC-5) 2011Sep01


USMC Associated Stressors

* Reflects a history of the stressor/risk factor within 1 year of the suicide


2010 Marine Corps Risk Factors


Organizational Chart – MFC5


Program Functions


Leadership

  • Focused and engaged

  • A Marine Corps program

  • Provide annual training to all Marines

  • Maintain two sergeant trainers per battalion/squadron

  • Unit protocol for managing Marines at risk

  • Force Protection Boards

  • Death brief, 8-day and 30-day briefs, DoDSER

  • First flag officer briefs deaths to ACMC


Never Leave a Marine Behind


Never Leave a Marine Behind

Annual Suicide Prevention Training

  • Award-winning, evocative

  • Developed and tested by Marines

  • Focus is on changing behavior

    - Personal resilience

    - Peer-to-peer support

    - Frontline supervisor intervention

    - Command climate management

  • Separate modules for Jr. Marines, NCOs, SNCOs and officers


Never Leave a Marine Behind


Tools

  • Monthly Suicide Activity Report

  • Leaders Guide to Managing Marines in Distress

  • MCSPP Website and staff (best practices, statistics, technical support)


Behavioral Health Integration

  • SAPR

    • Peer training

    • Frontline supervisor intervention

    • Core Values  peer to peer intervention

    • Privacy versus command awareness

  • COSC

    • Peer training

    • Core values  peer-to-peer intervention

    • Common risk/protective factors

    • Holistic approach; all levels of leadership focused and engaged

    • 20% suicides with combat exposure


Behavioral Health Integration

  • Family Advocacy and General Counseling

    • Relationship problems #1 stressor associated with suicide

    • ½ suicides married; ½ single

    • 13% suicides involved in FAP program

    • 13% suicides with physical abuse perpetrator history

    • 5% suicides with emotional abuse perpetrator history

    • 3% suicides with sexual abuse victim history

  • Substance Abuse Prevention and Treatment

    • Common risk and protective factors

    • Alcohol as depressant  depression  suicide

    • 19% suicides drank at time of death

    • 27% suicides with past alcohol dependence/abuse diagnosis

    • 19% suicides received substance abuse treatment in last year


Behavioral Health Integration


Prevention Continuum

An Evidence Based Framework….

READY

REACTING

INJURED

ILL

BUMED

USMC and

BUMED

USMC

STRESS CONTINUUM


Questions


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