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Suicide Prevention. Healthy People 2000 “Violent and Abusive Behavior Progress Review”. 1997 - 20,000 Homicides over 30,000 Suicides which means an average of 50 people killed each day and almost 80 committed suicide. Healthy People 2000 Violent and Abusive Behavior Progress Review. 1998-

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healthy people 2000 violent and abusive behavior progress review
Healthy People 2000 “Violent and Abusive Behavior Progress Review”
  • 1997 -
  • 20,000 Homicides
  • over 30,000 Suicides
  • which means an average of 50 people killed each day and almost 80 committed suicide
healthy people 2000 violent and abusive behavior progress review3
Healthy People 2000 Violent and Abusive Behavior Progress Review
  • 1998-
  • homicide rate dropped by 30%
  • suicide rate dropped by 14%
dod details stress suicide prevention programs
DOD Details Stress, Suicide Prevention Programs
  • 7 June 1999 Dr. Sue Bailey ( Assistant Secretary of Defense for Health Affair) unveiled the details of the two major policies announced by President Clinton;
Expansion of the community approach to a Suicide Prevention Program.

Implement a combat stress control program

dod wide program
DOD-Wide Program
  • Air Force pilot model to be implemented throughout DOD by the end of 1999 which consists of:
  • Widely distributed public service messages by DOD Senior leaders that express concern about suicide and the importance of encouraging and protecting members who seek help
Debrief people and units following traumatic events
  • Establish annual suicide awareness and prevention training
  • Integrate the delivery of services from MH, FA, HWC, FSC, C&YC, and the Chaplains
Include suicide prevention in all professional military education programs
  • Develop a larger data base of those who commit and attempt suicide so risk factors and trends can be analyzed and preventive measures taken
  • Conduct unit risk assessment surveys and unit intervention as needed
risk factors associated with suicide victims
History of Mental Health Problems

Substance Abuse

Relationship Problems

Poor Coping Skills

Poor job performance

Social Isolation

Legal Problems

Previous Attempts

Financial Problems

Risk Factors associated with suicide victims
protective factors
Protective Factors
  • Establish social support in units
  • Teaching individual coping skills
  • Establishing a belief among military people that seeking mental health care is acceptable and ensuring privacy protection
other initiatives
Other Initiatives
  • DOD will emphasize the critical importance of leadership and education and make leaders more aware of the effects of combat stress on individuals and the military unit.
combat operational stress
Combat & Operational Stress
  • Combat Stress Reactions are normal reactions to abnormal situations
  • Severe stress reactions occur when a person is overwhelmed psychologically, cognitively and/or physically
combat operational stress13
Mild to moderate stress reactions may occur -

exposure to harsh environment

long duty hours

separation from family

Anticipation of horrible events

In Bosnia Southwest Asia 20% service members show a sufficient level of stress to warrant evaluation by a health care provider

3% referred for full MH evaluation

Combat & Operational Stress
combat operational stress14
Combat & Operational Stress
  • During WWII, the rate of Combat Stress casualties to wounded services members was about 25% in the European theater
  • During Vietnam the rate was about 10% -lower by comparison because of the type of fighting during the conflict