Suicide Awareness & Prevention

Suicide is the 10th leading cause of death in the United States. In 2019, 12 million American adults seriously thought about suicide, 3.5 million made a plan, and 1.4 million attempted suicide. Suicide was responsible for more than 47,500 deaths in 2019.


The financial toll of suicide on society is also costly. Suicides and suicide attempts cost the nation over $70 billion per year in lifetime medical and work-loss costs alone.

While serving in the Persian Gulf during the Iranian Hostage Crisis in 1980, and after receiving a 'bad' letter from home, Marine Pfc. Bradley L. Johnson told the sentry guarding the weapons armory the Staff Sargeant wanted to see him, relieved the sentry of his weapon, and killed himself with it in front of us as we worked topside.

Veterans Justice Project assists incarcerated and at-risk veterans with access to services and resources while advocating for the most vulnerable veterans struggling with mental health, drug/alcohol abuse, homelessness, and suicide.

This Department of Veterans Affairs (VA) 2022 National Veteran Suicide Prevention Annual Report documents decreases in Veteran suicide deaths and suicide rates during the two most recent years for which mortality data is available, 2019 and 2020. Some notable conclusions:

  • In each year from 2001 through 2020, age- and sex-adjusted suicide rates of Veterans exceeded those of non- Veteran U.S. adults. The differential in adjusted rates was smallest in 2002, when the Veteran rate was 12.1% higher than for non-Veterans, and largest in 2017, when the Veteran rate was 66.2% higher. In 2020, the rate for Veterans was 57.3% higher than that of non-Veteran adults.
  • In 2020, there were 6,146 Veteran suicide deaths, which was 343 fewer than in 2019. The unadjusted rate of suicide in 2020 among U.S. Veterans was 31.7 per 100,000. In 2020, the rate for Veterans was 57.3% higher than that of non-Veteran adults.

But, Hope serves as a key and necessary anchor to strengthen Veterans amidst numerous life circumstances. In a similar manner, hope must imbue the overall suicide prevention mission. The following hopeful data points from this year’s report serve as anchors:

  • There were 343 fewer Veterans who died from suicide in 2020 than in 2019, and 2020 had the lowest number of Veteran suicides since 2006.
  • From 2001 through 2018, the number of Veteran suicides increased on average by 47 deaths per year. From 2019 to 2020, there were consecutive reductions, of 307 and 343 suicides, respectively, an unprecedented decrease since 2001.

Veterans Affairs 2022 National Veteran Suicide Prevention Annual Report


Although they are less likely to have multiple previous offenses than those of non-veterans:

  • 60% of the 181,000 incarcerated veterans are for non-violent charges 
  • 37% of Iraq-Afghanistan veterans knows a veteran who has committed suicide 
  • 26.1% of veterans with PTSD commit suicide 
  • 30% of Vietnam veterans still suffer effects of PTSD 
  • 60.5% of jail inmates have mental illness 
  • 49.2% of prison inmates have mental illness 
  • 39.8% of federal inmates have mental illness 
  • 600,000 veterans cannot vote because of felony conviction 
  • 900,000 veterans lived in households that rely on SNAP program 
  • $56.9 Billion state’s expenditures on corrections for 2015

Centers for Disease Control (CDC)


Protective factors, or those influences that buffer against the risk for suicide, can also be found across the different levels of the social ecological model. Protective factors identified in the literature include: effective coping and problem-solving skills, moral objections to suicide, strong and supportive relationships with partners, friends, and family; connectedness to school, community, and other social institutions; availability of quality and ongoing physical and mental health care, and reduced access to lethal means. These protective factors can either counter a specific risk factor or buffer against a number of risks associated with suicide. 


Source: https://www.cdc.gov/violenceprevention/pdf/suicideTechnicalPackage.pdf


"I assure you that, when the numbers do finally drop, it will merely be because those who were pushed the farthest are all already dead"

                                                                                                                                          Daniel Somers

                                                                                                                            Suicide Letter

                                                                                                                            June 10, 2013


Suicide Prevention_Suicide Stigma

While there are numerous reasons for a veteran to resort to suicide, the combination of mental illness including PTSD and depression, drugs and/or alcohol, and an unsympathetic justice system, the veteran can easily take the path of least resistance.


There can be any number of reasons, or ‘stressors’ responsible for onset of disorders such as PTSD, depression, or anxiety which can lay dormant for many years to seemingly wait for an opportunity to surface. Often times, no or little notice is given when an attack might occur and can strike at the most unfortunate time such as a possible criminal occurrence.


Knowing the warning signs and having the conversation about thoughts and planning around a veteran suicide can help identify specific behaviors when a veteran may be heading down the 'rabbit hole' of suicide. A conversation to tear down the stigma can be as simple as asking, "How are you mentally?"

  • What is Suicide?

    Suicide is a major public health concern. Suicide is among the leading causes of death in the United States. Based on recent mortality data, suicide in some populations is on the rise.


    Definitions:

    • Suicide is defined as death caused by self-directed injurious behavior with intent to die as a result of the behavior.
    • A suicide attempt is a non-fatal, self-directed, potentially injurious behavior with intent to die as a result of the behavior. A suicide attempt might not result in injury.
    • Suicidal ideation refers to thinking about, considering, or planning suicide.

    According to the Centers for Disease Control and Prevention (CDC) WISQARS Leading Causes of Death Reports, in 2019:

    • Suicide was the tenth leading cause of death overall in the United States, claiming the lives of over 47,500 people.
    • Suicide was the second leading cause of death among individuals between the ages of 10 and 34, and the fourth leading cause of death among individuals between the ages of 35 and 44.

    There were nearly two and a half times as many suicides (47,511) in the United States as there were homicides (19,141).

  • The Facts About Suicide-CDC

    Suicide is a serious public health problem that can have lasting harmful effects on individuals, families, and communities.


    A CDC study showed that a range of factors contribute to suicide among those with and without known mental health conditions. Everyone can help prevent suicide by knowing the warning signs and where to get help.


    Suicide is a leading cause of death in the United States. It was responsible for nearly 46,000 deaths in 2020.


    In 2020, an estimated 12.2 million American adults seriously thought about suicide, 3.2 million made a plan for suicide, and 1.2 million attempted suicide.


    People who have experienced violence, including child abuse, bullying, or sexual violence are at higher risk for suicide.


    While 2020 data show a 3% overall decline in suicide rates since 2019, the pandemic has increased many risk factors for suicide, such as social isolation and barriers to physical and mental healthcare, so we must remain vigilant with our prevention efforts.


    The Facts About Suicide

  • Veteran Suicide Data and Reporting

    Safe Reporting on Suicide provides guidance on how to communicate about suicide in a safe and ethical manner, correct misconceptions, convey hope and encourage help-seeking behaviors among those at risk for suicide.


    Veteran Suicide Data and Reporting

  • Suicide Mortality by State 2020

    States are categorized from highest rate to lowest rate. Although adjusted for differences in age-distribution and population size, rankings by state do not take into account other state specific population characteristics that may affect the level of mortality. When the number of deaths is small, rankings by state may be unreliable due to instability in death rates.


    Suicide Mortality by State 2020

  • Suicide Warning Signs

    Warning signs aren't always obvious, and they may vary from person to person. Some people make their intentions clear, while others keep suicidal thoughts and feelings secret.


    • Talking about suicide — for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born"

    • Getting the means to take your own life, such as buying a gun or stockpiling pills

    • Withdrawing from social contact and wanting to be left alone

    • Having mood swings, such as being emotionally high one day and deeply discouraged the next

    • Being preoccupied with death, dying or violence

    • Feeling trapped or hopeless about a situation

    • Increasing use of alcohol or drugs

    • Changing normal routine, including eating or sleeping patterns

    • Doing risky or self-destructive things, such as using drugs or driving recklessly

    • Giving away belongings or getting affairs in order when there's no other logical explanation for doing this

    • Saying goodbye to people as if they won't be seen again

    • Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above.

  • Murder and Suicide

    In rare cases, people who are suicidal are at risk of killing others and then themselves. Known as a homicide-suicide or murder-suicide, some risk factors include:


    • History of conflict with a spouse or romantic partner

    • Current family legal or financial problems

    • History of mental health problems, particularly depression

    • Alcohol or drug abuse

    • Having access to a firearm

  • Veterans Incarceration/Suicide Index (VISI)

    VISI is the acronym for Veterans Incarceration/Suicide Index and focus of this paper. Certain states possess elevated incarceration rates as well as suicide rates, but little is known about the veterans facing criminal charges and suicide. 


    In an effort to determine an incarcerated suicide index for veterans per state, I averaged the percentages of veteran population, incarceration, and suicide to create an index. This in an effort to determine the effect of Veterans Treatment Courts on the psychological well-being of the veteran facing criminal charges In 2014, Veterans accounted for 18% of all deaths by suicide among U.S. adults and constituted 6.6% of the U.S. adult population (ages 18+).


    In 2010, Veterans accounted for 20.2% of all deaths by suicide and represented 9.7% of the U.S. adult population. There is continued evidence of a high burden of suicide among middle-aged and older Veterans. In 2014, about 65% of all Veterans who died by suicide were age 50 or older. After adjusting for differences in age and gender, risk for suicide was 21% higher among Veterans when compared with U.S. civilian adults. (2014) 


    Factors Evaluated,  Added and Averaged:  State by State percentages of civilian populations and veterans.

    Incarceration: State by State percentages of civilian prison rates and veterans.

    Suicide: State by State percentages of civilian suicide rates and veterans.


    Veteran Suicide/Incarceration Index: Suicide


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