The Military Can Do More To Prevent Suicides

James Dao reports in the October 7, 2012 New York Timesthat the military is considering 2 steps to reduce its startling rate of active duty suicides-which is approaching an unacceptable one suicide every day. Both measures are completely sensible, but neither goes nearly far enough.

Privately owned guns and rifles are used in half of the suicides. The military would like to develop a program to engage friends and family in reducing the suicidal soldier’s access to his guns. It seems like the perfectly obvious thing to do. Suicide in the young is almost always an impulsive act-the best form of suicide prevention may be to make it less easily accomplished. This approach is exactly what every mental health worker learns is a vital part of suicide management. In fact, not to try to separate the suicidal person from the suicidal means is sometimes considered a cause for a malpractice suit.

But get this: as it stands now, commanders and military mental health personnel are by law not allowed to do anything about private firearms-even when a soldier is clearly at increased risk of killing himself. How can such foolishness possibly be? Last year the NRA pushed Congress into passing a law that forbids the military from any inquiry into the private firearms of its personnel. Just another obvious example of the NRA’s consistent over-reach beyond common sense or concern for public health and public safety. The American Foundation for Suicide Prevention is promoting a corrective new law, passed by the House but not yet by the Senate, that would restore the military’s right to ask about (but not to confiscate weapons) when there is a high risk of suicide. This a small step in the right direction but it obviously does not go far enough. It seems a no brainer that gun safety for suicidal troops should trump the NRA’s political clout used to subvert even the most obviously necessary forms of gun control.

The military’s second step would be to encourage friends and relatives to remove caches of prescription drugs collected by suicidal troops. It is disturbing to note that 1 in 8 soldiers (110,000) is on a psychotropic drug, and polypharmacy with drug cocktails is rampant. Legal drugs have become a bigger problem than illegal street drugs, and they are they cause more overdoses and deaths. The military needs to go much further. Confiscating caches is far too late in the game. There needs to be re-education on proper prescription habits, greater coordination among multiple prescribers, and much greater control on how pills are distributed.