Filed under: Suicide prevention
The demands of deployment and combat can be stressful. It’s important to know that, if it gets to be too much for you to handle, you can get help. Here are some ways to find it.
Returning home, you might feel that nothing’s changed since you left, or you could have a rougher transition and experience sadness, sleep problems, anxiety, anger, heightened emotions, edginess, and/or trouble focusing. These are common and normal reactions to being in theater, but they can potentially be signs of mental health concerns too.
So when should you seek help? You can first use a mental health-screening tool that can guide you in the right direction. The assessment is free, anonymous, and available to service members and their families. However, it’s not intended as a substitute for professional advice, diagnosis, or treatment.
For accurate diagnosis, or to simply check in with a caring professional, consider consulting a qualified mental health therapist. The National Institute of Mental Health (NIMH) website offers good information and helpful resources. Also, Military OneSource offers support and services to improve your mental health and well-being. If you feel you're experiencing a potentially life-threatening problem, contact the Military Crisis Line online or call 800-273-8255 and press “1,” or the National Suicide Prevention Lifeline online or by phone at 1-800-273-TALK (8255). The Defense Centers of Excellence (DCoE) also has a 24/7 Outreach Center featuring a hotline, email, chat, and phone number. And visit HPRC’s Suicide Prevention page. In an emergency, please dial 911.
Be proactive in addressing your mental health. And if you’re ever concerned about safety, err on the side of caution.
Suicide is a complex issue with many contributing factors, including mental health issues. Focusing on treating mental health issues and strengthening mental fitness is key for suicide prevention. Currently, efforts within the military focus on education, early intervention, decreasing stigma towards mental health treatments, and adapting a holistic approach to fostering mental fitness—which includes exercise. Learn more about how physical activity and regular exercise can improve mental health in HPRC’s answer to “Can exercise be a part of suicide prevention?”
September is Suicide Prevention Month — a good time to review how you can possibly help someone in need. Rule number one: Trust your instincts. If you’re worried about someone in particular, don’t ignore it—talk to that person about the concern you feel for him or her. Don’t know how? Be an ACE: “Ask, Care, Escort.”
Ask. If you’re concerned, ask directly and without judgment, “Are you thinking of killing yourself?” If he or she responds “yes,” determine if he or she has a plan by asking, “Have you thought about ways that you might hurt yourself?” (Note: The more specific the plan, the greater the risk).
Care. Next, care for your friend by staying with him or her, actively listening, staying calm, and removing anything he or she could use to hurt him/herself. Don’t leave your friend alone.
Escort. Tell someone immediately. Take your friend to someone who is trained to help, such as a primary care provider, chaplain, or health professional, and call the National Suicide Prevention Lifeline or 911 for additional support.
The Department of Defense has dedicated September to building awareness around suicide prevention. DoD has kicked off the campaign with a new Crisis Support Guide for Military Families—“Supporting Military Families in Crisis: A Guide to Help You Prevent Suicide”—that addresses suicide prevention, including warning signs, risk factors, and what to do in an emergency. Although the focus is on what families can do to help Warfighters at risk, there is advice for individuals too. Highlights include things you can do to take action: offering support, promoting a healthy lifestyle (caring for yourself, too!), and different treatment approaches that could help.
For more resources, go to HPRC’s section on suicide prevention.
Caring enough to really listen when someone needs it—also known as being someone’s “wingman”—can make a big difference in a Warfighter’s life. Being a wingman means showing care and concern for a buddy consistently—if you’re separated, for example, it means staying in touch and checking in regularly to make sure you’re both okay. When a buddy is thinking of hurting himself or herself, a great wingman skill to use is ACE—the acronym for “Ask, Care, Escort.”
Ask. If you are concerned, ask directly, “Are you thinking of killing yourself?”
Care. Next, as wingman, care for your buddy by staying with him or her, actively listening, staying calm, and removing anything he or she could use to hurt him/herself.
Escort. Finally, take your buddy to someone who is trained to help, such as a primary care provider, chaplain, or health professional, and call the National Suicide Prevention Lifeline or 911 for additional support.