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Experts: Restricting troops’ access to firearms is necessary to reduce rate of suicides
Stars and Stripes ^ | December 3, 2012 | By NANCY MONTGOMERY,

Posted on 12/03/2012 11:16:25 PM PST by Jet Jaguar

The horror of war, repeated deployments, the operations tempo, failed relationships, financial problems, legal trouble, depression, PTSD, TBI.

Many reasons have been suggested to explain the substantial rise in the suicide rate of soldiers that began in 2004.

Numerous prevention efforts were launched, hundreds of millions of dollars spent on studies and task forces, resilience programs and increasing access to mental health care.

Yet eight years and hundreds of deaths later, the suicide rate hasn’t improved. The number of suspected suicides in 2012 among active-duty soldiers was 166 at the end of October, surpassing the 165 total for all of 2011.

What’s gone wrong? Why hasn’t the Army or Defense Department been able to reduce the number of suicides?

Experts say it’s because efforts have ignored the most evidence-backed, proven prevention method: making suicide harder by restricting access to lethal means.

“There are two ways to reduce suicide: You can make it harder for them to die in an attempt, or you can heal underlying distress,” said Dr. Matthew Miller, the associate director of the Harvard Injury Control Research Center at the Harvard School of Public Health.

“The idea is to restrict methods that are the most lethal, to provide a second chance,” Miller said.

“Means restriction,” as it’s called in public health, has been proven to reduce the suicide rate in a wide variety of places.

In 2006, after years of suicides among young men in the Israel Defense Forces, authorities forbade the troops from bringing their rifles home on weekends. Suicides dropped by 40 percent, according to a 2010 study by psychiatrists with the IDF and the Sheba Medical Center.

Those attempting suicide for the most part act on impulse, often after surprisingly brief periods of deliberation. But the impulse also passes. A survey of people who deliberated about killing themselves but did not act found that for about half, the suicidal period lasted less than an hour, according to Miller.

Among people who made near-lethal attempts, 24 percent took less than five minutes between the decision to kill themselves and the actual attempt. Seventy percent took less than an hour, according to a 2001 University of Houston study of 153 survivors.

Although people who attempt suicide often suffer from psychological distress, Miller said, they don’t act until a “last straw” — a loss, a humiliation, an arrest.

“That’s the time when you can lose control of your ability to act in a sensible way,” he said. “When you are at your wits’ end, what you can reach for determines whether you live or die. All you have to do to die is lose control for one minute.

“If you’re in a house with a gun, there’s a lot more of a chance you’re going to die,” he said.

Living in a home with a gun increases the suicide death risk two- to 10-fold, Miller said.

Firearms were used in 68 percent of Army suicides in 2010, according to an Army Health and Violence report released this year. Most often, soldiers shot themselves to death at home or in the barracks.

By comparison, more than half of suicides by U.S. civilians annually involved firearms, according to data from the Centers for Disease Control and Prevention.

A matter of rights

As the Army’s vice chief of staff from 2008 until he retired in March, it was part of Gen. Peter Chiarelli’s job to try to reduce the suicide rate. After reviewing hundreds of suicide reports, the conclusion was inescapable, he said in a recent interview with Stars and Stripes.

“There’s nothing worse than the abuse of alcohol and the ability to get your hands on a weapon,” he said.

Drug overdoses, by comparison, were far less lethal, causing only 4 percent of suicides and 56 percent of suicide attempts.

It was another statistic that most confounded Chiarelli: Half the soldiers who killed themselves had not slipped under the radar or avoided professional help. They’d seen a mental health provider, whether it had been six months or six hours before the suicide.

“In the four years I was vice — in all four years — between 49 and 51 percent had gone in to seek help,” said Chiarelli, who now heads a Seattle nonprofit brain-injury research organization called One Mind for Research.

In each case, a presumably well-intentioned social worker, doctor or other expert had written on these soldiers’ records: “Not a danger to himself or others,” Chiarelli said. “That just drove me crazy.”

About two years ago, Chiarelli read a medical journal article sent to the Pentagon’s upper echelons by Adm. Mike Mullen, then chairman of the Joint Chiefs of Staff. The article described how voluntary means restriction in a group of people with an extremely high suicide risk had reduced the suicide rate — to zero.

Chiarelli wanted to try it.

“Quite frankly, all I was trying to get done was the ability of our folks to ask the (potentially suicidal) person about his weapons and make a recommendation that they would separate themselves from the weapon — turn it in, give it to a friend — until the suicidal feelings passed.”

But it wasn’t possible.

“I was told by my lawyers that even that would cause issues,” Chiarelli said. “I was told there would be huge problems with the NRA.”

Commanders typically disable or take the firearms of deployed troops identified as potentially suicidal, but they do not have that authority with private firearms kept off base.

Last year, the National Rifle Association successfully lobbied Republican legislators to include in the annual defense authorization bill a measure barring commanders from collecting information about troops’ personal weapons. The law was widely interpreted to mean that commanders could not ask about the weapons or suggest they be stored elsewhere. The NRA said it was defending Second Amendment rights.

“I think it’s ridiculous,” Chiarelli said. “Nobody was infringing on anybody’s Second Amendment rights. We weren’t going to go out to their house and confiscate weapons.”

Last week, Chiarelli was joined by more than a dozen senior retired generals and admirals who sent a letter to Congress to amend the law they said “dangerously interferes” with the ability of commanders to help troops, according to The Washington Post. “The law is directly prohibiting conversations that are needed to save lives,” the letter said.

Sen. John Kerry, D-Mass., was trying to add language amending the law to the Senate version of the 2013 National Defense Authorization Act bill, the Post reported Monday. The House version of the bill that amends the law has already passed, the Post said, and authorizes mental health professionals and commanding officers to ask servicemembers about firearms and ammunition when they believe them at risk for suicide.

Legislators have said that this year they’ll clarify the law so that commanders, as well as other “gatekeepers” such as chaplains and doctors, are allowed to discuss weapons if they have “reasonable grounds” to believe the person is at high risk of committing suicide or harming others. There has been movement within the Defense Department to suggest voluntary means restriction to troops.

The Pentagon has helped hand out more than 65,000 gun locks this year. In a planned safety campaign, troops and their families will be reminded that they can store personal weapons in the base armory, and that it’s never a good idea to store weapons with ammunition.

Plus, a “working group focused specifically on means restriction” will brief a General Officer Steering Committee, according to DOD spokeswoman Cynthia Smith.

The Defense Department and Department of Veterans’ Affairs are working together on joint clinical practice guidelines for suicide that will include means restriction and “safety planning,” Smith said.

Means restriction remains little understood in many parts of the military, or as a former Army psychiatrist said, is politically “the third rail.”

“It’s definitely not popular to talk about restrictions on firearms in the military,” said Lisa Jaycox, co-author of a recent RAND Corp. report for the military on suicide that recommended means restriction among other methods. “It goes against the grain of the institution.”

A 2008 New England Journal of Medicine article by Miller and his associate David Hemenway said many U.S. physicians are unfamiliar with the evidence linking guns to suicide and believe that anyone serious enough about suicide to use a gun would find another equally effective method if the gun weren’t available.

“This belief is invalid,” the article states.

Army psychiatrists and other medical providers are on the front lines of those charged with keeping troops from killing themselves. Yet, an Army Medical Command spokeswoman said the command had nothing to say about means restriction.

“In Army Medicine, we deal with those aspects of suicide as it relates to a Soldier’s mental health, not as it relates to their access to weapons,” she wrote in an email.

The spokeswoman referred questions to a spokesman for the Army Suicide Prevention Program, who did not respond to emailed questions.

Jackie Garrick, acting director of the new Defense Suicide Prevention Office at the Pentagon, said the long-standing prevention emphasis on suicide awareness, caring and treatment remained key. She said many soldiers, if they didn’t have access to a weapon, would use some other method.

“I think means does matter,” she said. “But what we want to do is get to the problem before they get to a tipping point.”

“We need to know our troops at the command level,” she said. “We need to engage leadership and families. We need to back up the mountain instead of just worrying about the firearm.”

In 1999, the Army devised a suicide prevention campaign plan that said many of the same things, including the need to “destigmatize” mental health care.

“Although our first line of defense will be our soldiers, peers or battle buddies, truly our most valuable player in suicide prevention will be the first line supervisor,” the plan said. “They must be able to recognize serious personal problems … must make the time to really learn about their soldiers, including their personal life … be trained to recognize the symptoms of serious mood disorders … and have a genuine concern for the overall welfare of their soldiers.”

Civilian suicide prevention plans also have called for communities to offer more connectedness and compassion. Feeling connected to other people is protective against suicide; a more compassionate society or Army seems like a worthy goal.

But it’s not a strategy, Miller said.

“It’s not useful. It’s not actionable,” he said. “The question is, ‘What can you do?’ Not how do you restructure society.”

Col. (Ret.) Elspeth Cameron Ritchie, a psychiatrist and former adviser to the Army surgeon general, said that despite best efforts troops have had largely negative experiences with seeking military mental health treatment, which, she said, they find “humiliating.”

“Going into the waiting room, sitting there for an hour — soldiers hated it,” she said. “Having people see them, they hated it.”

Seeking help might be a sign of “strength,” as the Army is trying to convince soldiers, but Ritchie said the process isn’t a good fit with a lot of young men; they don’t want to sit around and discuss their feelings.

“What hasn’t been tried is gun safety,” Ritchie said.

She said that two-thirds of suicides happened not on deployment but at home, most often on bases with high operations tempos.

But Fort Drum, in upstate New York, was an exception.

“New York has restrictive gun laws,” Ritchie said. “So, it’s not so easy to get drunk, get a gun and shoot yourself.”

According to a July 2012 story in USA Today, soldiers at Fort Carson, Colo., who had attempted suicide listed 10 reasons on average they’d tried to end their lives, including psychological pain, chronic sadness and desperation.

They didn’t want to die, said Army Col. Carl Castro, coordinator of $50 million in suicide prevention research and treatment as head of the Military Suicide Research Consortium, which did the study. They wanted, he told the newspaper, “the pain they’re currently in to stop, and they don’t see any other way out.”

The Fort Carson study showed that instead of trying to treat underlying illnesses such as depression, the Army should “teach soldiers skills at quelling emotional pain,” the story said. How to do that wasn’t discussed.

The same group — The Military Suicide Research Consortium — in a July report to Congress on best prevention practices noted that there was little evidence of the effectiveness of most prevention methods. Means restriction, the report said, was “a particularly important and effective strategy” and had been shown to reduce overall suicide rates.

“Specifically, suicide rates have decreased following firearm control legislation; detoxification of domestic gas; restriction on barbiturates; alteration of the packaging on analgesics; construction of bridge barriers; mandatory use of catalytic converters in motor vehicles; and the use of lower toxicity anti-depressants,” the report said. “Studies demonstrate that method substitution is rare.’’

In the U.S. — not only in the military — the suicide prevention focus has been on discussing risk factors and asking family, friends and others to spot pre-suicidal behavior and get troubled people into treatment.

Most people who try to kill themselves “usually tell someone,” according to an Army website dedicated to suicide prevention.

Research doesn’t support that. Almost 70 percent of soldiers who killed themselves and nearly 90 percent of those who attempted to “did not communicate their intent,” the Army health and violence report says.

Why the Army rate increased over the past years remains unclear. Stresses from deployment, the operations tempo and surge-related recruiting standards are all thought to play a role.

In 2010, 54 percent of troops who committed suicide and 59 percent of those who attempted had not deployed, Army Secretary John McHugh told reporters at a September press conference, according to the Army Times. Eighty-nine percent had not engaged in combat.

More than 90 percent of people who survive a suicide attempt do not go on to kill themselves, according to a 2002 review of 90 studies published in the British Journal of Psychiatry. That held true even when people who had attempted suicide were followed for a decade and for those who used lethal means, such as jumping in front of a train or off a bridge or using a gun, Miller said.

Some 20 percent made another nonfatal attempt, Miller said. About 70 percent made no further suicide attempts.

“There’s lots of opportunity to act,” Miller said. “If people are struggling, if they’ve had setbacks like divorce, arrest, financial troubles; if they’ve stepped up drug and alcohol consumption; if they’re not sleeping or are having mood swings or feel despair …

“Why not have the conversation?” Miller said. “To respectfully involve them in a discussion so that they can act in their own enlightened self-interest and in the interest of their families and the people that they care about, to temporarily remove the gun?”

Miller said troops could decide to make a “Ulysses contract,” named for the Greek warrior who spent a decade in the Trojan War. While on his voyage home, Ulysses avoided being called to his death by the enchanting voices of the sirens who lured sailors to shipwreck.

“He wanted to hear the sirens,” Miller said. “He bound himself to the mast so he couldn’t act.”


TOPICS: Crime/Corruption; Foreign Affairs; Front Page News; Government
KEYWORDS: bang; banglist
Again. Punish all because of the actions of a few. B.S.
1 posted on 12/03/2012 11:16:32 PM PST by Jet Jaguar
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Workplace violence


2 posted on 12/03/2012 11:19:29 PM PST by AlmaKing
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To: Jet Jaguar

The U.S. is becoming a third world “mess”, very quickly. Sadly, way too many people continue to not see it, as it happens.


3 posted on 12/03/2012 11:26:24 PM PST by johnthebaptistmoore (The world continues to be stuck in a "all leftist, all of the time" funk. BUNK THE FUNK!)
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To: Jet Jaguar

The soldiers are responding to the fact that they are
being forced to operate under conditions that no sane
person should be forced to endure. The response to such
folly is predictable and it includes suicide.

The solution to the problem is simple. Give the soldiers
a clear concise goal to achieve....remove ALL restrictions
on achieving it then bring them home. It’s just that simple.


4 posted on 12/03/2012 11:29:22 PM PST by nvscanman
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To: Jet Jaguar

The soldiers are responding to the fact that they are
being forced to operate under conditions that no sane
person should be forced to endure. The response to such
folly is predictable and it includes suicide.

The solution to the problem is simple. Give the soldiers
a clear concise goal to achieve....remove ALL restrictions
on achieving it then bring them home. It’s just that simple.


5 posted on 12/03/2012 11:29:38 PM PST by nvscanman
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To: Jet Jaguar

Helping to wind up the Obama gun grab agenda.


6 posted on 12/03/2012 11:32:22 PM PST by Gene Eric (Demoralization is a weapon of the enemy. Don't get it, don't spread it!)
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To: Jet Jaguar

While we’re at it, let’s reduce bartenders’ access to alcohol to reduce drunkenness and doctors’ access to drugs to reduce addiction.

Tobacco? No.

Marijuana? Yes.

Cocaine? No.

Money? Only what The State allows.

We should also, of course, reduce runners’ access to roads to reduce their involvement with their endorphins and eliminate sex to reduce partners’ fixation on their pleasure centers, and, for that matter, we should eliminate or reduce any and all behaviors of which our government nannies don’t approve.

It’s not that Big Brother’s a fascist at heart, he’s just a busybody with a compulsion to stick his long nose into everyone else’s business, and has nothing valuable to do with his time.


7 posted on 12/03/2012 11:36:34 PM PST by Jack Hammer
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To: marktwain; Army Air Corps

Ping


8 posted on 12/03/2012 11:45:22 PM PST by Jet Jaguar
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To: Jet Jaguar

Who are the LAST group of people our insurgent government would want carrying weapons when the they drop the hammer and the rebellion starts?


9 posted on 12/03/2012 11:47:34 PM PST by Obama_Is_Sabotaging_America (IMPEACH OBAMA)
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To: Gene Eric

Now that you mention it, there’s a sudden barrage of gun ban talk immediately following the election.. And no, the football player incident isn’t the reason for it. The media seized upon it to further a top priority in the King Kenyan’s second term.


10 posted on 12/03/2012 11:54:23 PM PST by Obama_Is_Sabotaging_America (IMPEACH OBAMA)
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To: Jet Jaguar

Did I red this right? It said only 11% of suicides were by active duty men who had seen combat. If that is true, doesn’t that fly in the face of what everyone (the media etc) is trying to imply?


11 posted on 12/03/2012 11:54:23 PM PST by PghBaldy (Pete Hoekstra RE: Petraeus scandal - "There's more here than meets the eye.")
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To: Jet Jaguar; Jack Hammer
"Of all tyrannies, a tyranny exercised for the good of its victims may be the most oppressive. It may be better to live under robber barons than under omnipotent moral busybodies. The robber baron's cruelty may sometimes sleep, his cupidity may at some point be satiated; but those who torment us for our own good will torment us without end for they do so with the approval of their own conscience."

- C.S. Lewis
12 posted on 12/03/2012 11:54:40 PM PST by shibumi (Cover it with gas and set it on fire.)
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To: Jet Jaguar

I see the as using a so-called mental health issue to paint our servicemen with a very broad brush and further marginalize them.


13 posted on 12/04/2012 12:14:12 AM PST by Fred Hayek (The Democratic Party is the operational wing of CPUSA.)
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To: Jet Jaguar

We don’t let soldiers vote.

Why would we let them carry guns?


14 posted on 12/04/2012 12:19:27 AM PST by Tzimisce (What do you do when every every branch of the government is corrupt and aligned against you?)
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To: Fred Hayek

More to the point, they’re trying to establish a basis for denying firearms to anyone with the training to actually use them.

Before it’s over, you’ll see military service as a disqualifier for having a carry permit.


15 posted on 12/04/2012 12:30:25 AM PST by shibumi (Cover it with gas and set it on fire.)
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To: Jet Jaguar
All you have to do to die is lose control for one minute.


Restrict the Kennedys' access to cars first, and then you can worry about firearms.

16 posted on 12/04/2012 2:01:13 AM PST by greedo ( http://youtu.be/xKtyZwtrTCQ)
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To: Jet Jaguar
History didn't begin until these jackboots were born. Men are men and if they want
to suicide lack of firearms will not stop them. Blame the guns though. Idiot PC bs.

Bodies on three fronts of WW2 are littered with suicides.
And WW1 and Roman wars etc. etc. God sorts them out.

17 posted on 12/04/2012 2:07:34 AM PST by MaxMax
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To: Jet Jaguar

This guy is just trying to justify his job at Harvard. Here is information from their website:

Harvard Injury Control Research Center
Firearms Research

To read about HICRC Firearms Research please see the list on the left hand side. There are 20 topics to choose from e.g. Homicide, Suicide, Homicide followed by Suicide, Accidents, Children, Women, Gun Ownership, Gun Storage, Guns at College, Gun Threats and Self-Defense Gun Use, Batters, Gun Carrying, Road Rage, Other Countries, Policy Evaluation, Public Health Approach, Public Opinion, Surveillance and Data Quality, Miscellaneous, and Overall.

RECENT PEER-REVIEWED PUBLICATIONS
A full list of HICRC journal publications (firearm and nonfirearm) organized by year is available under Publications. Journal articles specific to firearms research are also organized by topic— see the sub-menu.

FIREARMS RESEARCH DIGEST
In 2010 HICRC launched the Firearms Research Digest, an online database providing short summaries of academic research on firearms. The database is user-friendly and updated with additional years regularly.

******************************************************
In research studies you try to look at the change in variables that correlates with the change in observed result. The suicide rate for active duty soldiers has been approximately half of the suicide rate of the same age group in the general population. Since Obama took office and changed the rules of engagement, the suicide rate among active duty soldiers has nearly doubled and is now approaching the general population rate.

These soldiers have always had guns, they haven’t always had Obama and his silly rules of engagement. Change the variable that correlates with the increase in suicides in the military!


18 posted on 12/04/2012 2:36:51 AM PST by tired&retired
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To: tired&retired
This guy is just trying to justify his job at Harvard.

Yep

Since Obama took office and changed the rules of engagement, the suicide rate among active duty soldiers has nearly doubled and is now approaching the general population rate.

In context, the cause becomes clear, and the magnitude of the problem is placed in perspective.

Don't look for the gun grabbers to do that.

19 posted on 12/04/2012 3:05:23 AM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing)
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To: tired&retired

The one place that weapons should be removed temporarily is in the Warrior Transition Program where soldiers who are having trouble adjusting to society after severe combat and PTSD. They cling to their guns like a child does its security blanket. This is not a bad thing in of itself, however it is indicative of their level of PTSD. Many of these soldiers are housed off base and end up getting in a “situation” where they are killed, wounded, incarcerated, and/or dishonorably discharged. The problem is not the gun, but having it while they have severe PTSD creates big problems.

One problem is, when an individual is labeled by their psychiatrist as not being able to have a weapon due to mental status, that label carries with them in their future lives. Many of these wounded soldiers would heal their PTSD far faster in properly supervised group programs on base/ or with virtual reality programs.

The transition must be made for these wounded soldiers to be in an environment where they learn to trust the people around them more than they trust their guns. When this is accomplished, give them back their guns. If the transition is first done in an environment with other soldiers, then family and then slowly integrate society, the healing will accelerate.

I say these comments as a close friend is now in prison facing 15 counts of attempted murder after firing his gun in his off base apartment while in the Warrior Transition Program. He was under many, many medications including pain killers as he was recovering from recent back surgery. He was in his third tour as a S.Sgt. and had a lot of combat involvement. While asleep in his apartment at night, a local fireman tried to smash his apartment door in due to a small fire outside the complex. He awoke to the crashing sounds, thinking he was back in Afghanistan and the insurgents were attacking. The swat team arrived and shot him four times, twice in the face.

It’s pretty easy to see that he never should have been living off base alone while undergoing PTSD treatment, and being drugged up with pain killers from surgery.

Since this event, which was earlier this year, the Army has reviewed and changed many of the treatment methodologies, including restricting prescribing benzos, which were determined to cause more harm than good.


20 posted on 12/04/2012 3:08:17 AM PST by tired&retired
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To: Jet Jaguar
This is journ0lism in its worst form. They drone on for mumble-dee-blah lines while carefully failing to inform you about the rate of soldier suicide (number/thousand) and how it compares to the civilian rate for men and women of the same age.

Just presenting the raw numbers as they do appears to inform but fails. I thought I'd do the research myself but a cursory google search turned up nothing but pages and pages of more of the same. They have churned out so much garbage that they have clogged the channel. I can't help but think this is deliberate.

Free course management software for homeschoolers and educators. Beta testers wanted, Free.

21 posted on 12/04/2012 3:15:53 AM PST by Mycroft Holmes (<= Mash name for HTML Xampp PHP C JavaScript primer. Programming for everyone.)
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To: Smokin' Joe

Here is a list of this guy’s journal articles relating to firearms that were published: (Bet he’s not an NRA member!!!)

Miller M, Hemenway D. Guns and suicide in the United States. N Engl J Med. 2008 Sep 4; 359(10):989-91.

Miller M, Lippmann SJ, Azrael D, Hemenway D. Household firearm ownership and rates of suicide across the 50 United States. J Trauma. 2007 Apr; 62(4):1029-34; discussion 1034-5.

Miller M, Hemenway D, Azrael D. State-level homicide victimization rates in the US in relation to survey measures of household firearm ownership, 2001-2003. Soc Sci Med. 2007 Feb; 64(3):656-64.

Johnson RM, Miller M, Vriniotis M, Azrael D, Hemenway D. Are household firearms stored less safely in homes with adolescents?: Analysis of a national random sample of parents. Arch Pediatr Adolesc Med. 2006 Aug; 160(8):788-92.

Hepburn L, Azrael D, Miller M, Hemenway D. The effect of child access prevention laws on unintentional child firearm fatalities, 1979-2000. J Trauma. 2006 Aug; 61(2):423-8.

Hemenway D, Vriniotis M, Miller M. Is an armed society a polite society? Guns and road rage. Accid Anal Prev. 2006 Jul; 38(4):687-95.

Miller M, Azrael D, Hemenway D, Vriniotis M. Firearm storage practices and rates of unintentional firearm deaths in the United States. Accid Anal Prev. 2005 Jul; 37(4):661-7.

Rothman EF, Hemenway D, Miller M, Azrael D. Batterers’ use of guns to threaten intimate partners. J Am Med Womens Assoc. 2005; 60(1):62-8.

Miller M, Hemenway D, Azrael D. Firearms and suicide in the northeast. J Trauma. 2004 Sep; 57(3):626-32.

Molnar BE, Miller MJ, Azrael D, Buka SL. Neighborhood predictors of concealed firearm carrying among children and adolescents: results from the project on human development in Chicago neighborhoods. Arch Pediatr Adolesc Med. 2004 Jul; 158(7):657-64.

Hemenway D, Miller M. Gun threats against and self-defense gun use by California adolescents. Arch Pediatr Adolesc Med. 2004 Apr; 158(4):395-400.

Hepburn L, Miller M, Azrael D, Hemenway D. The effect of nondiscretionary concealed weapon carrying laws on homicide. J Trauma. 2004 Mar; 56(3):676-81.

Miller M, Azrael D, Hemenway D. Rates of household firearm ownership and homicide across US regions and states, 1988-1997. Am J Public Health. 2002 Dec; 92(12):1988-93.

Miller M, Azrael D, Hemenway D, Solop FI. ‘Road rage’ in Arizona: armed and dangerous. Accid Anal Prev. 2002 Nov; 34(6):807-14.

Miller M, Hemenway D, Wechsler H. Guns and gun threats at college. J Am Coll Health. 2002 Sep; 51(2):57-65.

Miller M, Azrael D, Hemenway D. Household firearm ownership and suicide rates in the United States. Epidemiology. 2002 Sep; 13(5):517-24.

Miller M, Azrael D, Hemenway D. Firearm availability and suicide, homicide, and unintentional firearm deaths among women. J Urban Health. 2002 Mar; 79(1):26-38.

Hemenway D, Shinoda-Tagawa T, Miller M. Firearm availability and female homicide victimization rates among 25 populous high-income countries. J Am Med Womens Assoc. 2002; 57(2):100-4.


22 posted on 12/04/2012 3:22:28 AM PST by tired&retired
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To: Jet Jaguar

they didn’t note the rate, but usually the suicide rate for soldiers is about the same as young men in the same age group...it might be slightly higher, but not much higher. and a lot of the suicides are not combat related, but from personal problems.

Ironically, it is about the same rate as the suicide rate for female doctors. Of course, female doctors overdose, because most of them don’t shoot guns...


23 posted on 12/04/2012 3:25:08 AM PST by LadyDoc
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To: Mycroft Holmes

I posted the statement about the rate of military suicides based upon hearing the studies presented at an American Psychiatric Assoc. conference on PTSD. The particular segment with the military suicide rates was presented by the psychiatrist who is the head of PTSD research at Walter Reed Army Institute of Research.


24 posted on 12/04/2012 3:29:42 AM PST by tired&retired
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To: tired&retired
Nothing like 'publish or perish' to get those articles out there. Of course, he can use earlier articles as references in later ones, too.

The credibility pyramid comes from a preponderance of papers, and any flaws in early research are masked by quoting their conclusions in later papers as supporting 'evidence'.

Without going back to that paper, you can't assess the validity of those conclusions.

I followed a similar pyramid in digging through about 40 years of motorcycle safety studies, which used the same M.O., cross referencing conclusions which in many instances were unsupported by data.

The trail went cold when I tried to find a paper done on helmet use in military motorcycle dispatch riders from 1947--I never did get that one, but it was the cornerstone of the other early studies I went over.

25 posted on 12/04/2012 3:36:29 AM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing)
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To: Jet Jaguar
Annual overall US suicide rate is 12.0/100,000.

Japan's is 23.8/100,000 and guns are almost completely illegal in Japan.

26 posted on 12/04/2012 3:58:32 AM PST by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
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To: LadyDoc

Here is a link to an excellent reference: http://www.mirecc.va.gov/visn19/presentations/docs/Status_of_Department_of_Defense_Funded_Suicide_Research_Dr_Fitek.pdf

Look at the 5th slide in the presentation.


27 posted on 12/04/2012 4:02:23 AM PST by tired&retired
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To: Jet Jaguar
It's worse than that. Treat the armed forces as a World Police Force, ignore reality, disregard their personal lives and move them about like pawns - that's the military. Instead of treating the underlying problems - foreign policies that don't serve America's interests, ROAs that encourage death and carnage among our troops, assignments that are never ending and serve the whim-of-the-day out of the State Department - they work to remove fundamental rights. That's the Left. They make a situation worse and then resolve by making it worse.

They cannot look at the evidence and say, “Gee, maybe my beliefs about this policy are wrong?” Instead it's “we didn't implement it right” or “we didn't spend enough” or “we had too many [few] troops [resources] [intelligence]”. The list never ends because the egomaniacs of the Left - the Gods Who Would Be - can never be wrong. They're the elite. It's the same groupthink that gets us hive mind Ivy Leaguers driving our economy to oblivion. They hate life and will destroy it if they cannot control it.

28 posted on 12/04/2012 4:09:04 AM PST by 1010RD (First, Do No Harm)
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To: nvscanman
"The soldiers are responding to the fact that they are being forced to operate under conditions that no sane person should be forced to endure. The response to such folly is predictable and it includes suicide.

The solution to the problem is simple. Give the soldiers a clear concise goal to achieve....remove ALL restrictions on achieving it then bring them home. It’s just that simple."

I think you are on to something and these studies are part of the larger agenda to stigmatize firearms in general.

29 posted on 12/04/2012 4:10:37 AM PST by Truth29
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To: nvscanman

You are right. They are operating under ROE that are just plain stupid and criminal. They have stress levels few comprehend. Restrict access to firearms and all you’ll see is a rise in risky behaviors resulting in more “accidental” deaths. I’m not saying give them firearms and let them commit suicide. I’m saying let’s not do something stupid and ineffective ourselves. Try addressing the underlying issues rather than grabbing at our freedoms first. It is alarming how often would-be dictators (at all levels of government) see the first option as go after the guns rather than address real issues. Convenience, laziness, or part of a deeper desire to control us? All three I’d say.


30 posted on 12/04/2012 4:23:45 AM PST by ThunderSleeps (Stop obama now! Stop the hussein - insane agenda!)
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To: Jet Jaguar

Military suicide is a lot more common than is being published.

We have a lot of broken men and women coming home, with no good method of treating them.


31 posted on 12/04/2012 4:33:13 AM PST by redgolum ("God is dead" -- Nietzsche. "Nietzsche is dead" -- God.)
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To: AlmaKing

Or they might actually try to resolve the root cause of the problem - endless wars we have no intention of winning. Nah, that wouldn’t ruin the morale and reputation of U.S. troops as well.


32 posted on 12/04/2012 4:57:31 AM PST by Pecos (Double tap: the only acceptable gun control)
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To: nvscanman
I think you hit the nail on the head.

The ROEs our Soldiers and Marines have to operate under are insane. Add to that they're deployed numerous times where they're under those same asinine ROEs over and over again.

After making it home after the 3rd deployment you may as well be playing Russian Roulette when you know or hear you'll be shipping out again -- Only to be the Whack-A-Mole target for AQ. And you 'know' your odds of making it home again, or in one piece are 50-50 at best.

At that point, where's the hope? Their own government is giving them a de facto Death Sentence for some freaking political game they're playing in DC.

33 posted on 12/04/2012 5:07:41 AM PST by Condor51 (Si vis pacem, para bellum.)
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To: Jet Jaguar

Oh sure, that will solve the problem.
Experts my ass. Just plain IDIOTS..........


34 posted on 12/04/2012 5:18:54 AM PST by SECURE AMERICA (Where can I sign up for the New American Revolution and the Crusades 2012?)
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To: Jet Jaguar

I find this to be rather interesting. Remember all that Homeland Security talk and fliers that domestic terrorist are among us and they slipped in our service men into the mix? Now they want to restrict military and most likely former military people from having guns. WHY? It’s not because they want a safe American public since we don’t have a deluge of service members running rampant in the streets. There is something far more sinister going on here. Obama and company have 4 more years to work there evil in destroying this country. How far can these people go without eventually using violence against those of us who will simply not comply, go Galt, and what ever non violent methods are employed. The answer is they cannot go beyond a certain point and of course they have this compulsive desire to force there views on everyone especially all those who don’t want to comply (they cannot stand anyone who doesn’t go along with their depravity). And lets say they do get violent or it sparks organization. Who is a danger to them in such a situation? Service members in general since they have the best training in the world, and after years of guerrilla combat in the middle east they also have quite the experience in armed conflict.

The left is scarred. There not scared because military member will organize against them spontaneously, they are scared because the Left is planning some very ugly things for us in the near future if they can get away with it. Armed patriotic services member both current and former are quite the impediment to their scheming. We just have to be courageous enough to ask why, the rest answers itself when we look back in history to the violent propensities the left exhibits against anyone who they deem a threat.


35 posted on 12/04/2012 5:23:09 AM PST by DarkWaters ("Deception is a state of mind --- and the mind of the state" --- James Jesus Angleton)
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To: Jet Jaguar

Restricting troops’ access to firearms worked out really well at Ft Hood a couple of years back. /s


36 posted on 12/04/2012 5:26:56 AM PST by jospehm20
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To: Smokin' Joe

Interesting observation, food for thought in many areas.


37 posted on 12/04/2012 5:28:55 AM PST by Travis McGee (www.EnemiesForeignAndDomestic.com)
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To: Jet Jaguar

This is such an ignorant article. First, as a former active duty Army Chaplain, I was familiar with the suicide rate prior to Iraq/Afghanistan. There has been an uptick in the rate, but it’s

More soldiers are killed annually in auto crashes.

Where’s the move to restrict access to cars?

One issue that continues to receive little attention is that there is not a huge difference between the military suicide rate and that for same aged civilians in the general US population. The following info is a bit dated, but the 2011 figures appear to track WITH population data.

This all suggests that the military is drawing its enlistees from the general population, and that, as usual, they aren’t much different than that population from which they come

“The Army Suicide Event Report, which tracks suicide attempts and completions and the factors involved, showed that in 2006 there were 99 suicides within the Army, 30 of which occurred in Iraq or Afghanistan. This is an increase from 87 suicides in 2005 and 67 in 2004.

According to the report, the Army’s suicide rate for 2006 was 17.3 suicides per 100,000 soldiers. This compares to the overall U.S. population rate, for the same age and gender group, of roughly 19 suicides per 100,000 people.”


38 posted on 12/04/2012 5:44:37 AM PST by xzins (Retired Army Chaplain and Proud of It! True supporters of our troops pray for their victory!)
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To: Jet Jaguar; All

Dangerous propaganda. Typical leftist ignoring all the studies that show that restricting guns does not alter the suicide rate.


39 posted on 12/04/2012 6:15:13 AM PST by marktwain
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To: Jet Jaguar

There is a big gap between military service and returning to civilian life. Traditionally soldiers were expected to take off their uniform, put on civilian clothes, and restart their lives as if nothing had happened.

However, there might be a better way. Many states now offer “time in grade” lateral transfer to Military Police who decide to become civilian police. Importantly, this means that they get all kinds of civilian police perquisites, especially psychological counseling and support. A big plus.

Yet while there are many state and local jobs where at least theoretically there is a veterans hiring preference, it is all “passive”, no real efforts are made to recruit or give job offers to veterans.

Returning home, veterans no matter their condition, are often “fish out of water”, needing all sorts of common things like housing, transportation, a job, etc. And there is nobody actively seeking them out. Very stressful, no matter their family situation or connections.

The solution to much of this might be for states to set up veterans labor exchanges, in which, based on their service and performance, veterans would be *approached* with requests for interviews leading to job offers.

That is, after a few days of returning to their home of record, they get a packet in the mail from their state’s veterans labor exchange. At first it would just include requests for paperwork and an interview, but would be followed up with a list of job openings, training offerings to other jobs, etc.

If veterans were already good to go, they could just send in a postcard, “not currently interested”. However, if the were like most, it would be a big help to get the ball rolling again.

Which can be a huge morale boost.


40 posted on 12/04/2012 7:34:57 AM PST by yefragetuwrabrumuy (Pennies and Nickels will NO LONGER be Minted as of 1/1/13 - Tim Geithner, US Treasury Sect)
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To: Jet Jaguar

ya know...every once in while I start re-reading the Federalist Papers...and get a taste of freedom...makes me wanna commit some violence too...gotta outlaw that freedom thingy...

seriously..sounds like the US Gov’mt is taking that part in the oath about the foreign and Domestic Enemies at its face value...and is worried about the previously deployed skill set internally.


41 posted on 12/04/2012 7:40:47 AM PST by mo (If you understand, no explanation is needed. If you don't understand, no explanation is possible.)
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To: Jet Jaguar

Friggin’ oxygen thief.

I have to Marine sons and both saw heavy combat on 3 tours in Afghanistan. Every time one comes home our first trip is to the gun store and they buy 1 or 2. Kind of nice they cannot take them back to base so I get to keep them in my safe (and use them :) until their deployment is up or they move to appropriate quarters.

They both took back a couple pistols they keep in the gear off base but the rest are mine!

They have very good taste too, just like dad.

Ooops update, I lost them all in a boating accident. We don’t have any...


42 posted on 12/04/2012 8:02:03 AM PST by Resolute Conservative
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To: Obama_Is_Sabotaging_America

“Who are the LAST group of people our insurgent government would want carrying weapons when the they drop the hammer and the rebellion starts?”

BINGO!!! My thoughts exactly. Of course they would want to disarm people who know well how to use weapons.


43 posted on 12/04/2012 8:39:35 AM PST by Wisconsinlady ("Behold, I send you out as sheep in the midst of wolves")
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To: Jet Jaguar

I’m not even going to bother reading this. It safe to say you could change the word experts to Leftists, so why bother.

Is the suicide rate among veterans a higher percentage than the populace at large. At the last big round of this kind of talk, it was even less than the suicide rate in the general population.

These experts can go... well never-mind.


44 posted on 12/04/2012 9:59:32 AM PST by DoughtyOne (Hurricane Sandy..., a week later and over 60 million Americans still didn't have power.)
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To: Truth29

You are exactly right. I don’t think it has occurred to anyone that maybe these wars aren’t as psychologically defensible as WWII was.

Maybe pushing pipelines through the mountains of nowhere and playing Constitutional Congress with a bunch of nomadic tribes isn’t as clear cut a goal as beating the Nazis or the NV was.


45 posted on 12/04/2012 10:01:56 AM PST by willyd (Don't shoot, we're Republicans!)
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To: Jet Jaguar

Wow! The stupidity of this writer is striking. I wonder who arranged for this drivel to pollute Stars and Stripes.


46 posted on 12/04/2012 10:44:11 AM PST by Pollster1 (Freedom is never more than one generation away from extinction. - Ronald Reagan)
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To: Jet Jaguar

The left preaches Darwin but they do not practice Darwin.


47 posted on 12/04/2012 10:45:50 AM PST by bmwcyle (Women reelected Obama)
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To: Jack Hammer

don’t forget to ban rope or anything that can be used to kill oneself with. Empty all pharmacy shelves so one can not OD on Aspirin, tylenol or motrin....thats easy enough to use to kill oneself....Shoelaces must be weak enough to barely keep shoe’s together. No cords for lamps and lights. If one is determined to committee such an act, nothing will stop them...The argument is a straw dog by pasty faced people afraid to look at a gun...it might go off by itself and hurt them...idiots


48 posted on 12/04/2012 9:08:02 PM PST by goat granny
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To: goat granny

Providence preserve us from those intent on “doing it to us for our own good.”


49 posted on 12/05/2012 1:06:50 AM PST by Jack Hammer
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