Lawmakers hope to use an annual defense bill as a vehicle for mental-health screenings.
Jacob Sexton, a 21-year-old member of the National Guard, fatally shot himself inside an Indiana movie theater during a two-week leave from Afghanistan in 2009.
Sen. Joe Donnelly will unveil legislation Wednesday named after Sexton that would require service members to get an annual in-person mental-health assessment. Donnelly hopes it helps stop others from taking their own lives.
“This is about working nonstop with Jacob’s parents to prevent other families from experiencing that same pain,” the Indiana Democrat said in a video obtained by National Journal that will be released Wednesday.
Donnelly’s legislation, formally called the Jacob Sexton Military Suicide Prevention Act, follows the Pentagon’s latest suicide numbers released late last month. The report found a decrease in the number of reported suicides among active-duty troops, but an increase in reserve and Guard members killing themselves.
There were 319 suicides reported among active members in 2012, compared with 261 in 2013, according to preliminary data. But suicide within the ranks of reserves and National Guard members increased from 203 in 2012 to 213 last year.
And while suicide is historically underreported, the Pentagon says a total of 841 service members attempted suicide at least once in 2012.
Meanwhile, the number of service members who kill themselves after they leave the military has increased dramatically. The VA estimates that 22 veterans commit suicide each day, totaling about 8,030 veterans every year.
Many service members already have an annual mental-health screening, but Donnelly’s bill is aimed at closing the gaps for in-person assessments. For example, Air National Guard members currently have an annual online assessment, but face-to-face examinations take place only every five years.
Lawmakers and service organizations worry that the stigma attached to mental-health issues keeps service members—both past and present—from asking for help or reporting mental-health problems. Attempting suicide is currently considered a crime under the military’s rules.
“Right now, the best and most consistent screening is happening only for those within the deployment cycle, and it leaves reservists and Guardsmen like Jacob underserved,” Donnelly said.
In addition to the mental-health screenings, Donnelly wants an annual report from the Pentagon to the Armed Services committees detailing the screenings and what care or follow-up was recommended. The Defense Department would also have to submit a report on how to improve its response on mental-health issues. And a committee to improve mental-health services for National Guard and reserve troops would be formed with the Department of Health and Human Services.
Donnelly isn’t alone in his search for solutions. Lawmakers have introduced a handful of other proposals to address mental-health issues in the military. Some argue such measures could help prevent a shooting like the one at Fort Hood last month, when Ivan Lopez, a 34-year-old Army specialist, fatally shot three people and injured 16 others before turning the gun on himself.
Republican Rep. Glenn Thompson of Pennsylvania, Democratic Rep. Tim Ryan of Ohio, Republican Sen. Rob Portman of Ohio, and Democratic Sen. Jay Rockefeller of West Virginia have introduced the Medical Evaluation Parity for Service Members Act in their respective chambers. Instead of requiring annual in-person mental health screenings, the legislation would require screenings for military recruits and for reserve and National Guard forces that transfer to active duty.
Donnelly and other lawmakers hope to get their proposals included in the annual defense bill, the National Defense Authorization Act. The bill has been passed for the last 52 years, and it’s likely the best vehicle for avoiding partisan fighting. And Donnelly’s legislation will get early bipartisan support, with Mississippi Republican Sen. Roger Wicker expected to endorse the proposal.
Donnelly originally introduced a version of the bill last year, with a pilot program on mental health screenings instead of annual in-person screenings for all servicemembers. The Pentagon was required to submit a report with feedback on screening tools included in the program, as part of the last year’s defense bill.
The report—part of a bipartisan push spearheaded by Donnelly—also asked for an assessment of new tools that could be used to improve mental-health screenings and better identify suicide-risk factors for service members. Donnelly received the report in March, and used it to help craft his new legislation.
“There is not one solution, there’s no cure-all to prevent suicide. But this problem is not too big to solve. We can start by improving our methods of identifying risk factors before it is too late,” he said.
near Patrol Base Boldak, Afghanistan, on July 30, 2013. BOBBY J. YARBROUGH/U.S. MARINES” src=”http://www.hiddenwounds.org/wp-content/uploads/2014/04/image-1-300×199.jpg” width=”300″ height=”199″ /> Staff Sgt. Javier Jimenez interacts with local Afghans as he tries to gather information about the movement of insurgents near Patrol Base Boldak, Afghanistan, on July 30, 2013. BOBBY J. YARBROUGH/U.S. MARINES
By Thomas Brennan
The Daily News, Jacksonville, N.C.
Published: April 8, 2014
It was a sensation that Marine Staff Sgt. Javier Jimenez could physically feel: the weight of life was literally crushing him.
“You start running out of air, the room starts getting smaller around you and your heart starts pounding,” Jimenez said, describing the “horrible” feeling that overwhelmed him. “You’re more hopeless than you have ever been before. You start worrying about the next day, wondering if you are going to make it there because all you want to do is die.”
For years, 34-year-old Jimenez, an infantry Marine who is currently transitioning to Wounded Warrior Battalion East, has dealt with thoughts of suicide as a means to escape his overwhelming anxiety. Diagnosed with psychosis, a mood disorder, post-traumatic stress disorder and an anxiety disorder, Jimenez said he is constantly battling the urge to end his own life. It won’t be by his own hand though, he said, and he’s never physically hurt himself. Instead, Jimenez engages in risky behavior that he said he hopes will result in an accident that kills him.
“Even in Afghanistan, I would walk in the open trying to get shot at,” he said. “I was putting myself in risky situations because I wouldn’t kill myself, but the whole time I wanted to die. I just want to be put out of my misery.”
His risky behavior in combat carried over to daily life, he said. Feeling as though he has no control over his life, Jimenez said living for tomorrow has become increasingly difficult with each passing day, especially now that he is not actively participating in infantry training.
“Fighting with yourself to live to the next day isn’t a way to live your life,” he said. “Sometimes you spend the whole day thinking about suicide — every single second. When you get out and put yourself in that risky situation, you feel a rush. It’s the only time you feel alive. Cutting it close is the only time you don’t want to die because you finally feel alive. Not wanting to die is a good feeling, and I try to feel it as much as possible.”
But he’s not without hope — or help.
He said the treatment he has received from mental health providers at Naval Hospital Camp Lejeune has been “outstanding” and helps him understand that things will get better with time and effort on his part. The infantry unit he is attached to, 2nd Battalion, 2nd Marines, has been fully supportive, recommending him for Wounded Warrior Battalion East so he can focus fully on his treatment.
“There’s a lot of help available when you’re debating suicide,” Jimenez said. “I know it feels like you’re stuck in a horrible place with no way out; but there is hope, and that’s one thing the groups and the doctors are showing me.”
Opening lines of communication
At the School of Infantry aboard Camp Geiger, both Marine and Navy leadership encourage Marines and sailors to attend an anonymous group where they can discuss the stresses of life, marriage, military service and more. The group, which meets weekly, is a safe haven for dozens of Marines aboard the installation to vent and discover they are not alone. Because the Marine or sailor’s leadership is not notified of their involvement in the group, many servicemembers have turned to the group, which also advocates for one-on-one treatment if the servicemember is interested.
“The program … was spearheaded about a year and a half ago when a need among our (Marines) was identified,” said Marine Col. Jeffrey Conner, the commanding officer of the School of Infantry. “Marines being Marines, they want to come to work and put their best foot forward and have their game face on … but when they have difficulty with that we give them the resources and support they need to do just that.”
The program is discussed both monthly and quarterly to identify trends and, if needed, request more resources for the Marines and sailors, he said. In conjunction with the program, he said, the unit’s Family Readiness Officer and chaplain help identify at-risk Marines and sailors and refer them to the program. The group, he said, allows for open communication among Marines and their leaders and also builds awareness on how to be cognizant of what your peers may be going through.
As the sergeant major of the Advanced Infantry Training Battalion, Daniel Wilson, 40, of Jacksonville said that some of the Marines within his battalion are stepping forward and asking for help, noting there is a receptive environment that allows for personal development through therapy without judgment or reprisal. Because AITB trains senior enlisted Marines, Wilson feels as though the open-door policy toward mental health will have a trickle-down effect within the Marine Corps and make others more accepting of those who ask for help.
“The reason they seek treatment may not even be combat related, it could just be stress,” Wilson said. “The Marine Corps has not written the book on managing post-traumatic stress … but we are doing everything we can to wrap our heads around it. … This is just one of the ways we are doing that.”
At both Marine Combat Training Battalion and Headquarters and Support Battalion, Sergeants Major Therester Cox and Christopher Garza said the message to Marines afraid of seeking treatment is that there is no stigma at the School of Infantry and they will not see any backlash for getting help.
“Get out, get help and don’t be afraid,” said Cox, 39, of Jacksonville. “To me, No. 1, everybody is a man or woman first. You’re important to somebody. … Now add to the fact that you are a United States Marine. It’s very important that Marines understand they need to get help because the Marine Corps is counting on you. You aren’t able to do anything for the Marine Corps if you aren’t taking care of yourself as an individual.”
The group is led by Navy Lt. Crystal Shelton, a clinical social worker who devotes her time between clinical appointments to interacting with the Marines and sailors as they train students, hoping to build awareness of resources and to minimize any stigma associated with mental health treatment, she said. The program is designed to be used for early intervention, she said, and it is also used to help people determine whether or not they are having a problem; but in order to help, someone needs to ask for it.
“Right here, what is happening is what other places are trying to model themselves on,” said Shelton, 38, of Jacksonville. “We’re trying to send the message that waiting (to get treatment) doesn’t help the situation. By waiting it usually makes things worse in their life. It you think there is an issue, come in and talk to someone. You don’t have to wait until you can’t do your job anymore.”
Navy chaplains, who are embedded within Marine units, often find Marines and sailors confiding in them when things in life aren’t going as planned. Trained to non-clinically identify symptoms of suicide, post-traumatic stress and other ailments, chaplains have access to resources they can make available to Marines such as counseling, retreats and more.
For Navy Cmdr. Marc Massie, 43, of Camp Lejeune, the best part of being a chaplain is that he can assist servicemembers with any problem and it will be kept 100-percent confidential. Chaplains are bound by law to maintain confidentiality regardless of the topic discussed even if the servicemember confesses homicidal, suicidal or fratricidal intents.
“Confidentiality means that it doesn’t matter what a servicemember says to a chaplain, it will not be repeated to anyone else,” said Massie, the station command chaplain for New River Air Station. “The reason the military does this is because it gives the servicemembers a safe place to go. The doctors, nurses and MCCS are great, but they are not 100-percent confidential.”
Whether real or imaginary, many Marines and sailors have fears that asking for help will ruin their career, he said, and part of what chaplains do is try to break down those walls and make it OK to talk. If someone were to walk in his office and confess that they were suicidal, which has happened in the past, Massie said that a chaplain will do whatever it takes to get the servicemember whatever assistance they need before they leave their office and even offer to go with them.
Sometimes, according to Massie, going to talk to a counselor can be a scary thing, especially when a Marine or sailor must tell their command they will be attending therapy. Massie said he has assisted many servicemembers in telling their command that they will be attending therapy and doesn’t allow the command to poke and prod, which often times makes the servicemember uncomfortable.
“I’ve counseled atheists, Wiccans and every other denomination,” Massie said. “It doesn’t matter if you even believe in a religion. We come at things with a human approach and just talk to people. We become a friend with them and check in on them from time to time to make sure they’re doing OK.”
It’s one more example of letting troops know that they’re not alone.
“I think most Marines would be surprised if they knew how many of their peers has asked for help,” Massie said. “It’s not as uncommon as people may think.”
Just ask Jimenez, the staff sergeant working to find his way back.
“There are people going through the same thing,” he said. “I feel alone but I know I’m not alone. That really helps when you’re fighting your own battle.”
Sgt. Martin Scahill and his wife Genevieve Scahill are pictured in this family photograph. (Courtesy of Genevieve Scahill)
By: Brett Kelman and Drew Schmenner
The (Palm Springs, Calif.) Desert Sun
As the sun rose over the sleepy desert town of Yucca Valley, Sgt. Martin Francis Scahill stood in his backyard, a black 12-gauge shotgun pressed against his chin, a single shell in the chamber.
After contemplating suicide for months, Scahill pulled the trigger. His body fell backwards onto the ground, the shotgun landing between his legs.
It was 6:30 a.m., April 5, 2010, the day after Easter Sunday. Blood seeped into the sand.
Forty-five minutes later, two deputies from the San Bernardino County Sheriff’s Department rang the doorbell at the Scahill home, waking his wife, who was asleep on the couch. Together, they found the body in the backyard. Scahill’s belongings were scattered around his bedroom.
A laptop was left open, lingering on an image of his infant daughter, Emma. A gun box was open with a revolver inside, unloaded. A box of shotgun shells sat on a nightstand, one shell missing. A notepad rested on the bed, covered with messages his wife scribbled during an argument the night before.
“I loved you.”
“I want to separate.”
Scahill, 25, was a man desperate for help he could not find. Alcohol abuse had strained his marriage and threatened his job, but he continued to drink, bragging about downing 18 beers or a half-gallon of whiskey every night. Scahill’s family had a history of suicide, but when he threatened to take his own life he was never taken seriously.
Five weeks after Scahill shot himself, a military investigation of his suicide would contradict itself, reporting that the Marine’s death was both unsurprising and yet impossible to foresee.
The investigation report, which was partially redacted by the military, said Scahill did not demonstrate any suicidal warning signs before his death, and that any indications of his intentions were either “too subtle” or “masked by his morose sense of humor.”
However, the same report said that Scahill’s suicide did not come as a shock to his immediate family. To them, suicide was “not a matter of if, but when,” the report said.
Scahill is one of at least 16 service members — 15 Marines, and one sailor — who committed suicide from 2007 to 2012 while at the Marine Corps Air Ground Combat Center in Twentynine Palms. That tally does not include one Marine from the Combat Center who killed himself while deployed to Iraq in 2008.
The military has not yet released base-specific suicide data from 2013. A Combat Center spokesman said he could not confirm how many Marines had killed themselves at the base last year because he could not speak for the multiple battalions that operate at the base.
Even with incomplete statistics, suicide is the second leading cause of death for Marines in this desert, with a death toll surpassed only by vehicle deaths, according to a yearlong investigation by The Desert Sun. The dual crises of crashes and suicide are compounded by alcohol abuse, and together, speed, depression and booze make the peaceful deserts of Southern California as dangerous as a war zone.
Since 2007, there have been 60 combat deaths of Twentynine Palms service members. During the same time period, at least 64 Marines and sailors have died non-hostile deaths while either stationed or training at the Twentynine Palms base.
The Desert Sun investigation found that, although Marines at Twentynine Palms are no more likely to take their own lives than Marines at other bases, they are twice as likely to be under the influence of alcohol at the time of their suicide. About half of the Marines who killed themselves while at the Twentynine Palms Combat Center had used alcohol, according to a review of reports from police, coroners and the military. Throughout the entire Marine Corps, only about one-quarter of suicides are confirmed to be alcohol-related.
From 2007 to 2012, both the Twentynine Palms Combat Center and the Marine Corps as a whole averaged an annual suicide rate of 19 deaths per 100,000 troops. According to the American Association of Suicidology, the overall U.S. suicide rate is about 12 deaths per 100,000 people. This rate doesn’t statistically compare to the Marine Corps because 95 percent of Marines are men, who are four times more likely to commit suicide than women. The Marine Corps argues that if the civilian suicide rate is adjusted for Marine demographics, it would equal 22 deaths per 100,000.
Pvt. Kythe Yund is pictured with his wife, Stephanie, in this family photo. (Courtesy of Karin Varner)
A growing crisis
The military first recognized its suicide crisis in the mid- to late 1990s, when each military branch launched its own prevention programs. In 1999, the U.S. Department of Defense created the Suicide Prevention and Risk Reduction Committee, which formalized how suicides and suicide attempts were reported.
Despite the creation of prevention programs, the rate of military suicide rose over the next decade, climbing from 10.3 suicides per 100,000 military members in 2001 to 18.03 suicides per 100,000 military members in 2011.
In 2010, suicide supplanted transportation accidents as the leading cause of non-combat death in the military, according to a 2012 Armed Forces Health Surveillance Center report.
In 2012, military suicides reached a record 351, surpassing the number of troops who died in Afghanistan that year. Forty-eight of those deaths were Marines.
Another 45 Marines killed themselves in 2013.
Both former Secretary of Defense Leon Panetta and current Secretary of Defense Chuck Hagel have said that military suicides are among the most frustrating problems they’ve encountered. Panetta said in 2012 that military suicides were on the rise “despite increased efforts and attention” from both the defense department and the Department of Veterans Affairs. Last year, Hagel stressed that suicide prevention programs are so critical that they should be immune to wide-sweeping military budget cuts.
The Marine Corps operates a host of initiatives as part of its suicide prevention program, and base services include counselors, medical personnel and a 24-hour suicide helpline. In 2009, the Marines started annual suicide prevention training for non-commissioned officers, called “Never Leave a Marine Behind.” In 2011, the training expanded to include all Marines. In 2012, a new order required every battalion and squadron to appoint a suicide prevention officer.
But the existing efforts aren’t enough, according to the Department of Defense Suicide Prevention Task Force, a group of experts that spent two years studying suicide in the military. In 2010, a task force report found suicide prevention efforts were hampered by a troubling lack of communication on military bases. Commanders, clinicians and counselors weren’t talking about Marines who were at risk of suicide, and when they did talk, their conversations were stymied by medical privacy laws, which were often “misunderstood and over-interpreted,” the report said.
A year after the task force report was released, the Marine Corps launched its Force Preservation Council program on every base, encouraging battalion leaders and social support officials to share information about Marines who may be suicidal. In Twentynine Palms, the councils meet monthly.
“If there are Marines who are facing challenges in their lives, there are people that may have pockets of information,” said Lt. Col. Michael A. Bowers, commanding officer of the base’s headquarters battalion. “We want to make sure that everyone does have that information … and there are no gaps in what we know.”
One year after the council formed, the Marine Corps expanded its reach, launching a mandatory mentoring program at all bases, including in Twentynine Palms. Under this program, each Marine is required to meet monthly with a mentor — like a platoon commander or sergeant — to discuss life in the Marine Corps. Mentors use these meetings to look for six signs of trouble: disciplinary problems, relationship turmoil, substance abuse, money problems, mental health and social withdrawal.
If a mentor decides that one of his Marines is struggling, he can send the case up the chain of command, where battalion commanders use the council to connect with support services. Bowers believes the program is effective if Marines know the aim of the council and mentors is preventive, not punitive.
“They know they’re not going to the principal’s office to get scolded,” he said. “They actually know there are a lot of professional people caring about them and trying to get them back on track.”
The Marine Corps launched an in-depth study of suicide victims after the task force in 2010 said the military makes an admirable effort to record deaths, but not enough to understand suicide. Currently, suicide data is compiled into the Department of Defense Suicide Event Report (DoDSER), but the report offers only a superficial understanding of the suicide crisis.
“It’s inadequate on a whole bunch of levels,” said Dr. Alan Berman, a member of the suicide prevention task force. “Most profoundly, methodologically, (the DoDSER) relies on a single interview, oftentimes with somebody who didn’t observe the decedent in the days prior to death.”
Berman is executive director of the American Association of Suicidology, the organization hired to examine how Marines who committed suicide acted during their final days and weeks. They hope to discover a common “trajectory toward death” and early warning signs that could save others, Berman said.
The organization has begun psychological autopsies of Marines who died of suicide from 2010 to 2012. The results of the study should be out in May or June, Berman said.
Tragic end to the spiral
One of the Marines in the study is Pvt. Kythe K. Yund, a Twentynine Palms Marine who shot himself in Joshua Tree on June 17, 2011, the day before his 22nd birthday. Researchers from the American Association of Suicidology interviewed Yund’s mother, Karin Varner, for 90 minutes, starting the examination with Yund’s childhood.
“If it helps save another parent from losing their child,” Varner said, “I will do whatever it takes to even just help one family not have to go through it.”
Yund was a quiet child whose parents divorced when he was 3. There was a history of suicide on his father’s side of the family, and when Yund was in high school, he attempted to kill himself by overdosing on painkillers at his father’s home in Washington, his mother said.
This suicide attempt should have disqualified Yund from military enlistment, so it is unclear how he managed to join the Marines. A recent Harvard University study suggests that recruitment screening is far from perfect. About half of Army soldiers who attempt suicide while in the service admit to prior attempts before they enlisted, the study said.
Yund enlisted in the Marines Corps in November 2007, then was assigned to the 1st Battalion, 7th Marine Regiment in Twentynine Palms as a rifleman. While deployed to Iraq in 2009, Yund witnessed one of his friends die from a gunshot to the head. He returned home early from Iraq because his wife, Stephanie, almost died after giving birth to their daughter, Kyndel.
Stephanie lapsed into a coma and suffered short-term memory loss after gaining consciousness.
Back home, Yund drank heavily and abused drugs. He was punished for using cocaine, demoted from lance corporal to private. Unnerved by Yund’s behavior, his wife returned to her home in Illinois with Kyndel. The couple eventually started divorce proceedings.
On the day Yund killed himself, he was scheduled to meet with his superiors about another disciplinary matter, which could have led to another demotion. Varner believes the shame of another punishment, and the embarrassment it may have caused his wife and daughter, triggered her son’s suicide.
On a Friday about 5:42 a.m., Yund shot himself with a 12-gauge shotgun in his bedroom.
His roommates told police that Yund had spent the night before at home, drinking a little, but did not seem upset. At the time of his death, Yund’s blood-alcohol content was .03.
Varner spoke to her son for the last time five days beforehand. He called her on the phone, sounding more relaxed and hopeful. He was leaving the Marine Corps in about a month, and was anxious to move to Illinois to try to reconcile with his wife.
Yund also asked his mother to research counseling options in Illinois. He wanted help, but had avoided counseling in the Marine Corps after his fellow Marines mocked him.
“Some of the other mothers I’ve talked to have gone through the same thing with their child,” Varner said. “They would go ask for help through the Army, Marine Corps, whatever, and their child would be ostracized later because of it, so that’s why a lot of them didn’t go seek help.”
This refrain is common for family members of suicide victims, said Kim Ruocco, manager of suicide outreach for the Tragedy Assistance Program For Survivors (TAPS), a Virginia group that helps the family members of deceased military members.
If the military truly wants to combat suicide within its ranks, it must destigmatize counseling and prioritize the importance of mental health, Ruocco said.
“If you were sprayed by poisonous gas, you wouldn’t expect to just suck it up,” Ruocco said. “If you broke your leg … you wouldn’t expect to just keep going until it was infected. You’d get immediate, comprehensive care and get back on the battlefield. That’s the way we’ve got to start thinking about behavioral health.”
Ruocco said it is especially hard to reach out to Marines, a proud group tied close to the rough and tough identity of the Marine Corps. She speaks from experience — her husband, Maj. John Ruocco, an accomplished Marine helicopter pilot, killed himself in 2005.
John Ruocco had battled depression since the mid-1990s, when two helicopters collided during a training exercise, killing several of his friends. A memorial service was held for the fallen men, but within Ruocco’s squadron, discussion of the crash was taboo. He suffered in silence for a decade, eventually hanging himself in a hotel room near Camp Pendleton, a Marine base in San Diego County.
“When it happened to me, when my husband died by suicide, I remember saying: ‘I didn’t even see it coming,’ ” Ruocco said. “But then as I got over the shock and the grief, and I looked back, I thought ‘Wow there were many times within his life span and his career where he had trauma or loss. … We should have gotten help way back when. I think pretty much every survivor I’ve talked to says that.”
A rattled mind
After five months together, Cpl. Richard McShan and his girlfriend were struggling with trust. It was the evening of March 29, 2009, and they had each had a few drinks at a bowling alley in Twentynine Palms. Sometime after midnight, when they returned to her apartment on Bagley Street, she caught him snooping through her text messages.
McShan apologized, but she demanded he leave. The Marine went outside to load his clothes into his car, prepared to leave, at least for the night.
“You can’t forgive me, can you?” McShan asked.
“Not right now,” his girlfriend said.
Furious, she stormed back inside, leaving the Marine alone in the driveway, standing between their cars.
Seconds later, she heard the gunshots.
McShan had pressed a 40-caliber handgun against the right-rear of his skull, squeezing the trigger twice. He fell backwards, somehow still alive, the gun clattering onto the ground near his feet.
An ambulance rushed McShan to the Hi-Desert Medical Center in Joshua Tree, where he was hooked to a ventilator. Two hours later, as the sun rose, a helicopter flew the comatose Marine to Desert Regional Medical Center in Palm Springs. Doctors there said McShan had no hope of recovery.
Two days later, at the request of his family, medical staff turned off McShan’s ventilator, letting him slip away. He was pronounced dead at 2 a.m. on April 1, 2009.
McShan, 23, the son of a 20-year Army veteran, was born in Germany but grew up in Colorado Springs, playing trumpet and football at his high school. He joined the Marine Corps shortly after graduation, Sept. 11, 2005. He was stationed in Twentynine Palms with the 2nd Battalion, 7th Marine Regiment, deploying once each to Iraq and Afghanistan.
McShan came back from those deployments haunted by nightmares, his girlfriend told authorities. She also said that McShan had told her he had attempted to shoot himself once before, but was saved when the gun misfired.
But to Paul McShan, the father of yet another dead Marine, this suicide didn’t compute. His son Ricky had been a happy young man, brimming with competitive spirit, who loved being a Marine.
There had to be more to this story, the grieving father thought.
“I started digging and digging and digging, trying to find out why,” Paul McShan said. “We discovered that he had at least four concussions and one where he was blown out the top of a Humvee. His shoulder was dislocated and he was knocked out for three or four minutes. So my conclusion after all that digging was that his brain short-circuited.”
This theory is backed up by a growing body of evidence. In recent years, scientists have discovered a strong link between concussions and suicide, a possible explanation for the disconcertingly high suicide rate in the military.
In 2013, a study released by the National Center for Veterans Studies at the University of Utah said that military personnel were significantly more likely to report suicidal thoughts if they had suffered at least one traumatic brain injury. The study surveyed 161 service members, many of whom had been injured in Iraq.
Of the service members who had not suffered brain injuries, zero percent reported suicidal thoughts, the study said. Of those who suffered one, 7 percent reported suicidal thoughts. Of those who suffered more than one brain injury, 22 percent reported suicidal thoughts.
“Up to now, no one has been able to say if multiple (traumatic brain injuries), which are common among combat veterans, are associated with higher suicide risk or not,” said Craig J. Bryan, assistant professor of psychology at the University of Utah, who led the study. “This study suggests they are …”
Researchers believe that concussions and brain injury increase the likelihood of suicide through a neurodegenerative disease called chronic traumatic encephalopathy, or “CTE.” Symptoms of CTE include irritability, memory loss, dementia and suicidal tendencies.
In 2012, a study from the Boston University found evidence of CTE in the brains of four military veterans, each with a history of traumatic brain disorder. Three of the veterans had been exposed to explosions during deployment. The fourth, a 28-year-old with post traumatic stress disorder, had suffered four concussions caused by a bicycle accident, a football collision, a military incident and a vehicle accident. Two years after his last concussion, the veteran committed suicide by shooting himself.
According to the study, the veterans’ brains were indistinguishable from those of many professional football players, a group that has been studied more extensively, showing a strong link between head injuries, CTE and suicide. The Boston researchers have found CTE in the brains of dozens of football players, both at the college and professional levels, including some that have killed themselves.
Brain injuries also double the odds that military service members will develop post traumatic stress disorder, which further increases the risk of suicide. A new study, published in December, examined 1,648 Marines and sailors that had recently returned from deployment. About half of them were stationed in Twentynine Palms, said Dr. Dewleen Baker, a psychiatrist at a Veterans Affairs center in San Diego who co-authored the study.
Baker said the study has established a strong link between brain injuries and PTSD, but researchers still don’t understand how one causes the other. It is possible that both brain injuries and PTSD spring from similar traumatic events, like bomb blasts, but also possible that concussive injuries make it more difficult for the brain to recover from emotional hardship, Baker said.
Either way, links to PTSD and CTE have uncovered the true long-term danger of brain injuries, a field of study that was once ignored. High-tech imaging can be used to visualize brain injuries better than ever before, and with the right tools, researchers can even “see” PTSD, a once-hidden condition now revealed as over-activity of the amygdala, a portion of the brain that deals with excitement and fear.
Today, brain injuries stand on a precipice where other conditions have stood before, ready and waiting to be better understood, Baker said.
“My analogy is that in the ’40s and ’50s, we didn’t really understand heart attacks,” Baker said. “Nobody understood the details, and so there was a lot of treatment that didn’t happen when someone had a heart attack. They would put people in a room and have them rest and hope they got better. But when we began to research and image the heart, and find ways to test the heart, we found many ways to fix and prevent the damage. And now we are in the early stage of this kind of understanding in regard to head injuries.”
Alcohol abuse in the ranks
Of the 15 Marines who killed themselves while at Twentynine Palms from 2007 to 2012, seven, or 46 percent, had alcohol in their system. That’s nearly double the percentage reported throughout the Marine Corps, according to a four-year average compiled from DoDSER statistics.
As suicide rates have climbed in the military, so has drinking. From 1998 to 2008, the share of service members who were binge drinkers increased from 35 to 47 percent, and the number of heavy drinkers rose from 15 to 20 percent, according to a 2012 report from the Institute of Medicine, a nongovernmental agency under the National Academy of Sciences. Binge drinking and heavy drinking were more prevalent in the Marine Corps than other military branches.
In December 2012, the Marine Corps launched a random alcohol screening program, becoming the first military branch to do so. The rules were also the strictest: Twice a year, Marines must be given Breathalyzer tests while on duty, and they can be referred to substance abuse counseling at even the slightest hint of alcohol. Commanders can send a Marine to counseling if they have a blood-alcohol content of .01 — which could be triggered by a single beer. If the Marine has a blood alcohol content of .04, their fitness for duty can be challenged.
Since October, more than 1,000 Marines from the Twentynine Palms Combat Center’s headquarters battalion have been screened for alcohol while on duty. Only one was sent to substance abuse counseling after testing positive, said Capt. Justin Smith, a base spokesman. Smith said he could not release results for the other battalions at the base.
If an alcohol screening program like this had existed just two years earlier, it might have saved Sgt. Scahill, the Marine who shot himself in his backyard in Yucca Valley.
At the time of his death, Scahill had a blood alcohol content of .08. It is unclear if he drank that morning or was still drunk from the night before, but neither would have been out of character for Scahill, whose long battle with alcohol predated his job and his marriage.
Back in 2007, after returning from his second deployment to Iraq, Scahill confessed to drinking 18 beers a night during a post-deployment health assessment. Scahill repeated this admission to medical personnel at least four more times over the next year, according to a military investigation.
Although Scahill had reported “excessive drinking,” he was never required to go to substance abuse counseling. Because he had not been involved in an “alcohol-related incident” during his service, he was never obligated to get help for his problem, according to the investigation.
Scahill’s drinking continued after he married his wife in November 2008, immediately after returning from his third deployment to Iraq. In 2009, Scahill joined the tank battalion at Twentynine Palms, where his alcohol abuse was no secret. According to interviews with fellow Marines, included in the military investigation, Scahill would drink excessively during his off-duty hours, drinking exclusively for the purpose of getting blackout drunk. He frequently came to work hung over or smelling of alcohol, and showed up for work drunk at least twice, according to the report. His fellow Marines hid his abuse from his superiors, trying to protect his career while ultimately enabling his addiction.
Scahill’s drinking was a problem at home, too. On the day before his suicide, Scahill got in a drunken argument with his wife, Genevieve, who accused him of texting an ex-girlfriend. By the evening, Scahill was so drunk that his wife refused to allow him to hold their 11-month old daughter. Furious, Genevieve slept on the couch.
Early the following morning, she woke up her husband, sending him to physical training at the Marine base. Before he left, she told him she was tired of his drinking and wanted to go to her mother’s house in Los Angeles. It was an empty threat.
Scahill left for training but returned soon after, insisting that physical training had been canceled. As he walked into their daughter’s room, Genevieve fell back asleep.
The gunshot didn’t wake her.
“I still blame myself a little bit. I wish I had seen the signs,” Genevieve said during an interview with The Desert Sun. “I wish I would have gotten off of that couch and followed him.”
Although Scahill didn’t leave a suicide note, he did send a text message to some of his fellow Marines, perhaps a final cry for help.
“Hey man, I’m not coming to work today,” the text said, according to a military investigation report. “I’m going to blow my f—ing brains out.”
Another Marine, who assumed Scahill was joking, wrote back: “GTG,” military slang for “good to go.”
The message prompted a commanding officer to call police, sending the deputies to Scahill’s door.
Genevieve said her husband’s suicide first came as a shock, but in hindsight, the clues of his looming death were everywhere.
Both Scahill’s father and grandmother had killed themselves. Scahill had once told his wife that his father told him the only good way to commit suicide was to shoot yourself in the head.
One night, when Genevieve was pregnant, a drunken Scahill said he sometimes heard a voice that told him he was no good and that people would be better off without him. He denied it the following morning.
Later, only a few weeks before he died, Scahill showed off two guns to some of his friends. Upset at their rowdy behavior, Genevieve confronted them, telling her husband to put the guns away. He responded by pulling the trigger on an unloaded shotgun, saying, “You don’t care what I do?”
Scahill bought that shotgun — which he would later use to kill himself — about two months before his death. According to the military investigation report, Scahill would joke to his fellow Marines that he might accidentally shoot himself while cleaning the gun.
In January 2010, while attending a suicide prevention course at the Marine base, Scahill protested, insisting that “if someone is going to do it, they’re going to do it.”
Scahill had the numbers “5150” tattooed on his right forearm — a reference to the section of California law that deals with people with mental health issues who are a threat to themselves or others. Scahill had confirmed the meaning of the tattoo during chats with other Marines.
Finally, the most terrifying clue was also the most cryptic. After Scahill was gone, his wife found one of his books, arrows drawn in the corners of the pages. At first, the scribbling seemed undecipherable. However, when she flipped through the pages with her thumb, she discovered the drawings were a flip book, a rudimentary cartoon where stick figures played out a gruesome suicide scene.
Genevieve had seen this before. It was the same scene she and deputies had found in the backyard.
“The stick figure man was him waving goodbye to everybody. He took a gun, he put it under his chin,” Genevieve said. “The cartoon was everything exactly what I saw. He followed the cartoon.”
Out on a mission one day in northern Iraq in 2009, a convoy of gun trucks grinds through rising dust. In the turret of the lead truck, Spc. Andrew O’Brien, 21, crouches behind his .50-caliber machine gun. His job: to watch for IEDs, improvised explosive devices. He swivels anxiously to watch the passing landscape for the deadly bombs hidden in trash bags, squashed cartons, dog carcasses, maybe that discarded truck tire.
From up ahead, another convoy approaches: U.S. military police in heavily armored vehicles known as MRAPS, supposedly invulnerable to bomb blasts. As they squeeze past, O’Brien and the gunner in the lead MRAP rotate their guns away from each other. Anonymous under their helmets, goggles and dust scarves, they nod to each other in a silent salute.
Not long after, they hear a ka-rump and there goes the slow-rising column of black smoke. O’Brien knows that other convoy got hit.
Back at Forward Operating Base Summerall that evening, O’Brien and his crew are lined up for formation. They cast sideways glances at a wrecked MRAP, the one whose gunner had nodded to O’Brien. A bomb dangling from a tree had detonated into the gunner’s hatch. What’s left of the MRAP is partially covered with a tarpaulin, and the sergeant is telling O’Brien and his guys not to look under that tarp; it’s off-limits.
He couldn’t help himself. Until then, the war had seemed almost distant. He wanted to know the worst. That could have been his truck, his guys. He thought seeing the worst would make him hyper-aware, help him spot IEDs and keep his own crew safe. After formation, he snuck around and lifted the tarp and peered inside. The wreckage hadn’t yet been cleaned of human remains.
O’Brien, now 25, is a lean, good-looking young man; his chiseled features and quick grin give little hint of the torment that moment created, of the nightmares that crushed his spirit and drove him toward suicide. “It was the worst thing I’d ever seen in my life,” he told me.
Andrew O’Brien, second from right, seen here with his fellow soldiers in Iraq.
His outfit, the 3rd Brigade Combat Team, 25th Infantry Division, went home to Schofield Barracks in Hawaii that spring and the nightmares that had begun in Iraq followed him. Inside the wrecked MRAP he would see the bodies of his crew, guys he’d grown as close to as brothers. “It was like the worst thing you experienced in your whole life, happening over and over again, every night,” he said. “It became exhausting.”
Guilt, shame and anger boiled inside him. He felt guilty for disobeying his sergeant’s order not to look at the wrecked MRAP, ashamed that he had damaged himself and ended up diagnosed with post-traumatic stress disorder. “I hated civilians because they didn’t know what I’d been through and … you just come back angry at the whole world,” he said.
Back then, he felt he couldn’t talk to anyone about what was going on, not even to an Army psychiatrist. “I felt I was alone,” he said. “I thought everybody else was fine and I was just the weak guy who couldn’t handle it.”
So in November 2010, just over a year after returning from Iraq, he went home, scooped up four bottles of prescription pills and washed them all down with a few beers. Then he went around punching holes in the walls with his fists. “All of a sudden I felt the pills kicking in and felt myself dying and quickly realized I had made a mistake,” he wrote later in a post online. His consciousness fading, he shakily dialed 911.
When he woke up in intensive care, his older brother, a soldier who’d served in Afghanistan for 15 months, was on the phone. “He told me how much he loved me. He said, ‘Why didn’t you tell me?’ I said, ‘You’ve seen much worse, I don’t have a right to feel this way.'”
His brother’s answer, O’Brien said, “changed my whole life. I was hearing it from another veteran. He said that the worst thing you saw was the worst thing you saw, you don’t need to compare that to anybody else. You should be proud of what you did.”
After he was released, O’Brien felt he had an entirely new perspective on PTSD, suicide and how to handle emotional turmoil. He asked the base chaplain if he could brief soldiers, in order to pass on what he’d learned. “The suicide briefings we had were a joke — guys would just be laughing,” he explained. “I wanted to show them like it really was.” But the answer was no.
O’Brien soon left the Army when his contract ran out on Feb. 13, 2011, and for two years he bounced around, working at this and that, unsure of what he wanted to do with his life. Then he happened to see the latest statistics on military suicides, and his idea of briefings hardened into resolve, and then a plan.
Unofficially, on his own, he began arranging to speak with groups of soldiers, parents, veterans — anybody — about PTSD and suicide, telling them what he’d learned about navigating the tricky and sometimes dangerous transition from the battlefield to civilian America. These talks turned into a national campaign to spread his message: If you are suffering from war trauma, you are not alone. And it’s not a sign of weakness to get help.
In his brother’s words, the worst thing you saw was the worst thing you saw.
“I am a suicide survivor from PTSD and I am not embarrassed by it,” O’Brien says in a video posted on his website. Suicide “is hard to talk about. But it needs to be talked about. By me not being embarrassed by it and sharing my suicide attempt, I am helping other servicemen and women understand that it’s okay to be affected by the war. It is war and it comes with being in war.”
He backs up to explain. “Soldiers go through three transformations: The first is becoming a soldier, which is easy — they break you down and build you back up. The second is coming back from war and trying to become the person you were before.” That’s where people can get stuck, he said, short of the third transformation: “Realizing that’s not gonna happen and you have to be the person you are now.”
Everywhere he speaks with troops — most recently in August at Hawaii’s Schofield Barracks, where he attempted suicide almost three years ago — he says he meets people who admit that they, too, have gotten stuck and considered or even attempted suicide but were reluctant to get help.
“This stigma, this thought that if you have PTSD you are weak, the thought if you have issues you are weak,” O’Brien says, “that is what is killing our troops.”
This article is part of a special Huffington Post series, “Invisible Casualties,” in which we shine a spotlight on suicide-prevention efforts within the military. As part of the series, The Huffington Post contacted military service members and veterans who have considered suicide to learn what saved them from that irrevocable step.
David Lynch Foundation Announces $250,000 Grant to Teach Transcendental Meditation to Alabama Vets with PTSD.
Birmingham, Alabama, The David Lynch Foundation (DLF) has announced a $250,000 grant to provide Alabama veterans suffering from Post-Traumatic-Stress-Syndrome (PTSD) an opportunity to learn Transcendental Meditation (TM).
The DLF was established by the film-maker David Lynch in 2005 to fund the implementation of scientifically proven stress-reducing techniques for those in need including, veterans with PTSD and their families;
John Harrod, Executive Director of the Alabama Transcendental Meditation Program and a full-time TM teacher, will host a presentation at the Hoover Library – Main Branch Wednesday evening March 5th at 6:30 P.M. P.M. to introduce the Alabama PTSD project and discuss the tremendous benefits TM brings to veterans with PTSD. Veterans who attend the events will be eligible to learn Transcendental Meditation at no cost.
“”Thousands of veterans with PTSD have already learned TM and it has been transformative” says Harrod. “The U.S Government now spends between $ 4-6 billion dollars a year trying to help vets, but no treatment has proven widely effective. Transcendental Meditation is extremely effective, and brings immediate and ongoing relief and benefits.”
A recent study published in the July 2013 issue of Military Magazine found the twice-daily practice of the Transcendental Meditation among vets with PTSD at Fort Gordon, Georgia markedly reduced symptoms of PTSD, some by as much as 50% in the first few weeks.
Last week, the Journal of Traumatic Stress announced the publication of a new scientific study showing that African war refugees who learned Transcendental Meditation experienced an immediate and dramatic reduction in PTS symptoms by as much as 90%.
And the U.S. Department of Defense and the U.S. Veterans Administration is currently conducting a $2.4 million research study on TM as a treatment. The results of that research will be announced later this year.
“There are thousands of Alabama veterans who suffer with PTSD”, says Harrod. Meditation has come to the forefront as a something that works.. Vets say they get their lives back. It’s simple to learn and to practice and all any vet has to do learn is to come to this presentation.
Anyone interested or wanting more information can also contact John Harrod at firstname.lastname@example.org or by phone at 250-979-7073.
FORT CARSON, Colo. — Suicides in the Army fell by 19 percent in 2013, dramatically reversing a rising trend plaguing the Army for almost 10 years.
There were 150 suicides among soldiers on active-duty status last year, down from a record 185 in 2012, according to Army data. The numbers include both confirmed and suspected suicides.
Lt. Gen. Howard Bromberg, chief of Army personnel, says he is cautiously optimistic in seeing success in Army programs to avert suicides by giving soldiers coping strategies for keeping a positive or optimistic outlook.
“I’m not declaring any kind of victory here,” Bromberg says. “It’s looking more promising.”
Within the ranks, it has meant that people such as Levertis Jackson, an Afghanistan War veteran whose despair led him several times to try to kill himself, have chosen life.
“It was like before, all my doors were closed, and I’m in a dark room,” says Jackson, 41, married and father of four. “(Now) I look for reasons why I need to continue to live.”
He left the Army last year after completing an experimental treatment plan at Fort Carson that helps soldiers cope with deadly, self-destructive impulses. Research results slated to be published in the Journal of the American Medical Association show a promising 60 percent reduction in suicide attempts by 30 soldiers who participated in the program.Efforts such as this one conducted by the National Center for Veterans Studies at the University of Utah and the University of Memphis are part of complex effort by the Army to reduce suicides. Larger initiatives include years of expanding behavioral health counseling.
“I think we’ve hit the turning point where people are really, really talking about behavioral health and the fact that it’s OK to have problems. It’s what you do with those problems that’s important,” Bromberg says.
The Army has spent tens of millions of dollars in a long-term study of suicide, teaming with the National Institutes of Health, and has developed a comprehensive program of instilling emotional resilience in soldiers.
Suicide researchers say the decline may be the inevitable result of the nation ending involvement in one war in Iraq and winding down its role in another in Afghanistan.
“I get the sense when I work with military people now, they just don’t seem as burnt out as they used to be,” says Craig Bryan, associate director of the National Center for Veterans Studies. “I mean there was a while there, they were just driven into the ground, even if they’d not been deployed, it was just keep going more, more, more, more.”
Bromberg agrees. “I think we’d be naive to think that this period of stress and strain doesn’t impact families and soldiers in some way,” he says.
Scientists may never know precisely what led to a steep rise in suicides that Defense Secretary Leon Panetta described as an epidemic.
Many agree it was fueled by the cumulative strain of fighting two wars at once, an unprecedented demand on an all-volunteer force in which family separations, multiple deployments and combat exposure became a way of life for years.
During periods of weeks or months, more troops were dying by their own hand than were killed in combat, according to military data.
The Army’s many suicides drove up totals for the entire military, leading to a record 351 such deaths among active-duty troops in 2012 — the deadliest suicide year on record for U.S. forces. The subsequent decline in suicides for the Army last year appeared to have the same effect, pushing down total Defense Department suicide numbers for 2013.
Though the Pentagon has not released its 2013 final figures, internal documents show 284 actual and presumed suicides among active-duty troops for the year through Dec. 15, a pace that would leave it significantly lower than 2012 suicides.Even as these deaths among active-duty soldiers declined last year, deaths among those on inactive status — members of the National Guard or reserve who were not called into active duty — remained at record levels.
The Army reported a record 151 suicides among these “citizens soldiers,” whose only contact with the Army are drills one weekend a month and two weeks of training each year. That’s an increase from 140 suicides in this group of soldiers in 2012.
The 150 suicides among active-duty soldiers in 2013 is the lowest number for that service branch since 2008. About one in five of those suicides last year were by soldiers who had never deployed to Iraq or Afghanistan, according to Army figures.
By Gregg Zoroya
Published: January 31, 2014
Nancy Brown holds a photo of her son, Will Brown, now serving overseas
Helping vets with hidden scars
By Jeff Stensland, email@example.com, 803-777-3686
Social work professor Nancy Brown vividly remembers driving to her house in Forest Acres after her son, Will, was deployed to Iraq in 2009. For months whenever she turned the final corner onto her street her heart would start racing and she would become filled with dread.
“I knew that if something were to happen to him there would be a strange car waiting in my driveway, and I always half-expected one would be there every time I turned that corner. So I didn’t want to turn that corner,” she said. “I called that the year of not sleeping.”
For Will, an Army reservist who came back safely from Iraq, home would never be quite the same either. Brown says her son intimated to her his nervousness about driving down streets on garbage pick-up day. The plastic recycling bins placed next to curbs reminded him of the roadside bombs he and his fellow soldiers would encounter in Iraq.
But Will would be alright. No longer on the front lines, he found a way to work through the stress of war and his degree in Russian and Arabic studies has landed him a job as a media consultant overseas. He also recently got married to a woman he met in Kyrgyzstan while studying Russian at the London School of Languages. Brown keeps a photo of him and his finance on her desk—a dashing young couple standing dockside on a bright summer day in an exotic port-of-call.
Others in the Brown’s lives would not be so lucky. Will’s best friend since eighth grade, Marine Lance Cpl. Mills Bigham, never could shake the hidden scars inflicted during his service in Iraq. Bigham’s shooting of a 12-year-old holding what turned out to be a shoddy grenade haunted him until he decided to end his own life in 2010. He was only 23.
Brown says she wishes she could have done more for Bigham while he was alive and admits that she struggled with bouts of guilt about his death.
“I would ask him how he was, and he would always say ‘fine,’ but he wasn’t,” she said. “War changes people.”
To help honor Bigham, Brown and a former colleague are creating a military social work program at USC that trains people in the community to identify when veterans are struggling with PTSD and equips with them with tools to help. USC also offers a certificate for master’s level social work students that covers issues of trauma, substance abuse and family relationships.
The community program now being developed is designed for social workers, health care professionals or anyone else who may have frequent interactions with veterans and their families. Along with Bigham’s family, Brown helps promote a non-profit called Hidden Wounds, which provides counseling to veterans and their families.
Suicide has become a major concern of the nation’s military. Among active duty troops, there was a record of 350 suicides in 2012, nearly twice as many as a decade before. And an estimated 22 veterans commit suicide each day, according to Department of Veterans Affairs.
Brown, who has spent more than three decades as a therapist and directs USC’s Drug and Addiction Studies Graduate Certificate Program, said the problem of PTSD may be especially difficult for reservists and National Guard member, who must quickly transition from combat situations back to office jobs in the civilian world.
“A lot of our vets are doing really well, and we have to acknowledge that,” she said. “But there are many others who the war has taken a big a big toll on and who are not having an easy time adapting back.”
USC Counseling and Human Development Center at 803-777-5223
National Suicide Prevention Lifeline 1-800-273-8255.
Veterans Crisis Line 1-800-273-8255
For Immediate Help, call the National Suicide Prevention Lifeline at: