G2TT
来源类型Research Reports
规范类型报告
ISBN9780833086426
来源IDRR-586-OSD
Suicide Postvention in the Department of Defense: Evidence, Policies and Procedures, and Perspectives of Loss Survivors
Rajeev Ramchand; Lynsay Ayer; Gail Fisher; Karen Chan Osilla; Dionne Barnes-Proby; Samuel Wertheimer
发表日期2015
出版年2015
页码132
语种英语
结论

The U.S. Department of Defense Has an Excellent System to Report and Track Suicides, but It Could Benefit from Additional Guidance and Improvements

  • The U.S. Department of Defense Suicide Event Report (DoDSER) system helps monitor suicides in the military and generally surpasses similar systems used in civilian settings, but it would benefit from certain improvements.
  • DoDSER lacks a field to indicate data sources, making it difficult to compare data, analyze trends, or determine the reliability of information, particularly for reservists and National Guard members who are not on active duty.
  • DoD currently has no policies or procedures addressing what to do after a suicide death to prevent subsequent suicides, though resources are available to help those bereaved, and processes are in place to honor the service member and his or her family. The limited research literature points to potential opportunities to improve the current system, including screening service members in high-risk groups and helping support personnel recognize and treat those experiencing debilitating grief.

Military Suicide Loss Survivors Report a Range of Experiences in Navigating DoD Support Programs

  • In interviews, military suicide loss survivors reported different experiences with DoD-provided casualty assistance officers (CAOs). Some found these officers extremely knowledgeable and supportive, while others felt that their CAO provided confusing or conflicting information.
  • Loss survivors felt that the next of kin of service members who had died by suicide were treated differently by the military and that parents of service members were treated differently from spouses.
  • Loss survivors found the investigative process emotionally difficult and found it challenging to navigate the administrative requirements in applying for benefits -- something that must occur soon after a death.
摘要
  • DoD should further strengthen its existing suicide surveillance system by adding elements to the DoDSER, enumerating suicide rates among members of the reserve component, and conducting in-depth investigations on suicide incidents.
  • DoD, the services, installations, and other military organizations should prepare an organizational response to suicide by developing a plan that specifies actions and responsible actors and by allocating sufficient resources.
  • Military organizations should work with the media to encourage factual reporting and minimize sensationalism of suicides.
  • Military leadership should work to identify individuals at high risk of suicide after a death.
  • DoD should establish greater uniformity across CAOs in the ways they handle suicide deaths, consistent with standards.
  • DoD should educate leaders, CAOs, and other support personnel about complicated grief and should train health care providers on evidence-based treatments for complicated grief.
  • Policymakers should reconsider whether eligibility for DoD and U.S. Department of Veterans Affairs (VA) benefits should be affected by line-of-duty determinations (whether a death occurred as a result of military service), and DoD and VA procedures should ensure support for loss survivors in making informed decisions when benefits are dispensed.
主题Mental Health Treatment ; Military Families ; Military Health and Health Care ; Suicide ; Veterans Health Care
URLhttps://www.rand.org/pubs/research_reports/RR586.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108113
推荐引用方式
GB/T 7714
Rajeev Ramchand,Lynsay Ayer,Gail Fisher,et al. Suicide Postvention in the Department of Defense: Evidence, Policies and Procedures, and Perspectives of Loss Survivors. 2015.
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