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Elspeth Reeve

Suicidal Soldiers

Camp Liberty salute Maya Alleruzzo / AP Photo, file The U.S. Army has changed its policy on treating suicidal soldiers in response to an article on The Daily Beast. Read the Army's comments and Elspeth Reeve's original story below.

UPDATE, MAY 18: On Tuesday, May 11, The Daily Beast ran Elspeth Reeve's article detailing the Army’s humiliating treatment of suicidal soldiers. Among Reeve’s most troubling discoveries was that the Army sometimes forced suicidal soldiers to wear an orange vest that advertised their depression.

In response to the article, the Army has banned the use of the orange vest to single out suicidal soldiers. Under the comments to Reeve’s article, General Pete Chiarelli, the vice chief of staff to the U.S. Army, wrote:

I would like to personally thank Elspeth for writing this post and bringing the issue to our attention. We are committed to caring for our Soldiers and their Families, and her article has helped us do better. I have been working the stigma issue hard since January when I was designated to lead the Army's suicide prevention efforts. Because of Elspeth's posting, we identified a very few leaders who were using orange vests to identify soldiers that might harm themselves.

While the intent of using orange vests was isolated, she was correct in stating that it contributes to the problem of stigma; therefore, it has been stopped. Commanders will identify Soldiers needing help through other, more discreet, methods. To ensure everyone "gets the word", I have communicated this guidance throughout the Army. Reducing the stigma that keeps many Soldiers from asking for help is one of the most important things we can do as we implement measures to reduce suicides.

GEN Pete Chiarelli, Vice Chief of Staff, U.S. Army

 

ORIGINAL STORY, POSTED MAY 11: It was graduation day at U.S. Army basic training at Georgia's Fort Benning last fall, and families were milling around the post, congratulating the new soldiers on their achievement. At a charge-of-quarters desk (a sort of barracks reception), two privates were signing in and out fellow recruits who had day passes to leave post for celebratory dinners with their families. The two privates weren't able to graduate themselves. Both had been injured, were put on medical retention, and would be recycled through basic training. In the evening, after hours of watching their buddies prep for graduation, one private told the other, "I've had enough of this shit," and went up to his room. At around 8 p.m., the second recruit went up to the private's room to get him to come back to the desk and help sign in people due back the next hour. The room was empty, but a light was on in the bathroom. It was there that the recruit found his buddy dead. He had hanged himself with 550 cord, an all-purpose green string that looks like a shoelace and can hold 550 pounds.

The orange vest makes you a pariah. “It’s like you’re walking around in a zoo,” says one recruit, “and you’re the animal."

The surviving recruit's superiors were concerned about him. For two weeks, he was put on suicide watch, a common but not entirely standard procedure for at-risk soldiers. "Two battle buddies watch you 24/7," the recruit, who is still in training to become a radio operator, says. "You have to wear a road guard vest—there's no shoelaces, no bedsheets, no belt." On an Army base, where everybody is wearing the same digitized camouflaged uniform—and everybody is trained to spot small differences, like rank and unit, from a distance—just wearing boots held together by rubber bands instead of laces would draw attention. But a road guard vest is bright, construction-zone orange. In a sea of green, you can't miss it.

"You're in an isolated state," the recruit says. The orange vest makes you a pariah. "You've got the reason you're on suicide watch to begin with on top of the fact that you stick out like a sore thumb," he says. "It's like you're walking around in a zoo, and you're the animal."

As of April 10, 56 soldiers had reportedly committed suicide this year—about the same number of American soldiers who have died in Iraq since President Obama was inaugurated. In 2008, the Army suicide rate climbed above that of the civilian population (it has historically been lower because people with certain mental problems are screened out and few military members are over 65—the most at-risk age group for suicide).

The attention that these suicides have received has mostly focused on the Army’s failure to treat post-traumatic stress disorder in soldiers returning from combat, but little attention has been paid to the culture of shame that the Army has created around suicide within units that later on may inhibit depressed soldiers from seeking the help they need. Suicide watch (also called unit watch, buddy watch, or command interest profile) is how the Army deals with soldiers in garrison who express suicidal thoughts but don't appear to be in immediate danger of harming themselves. It's been around in some form since the 1980s, and generally involves a suicidal soldier being watched by one or two fellow soldiers around the clock, and having his gun, shoelaces, and belt taken away, so he can't kill himself.

It’s unclear how widespread exactly the use of the road guard vest is. Not every base uses it, though it is used at Fort Benning, where infantry soldiers, who are more at-risk for killing themselves when they come back, are trained. One soldier-blogger at an unspecified base wrote in the summer of 2008 that “there are around five kids that have to wear big red vests for suicide watch because they tried to.”

The purpose of the vest is, ostensibly, to make it easy for others to keep an eye on a suicidal soldier, but forcing a soldier to advertise his own depression creates a powerful stigma. "When you see what happens to someone on suicide watch—the orange vest, the trips to the chaplain, the drill sergeant talking about them when they're not there, saying they can't handle the military. … When you see that, you're going to think twice about speaking up and saying you need some help. It makes you not want to talk to someone. You don't want to be like that guy," the recruit from Benning says.

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May 11, 2009 | 10:58pm
Comments ()
bobajabob

so essentially what you are telling me is that things have changed very little since I got out in 1973.

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1:19 am, May 12, 2009
boatscain2003

The military in general has a pretty splotchy record with suicide prevention but it's supposedly is being addressed with a new look at policies on mental health. Or at least they said last year. Whatever the case, as a vet who went to the looney bin, it needs work. I was a case that was easy but there were people in there that needed serious help. When will preventative procedures for this problem be advanced enough to deal with this problem? I don't know. But much more attention needs to be paid to the problem.

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5:49 am, May 12, 2009
Redhead5050

Stop back to back to back deployments...might help a bit. Along with truth in diagnosing PTSD and providing care and funding.

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6:34 am, May 12, 2009
blinky

The US Army's got a lot on it's plate these days...There's more concern about the vast majority who apparently flourish than about the few who don't...Should it be different?...A piece written by an enlightened commander would be interesting...One thing is pretty obvious though, the present policy of humiliation is no cure for depression.

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7:45 am, May 12, 2009
Cyclysm

The Army is working to improve conditions for soldiers and eliminate the stigma surrounding suicide and PTSD.

http://online.wsj.com/article/SB123819242229860775.html

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10:31 am, May 12, 2009
magoo363

On my second night in reception, before basic training even started, two of us (males, there weren't enough female soldiers for suicide watch) had to watch a female suicidal trainee all night because she had ingested a whole bottle of nail polish remover. There was a Drill Sergeant in the room too but he was asleep in a cot the entire time and apparently a combat vet because he slept through all of her begging and crying that we somehow ignored too. I think we ignored it because we were ordered to. Second night in the Army and no sleep whatsoever. The girl who tried to commit suicide rode in on the same bus we did. None of us had even started actual training yet. The guy she slept with at the hotel before reception felt guilt because of her suicide attempt and "quit" the Army by taking a dump on the Commander's desk. By day three we were already two soldiers down. Ah, memories.

The problem with many of the Army reports, along with the VA reports, is that they are written by the same people that are going to be doing the the treating. The fox is watching the hen house and is going to report exactly what they want to report, good or bad, depending on the funding and attention that they want to receive.

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10:57 am, May 12, 2009
tort21

As a veteran I wish to express my gratitude for this thoughtful and accurate portrayal of a veteran's experience. Thank you Mrs. Reeve, your words do a great service to our nation's armed forces.

Sadly, our military culture will not change and poor mental health (aka a natural response to extreme, prolonged stress) will continue to be discriminated against. Because the act of seeking help is "abnormal" and conformity is the greatest structural pressure on an individual in our military, our veterans are essentially trained to deal poorly (i.e. internalize and suppress) with their predictable mental health issues. It sure doesn't help that, "Suck it up and drive-on" is the answer to 99 out of 100 questions a soldier will ask. There's not much the pentagon can do to change an institution that depends on macho-ism and stoicism to be successful, aside from clearing out all the chicken-hawks who still think PTSD/suicide is due to some type personal defect or lack of fortitude. This piece helps to dispel this myth, but too many still carry this misconception, and our veterans suffer as a result.



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10:02 pm, May 12, 2009
SlimSoldier

In the Army, there is no such thing as a damn "gun." This is how I know that the writer never did a day in uniform. While I did read your other article and respect your husband's service, I'm going to have to ask you and others to stand down on this subject.

I can absolutely PROMISE you that by the time they make it to their actual unit, there are no more damn orange vests. If you need help, tell your Squad leader. Most ricky tick (quickly for you civilians) you will be on the Sixth Floor (psych ward) for an evaluation. If this doesn't happen and the Soldier does go Bat Shit, once the 15-6 (investigation) is done, alot of people are getting fired.

The "orange vest" you speak of is a basic training tool. Imagine basic training. Many of these kids' first time away from home. First time away from their "one true love." Drill Sergeants have around 65 damn days to turn 60 civilians from every nook and cranny of this country into basically trained Soldiers. Think about that.

It's never been nor will it ever be designed to be an overly comfy place. To that young Soldier that wrote the blog about "the pressure," you're damn right the pressure is intense. It's supposed to be.

You'll remember that pressure and the fact that you OVERCAME said pressure the first time your ass is on any of the Routes in Iraq or Afghanistan. That pressure is real and there are no damn do overs. I think the other kid was onto something with the "Halo" reference. They profit off that foolishness. It aint a game over there though.

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10:28 pm, May 12, 2009
burntham113

SlimSoldier, Elle forgot to mention one fact, 5 weeks before my battle buddy hung himself, his fiancee killed herself, she missed him. He was on the last FTX, less then a week to go before he finished basic, and he messed up his leg, they had plans to send him to a company in 2/47 that was still in week 1 or 2. It was too much for him.

I still feel responsible for what happened, I should have told someone. He was a walking, talking warning sign with flashing lights, but I didnt. I didnt want to have him get held up any more then he already was. I guess the fact that our NCOs rubbed our medical retention in our faces the whole time while the rest of our company graduated didnt help either.

And BTW, getting in a civies face about the using the word "gun" instead of weapon or rifle is kinda retarded, she isnt in, even if she WAS and got out, it doesnt matter, she can do and say whatever the hell she wants because she's a CIVILIAN.

Mrs. Reeve, thank you for listening to my story, it's made a difference and I intend to follow up and make sure these units are no longer practicing the suicide watch vest. I never imagined when we did that phone interview that it would elicit an actual response from upper army, once more on behalf of all those who have been subjected to that broken system I want to thank you.

-William Burnham, Disabled Veteran, former Ft. Benning recruit.

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1:35 am, Aug 6, 2009
butlerreport

This is an excellent article saying things that need to be said. The author isn't dissing the army she's observing. The social dynamics of the armed forces are kept in check with discipline. However once the mind is affected - by depression, PTSD, exposure to killing - it does not react to logic. Suicidal soldiers need more help - I believe - than the army can offer. Outside medical assistance is needed as that soldier is no longer useful to the army. Continued presence endangers the soldier and his or her fellow soldiers.

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12:54 am, May 13, 2009
finderj

My acquaintances with military backgrounds tell me that basic is indeed hell and that once assigned, a soldier has more options for help with mental health issues.
They also said that no soldier wants to admit he/she needs that help.
Maybe a criteria for enlisting in the military should be some sort of psych evaluation.
Nobody would like it, but eliminating pre-existing mental health issues prior to unit assignment might help the military medical personnel deal with the issues caused by long-term exposure to extreme stress.

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12:44 pm, May 13, 2009
Nanny4553

As a grandmother and a friend to many kids who will eventually join the military, I find these cases interesting. I come from a military family and know that each person deals differently with stress. We are in a time when we have babied our kids so much that they think a hang nail is grounds for medical discharge. However we are also at a time when brain injury is easier to come by than it was in wars past.
With past studies done on what brain slamming can to to permanantly injure a person , there needs to be a more medical approach to these cases than a simple shrink analysis.

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3:35 pm, May 13, 2009
cl1under

I can hear it now...

Mother's of America Unite! Our poor little ones are being pushed to suicide by the US Army! It's not the fault of our dear children... our children would never have taken their own lives - we raised them better than that. Damn that Army! I would never make my little angel wear an orange vest!

It's time to blow a few holes in this sad excuse of an article... assuming that this was written as a serious expose and not a personal vendetta - more on that later.

First - Responsibility & Blame. To project the responsibility for a young adult taking their own life onto the US Army because they stressed little Johnny Recruit or Suzie Recruit to the breaking point is akin to finding the manufacture of the hand guns responsible for drive-by shootings. In both cases the responsibility rests firmly with the person who pulled the trigger - no further. (But I need to blame somebody)

Assessing blame where you may after the fact is natural in this country today - especially if a nice monetary settlement is involved. So if you will indulge my opinion... The United States of Entitlement and Instant Gratification - the land of the Parents that can't say "No" is to blame. That's right, little Johnny off'd himself because at some point in his life he had parents (More likely parent, singular) that was to busy taking care of themselves to actually raise a child that is mentally balanced enough to handle difficult situations. So by default, the Army then is force into parental surrogacy, which for the most part, does a much better job at raising children than most American parents.

I am not trying to minimize the tragic loss and pain associated with suicide. The "children" that committed suicide were ill equipped to handle the rigors of training to be a soldier. But, it is no less of a tragedy than the overweight teen girl that OD's because she doesn't look like a fashion model. Teen Suicide is an issue everywhere, not just in the US Armed Forces. The CDC link below documents the rise in teen mortality via suicide. Suicide in the Army is a mirror of the civilian sector despite what the author would have you believe.

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5635a2.htm

Secondly - As of March 2009, the Department of Defense had confirmed the deaths of 3,974 U.S. military personnel in Iraq alone (this does not include operations in Afghanistan and elsewhere). This is the harsh reality that the Armed Forces are equipping our youth against. If little Johnny or Suzie can not handle a little orange vest then I dare say that they can not handle the pressures of being "singled out" through the sights of an insurgent forces weapon.

No one forced these young adults to serve in the voluntary forces of the Army. I applaud the young men & women for their service to our country. I can understand that the pressures of training can result in CAML discharges (can not adapt to military life); however the taking of one's own life is a mental defect. (Especially when there are plenty of people around the world willing to take an American's life for them)

Finally - If this article were to delve into PTSD or the Army's bare minimum help for those that have SERVED... then perhaps the lead in photo and opening line of "The murder of five U.S. soldiers by their comrade exposes the depth of the military's mental health troubles" may have made some sense. However, in each of the "examples" sited the word "recruit" is used. There is a huge difference between wannabes and soldiers... but that was never differentiated in the article. The military has had 140 suicides in 2008 and have had 48 to date in 2009. (D.O.D.) How many were in basic training and how many were PTSD / depression related deaths... say, after back to back to back deployments? This article was just a hack job attempting to shed bad light on the people that make it possible for us to print the rubbish that we write. (Including my own opinion). Where is the real journalistic substance? Stigmatized by an orange vest perhaps.

Sure, if my spouse was publicly humiliated for fabricating and sensationalizing the "facts" surrounding the horrors of war... AND if oddly, I was tasked to be the "Fact - checker" on such a forgery; then perhaps, I too would be targeting the "source" of my embarrassment for some retribution. (Again, projecting responsibility instead of accepting the responsibility for the lack of journalistic integrity.).
http://www.observer.com/2007/elspeth-reeve-fact-checking-her-husbands-b aghdad-diarist-stories-new-republic
This Journalist has absolutely no credibility when reporting on anything ARMY related due to her obvious negative bias. I find this article is no more than "payback" for Mrs. Beauchamp's perceived wrong doing by the Army, as seen through her husband's eyes.
What's next... chow hall food?

Semper Fi

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6:53 pm, May 13, 2009
privatepile

WHAT IS YOUR MAJOR MALFUNCTION, NUMB NUTS!!!??? DIDN'T YOUR MOMMY AND DADDY SHOW YOU ENOUGH ATTENTION WHEN YOU WERE A CHILD!!!???

Always faithfully yours,

Private Pile

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12:23 am, May 29, 2009
burntham113

I dont know how Marines handle basic at San Diego or Paris Island, but I can tell you how SOLDIERS deal with it at Ft. Benning. Usually its simple, you focus on the day you graduate, do what your told, and wait it out, or you just ELS (quit) and get an uncharacterized discharge. The issue really comes to light when you deal with an injured soldier who can't graduate and can't quit, throw in constant insults by every single person who outranks you, your fiancee killing herself, and your battle buddies walking around with their families in Class A dress uniforms and Berets, while you cant even so much as limp up the stairs to your barracks without crutches, and you get a rather tragic, yet unsurprising result. Most of the people who take their lives in basic have more going on then just "home sickness". Theres alot going on, but nowhere to turn to, your on a small island surrounded by hot coals.

Dont worry, Karmas a bitch and i'm sure life has more then enough surprises left for you.

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1:51 am, Aug 6, 2009
ArmyLeader

I would like to personally thank Elspeth for writing this post and bringing the issue to our attention. We are committed to caring for our Soldiers and their Families, and her article has helped us do better. I have been working the stigma issue hard since January when I was designated to lead the Army's suicide prevention efforts. Because of Elspeth's posting, we identified a very few leaders who were using orange vests to identify soldiers that might harm themselves.

While the intent of using orange vests was isolated, she was correct in stating that it contributes to the problem of stigma; therefore, it has been stopped. Commanders will identify Soldiers needing help through other, more discreet, methods. To ensure everyone "gets the word", I have communicated this guidance throughout the Army. Reducing the stigma that keeps many Soldiers from asking for help is one of the most important things we can do as we implement measures to reduce suicides.
GEN Pete Chiarelli, Vice Chief of Staff, U.S. Army

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11:21 pm, May 13, 2009
ArmyLeader

I would like to personally thank Elspeth for writing this post and bringing the issue to our attention. We are committed to caring for our Soldiers and their Families, and her article has helped us do better. I have been working the stigma issue hard since January when I was designated to lead the Army's suicide prevention efforts. Because of Elspeth's posting, we identified a very few leaders who were using orange vests to identify soldiers that might harm themselves.

While the intent of using orange vests was isolated, she was correct in stating that it contributes to the problem of stigma; therefore, it has been stopped. Commanders will identify Soldiers needing help through other, more discreet, methods. To ensure everyone "gets the word", I have communicated this guidance throughout the Army. Reducing the stigma that keeps many Soldiers from asking for help is one of the most important things we can do as we implement measures to reduce suicides.
GEN Pete Chiarelli, Vice Chief of Staff, U.S. Army

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2:44 pm, May 14, 2009
skydog

The army does have "guns." They are artillery pieces. Individual firearms are known as "weapons."

The army is a big organization and is not charged with protecting individual soldiers' mental health - it's duty is the defense of the nation. Mentally weak individuals are a problem for the unit and are isolated / watched until they can be removed. Their chances of continuing within the unit are slim and they inevitably end up being separated for the good of the service.
It's not an easy time for them, or for the unit. They have a negative effect on morale and the leaders have to be careful how they deal with these individuals - they are a real drag on the unit and the other soldiers.
Sorry if their treatment is not optimal, but it is a reflection of the general society we live in. We generally have difficulties with mental illness, as evidenced by the numbers of obviously mental ill people living on the streets - not just in america, but worldwide.

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5:37 am, May 15, 2009
skydog

one more comment for the idiot that maintains "basic is hell."

You obviously have no idea what you are talking about.

Basic is tough. You have no idea what "hell" is like, pampered american kid!

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5:40 am, May 15, 2009
Johnnorth

Hey, wait a minute. Let's pause to give credit to General Chiarelli for being so open and candid and concerned instead of greeting the Beast's reporter's commendable work with the usual bureaucratic stonewall of no comment, denials and obfuscation - see the related story of the CIA's reponse to n Nancy Pelosi.

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10:53 am, May 18, 2009
ABrown

On Parris Island there is a building that houses the EHP, evaluation holding platoon, where the majority of people there are on their way out of the Corps. I won't give you his name but one recruit doggedly tried to end his own life. We weren't allowed to have extra shoelaces, laundry pins, razors, or anything really that could be used to quickly end one's life with. He tried to hang himself in a bathroom stall with his belt. He was watched 24/7. He asked me one day to do him a favor. Needless to say I didn't do it. We didn't treat the people who were suicidal very well at all. I think it was because it wasn't fair that they would get to leave EHP before us. That place was not conducive to good mental health. I'll end with something I saw written in permanent marker under a rack. Liberate tu te me ex inferis. It wasn't all that bad I think.

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11:49 am, May 18, 2009
B2828287

Sigma is caused by the demeaning nature of psych diagnoses, and attitudes. Psychs created the negative propaganda that causes the breakdown of marrigaes, respect, and productivity after one becomes a "mental patient". The history of psych treatment in America is dismal. The record of psych abuses, and corruption is well documented. Veterans that have problems do better when they talk to other veterans.

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2:56 pm, Jun 1, 2009
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Suicidal Soldiers

by Elspeth Reeve

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