| Preface |
|
iii | |
| Figures |
|
ix | |
| Tables |
|
xi | |
| Summary |
|
xiii | |
| Acknowledgments |
|
xxix | |
| Abbreviations |
|
xxxi | |
| Chapter One Introduction |
|
1 | (6) |
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1 | (1) |
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1 | (1) |
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2 | (2) |
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Organization of This Monograph |
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4 | (3) |
| Chapter Two The Epidemiology of Suicide in the Military |
|
7 | (34) |
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Quantity: The Number of U.S. Servicemembers Who Die by Suicide |
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8 | (11) |
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8 | (2) |
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10 | (1) |
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Calculating the Department of Defense Suicide Rate |
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10 | (2) |
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Variability in Rate Estimates |
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12 | (1) |
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Comparison with the U.S. Adult Population |
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12 | (4) |
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16 | (1) |
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17 | (2) |
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Variation: Where Suicides Are Located in the U.S. Military |
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19 | (8) |
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19 | (3) |
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22 | (1) |
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22 | (3) |
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Military-Specific Characteristics |
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25 | (2) |
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Cause: Who Might Be at Risk of Dying by Suicide? |
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27 | (10) |
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How Are Risk Factors Identified? |
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27 | (2) |
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Intrapersonal Correlates or Suicide |
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29 | (5) |
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34 | (1) |
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35 | (2) |
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Mechanisms: Why Do People Kill Themselves? |
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37 | (3) |
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38 | (1) |
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39 | (1) |
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Acquired Ability to Enact Lethal Self-Injury |
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39 | (1) |
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40 | (1) |
| Chapter Three Best Practices for Preventing Suicide |
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41 | (20) |
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The Public Health Framework For Prevention |
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41 | (2) |
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Primary or Universal Prevention Programs |
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43 | (3) |
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Raising Awareness and Building Skills |
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43 | (2) |
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45 | (1) |
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Selected or Indicated Suicide-Prevention Programs |
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46 | (7) |
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Interventions with High-Risk Groups |
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46 | (2) |
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Interventions at the Time of Suicidal Ideation or Intent |
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48 | (5) |
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Environmental Safety or Means Reduction |
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53 | (1) |
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53 | (1) |
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54 | (2) |
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56 | (5) |
| Chapter Four Suicide Prevention in the Department of Defense |
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61 | (24) |
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Department of Defense Initiatives |
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61 | (2) |
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Suicide Prevention in the Army |
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63 | (5) |
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Philosophy of the Current Approach |
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63 | (1) |
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Description of Programs and Initiatives |
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63 | (5) |
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Suicide Prevention in the Navy |
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68 | (5) |
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Philosophy of Current Initiatives |
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68 | (1) |
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Description of Programs and Initiatives |
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69 | (4) |
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Suicide Prevention in the Air Force |
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73 | (6) |
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Philosophy of Current Initiatives |
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73 | (1) |
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Description of Programs and Initiatives |
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74 | (5) |
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Suicide Prevention in the Marine Corps |
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79 | (4) |
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Philosophy of Current Initiatives |
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79 | (1) |
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Description of Programs and Initiatives |
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79 | (4) |
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83 | (2) |
| Chapter Five Support for Suicide Prevention in the Department of Defense |
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85 | (20) |
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Support for Suicide Prevention in the Army |
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85 | (8) |
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Official Documentation Bearing on Suicide in the Army |
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85 | (3) |
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Organizations Responsible for Suicide Prevention in the Army |
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88 | (4) |
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Funding for Suicide Prevention in the Army |
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92 | (1) |
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Support for Suicide Prevention in the Navy |
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93 | (3) |
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Official Documentation Bearing on Suicide in the Navy |
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93 | (1) |
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Organizations Responsible for Suicide Prevention in the Navy |
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94 | (2) |
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Funding for Suicide Prevention in the Navy |
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96 | (1) |
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Support for Suicide Prevention in the Air Force |
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96 | (3) |
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Official Documentation Bearing on Suicide in the Air Force |
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96 | (1) |
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Organizations Responsible for Suicide Prevention in the Air Force |
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97 | (1) |
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Funding for Suicide Prevention in the Air Force |
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98 | (1) |
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Support for Suicide Prevention in the Marine Corps |
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99 | (6) |
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Official Documentation Bearing on Suicide in the Marine Corps |
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99 | (2) |
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Organizations Responsible for Suicide Prevention in the Marine Corps |
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101 | (2) |
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Funding for Suicide Prevention in the Marine Corps |
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103 | (2) |
| Chapter Six Conclusions and Recommendations |
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105 | (20) |
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The Six Essential Components of a Comprehensive Suicide-Prevention Program |
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105 | (4) |
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Raise Awareness and Promote Self-Care |
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105 | (1) |
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Identify Those at High Risk |
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106 | (2) |
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Facilitate Access to Quality Care |
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108 | (1) |
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Provide Quality Care to Those in Need |
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108 | (1) |
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Restrict Access to Lethal Means |
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109 | (1) |
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Respond Appropriately to Suicides and Suicide Attempts |
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109 | (1) |
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109 | (12) |
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Overarching Recommendations |
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109 | (1) |
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Recommendations for Raising Awareness and Promoting Self-Care |
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110 | (2) |
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Recommendations for Identifying High-Risk Individuals |
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112 | (3) |
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Recommendations for Facilitating Access to Quality Care |
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115 | (3) |
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Recommendations for Providing Quality Care |
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118 | (1) |
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Recommendations for Restricting Access to Lethal Means |
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119 | (1) |
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Recommendations for Responding Appropriately |
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120 | (1) |
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121 | (4) |
| Appendixes |
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A Army Suicide-Prevention Initiatives |
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|
125 | (12) |
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B Navy Suicide-Prevention Initiatives |
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137 | (12) |
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C Air Force Suicide-Prevention Initiatives |
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149 | (4) |
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D Marine Corps Suicide-Prevention Initiatives |
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|
153 | (12) |
| References |
|
165 | |
