IT is sad the Pentagon is not addressing the problems of PTSD and the suicide rate among Iraq and Afghan war vets with the same vigor they are the fighting in these countries. For all their talk about concern about active duty soldiers and vets, they are failing these men and women and their families, with tragic results.
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Dear Craig,In an effort to raise awareness about our Operation Recovery campaign to stop the deployment of traumatized troops, Iraq Veterans Against the War will be exposing information about the different forms of trauma troops and veterans experience. Each week, between now and Veterans Day, we will share information with you about the realities of Post Traumatic Stress Disorder (PTSD), Traumatic Brain Injury (TBI), and Military Sexual Trauma (MST), conditions that affect hundreds of thousands of military members and veterans.
This week, we are focusing on PTSD.
You can help us spread the word by sharing this information with your friends, family, and colleagues.
Forward this email in its entirety, or click here to send a NY Times article about the surge in veteran deaths once they get home.
The Link Between PTSD and SuicideEvery 36 hours, a military member commits suicideThe occupations in Iraq and Afghanistan are continuing by the use of exhausted troops who are sent to war over and over again on multiple deployments. Common sense as well as the Pentagon's own study tells us that increased exposure to traumatic events increases the likelihood of Post Traumatic Stress Disorder (PTSD). A dangerous symptom of PTSD is suicidal thoughts and tendencies.
Last week, in an effort to de-stigmatize the issue of mental health within the military, the American Psychiatric Association initiated a call to reverse the policy of the President not sending condolence letters to families who have lost a service member due to suicide. This is one step in addressing an overall military culture that stigmatizes those who seek help for mental or emotional distress, but there is a lot more work to do.
Veteran death rate is 300% higher than rate of those killed in combatA recent study of veteran deaths in California reveals startling figures - between 2005 and 2008, three times more veterans died at home than died in combat in Iraq and Afghanistan during the same period. The results of the study, described in a recent NY Times article by Aaron Glantz, counted the deaths of veterans by suicide, drug overdoses, motorcycle accidents, and other risky behaviors linked to PTSD. While the study was done just in California, there is no reason to think that similar death rates of veterans would not apply across the country. The government isn't counting these numbers, thus keeping under wraps the human costs of the ongoing occupations in Iraq and Afghanistan.
You can share this article with a friend by clicking here or forward this email in its entirety.
By spreading the word about the effects of redeploying traumatized troops you can help us stop the wars in Iraq and Afghanistan.
Thank you for your continued support.
In Solidarity,
The Campaign Team
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After Service, Veteran Deaths Surge
by Aaron Glantz
In the six years after Reuben Paul Santos returned to Daly City from a combat tour in Iraq, he battled depression with poetry, violent video games and, finally, psychiatric treatment. His struggle ended last October, when he hung himself from a stairwell. He was 27.
The high suicide rate among veterans has already emerged as a major issue for the military and the families and loved ones of military personnel. But Mr. Santos’s death is part of a larger trend that has remained hidden: a surge in the number of Afghanistan and Iraq veterans who have died not just as a result of suicide, but also because of vehicle accidents, motorcycle crashes, drug overdoses or other causes after being discharged from the military.
An analysis of official death certificates on file at the State Department of Public Health reveals that more than 1,000 California veterans under 35 died between 2005 and 2008. That figure is three times higher than the number of California service members who were killed in the Iraq and Afghanistan conflicts over the same period. The Pentagon and
Department of Veterans Affairs said they do not count the number of veterans who have died after leaving the military.
The figures, according to the federal Department of Veterans Affairs, legislators and experts in post-traumatic stress, underscore how veterans in Bay Area communities and across the state engage in destructive, risky and sometimes lethal behaviors.
The data show that veterans of Iraq and Afghanistan were two and a half times as likely to commit suicide as Californians of the same age with no military service. They were twice as likely to die in a vehicle accident and five and a half times as likely to die in a motorcycle accident.
“These numbers are truly alarming and should wake up the whole country,” said United States Representative Bob Filner, Democrat of San Diego, who is the chairman of the House Veterans’ Affairs Committee. “They show a failure of our policy.”
The coroners’ reports do not indicate whether each veteran was deployed to a war zone. But the ages at which they died — 18 to 34 — match the ages of at least two-thirds of veterans who served in Iraq and Afghanistan. Even the veterans in this cohort who did not see combat served in support functions, often at locations like
Walter Reed Army Medical Center in Washington or Landstuhl Regional Medical Center in Germany, caring for those who were wounded on the front-lines.
The analysis was conducted by New America Media, a non-partisan news organization, in partnership with
The Bay Citizen. It examined the most recent death certificates filed by coroners, medical examiners, physicians and funeral homes from California’s 58 counties.
According to the data, veteran fatalities exceeded the number of combat deaths involving service members from almost every county from 2005 through 2008. In the Bay Area, 114 young veterans died after returning home, nearly three times the number of Bay Area service members who died in the Iraq and Afghanistan conflicts over the same period.
Suicides represented approximately one in five deaths of young veterans, the data showed. Many other deaths resulted from risky behaviors that psychologists say are common symptoms of post-traumatic stress.
Jonathan Shay, a clinical psychiatrist who counseled Vietnam veterans for more than 20 years and has taught at the
U.S. Army War College, said the high number of deaths shows how the combat experience can create psychological damage that manifests itself in a range of dangerous and nihilistic activities.
Veterans with post-traumatic stress often try to re-create the rush of combat, Dr. Shay said. “There is definitely an inclination of danger seeking,” he said, “seeking out fights, living on the edge, fast motorcycle riding, anything to get that adrenaline rush.”
The Department of Veterans Affairs only began to track suicides committed by Iraq and Afghanistan veterans in 2008.
Kerri Childress, a V.A. spokeswoman, said the analysis conducted by New America Media and The Bay Citizen was more accurate than figures available from the federal government. She described the figures as “extremely high and extremely devastating.”
Paul Sullivan, a Gulf War veteran and executive director of Veterans for Common Sense, said that the V.A. and Department of Defense are not serious about slowing the death rate of returning soldiers.
These government agencies could monitor this information on a regular basis, Mr. Sullivan said, adding that many other states in addition to California report a veteran’s status on death certificates.
“V.A. and D.O.D. appear to have a policy for veterans called ‘Don’t look, don’t find,” Mr. Sullivan said.
Ms. Childress said the V.A. had begun efforts to monitor stateside casualties. The agency has started numerous outreach campaigns focusing on veterans of Iraq and Afghanistan, she said. But less than half of returning veterans turn up at a V.A. facility for treatment.
On Sept. 24, Berkeley police found Alex Lowenstein, an Iraq veteran who was months from earning his degree in Peace and Conflict studies at the
University of California at Berkeley, dead in his room at the Delta Upsilon fraternity house. Mr. Lowenstein, a Mill Valley native who was 24, died of a bullet wound to the head from his own gun.
The police initially concluded that his death was a suicide, but now say it may have been accidental. According to the police report, Mr. Lowenstein had been drinking and smoking
marijuana on the night he died. No suicide note was found.
He was the second Iraq war veteran to die while attending Berkeley over the past two years. In 2008, Elijah Warren, a 26-year-old political science student who served multiple tours in Iraq and Afghanistan, shot himself in the head.
“These deaths are a difficult thing for everybody because of the preventative nature of it,” said Trevor Harris, the secretary of the veterans club at the university.
Mr. Harris, a former marine who served two tours in Iraq, said he personally knew three veterans who had died from suicide or motor vehicle accidents.
“We all understand that in war people get shot, but this doesn’t have to happen,” he said.
Neither Mr. Lowenstein nor Mr. Warren had visited V.A. health centers before their deaths, Ms. Childress said.
Stephen Xenakis, a retired brigadier general who formerly served as Commanding General of Southeast
Army Regional Medical Command, said he expected the stateside death toll to increase because the psychological wounds associated with combat may not emerge right away.
“What you’re seeing is young men and women who saw combat in their early 20s as well as everything else that went on in the theater and then in their late 20s they get symptomatic,” he said.
When Mr. Santos, the Daly City veteran, first returned from Iraq in October 2003, his family thought he was fine.
“He still had his sense of humor,” his mother Paula, a secretary at a local elementary school, said in an interview.
Mr. Santos, who was known as Chip, was the son of Native American parents. He left Westmoor High School early with a G.E.D. to join the Army. It was before the Sept. 11 attacks, and Mr. Santos never thought he would go to war, according to his parents.
After he returned from Iraq, he slowly began to lose his spark and wit, his friends and family said. He rarely worked, and he could not keep a job. He would take a class at City College of San Francisco, then drop out. Mostly, he stayed home and played violent video games for most of the day and into the night.
His fixation on the video games infuriated his parents, but in a poem published after his death by the Institute of American Indian Arts in Santa Fe, Mr. Santos described the games as a way of “holding onto denial that is burning cancer into hope.”
Mr. Santos met his girlfriend, Waci Lone Hill, at the institute. The two were enrolled in the same creative-writing program. Ms. Lone Hill said she was attracted to Mr. Santos by his intelligence, his sense of humor and his old-fashioned style of courtship.
But, as early as 2005, Mr. Santos would “wake up in the middle of the night hollering” from nightmares, his girlfriend said. Sometimes, Mr. Santos would hold her so tight that she felt like she was being strangled. He started to drive erratically, sometimes at more than 120 miles an hour.
“If there was a lot of traffic, I could see the sweat break out on his forehead and hear the shallow breathing,” Ms. Lone Hill said. “He’d get this completely stone face, and I’d get scared and just be quiet.”
Not until five years after his return from Iraq did Mr. Santos see a social worker or a psychiatrist from the V.A. At first, his mother said, Mr. Santos did not want to admit that he had a problem. Then, after three years passed, he erroneously thought he was no longer eligible for V.A. health care.
When Mr. Santos finally applied, Ms. Lone Hill said it was difficult for him get regular appointments. He was only able to see a therapist once a month, she said. The therapists were often different, so Mr. Santos was forced to tell his story over and over.
Six months before his death, Mr. Santos enrolled in a study overseen by Charles Marmar, an expert in post-traumatic stress who recently left the V.A. to become chairman of the department of psychiatry at
New York University.
As part of the study, Mr. Santos was able to get treatment every week from the same therapist, who administered cognitive behavioral therapy, in which the veteran relives the traumatic experiences in an effort to overcome them. Dr. Marmar described the therapy as “the gold standard” for treating post-traumatic stress.
Nine weeks into the treatment, Mr. Santos left the study, Dr. Marmar said. His therapist rated him as having “no clinical anxiety at that time.” Dr. Marmar said the V.A. tried repeatedly to contact Mr. Santos after he withdrew from the study, but he did not respond.
Three months after leaving the program, Mr. Santos hung himself in his Santa Fe apartment.
In an e-mail to his brother and his girlfriend that he said took him almost a month to complete, Mr. Santos wrote: “I’m tired of fighting this. I feel like I’ve tried everything but electro shock therapy.”
By the time his brother opened the e-mail, Mr. Santos was dead.
aglantz@baycitizen.org
This article originally appeared in the New York Times on October 16, 2010.
