In the U.S., the overall rate of suicide has largely increased since the start of the millennium, but veterans are disproportionately represented among this tragic trend.
Each of these losses affects not only the individual but also their families, friends and co-workers. Thus, working to prevent suicide and its underlying causes is important not only to protect our loved ones but also to foster happier, safer communities.
We are a team of researchers at Arizona State University’s Center for Violence Prevention and Community Safety. We manage the Arizona Violent Death Reporting System, a surveillance system sponsored by the Centers for Disease Control and Prevention and part of the larger national surveillance system that operates in all U.S. states, Puerto Rico and Washington. We gather information on suicides through agreements with the Arizona Department of Health Services, medical examiners and law enforcement.
#James Donaldson notes: Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes. Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use. Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.#http://bit.ly/JamesMentalHealthArticle Find out more about the work I do on my 501c3 non-profit foundation website www.yourgiftoflife.org Order your copy of James Donaldson’s latest book, #CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy
Military veterans range from 18 years of age to more than 100, include both men and women, and represent diverse races and ethnicities. As of 2018, the largest veteran cohort were those who served during the Vietnam War, followed by those who served during peacetime only, the Gulf War and post-9/11 conflicts.
Identifying the true risk of veteran suicide, especially relative to the general population, is a surprisingly difficult task. In past decades, researchers and stakeholders debated about which figures were most accurate, those showing veterans at increased risk or those showing the opposite. Such debates often stemmed from methodological factors.
However, mounting evidence shows that veterans need targeted suicide prevention services, and our data backs this up. From 2015 to 2022, the age-adjusted suicide rates among male veterans in Arizona outpaced those of nonveterans by a factor of 1.49 to 1.88. Put another way, while veterans in Arizona made up only 8.4% of the population in 2022, they represented 20.3% of the state’s suicides, meaning veterans were 2.5 times more likely to die by suicide.
One reason is that, compared to nonveterans, a greater proportion of veterans are white, male and older – demographic categories with elevated rates of suicide in the general population. For example, in Arizona, about 97% of veteran suicides between 2015 and 2022 were men, compared with 75% in the comparable nonveteran population.
Other explanations relate to veteran-specific factors. Some argue that military training and combat exposure can reduce a person’s fear of pain or death, putting suicidal veterans at greater risk of completing suicide. Military training also familiarizes a person with the use of firearms, a particularly lethal means of suicide. Statistics show that veterans, including female veterans, die by suicide using firearms more so than the general population. This tendency to use firearms as the method of suicide leads to more fatal suicide attempts.
At the Arizona Violent Death Reporting System, we collect data on circumstances that precede and may have contributed to suicide, which can help identify risk factors. While we’ve found that veterans often exhibit fewer such factors overall, certain demographic categories do display risk factors.
For example, a higher proportion of veterans ages 18 to 54 had a diagnosed mental health problem – primarily post-traumatic stress disorder, or PTSD. In addition, more male veterans ages 65 and older had physical health problems that contributed to their suicide compared with similar nonveterans.
This highlights the need to encourage veterans to share their mental or physical health struggles with others, which will prevent veterans from struggling alone. Large-scale initiatives are trying to tackle this issue, but we can also raise awareness and reduce stigma around suicide on a local level.
Now, 25 years later, the U.S. government continues to emphasize the increasingly dire situation. Most recently, the Biden administration released a 2024 national strategy aimed at establishing strategic directions for improving mental health treatment and reducing suicide.
Historically, health care facilities operated by the Veterans Health Administration have been a central resource for veterans experiencing mental or physical problems. This continues to be true: While the overall population of veterans is decreasing, the number of veterans who seek resources from the organization has increased. Encounters between veterans and the Veterans Health Administration offer opportunities to screen for suicide risk and offer resources for those in need.
Education and policy provide another means of suicide prevention. As firearms are a particularly lethal means of suicide, a great deal of research funding has gone toward understanding their role in suicide. Studies generally find that reducing access to guns is associated with reduced suicide rates. As a result, both general and veteran-specific suicide prevention efforts highlight the importance of handling guns safely and storing them securely.
For a person who is considering suicide, even the slightest hope can mean the difference between life and death.
If you or someone you know is experiencing signs of crisis, the free and confidential 988 Suicide and Crisis Lifeline is available to call, text or chat.
If you are a veteran and would like to speak with responders trained to understand your unique circumstances, call 988 and then press 1.
James Donaldson is a Washington State University graduate (’79). After an outstanding basketball career with WSU, he went on to play professional basketball in the NBA with the Seattle Supersonics, San Diego/L.A. Clippers, Dallas Mavericks, New York Knicks, and Utah Jazz. He also played for several teams in the European Leagues in Spain, Italy, and Greece, and he toured with The Harlem Globetrotters to wrap up his career. James was an NBA All-Star in 1988 while playing center for the Dallas Mavericks. In 2006, James was inducted into the Pac-10 Sports Hall of Fame and also the Washington State University Athletic Hall of Fame. In 2010, James was elected as a board member for the NBA Retired Players Association.
James frequently conducts speaking engagements (motivational, inspirational, educational) for organizations, schools, and youth groups.
In 2010, James was the recipient of the NBA Legends of Basketball ABC Award, awarded for outstanding contributions in Athletics–Business–Community.
He believes in being a role model for success and professionalism to the scores of young people to whom he devotes so much of his time. He currently serves on several boards and committees and is a member of many organizations.
James believes in developing relationships that create a “Win-Win” environment for everyone involved, and in being the best he can be!
For more information about James Donaldson or to request he speak at your event, contact him at:
James Donaldson is the author of “Standing Above The Crowd” and “Celebrating Your Gift of Life” and founder of the Your Gift of Life Foundation which focuses on mental health awareness and suicide prevention, especially pertaining to our school aged children and men.
If you’re interested in having James come and speak to your group of young adults, business entrepreneurs, aspiring political and community leaders, and athletic teams, please contact him at [email protected] and or leave a personal message for him at 1-800-745-3161. Keep up with him and read about how he is reaching out and making a difference in the lives of so many around the world at www.yourgiftoflife.org
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