Suicides, Homicides Among Military Share Common Features
FROM A CONFERENCE ON THE COMPLEXITIES AND CHALLENGES OF PTSD AND TBI
Heed Warning Signs in Soldiers
Clinicians treating soldiers at risk for violence should look for warning signs that might include an angry appearance, agitated or loud behavior, obtaining or carrying a weapon when not authorized to do so, suicidal acts, discussions of violence, obsession with death, or preoccupation with religion, which may be a symptom of a psychosis or delusional disorder, Dr. Ritchie said.
Other risk factors clinicians should look for are emotional withdrawal, substance abuse, hopelessness and despair, lingering resentment, humiliation by a coworker or superior, feelings of persecution, and recent break-up of a romantic relationship.
She recommended that clinicians ask about history of head trauma and screen for impulsivity, brain trauma, alcohol and drug use, weapons access, marital/relationship issues, financial concerns, and recent humiliating events.
She also advised creation of a safety plan, use of a panic button to call for specialized help, and training of clinic personnel in safety procedures.
Dr. Ritchie presented her findings at a symposium supported by the Home Base Program, a joint project of the Red Sox Foundation and Massachusetts General. She had no relevant conflict of interest disclosures.
