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Friday, February 27, 2004

PTSD, Gulf War Syndrome, Suicide

War can be hell even if you're the alleged "winner." Is suicide going to be the sad legacy of George W's war, as Gulf War Syndrome was of his father's, and PTSD of Lyndon Johnson's? Following is an excerpt from an article by Wayne Smith in today's Editor & Publisher online.
The army reports that 21 soldiers in Iraq and Kuwait have killed themselves since the beginning of Operation Iraqi Freedom but this number will increase as suspicious non-combat deaths that have already occurred and might be suicides await classification by the army's Criminal Investigation Division (CID). We have learned from a Pentagon source that the CID may not rule on these deaths until after the operation is over. Even the number of 21 is well above the average Army rate.

The army's peculiar calculus also excludes suicides that occur outside the "theater," that is, soldiers who served in Iraq or Kuwait but kill themselves once they get home. The media is toting these up ad hoc. United Press International discovered two at Walter Reed Army Medical Center and The Sun of Baltimore recently reported on one that occurred in a Shoney's Inn. But most of these tragedies will unfold anonymously since family members are often reluctant to speak publicly about a subject they consider taboo.
Smith, a Vietnam vet and former post traumatic stress disorder counselor, says that research at the Vietnam Veterans of America Foundation brought back feelings of "deja vu," as he contemplated a country ill-prepared to deal with post-Iraq psychiatric disorders.

Reading the article brought back memories for me too, of a co-worker who spent several years with the Montagnard tribes in the central highlands of Vietnam. He came back with a Vietnamese wife, a scar that stretched from the middle of his scalp down to his chin and a very shaky hold on reality. Several people whose desks had been near his had already complained that he "mumbled all the time" and had asked to be moved to another part of the large open office to get away from him. For whatever reason, he and I hit it off immediately, and although our good relationship didn't stop the muttering from the other side of the cubicle wall, he seemed to calm down somewhat. One day, though, he didn't show up for work. When there was no word from him by the middle of the afternoon, I called his house. The man who answered the phone said Laurie had tried to kill himself. No one knew why. He had gotten up in the morning as though it was any other day, taken out a handgun that he kept in a drawer and put it to his head. Only his wife's screaming bodily intervention had stopped him. By the time he was able to return to the workforce, we had moved hundreds of miles away. I saw him only a couple of times after his suicide attempt—sad, awkward visits in which neither of us knew what to say to the other, while his wife hovered anxiously in the background to make sure I wouldn't upset him. I don't know whether he is alive today or not.

Smith goes on to say:
Now, over the next few weeks, as more troops rotate home, and the anniversary of the U.S. invasion of Iraq approaches, the Pentagon faces the prospect of a potentially unwieldy public becoming more "casualty sensitive," something war planners have been conscious of since Vietnam brought the human or "blood" cost of conflict into America's living rooms.

This looming milestone may explain a bizarre episode a few weeks ago when various Pentagon spokespeople began driving the suicide number down, to 18 or even 17, only to officially re-affirm a higher number later.
I have to say that the Bush administration is at least being consistent. After all, a lot of their other numbers are going up and down like a yo-yo too (see Brad DeLong's January and February blog entries on payroll figures for some interesting examples).

Smith mentions that the anti-malarial drug Lariam is suspected of possibly playing a role in the suicides, but suggests that the "sheer bloodiness of this deployment" is a factor as well.
Experts both on suicide and epidemiology, including the Centers for Disease Control in Atlanta, tell us that a cluster of suicides in a specific population, in this case the army, represents the thin edge of a numeric wedge. A report by UPI on Feb. 19 from the army's hospital in Landstuhl, Germany, offers a chilling glimpse at the size of the trouble heading for the military's already over-taxed and unprepared medical system. It said that about 1,000 soldiers have already been evacuated to Landstuhl for psychiatric reasons.

The UPI story by award-winner Mark Benjamin also exposed what may be the Pentagon's internal mantra on an issue so explosive it could seriously downgrade the American public's support for this war. When asked how many soldiers the hospital has treated following actual suicide attempts, Col. Rhonda Cornum, commander of the hospital, wouldn't give a number, saying only, "This is a sensitive thing that some people might not want you to know, I guess."
My internal mantra, expressed already in this blog, is "Didn't we learn anything from Vietnam?" I guess not.
posted by Liz @ 7:09 PM     |


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