Handbook of military and veteran suicide : assessment, treatment, and prevention

289 Pages·2017·4.9 MB·English

by  Bongar

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HANDBOOK OF MILITARY AND VETERAN SUICIDE
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H A N D B O O K O F   M I L I TA R Y
A N D V E T E R A N S U I C I D E
Assessment, Treatment, and Prevention
EDITED BY
BRUCE BONGAR
GLENN SULLIVAN
LARRY JAMES
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1
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ISBN 978– 0– 19– 987361– 6
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Printed by Sheridan Books, Inc., United States of America
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Contents
Acknowledgments vii 5. Combat Experience and the Acquired
About the Editors ix Capability for Suicide 53
Contributors xi Craig J. Bryan
Tracy A. Clemans
1. Introduction to Military Suicide 1 Ann Marie Hernandez
Elvin Sheykhani
Lori Holleran 6. Combat- Related Killing and the
Kasie Hummel Interpersonal- Psychological Theory
Bruce Bongar of Suicide 64
Lindsey L. Monteith
2. Why Suicide? 10 Shira Maguen
Victoria Kendrick
Lori Holleran 7. Suicide Risk Assessment with Combat
David Hart Veterans—Part I: Contextual Factors 79
Dana Lockwood Christopher G. AhnAllen
Tracy Vargo Abby Adler
Bruce Bongar Phillip M. Kleespies
3. Suicide and the American Military’s 8. Suicide Risk Assessment with Combat
Experience in Iraq and Afghanistan 23 Veterans—Part II: Assessment and
Joseph Tomlins Management 89
Whitney Bliss Phillip M. Kleespies
Larry James Abby Adler
Bruce Bongar Christopher G. AhnAllen
4. Suicide in the Army National 9. Driving Themselves to Death: Covert
Guard: Findings, Interpretations, and and Subintentioned Suicide among
Implications for Prevention 39 Veterans 103
James Griffith Glenn Sullivan
Phillip C. Kroke
Timothy B. Hostler
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10. Identifying MMPI- 2 Risk Factors 16. The Problem of Suicide in the United
for Suicide 114 States Special Operations Forces 190
John J. Barreto Bruce Bongar
Roger L. Greene Kate Maslowski
Catherine Hausman
11. Ethical Issues in the Treatment of Suicidal Danielle Spangler
Military Personnel and Veterans 121 Tracy Vargo
W. Brad Johnson
Gerald P. Koocher 17. Managing Suicide in the Older
Veteran 201
12. Evidence- Based Treatments for Bavna B. Vyas
PTSD: Clinical Considerations for PTSD Lisa M. Brown
and Comorbid Suicidality 131 David Dosa
Afsoon Eftekhari Diane L. Elmore
Sara J. Landes
Katherine C. Bailey 18. Person- Centered Suicide Prevention
Hana J. Shin in Primary Care Settings 213
Josef I. Ruzek Paul R. Duberstein
Marsha Wittink
13. The Collaborative Assessment and Wilfred R. Pigeon
Management of Suicidality with Suicidal
Service Members 147 19. Caring Letters for Military Suicide
David A. Jobes Prevention 240
Blaire C. Schembari David D. Luxton
Keith W. Jennings
Index 255
14. Healing the Hidden Wounds of
War: Treating the Combat Veteran with
PTSD at Risk for Suicide 166
Herbert Hendin
15. Understanding Traumatic Brain Injury and
Suicide Through the Lens of Executive
Dysfunction 178
Beeta Y. Homaifar
Melodi Billera
Sean M. Barnes
Nazanin Bahraini
Lisa A. Brenner
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Acknowledgments
This book is dedicated to all of our active duty mili- to my summer research students, from whom I have
tary and veterans. I would also like to acknowledge learned much:  Dave Shaw, Bobby Morris, Hope
the contributions of the graduate students in my Hackemeyer, Hannah Granger, Ethan Betts, Phillip
Clinical Crises and Emergencies Research group - in Kroke, Nicole Harding, Tim Hostler, and Rachel
particular the incredible hard work of our lead gradu- Kroner.
ate students for this book, Danielle Spangler and Glenn Sullivan
Catherine Hausman.
Bruce Bongar I would like to acknowledge and thank all the military
personnel and veterans we have lost along the way in
In sincere appreciation of my VMI departmental col- service to this great nation.
leagues who proudly wore their country’s uniform in Larry James
time of war: Thomas N. Meriwether, PhD, Colonel,
US Army, Vietnam, and Dave I.  Cotting, PhD,
Captain, US Army, Operation Iraqi Freedom. And
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About the Editors
Bruce Bongar, Ph.D., ABPP, FAPM, CPsychol, Medical Center in Salem, Virginia. Dr. Sullivan is
CSci, is the Calvin Distinguished Professor of an associate professor of psychology at the Virginia
Psychology at Palo Alto University, and served as Military Institute, where he received the Thomas
Consulting Professor of Psychiatry and Behavioral Jefferson Teaching Award, which is presented annu-
Sciences at Stanford University’s School of Medicine— ally to a faculty member “deemed especially talented
as well as Co- Chair and Director of Training for the at inspiring students in the development of their in-
PGSP- Stanford doctor of psychology program. For tellect and character.” In addition to his numerous
over three decades, Professor Bongar’s research and publications and presentations, Dr. Sullivan main-
published work has focused on the wide-r anging com- tains an active private practice in Lexington, Virginia.
plexities of therapeutic interventions with difficult His clinical specializations include psychological as-
patients in general, and on suicide and life- threaten- sessment, forensic evaluation, and the treatment of
ing behaviors in particular. Dr. Bongar received his combat veterans.
Ph.D. from the University of Southern California
and served his internship in clinical community psy- Larry C. James, Ph.D., ABPP, retired as a colo-
chology with the Los Angeles County Department of nel from the United States Army, and served as the
Mental Health. Professor Bongar has consulted and Chair, Department of Psychology at Walter Reed
published on the topic of suicide risk management Army Medical Center, and the Chair, Department of
and prevention among both active duty military per- Psychology at Tripler Army Medical Center. Colonel
sonnel and veteran populations (most recently on the James was awarded the Bronze Star and the Defense
issue of suicide among special operations personnel). Superior Service Medal. He is currently the President
& CEO of the Wright Behavioral Health Group,
Glenn Sullivan, Ph.D., earned his Ph.D. in clini- LLC and a professor at Wright State University.
cal psychology at the Pacific Graduate School of Previously he served as the Associate Vice President
Psychology, Palo Alto, California. He completed his for Military Affairs at Wright State University in
clinical internship at the San Francisco Veterans Dayton, Ohio. Prior to that assignment, he served
Affairs Medical Center and a postdoctoral residency in as the Dean, School of Professional Psychology,
postdeployment mental health at the Veterans Affairs Wright State University from 2008 to 2013. He