Huffington Magazine Issue 64-65 | Page 54

HUFFINGTON 09.01-08.13 CHIP SOMODEVILLA/GETTY IMAGES INVISIBLE CASUALTIES “Life is a slippery slope, and at the top are snowflakes,” she said. “Coming down the mountain are snowballs, and at the bottom is the avalanche zone where you can be buried alive. The question is, how do we deal with the snowflakes so they don’t become snowballs and avalanches?” Shifting suicide prevention resources to this larger at-risk group “ultimately will save many more lives,” said Yeates Conwell, a psychiatry professor at the University of Rochester who has done seminal research on suicide prevention and is also co-director of the school’s Center for the Study and Prevention of Suicide. Intervening early with the atrisk population, he said, might mean early identification and treatment of mental health issues, ensuring that injured troops get the best rehabilitation so they can manage independently. The efforts can help to secure firearms at home and connect struggling soldiers and veterans with peer counselors who have had similar issues. “What we know about suicide in older adults is that it is a complicated act” that may include Defense Suicide Prevention Office Acting Director Jacqueline Garrick stresses that suicide prevention efforts need to start early. many factors, but “is always associated with diagnosable psychiatric illness,” Conwell said. “And by far the most common illness associated with completed suicides is clinical depression.” The problem, of course, is connecting the copious resources of the Pentagon and the VA with the troops, veterans and families who need them. FIGHTING THE STIGMA For a variety of reasons — some say they just don’t trust the VA — many veterans under stress don’t get help. Fewer th