Transcript LCDR Andrew L. Martin, Psy.D. Suicide Prevention Program
Marine and Family Programs
Marine Corps Suicide Prevention Program (MCSPP)
LCDR Andrew L. Martin, Psy.D.
Suicide Prevention Program Manager Headquarters, Marine Corps (M&RA) [email protected] 703-784-9542
Mission and Strategy
Mission:
Year over year reduction in suicides until zero; then sustain.
Strategy:
Leaders
foster resilience
and encourage Marines to
engage helping services early
, before problems worsen to crisis levels.
USMC Suicides and Attempts
USMC Rate per 100,000 * Civilian Rate per 100,000
23.7
200
19.9
180 160 140
12.5
19.5
13.4
20.1
17.5
19.6
14.4
20.0
12.9
20.0
16.4
19.6
17.2
Through August 2011
120
125
100 80
164 172 Suicides 146
60
112 99 103 Attempts
40
82 80 85
20 23 26 34 28 25 33 42 52 37 23 0 2002 2003 2004 2005 2006 2007 2008 2009 2010** 2011***
* Last available civilian suicide rate information from the Centers for Disease Control and Prevention. Rate adjusted for Marine demographics.
** Includes 1 suspected suicide that has yet to be confirmed by the Armed Forces Medical Examiner.
*** Includes 12 suspected suicides that have yet to be confirmed by the Armed Forces Medical Examiner.
Source: HQMC (MFC-5) 2011Sep01
USMC Associated Stressors
Top Associated Stressors / Risk Factors* Marital or Other Relationship Problem Legal or Disciplinary Problem Behavioral Health Diagnoses Financial Problem Substance Abuse 2008 - 2009 Suicides 47% 40% 37% 13% 11% * Reflects a history of the stressor/risk factor within 1 year of the suicide
2010 Marine Corps Risk Factors
Deploy History 0 1 2 3+ USMC 43 % 29 % 19 % 9 % Suicides 43 % 24 % 22 % 11 % Age 17-20 21-25 26-30 31-40 41+ USMC 21 % 44 % 17 % 15 % 3 % Suicides 32 % 41 % 10 % 14 % 3 % Rank E1-E3 NCO SNCO CWO O1-010 USMC 40 % 34 % 16 % 1 % 9 % Suicides 46% 35 % 11 % 0 % 8 % MOS 03 06 01 Others USMC 19 % 8 % 4 % 69 % Suicides 27 % 11 % 8 % 54 %
Organizational Chart – MFC5
Data Analyst (Hiring) Suicide Prevention Program Manager LCDR Andrew Martin SEA MGySgt Phillip Bush Research Analyst Joan Fischer Admin Support Kim McGoldrick Policy Analyst (Hiring)
Program Functions
Field Support Surveillance Education Research & Policy
-Technical assistance with PCRs, DoD Suicide Event Report -Unit sergeant trainers and regional master trainers -Commanding Officers -Suicide prevention program coordinators, officers -Marines at risk -Track, record, analyze and report suicide related behavior and trends -Develop, field and support skill-based education -All Marines trained annually -Support training in formal schools -Coordinate -Develop -Report
Leadership
• • • • • • • • Focused and engaged A Marine Corps program Provide annual training to all Marines Maintain two sergeant trainers per battalion/squadron Unit protocol for managing Marines at risk Force Protection Boards Death brief, 8-day and 30-day briefs, DoDSER First flag officer briefs deaths to ACMC
Never Leave a Marine Behind
Never Leave a Marine Behind
• • • •
Annual Suicide Prevention Training
Award-winning, evocative Developed and tested by Marines Focus is on changing behavior - Personal resilience - Peer-to-peer support - Frontline supervisor intervention - Command climate management Separate modules for Jr. Marines, NCOs, SNCOs and officers
Never Leave a Marine Behind
Tools
• Monthly Suicide Activity Report • Leaders Guide to Managing Marines in Distress • MCSPP Website and staff (best practices, statistics, technical support)
Behavioral Health Integration
•
SAPR
• Peer training • Frontline supervisor intervention • • Core Values peer to peer intervention Privacy versus command awareness •
COSC
• Peer training • Core values • peer-to-peer intervention Common risk/protective factors • Holistic approach; all levels of leadership focused and engaged • 20% suicides with combat exposure
Behavioral Health Integration
•
Family Advocacy and General Counseling
• Relationship problems #1 stressor associated with suicide • ½ suicides married; ½ single • 13% suicides involved in FAP program • 13% suicides with physical abuse perpetrator history • 5% suicides with emotional abuse perpetrator history • 3% suicides with sexual abuse victim history •
Substance Abuse Prevention and Treatment
• Common risk and protective factors • Alcohol as depressant depression • 19% suicides drank at time of death • suicide 27% suicides with past alcohol dependence/abuse diagnosis • 19% suicides received substance abuse treatment in last year
Behavioral Health Integration
Installation
-Currently only a few dedicated suicide prevention positions - Opportunity for coordination between HQ and units - Policy support - Training support - Installation wide suicide prevention promotion - Standardized marketing - Coordinated events
Ideas
-Requesting additional support -Senior enlisted education program payback tour -Installation master trainer teams -Regional resilience coordinator
USMC
Prevention Continuum
An Evidence Based Framework….
BUMED USMC and BUMED READY
STRESS CONTINUUM
REACTING INJURED ILL