Originally published in 2012.

This past week has seen a couple of sobering reports released by the Pentagon concerning suicide in the military. The first confirmed that in the first 155 days of 2012 there have been 154 confirmed suicides by active-duty service members across the force. 136 service members were killed in Afghanistan during the same period.

On Wednesday, suicide was named as the second-highest cause of death for servicemembers (after combat), outpacing car accidents, cancer, and other causes of death.

Suicide has been a growing problem for the Army over the past ten years. Understandably, people often point to the pace of deployment and the over-stretching of the all-volunteer force as the likely antagonizer. It makes sense to assume that deploying the same people over and over again might result in an increase in mental health issues (which it might). But in the Army’s 2009 study on suicide, 79% of soldiers who committed suicide had one or no deployments. So while the pace of deployments might have an effect on overall mental health, it does not correlate with the increase in suicides.

What this means is that we still do not know why this is happening.

For its part, the Army has worked hard to try to combat suicide. Even before I got out of the Army in 2006, suicide was already a topic that was treated seriously by commanders. If someone threatened to kill himself – even in jest – it was a threat that needed to be taken seriously.

I’ve been back in the Army for under a year, but I have already seen the introduction of some great programs that are intended to get ahead of mental health problems and ultimately suicide. Comprehensive Soldier Fitness (CSF) is a program designed to build “resilience” in soldiers (and family members) to prepare them for the rigors of not only combat and military service, but life in general.

I have not taken the Master Resilience Trainer Course (yet) but I have taken some of the individual modules while at IBOLC. Without question, the program requires a “buy-in” from the participant. Essentially, the person engaging in CSF needs to “want” to get better or become more resilient. In a military where a mental health stigma still exists, getting that “buy-in” is the hard part. Hopefully, I’ll get a chance to take the course before leaving Fort Benning. I’ve already bought in.

Anyway, like the title of this post hints, I’m going to talk about Mass Effect. Readers of this blog know that I take inspiration from fantasy – be it art, music, or video games. I’ve been playing the series for the past couple of months and recently began playing Mass Effect II. One of the things that struck me was the presence of Kelly Chambers aboard the Normandy. Kelly serves as Commander Shephard’s Executive Assistant, but she also serves as the chief mental health officer. Her job is to monitor the mental health of the entire crew to ensure that any problems can be addressed before they come to fruition. It struck me as the kind of thing that would be helpful at the platoon, company, or battalion level.

Given the nation and the Army’s shortage of mental health professionals, it would be aspirational at best to try to implement something like that across the force.

Still, it made sense to me that there should be someone – a human being – monitoring the mental health of the fighting force over a period of time. Questionnaires and tests are okay, but they lack the understanding that a person who has been around for months or years would have. I think if CSF is implemented effectively across the Army, the platoon MRT might serve this role. While not a true mental health specialist, this would be preferred to the little that is in place right now.

Be it mental health specialists at the platoon/company/battalion level, effective use of the CSF program, or something we haven’t thought of yet, it is clear that something more needs to be done to address suicide in the force. I don’t pretend to have the answer, but when I see something that I think might be helpful, I’ll bring it up. Thus, the vignette from Mass Effect.

Here is a great resource from the Army G1 on Suicide Prevention.

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