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|a Ramchand, Rajeev.
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|a Suicide postvention in the Department of Defense :
|b evidence, policies and procedures, and perspectives of loss survivors /
|c Rajeev Ramchand, Lynsay Ayer, Gail Fisher, Karen Chan Osilla, Dionne Barnes-Proby, Samuel Wertheimer.
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|a 1506
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|a Santa Monica, CA :
|b RAND,
|c [2015]
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|a Includes bibliographical references.
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|a Print version record and CIP data provided by publisher; resource not viewed.
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|a The U.S. Department of Defense (DoD) has been struggling with increasing rates of suicide among military personnel for the past decade. As DoD continues to implement new programs and examine its policies in an effort to prevent military personnel from taking their own lives, it is important to assess its current responses to suicide and to identify opportunities to enhance these programs and policies. Unfortunately, there is little scientific evidence on how best to respond to suicides, how to ensure that surveillance activities are managed appropriately and that loss survivors are given sufficient support to grieve, how additional suicides can be prevented, and how to honor and respect the decedent and his or her loved ones. At the same time, there are many resource guides intended to provide recommendations for organizations (mostly schools) in responding to suicides. A review of the existing scientific evidence on postvention (responses to prevent additional suicides in the aftermath of a suicide) and guidance for other types of organizations provides potential insights for DoD, however. Complemented by the perspectives of those most intimately touched by military suicide - the family and friends of those who have died - these sources may help DoD formulate its guidance in a practical and sensitive way.
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|a Cover; Title Page; Copyright; Preface; Contents; Figure and Tables; Summary; Acknowledgments; Abbreviations; Chapter One; Introduction; Background; Purpose; Approach; The Evidence Base; DoD Policies and Procedures; Analysis of Resource Guides; Organization of This Report; Chapter Two; Surveillance; The Evidence Base; Cause-of-Death Determination; Uniform Definitions and Data Elements; Psychological Autopsies; DoD Policies and Procedures; Criminal Investigations; Autopsies; Line-of-Duty Investigations and Determinations; Surveillance, Reporting, and Information; Resource Guidelines
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|a Sensitivity During Cause-of-Death Investigations Pre-Planning; Conclusion; Chapter Three; Suicide Prevention After a Suicide; The Evidence Base; Suicide Risk Among Loss Survivors; Empirical Studies Examining Post-Suicide Prevention Activities; Insight from the General Suicide Prevention Research; Media Coverage of Suicide; DoD Policies and Procedures; Revising Prevention Programs; Stand-Downs; Evaluations of Existing Programs; Resource Guidelines; Pre-Planning; Identifying High-Risk Individuals; Communication; Using, Reviewing, and Rejuvenating Suicide Prevention Training; Conclusion
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|a Chapter Four Helping Loss Survivors Grieve; The Evidence Base; Preventing and Treating Complicated Grief; Grief-Focused Support for Suicide Loss Survivors (Not Specific to Complicated Grief); DoD Policies and Procedures; Casualty Assistance Officers; Military-Sponsored Programs for Military Families and Next of Kin; Nonmilitary Programs for Military Families and Next of Kin; Resource Guidelines; Guidelines for Counselors and Other Support Personnel; Communication; Identifying High-Risk Individuals; Pre-Planning; Conclusion; Chapter Five; Honor and Respect; The Evidence Base
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|a Respect and Honor for the Fallen Respect and Honor for Loss Survivors; DoD Policies and Procedures; Memorials and Funerals; Posthumous Awards and Honors; Presidential Memorial Certificates and Letters of Condolence; Legal and Policy Requirements Relating to the Death of a Service Member; The Process of Notifying Next of Kin; Loss Survivor Benefits; Benefits Affected by the Line-of-Duty Investigation Determination; Benefits Not Affected by the Line-of-Duty Investigation Determination; Resource Guidelines; Respect for the Fallen; Respect and Honor for Loss Survivors; Conclusion; Chapter Six
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|a Loss Survivors' Perspectives Methods; Setting; Procedures; Qualitative Data Analyses; Sample; Results; Varied Experiences with Casualty Assistance Officers; Overwhelming Administrative Documents and Processes; The "Fog" After the Loss; Differing Treatment of Suicide Deaths and Other Deaths; Differing Treatment of Family Members and Spouses; Conclusion; Chapter Seven; Recommendations; Strengthen the Existing Suicide Surveillance System; Establish an Organizational Response to Suicide; Work with the Media to Encourage Factual Reporting and Minimize Sensationalism of Suicides
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|i Print version:
|a Ramchand, Rajeev.
|t Suicide postvention in the Department of Defense.
|d Santa Monica, CA : RAND, [2015]
|z 9780833086426
|w (DLC) 2015013119
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