Successful Model of Suicide Prevention in the Ukraine Military Environment

Розанов, Всеволод; Mokhovikov, Alexander; Stiliha, Richard

doi:10.1027//0227-5910.23.4.171

Cited by 25 publications

(24 citation statements)

References 3 publications

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“…In many cases, the so-called “gatekeepers’ training” strategy is promoted [69,70]. This same strategy was utilized in the management of suicidal crisis in a large military unit in the Ukraine, during the period of severe economic problems and downsizing [71]; results revealed promising outcomes. In USA, the system of prevention is mostly developed within veterans’ health facilities; the main strategies are based on screening for mental health problems, identifying appropriate treatment, and hotlines and awareness training for staff and families [67,68,69,70,71].…”

Section: Resultsmentioning

confidence: 99%

“…This same strategy was utilized in the management of suicidal crisis in a large military unit in the Ukraine, during the period of severe economic problems and downsizing [71]; results revealed promising outcomes. In USA, the system of prevention is mostly developed within veterans’ health facilities; the main strategies are based on screening for mental health problems, identifying appropriate treatment, and hotlines and awareness training for staff and families [67,68,69,70,71]. The above mentioned systematic review on suicide prevention programs both for military and veterans reports that there are insufficient data, thus, concrete conclusions regarding the effectiveness of these programs are ambiguous [66].…”

Section: Resultsmentioning

confidence: 99%

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Suicide among War Veterans

Розанов

Carli

2012

IJERPH

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Studies aiming to identify if war veterans are at higher risk of suicide have often produced inconsistent results; this could be due to the complexity of comparisons and different methodological approaches. It should be noted that this contingent has many risk factors, such as stressful exposures, wounds, brain trauma and pain syndrome. Most recent observations confirm that veterans are really more likely to die of suicide as compared to the general population; they are also more likely to experience suicidal ideation and suffer from mental health problems. Suicides are more frequent in those who develop PTSD, depression and comorbid states due to war exposure. Combat stress and its’ frequency may be an important factor leading to suicide within the frame of the stress-vulnerability model. According to this model, the effects of stress may interact with social factors, interpersonal relations and psychological variables producing suicidal tendencies. Modern understanding of stress-vulnerability mechanisms based on genetic predispositions, early life development, level of exposure to stress and stress-reactivity together with interpersonal aspects may help to build more effective suicide prevention programs based on universal/selective/indicated prevention principles.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Suicide among War Veterans

Розанов

Carli

2012

IJERPH

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“…The annual suicide rate in Ukraine has risen steadily since 1988. 8 Hanging is the most popular mechanism, used in about 70% of self-inflicted deaths, 9 followed in frequency by laceration of arm veins and then by jumping from high elevations. 10 Ukraine's suicide rates are highest in persons aged 35-49, which are some of life's most economically productive years.…”

Section: Injury Burdenmentioning

confidence: 99%

“…8 After determining that medical staff, psychologists, educational officers, and unit commanders correctly answered only 50% of questions concerning suicidal behavior, the Odesabased, non-governmental organization Human Ecological Health held suicide prevention training seminars for these groups. The army's suicide rate dropped to half its pre-training level-to 16 deaths per 100 000 from 32 deaths per 100 000.…”

Section: Injury Controlmentioning

confidence: 99%

Ukraine set to act on high suicide burden

Nordstrom

2007

Inj Prev

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Having survived multiple catastrophes in the 20th century, newly independent Ukraine now has some of the highest injury death rates in Europe. The nation’s most common type of injury death is suicide, and its rate is one of Europe’s and the world’s highest. Alcohol abuse occurs in 20% of men, and major depression in 20% of women. Suicide is the leading cause of death in the Ukrainian Army, which has begun to recognize and address the problem. Mental health is one of three current priorities of the Ukrainian Ministry of Public Health. The government is developing a mental health policy and plan, with potential for prevention of suicide. A national university in the capital has created a graduate school of public health to build human capacity to prevent and control disease and injury.

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“…The Air Force initiative was felt to be successful due to unit leaders actively engaging and promoting it. Additionally, within military populations, early identification and intervention in suicide prevention programs are effective (Knox, Litts, Talcott, Feig, & Caine, 2003;Rozanov, Mokhovikov, & Stiliha, 2002;Staal, 2001). However, these prevention programs were enacted in peacetime situations and focused on decreasing barriers to receiving mental health care, recognizing early warning signs, and taking action after an event has occurred.…”

Section: Suicide Prevention In a Deployed Military Unitmentioning

confidence: 99%