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The Real Reason for Underfunding Suicide Prevention

Marine Private Lazzaric Caldwell was diagnosed in 2009 with post-traumatic stress disorder. In 2010 he attempted suicide by slitting his wrists in his barracks in Okinawa. He did not succeed and was instead arrested. Later he was convicted of violating the Uniform Code of Military Justice’s Article 134, known as the General Article.

In the context of Article 134, “self-injury” refers to those who injure themselves in an effort to avoid service. Caldwell’s motivation was not to avoid service; it was to escape what had become, for him, an intolerable life. Nonetheless, the judge sentenced Caldwell under the guise that his actions were contrary to good order and discipline and brought discredit upon the service.

There’s a hideous and tragic truth not being spoken here: The dead don’t cost a thing.

The military chose to punish Caldwell rather than make sure he received treatment. His brethren who did succeed in killing themselves automatically reduced the amount of money the military had to spend on mental healthcare. Because he failed, Caldwell unwittingly forced the military’s fiscal hand: Now they were going to have to spend money on him whether they liked it or not.

They spent the money to convict, incarcerate and dishonorably discharge him rather than spend that money on treatment because they were pissed off that he didn’t succeed in killing himself. Had he succeeded, the military would have been relieved of any obligation and responsibility for him. The motivation for the court’s decision is simple: revenge on the mentally ill.

Whether anyone admits it or not, the reality that a dead person doesn’t cost anything to treat drives damn near everyone’s opinions about those who suffer with a mental illness and decisions to cut or preserve funding for mental health services. The majority of people don’t realize they think this way or that they act accordingly. They know better than to say it out loud, so they don’t. And that’s a problem.

Few are willing to confront the reality that even a mildly depressed person could worsen without treatment and eventually commit suicide. It’s easier for people to passive-aggressively fool themselves into believing they’d never allow such a thing to happen if they thought they could prevent it.

People close to the victim are notorious for recounting the troubles the victim had, but only after the fact. Rarely do those close to the victim seek help and make sure the person is stable before suicide occurs. Most people who commit suicide are about five phone calls away from viable help; and that’s about three phone calls too many for most people, even those close to the victim.

It’s not just the people in the victims’ lives who keep their distance. Those who make funding decisions think the same way. We see cut after cut to this mental health service, that program, this research and that center. It’s all written off and explained away with everything from “We just don’t have the money for services and corn subsidies” to “Well, I wasn’t in favor of cutting funding to that program.”

Those who are in the position of deciding what mental health services are made available to everyone—military and civilian, rich and poor, all genders, ages and races—know the dead don’t need funding; and the constituents of those who make the decisions know this as well. Hell, the rich aren’t really even spared. They have family who can afford to have them locked away so that “suicide” isn’t part of their genealogical story.

We have gone above and beyond what is reasonable to keep someone alive after a physical injury, even if doing so means that person will suffer tremendously as a result. Why? Because no one wants to be the person responsible for another person losing their life; so we amputate, resuscitate and rehabilitate until that person is “alive.”

We do this so we can pat ourselves on the back and say, “Look! we saved a life!” The reality is that we’ve only prevented a death—and no, that isn’t enough. Saving lives and preventing deaths is not the same thing, not even a little bit, and the sooner people get this through their heads, the better.

About Diana Hartman

Diana is a USMC (ret.) spouse, mother of three and a Wichita, Kansas native. She is back in the United States after 10 years in Germany. She is a contributing author to Holiday Writes. She hates liver & motivational speakers. She loves science & naps. For extra fun, follow her on Twitter.
  • Dr Joseph S Maresca

    Physicians receive very little in the way of training in the area of nutrition. We need to improve medical school training in this area.

    More cost effective strategies can be implemented with post traumatic stress syndrome and other related ailments. Dr. Burton Goldberg and others have good protocols in this area which patients should access. So does Dr. Weill. Such things as B12 injections and other nutrients are absolutely critical for people with these issues.

    In addition, conditioned refocus has to be taught to people so that they can access a clear methodology when these pervasive negative thoughts present themselves.

    This country does have to stay out of foreign entanglements to minimize these types of damages and claims.