Umum mengetahui, sejak peristiwa 9/11, Amerika bermati - matian memburu 'terrorists' Muslim dan mula menyerang Iraq dan beberapa negara Islam yang lain di atas tiket untuk menegakkan keamanan. Amerika Syarikat melaburkan berbillion - billion dolar dan mempertaruhkan beribu - ribu nyawa rakyatnya yang menjadi tentera untuk melaksanakan misi mereka ini.
Namun tak ramai yang mengetahui bahawa disebabkan tindakan ini, jumlah kes bunuh diri di kalangan tentera Amerika Syarikat semakin meningkat. Statistik menunjukkan jumlah kes bunuh diri meningkat dari 10 orang per 100,000 askar pada tahun 2001 kepada 16 orang per 100,000 askar pada tahun 2008.
Sebenarnya saya merasa kasihan kepada para tentera Amerika. Pastinya mereka tertanya - tanya kenapa mereka yang perlu pergi menyerang negara - negara Islam tersebut, sedangkan negara - negara itu tidak sedikitpun mengganggu kehidupan mereka. Amerika Syarikat masih utuh sebagai sebuah negara dan tiada siapapun yang datang menjajah mereka. Kenapa pentadbiran Amerika seolah - olah takut kepada bayang - bayang sendiri dan yang paling sedihnya kenapa tentera ini yang 'dikorbankan'?
Begitulah kehidupan kalau hanya berteraskan duniawi dan tidak percayakan Allah dan Hari Akhirat. Kasihan mereka...
Berikut merupakan laporan kajian dan beberapa approach yang dicadangkan kepada pihak tentera Amerika untuk mengatasi masalah mereka:
February 17, 2011
U.S. military officials should improve efforts to identify those at risk and improve both the quality and access to behavioral health treatment in response to a sharp rise in suicide among members of the nation's armed forces, according to a new RAND Corporation study.
Needed changes include making service members aware of the advantages of using behavioral health care, ensuring that providers and chaplains are delivering high quality care, and assuring that service members can receive confidential help for their problems, according to the report.
"Efforts should focus on changing the culture at all levels of the military to encourage those in distress to seek help along with efforts to identify and intervene with service members who are at risk of suicide," said Rajeev Ramchand, the study's lead author and a social scientist at RAND, a nonprofit research organization. "While the military already has made many important changes, there is still more that can be done."
RAND was asked by the Department of Defense to evaluate information about military suicides, identify the agreed upon elements that should be a part of a "state-of-the-art" suicide prevention strategy, and recommend ways to make sure the programs and policies provided by each military service reflect the best practices.
Suicide rates in the military have increased sharply since 2001, rising from about 10 per 100,000 service members to nearly 16 per 100,000 service members in 2008. Historically, the suicide rate in the military has been lower than the adjusted civilian suicide rate, but the RAND study shows that in recent years this gap has narrowed. The increase in the military suicide rate has been driven primarily by an increase in suicides by members of the Army.
RAND researchers reviewed research relating to a wide range of suicide prevention strategies and concluded that while some practices show promise, there is sparse evidence showing that programs or interventions reduce suicide. The bulk of the evidence that does exist focuses on the delivery of high-quality care for those with behavioral health problems and those who are at imminent risk for suicide.
Researchers prepared a series of recommendations aimed at strengthening suicide prevention program across the military services, including:
Track suicides and suicide attempts systematically and consistently across all of the military services. While the Department of Defense has adopted a new surveillance program, it is important to make sure each of the military services uses the same criteria to define suicide attempts and that information is shared among different military services.
Raise awareness and promote self-care by encouraging those in need to seek help and ensure that suicide-prevention efforts are linked to other behavioral health programs across the armed services.
Improve efforts to identify those at risk for suicide through strategies such as educating gatekeepers about how to identify those having troubles and improve surveillance programs to help identify risk factors.
Facilitate access to quality care by making service members aware of the benefits of behavioral health services and by educating them about the different types of behavior health care providers that are available to them.
Develop procedures to restrict access to lethal means for those at high risk, such as standardized "unit watch" or "suicide watch" policies.
Provide military leaders with guidelines on how to respond to suicides that occur under their command to help other service members deal with the loss.
The study, "The War Within: Preventing Suicide in the U.S. Military," is available at www.rand.org. Other authors of the study are Joie Acosta, Rachel M. Burns, Lisa H. Jaycox, and Christopher G. Pernin.
The research was by the RAND National Defense Research Institute, a federally funded research and development center sponsored by the Office of the Secretary of Defense, the Joint Staff, the Unified Combatant Commands, the Navy, the Marine Corps, the defense agencies and the defense Intelligence Community.