Monthly Archives: March 2017
We Lose Too Many Vietnam Veterans to Suicide: Here’s How You Can Help
By Megan Lacy (Doctoral Student, Palo Alto University)
As our Vietnam veteran population ages, many may become increasingly vulnerable for death by suicide. Despite the fact that the Vietnam war occurred approximately 40 years ago, the moral injuries sustained are still felt by many who served our country. It is not unusual for Vietnam Veterans to have coped with difficult times by staying busy at home or at work. As retirement looms, it is not unusual for Vietnam era veterans to experience additional age-related risks such as social isolation, a feeling of burdensomeness, and changes in health status.
These changes can coalesce to hamper coping strategies that previously worked to manage mental distress, such as depression and posttraumatic stress disorder. Alcohol and substance use increases the risk of suicide as the abuse of substances, particularly alcohol, is strongly associated with both suicide attempts and deaths. So what should friends and family watch out for and what could be done in response to warning signs?
Warning signs:
In general, individuals most at risk of suicide are white older adult males who have health issues. As risk factors associated with veteran status converge on risk factors associated with later life , there are a few specific things friends and family should be aware of.
What’s going on in their life?
- A major change in routine including retirement or loss of a job
- The death of a spouse
- A new medical diagnosis
- A break up, separation or divorce
- Not having a stable place to live
- Inadequate family income
How are they behaving?
- Increase in drinking or drug use
- Sleeping considerably more or less
- A loss of interest in things they typically enjoy
- Social withdrawal
- Impulsivity – engaging in risky behavior (running red lights, driving recklessly, looking like they have a “death wish”)
- Becoming aggressive- examples of this are punching holes in walls, seeking revenge, getting into fights
- Anxiety- worrying excessively about things they cannot control
- Agitation and mood swings
- Putting affairs in order such as giving away prized possessions or making out a will
- Seeking out firearms access to pills
- Neglecting personal welfare including deteriorating physical appearance or hygiene
What are they saying?
- A sense of hopelessness:
- “I have no purpose”
- “I have no value”
- “Nothing is ever going to get better”
- Rage or anger: expressed toward people or things
- Expressed feelings of excessive guilt, shame or failure:
- “My family would be better off without me”
- Feelings of desperation:
- “There is no solution”
- “I just feel trapped”
What do they have access to?
Familiarity and access to a firearm makes suicide by firearm more likely. Any means by which a suicide can be attempted, including pills, is something that should be asked about. Veterans are more likely to own a gun and be comfortable using one making death by firearm a common means of suicide among this population.
How can you help?
Social support is one of the most effective protective factors against suicide (Cummings et al., 2015). However, many veterans have isolated themselves and their friends and family struggle to talk to them. Inviting them to an event, writing them a letter or participating in a shared activity (building something, fishing, walking, etc.) are great ways to get things started.
Talk about it. Suicide is an uncomfortable topic but its best to be direct. Ask overtly if they are planning on killing themselves or have had thoughts about killing themselves. Just because they say no doesn’t mean that they don’t still have suicidal intentions so be sure to have additional information to provide such as a suicide hotline number for veterans, apps they could utilize (PTSD Coach), or a therapist’s contact information.
If your loved one has a plan or tell you they are going to kill themselves, call 911. Its better to put their safety first. Demonstrating your support by seeking additional help is always best. If you can, include them in the process of seeking immediate help. Calling 911 or visiting the ER does not have to be a one-sided decision.
These by no means are the only risk factors, signs or solutions for suicidality. However, engagement with friends and family has shown to be extremely effective against suicide. Demonstrating your support with regular calls or visits is an important step toward safety for many veterans.
Related Resources:
Resources for Caregivers of Service Members and Veterans
When Will We Face the Facts about Suicide in Older Men?
References:
Chronic PTSD in Vietnam combat veterans: Course of illness and substance abuse (1996). American Journal of Psychiatry, 153(3), 369–375. doi:10.1176/ajp.153.3.369
Conner, K. R., Britton, P. C., Sworts, L. M., & Joiner, T. E. (2007). Suicide attempts among individuals with opiate dependence: The critical role of belonging. Addictive Behaviors, 32(7), 1395–1404. doi:10.1016/j.addbeh.2006.09.012
Conwell, Y., Van Orden, K., & Caine, E. D. (2011). Suicide in older adults. The Psychiatric Clinics of North America , 34(2), . Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3107573/
Cummins, N., Scherer, S., Krajewski, J., Schnieder, S., Epps, J., & Quatieri, T. F. (2015). A review of depression and suicide risk assessment using speech analysis. Speech Communication, 71, 10–49. doi:10.1016/j.specom.2015.03.004
Identifying signs of crisis. Retrieved February 26, 2017, from https://www.veteranscrisisline.net/SignsOfCrisis/Identifying.aspx
Lambert, M. T., & Fowler, R. D. (1997). Suicide risk factors among veterans: Risk management in the changing culture of the department of veterans affairs. The Journal of Mental Health Administration, 24(3), 350–358. doi:10.1007/bf02832668
Lester, D. (2003). Unemployment and suicidal behaviour. Journal of Epidemiology & Community Health, 57(8), 558–559. doi:10.1136/jech.57.8.558
Military Suicide Research Consortium (MSRC) Newsroom. (2017, January 28). Retrieved February 26, 2017, from https://msrc.fsu.edu/news/study-reveals-top-reason-behind-soldiers-suicides
Nademin, E., Jobes, D. A., Pflanz, S. E., Jacoby, A. M., Ghahramanlou-Holloway, M., Campise, R., Johnson, L. (2008). An investigation of interpersonal-psychological variables in air force suicides: A controlled-comparison study. Archives of Suicide Research, 12(4), 309–326. doi:10.1080/13811110802324847
Price, J. L. (2016, February 23). Findings from the national Vietnam veterans’ readjustment study. Retrieved February 26, 2017, from http://www.ptsd.va.gov/professional/research-bio/research/vietnam-vets-study.asp
United States Department of Veterans Affairs. (July, 2016) VA Suicide Prevention Program: Facts about Veteran Suicide. Retrieved from https://www.va.gov/opa/publications/factsheets/Suicide_Prevention_FactSheet_New_VA_Stats_070616_1400.pdf
Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (2008). Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology, 76(1), 72–83. doi:10.1037/0022-006x.76.1.72
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner Jr, E. (2010). The interpersonal theory of suicide. Psychological review, 117(2), 575.
Warning signs of crisis. Retrieved February 26, 2017, from https://www.veteranscrisisline.net/SignsOfCrisis/
Image source: Flickr user Elvert Barnes via Creative Commons
Filed under: Aging, Violence Tagged: depression, post-traumatic stress disorder, substance abuse, suicide, suicide prevention, trauma, veterans, vietnam veterans

Corporal Punishment: A Wrong Not a Right
This is the sixth in a series of weekly blog posts addressing discipline and parenting practices. In this series, we will explore reasons that parents choose among discipline approaches, the science behind those techniques, and alternative approaches to discipline.
By Barbara Bennett Woodhouse, JD (Professor of Law, Emory University)
No person has a “right” to strike another, no matter how close the relationship. I remember fifty years ago seeing a mother chase her child with a stick, shouting “I brought you into this world and I can put you in the cemetery!” Luckily, the child was faster than his mother. But the idea of a “right” to hit a child is no laughing matter. It belongs in the dustbin of history along with a husband’s right to “discipline” his wife provided the stick he used was no thicker than his thumb.
Sometimes even good and loving parents can lose patience and resort to a spanking. That doesn’t make them criminals, but it does not make spanking into a right. As a purely pragmatic matter, spanking is wrong. Studies have shown that spanking and other harsh methods make children’s behavior worse not better. But parents in our legal system are given a lot of leeway in how they raise their children. In most states, corporal punishment only crosses the line into child abuse if it poses a serious risk of physical or psychological harm.
So how can I say that there is no “right” to spank your child?
There is a huge difference between what parents may do without becoming criminals and what they have a “right” to do. Under our constitutional system, a right is a fundamental freedom that deserves special constitutional protection.
Parental autonomy – including the freedom to make individual decisions about child rearing–has long been recognized as essential to American democracy. Individual choice in child bearing and child rearing are considered are fundamental to our scheme of ordered liberty.
Our family laws presume that parents have their children’s best interests at heart and are in the best position to understand their children’s needs. For these reasons, many aspects of child rearing are constitutionally protected, including parental rights to make decisions about education, medical care and religious upbringing.
But the Supreme Court has never held that parents have an unbridled constitutional right to discipline their child as they see fit. Instead, it has consistently held that parental freedoms end where harm to the child begins (see Prince v. Massachusetts). Those who disagree have tried and repeatedly failed to amend the constitution to add language that would recognize an affirmative right of parents to use corporal punishment. The majority of parents and teachers, doctors and mental health experts, judges and advocates for abused and neglected children, and experts in constitutional law have defeated all efforts to enshrine spanking as a constitutional right. Corporal punishment too often escalates and ends tragically in child abuse.
There was a time when the slogan “spare the rod and spoil the child” was accepted as common wisdom. But the evidence is mounting that harsh discipline is actually detrimental to children and damaging to society. Nations around the world now recognize that corporal punishment violates the rights of the child, offends children’s dignity and harms their development. No matter how well intentioned, spanking is a wrong and not a “right”.
Biography:
Barbara Bennett Woodhouse is among the nation’s foremost experts on children’s rights. She joined the Emory Law faculty in 2009 as the L. Q. C. Lamar Chair in Law. Her scholarship and teaching focus on child law, child welfare, comparative and international family law, adoption, and constitutional law. Read her full faculty profile here.
Related:
For more on the outcomes of spanking for children, read this study analyzing 50 years of research addressing this topic.
Image source: Flickr user Jessica Lucia via Creative Commons
Filed under: Children and Youth Tagged: child abuse, child rights, corporal punishment, discipline, parental rights, parenting, physical punishment, spanking

7 Essential Tips to Help You Master Disciplining Your Kids
This is the fifth in a series of weekly blog posts addressing discipline and parenting practices. In this series, we will explore reasons that parents choose among discipline approaches, the science behind those techniques, and alternative approaches to discipline.
By Joan Grusec, PhD (Professor Emerita of Psychology, University of Toronto)
Discipline has a significant role to play in what is arguably the world’s most important job—raising children to be moral and responsible members of society. And, not surprisingly, there’s no shortage of advice about how to do it. Type “disciplining children” into a search engine and you’ll get hundreds of thousands of results. If you want a book about parenting and discipline there are thousands to choose from.
Unfortunately, there is also a lot of contradictory advice to choose from—
- be strict but not too strict,
- comply with your child’s wishes but don’t give in to them too much.
- Be a tiger mom, a dolphin mom, a jellyfish mom….
So, what does a substantial body of psychological research, spanning more than 70 years, tell us about the best way to teach moral values to children?
Children learn values, both good and bad, from observing other people including their parents, siblings, friends, teachers, and television characters. They learn values, both good and bad, from talking about those values with parents, siblings, friends, and teachers. When children fail to behave well, however, parents have to turn to discipline.
Check out the seven tips below:
For discipline to work, children have to be clear about what the rules for good behavior are and they have to be willing to go along with or accept those rules.
How should parents make rules clear?
- Be consistent—it’s confusing when what was OK yesterday isn’t OK today.
- Provide reasons for good behavior that make sense and that the child can understand. Most 4-year-olds won’t comprehend discussions of property rights but they do understand that it feels bad to have your possessions taken without your permission.
- Have your child’s full attention. Too much anger and upset (on the part of both parent and child) is not conducive to calm discussion. Wait until tempers have cooled before talking about rules and the reasons for them.
- Make sure you don’t end up implicitly condoning unacceptable behavior. For example, in addition to its direct effect on children’s learning of values, discipline provides a model of how to resolve conflict. When your discipline involves calm discussion, exchange of points of view, and explanation, as well as negotiation and compromise if appropriate, you provide a good model for conflict resolution. Discipline that involves yelling, hitting, insulting, or unreasonable requests sends the message that verbal and physical aggression, along with an unwillingness to take into account the other person’s perspective, are acceptable ways to behave.
How should you get your children to accept the rules?
- Let them experience appropriate negative consequences but don’t threaten their feelings of autonomy — no one likes to be forced into behaving in a particular way. Autonomy is supported when you:
- allow choice where reasonable (for example, “you have to eat vegetables but would you prefer spinach or green beans”),
- provide good reasons for required behavior,
- try to understand your child’s perspective, and
- don’t apply more negative consequences than are necessary to promote good behavior.
- Be accepting and caring so that your child wants to please you.
- Encourage your child to feel empathy by talking about the effects of their actions on others.
Biography:
Joan Grusec, PhD, is a Professor Emerita at the University of Toronto. Her research interests throughout her career have focused on discipline and the development of children’s prosocial behavior. She is the author or editor of several books related to the socialization of children, as well as more than 100 book chapters and research publications.
Image source: Flickr user Bethany Petrik via Creative Commons
Filed under: Children and Youth Tagged: child behavior, Children, children's mental health, discipline, parenting, parenting skills, parenting tips, positive parenting
