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General Theory Of Suicidality - Combat Vets In Particular

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Sighs

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This may be old hat to many of you but I have just become aware of Thomas Joiner's theory of why people die by suicide. It makes so much sense but it absolutely terrifies me as it fits combat vets so well.

Joiner says for a person to seriously attempt suicide three factors must be present. Firstly, they must feel that they do not belong. Secondly, they must feel useless to the point of being a burden. Lastly, they must have acquired the ability to seriously self-harm.

After the intense 'belonging' of a infantry soldier - literally 'brothers in arms' - to be 'left out of battle' leaves vets feeling they do not belong. They no longer belong with the armed forces. Its bad for morale for the boys still in service to hang out with those too damaged to continue. They certainly don't belong in civvy street. My vet has tried to join sports teams, mens groups etc. Hell - even regular social interactions make him painfully aware of how different he is. I try so hard to make him feel like he belongs with me - like our team is enough. But I can't replicate the feeling he had when he was leading 300 men in battle.

My vet can't work. Some days he can hardly walk. And, most frustratingly for him he can no longer make others accomplish tasks. So, from being able to effect real change - ie: literally saving people's lives by leading teams to remove those that were threatening them, build schools, deliver food and medicine etc - he can no longer influence the world around him. Its very hard for him to go from being an active contributor to being "disabled".

Lastly Joiner says that to overcome our natural instinct for self preservation is hard. Most people have to work up to it. Either by increasingly serious self harm or by becoming habituated to violence (ie: as a policeman or a paramedic or ER doctor). Joiner hasn't mentioned it - at least not to the point I've read in his book, but not only is a combat vet habituated to violence - as witness, perpetrator and victim but they have also spent years overcoming the natural instinct for self preservation. How else can you explain soldiers advancing into enemy fire?

There is nothing I can do about the last, but I am certainly focused very much on the first and second. No matter how tired or grumpy I am I am determined not to let my vet feel like a burden and I will try to do all I can to make him feel like he belongs to our little team.
 
The thought of my vet committing suicide terrifies me, and his suicidal ideation is the one symptom of his that I cannot handle.

What you're saying makes perfect sense. You could have been writing about my partner. His old pre-military friends don't get him. He doesn't have many Army buddies left, because it seems like they feel awkward about him being disabled and medically retired while they're still active duty and healthy. The PTSD plays hell on his socializing. The only place he's semi-comfortable is the VFW with the older vets, and even they stress him at times. He also can't work. I know he feels useless, even though I tell him he helps me a lot.

What can you do?
 
I'm not a combat vet and I fit every one of those three.

Some do not know how to act around a buddy with PTSD or a disability and therefore avoid them. My friends cared but had no idea what I was or go through every day.

Once discharged, a vet isn't around those he served with. I don't belong anywhere either. I got a husky pup and that's the only reason I'm still here.

Perhaps find one thing of interest and follow that. Far easier said than done. I'm still searching and keep my end plan very quiet.
 
@Sighs you are so kind. Yes #3 = no appropriate fear, is my understanding.

I think you are all doing the right thing.

Something that came to me today, was that I am not used to thinking of myself or my 'body' as flesh & blood.. that is, in the ways people take care of their's or notice how they feel. But also in the ways I would touch, literally, or care for others. Which equates to 'acquiring the ability to self harm', as you say. I'm not explaining myself well, but just like tuning out my own needs, I think some of the fear of death or the process of dying is tuned out because of the same ways of thinking (= not thinking/ not feeling/ not thinking of one's self with value or even human, just sort of 'a body', no mind/ heart/ soul). I remember trying to conceptualize how painful it is, & 'gross' details, to try to 'feel' more fear (aversion).

Actually, for you & @Sweetpea76 I think being needed & having the support and also communication are very protective factors, because they are exceptions to absolute belief in the 1st two.

ETA, I'm glad you got your husky @Kodah , & am sure he/she's glad too. :)
 
@Kodah - Joiner believes his theory fits all those who die by suicide. So certainly not a model that is exclusive to combat vets. I'm sorry that you feel this way. My vet often says he wouldn't be here if it wasn't for his dog. Before we met he and his dog were homeless for about 18 months. I believe the connection to his dog kept him going. I hope your husky does the same for you - at least until you are able to find human connections. Hugs if you accept them.
 
@Sighs , thanks for that! I hadn't heard of that theory. It makes a lot of sense. I've spent a lot of time, the past few weeks, thinking about a some friends who killed themselves and wondering why I'm here and they're not. There are probably a number of reasons, but maybe #3 is the big one. (I probably shouldn't say this, but I decided a long time ago that the best way for me to kill myself would be something like stepping out in front of a train. It would have to be something that involved a minimal amount of time for thought or preparation..........And then I worry about the effect it might have on the engineer, which is probably why I'm still here. LOL)

I don't know that you can MAKE anyone feel anything. Maybe for someone to feel needed, they actually need to BE needed? And to feel like you belong??? The closest I've ever come to that is probably here. And I guess it means feeling like you're seen for who you are and accepted anyway. (I'm pretty sure both you and @Sweetpea76 do that pretty well.)

A week ago, my T asked about "things that I might have gained through the traumatic experiences". I'm still thinking about that and I'm not sure exactly what he was going for. I don't think he meant it in a way where traumatic experiences are actually good. I think he meant what have I learned through the experiences and dealing with things, etc that might be generally useful. Your vets have come through a lot. They've coped and survived. That's a real accomplishment. They must have acquired some useful stuff along the way.

I'm rambling! Sorry!!!!!! This is a good topic. I don't have the answers, but I think there's stuff out there.
 
@FridayJones - I'm sorry that you feel that way.

I often say to my vet "I wish you could see yourself just for a minute as I see you." I don't see him as broken or useless, and I wish he felt he belongs with me as fiercely as I feel I belong with him. (Please note belongs with not belongs to!)

I wish you Friday could see yourself as we on the forum see you. To appreciate yourself as we appreciate you. To look forward to your brave, frank, witty, evocative and beautiful articulation of life with PTSD. To recognise the help you offer so many here. To honour your courage and strength in keeping on keeping on.

I count you, among others on this site, as my best girlfriends. Just because I don't know your birthname, your voice or your face does not mean that I don't value our connection.

:hug:
 
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