1. Marine and Family Programs Marine Corps Suicide Prevention Program (MCSPP) Marine and Family Programs Marine Corps Suicide Prevention Program (MCSPP) LCDR Andrew L. Martin, Psy.D. Suicide Prevention Program Manager Headquarters, Marine Corps (M&RA) andrew.l.martin@usmc.mil 703-784-9542

2. Mission: Year over year reduction in suicides until zero; then sustain. Strategy: Leaders foster resilience and encourage Marines to engage helping services early, before problems worsen to crisis levels. Mission and Strategy

3. USMC Suicides and Attempts * Last available civilian suicide rate information from the Centers for Disease Control and Prevention. Rate adjusted for Marine demographics. ** Includes 1 suspected suicide that has yet to be confirmed by the Armed Forces Medical Examiner. *** Includes 12 suspected suicides that have yet to be confirmed by the Armed Forces Medical Examiner. Source: HQMC (MFC-5) 2011Sep01 Civilian Rate per 100,000 USMC Rate per 100,000 * Through August 2011

4. USMC Associated Stressors Top Associated Stressors / Risk Factors* 2008 - 2009 Suicides Marital or Other Relationship Problem47% Legal or Disciplinary Problem40% Behavioral Health Diagnoses37% Financial Problem13% Substance Abuse11% * Reflects a history of the stressor/risk factor within 1 year of the suicide

5. 2010 Marine Corps Risk Factors Deploy History USMCSuicides 043 % 129 %24 % 219 %22 % 3+9 %11 % AgeUSMCSuicides 17-2021 %32 % 21-2544 %41 % 26-3017 %10 % 31-4015 %14 % 41+3 % RankUSMCSuicides E1-E340 %46% NCO34 %35 % SNCO16 %11 % CWO1 %0 % O1-0109 %8 % MOSUSMCSuicides 0319 %27 % 068 %11 % 014 %8 % Others69 %54 %

6. Suicide Prevention Program Manager LCDR Andrew Martin Data Analyst (Hiring) Research Analyst Joan Fischer Admin Support Kim McGoldrick Policy Analyst (Hiring) SEA MGySgt Phillip Bush Organizational Chart – MFC5

7. Program Functions Field Support-Technical assistance with PCRs, DoD Suicide Event Report -Unit sergeant trainers and regional master trainers -Commanding Officers -Suicide prevention program coordinators, officers -Marines at risk Surveillance-Track, record, analyze and report suicide related behavior and trends Education -Develop, field and support skill-based education -All Marines trained annually -Support training in formal schools Research & Policy -Coordinate -Develop -Report

8. Leadership Focused and engaged A Marine Corps program Provide annual training to all Marines Maintain two sergeant trainers per battalion/squadron Unit protocol for managing Marines at risk Force Protection Boards Death brief, 8-day and 30-day briefs, DoDSER First flag officer briefs deaths to ACMC

9. Never Leave a Marine Behind

10. Annual Suicide Prevention Training Award-winning, evocative Developed and tested by Marines Focus is on changing behavior - Personal resilience - Peer-to-peer support - Frontline supervisor intervention - Command climate management Separate modules for Jr. Marines, NCOs, SNCOs and officers

11. Never Leave a Marine Behind

12. Tools Monthly Suicide Activity Report Leaders Guide to Managing Marines in Distress MCSPP Website and staff (best practices, statistics, technical support)

13. Behavioral Health Integration SAPR Peer training Frontline supervisor intervention Core Values  peer to peer intervention Privacy versus command awareness COSC Peer training Core values  peer-to-peer intervention Common risk/protective factors Holistic approach; all levels of leadership focused and engaged 20% suicides with combat exposure

14. Behavioral Health Integration Family Advocacy and General Counseling Relationship problems #1 stressor associated with suicide ½ suicides married; ½ single 13% suicides involved in FAP program 13% suicides with physical abuse perpetrator history 5% suicides with emotional abuse perpetrator history 3% suicides with sexual abuse victim history Substance Abuse Prevention and Treatment Common risk and protective factors Alcohol as depressant  depression  suicide 19% suicides drank at time of death 27% suicides with past alcohol dependence/abuse diagnosis 19% suicides received substance abuse treatment in last year

15. Behavioral Health Integration Installation-Currently only a few dedicated suicide prevention positions - Opportunity for coordination between HQ and units - Policy support - Training support - Installation wide suicide prevention promotion - Standardized marketing - Coordinated events Ideas -Requesting additional support -Senior enlisted education program payback tour -Installation master trainer teams -Regional resilience coordinator

16. Prevention Continuum INJUREDINJUREDILLILLREADYREADYREACTINGREACTING STRESS CONTINUUM USMC and BUMED USMC BUMED An Evidence Based Framework….

17. Questions