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  A soldier’s biggest battle  
 
A soldier’s biggest battle sometimes occurs after he or she returns home.

As American service members continue to fight and die in Iraq and Afghanistan, many men and women in uniform come home profoundly changed. Some discover they suffer from post traumatic stress disorder (PTSD). Others struggle with depression, anger and/or substance abuse and find it difficult to readjust to civilian life.

A few can’t deal with the pain they feel. They commit suicide.

There have been four suicides among South Dakota National Guard members in the past four years. Two Guard members killed themselves last year in the state but had never been deployment overseas. Another took his life during a deployment to Iraq in 2004. A fourth killed himself in early 2006, more than 11 months after returning from a deployment to Iraq.

The two combat veterans who took their own lives were members of a South Dakota Army National Guard unit that served in Iraq from February 2004 to February 2005. It is unknown if they witnessed the previous death of a fellow soldier who was killed by an improvised explosive device in April of 2004, according to Maj. Orson Ward, a Rapid City-based spokesman for the state Guard.

Ward, who has had to deal with his own PTSD-related issues, said the Guard is very aware of the mental health concerns that soldiers and airmen face in and out of combat.

Maj. Gen. Steven R. Doohen, who commands the South Dakota Air and Army National Guard, said he has learned that the “big tough men” and the women he commands can be very vulnerable.

When soldiers and airmen come off the plane as they complete an overseas deployment, the general greets them with a handshake — and a card advising them of counseling available to them. “I strongly encourage them to go,” Doohen said.

He said going to counseling with a family member can be useful. A soldier may not be aware, at least consciously, of changes he or she has undergone. But a loved one can often spot the pain they are feeling.

Taking suicide, depression and PTSD seriously is a priority for the state Guard, Doohen said.

“I’ve had it hit pretty close to home,” he said. “There is nothing more devastating than suicide.”

He said the idea that a person is so lost that they saw no other option — “it’s the only out they see,” Doohen said — is agonizing to contemplate. It gnaws away at survivors, Doohen said.

The Guard has decided to “do everything we can” and to “take the stigma away.”

Part of the problem is that for many Guard members, talking about their pain or weaknesses is difficult. They’re tough, Midwestern guys and gals who often lock their emotions inside. “I think men have an issue with that, definitely,” Doohen said.

They feel they can overcome the pain, confusion and mental anguish, he said. They repress it, ignore it, and hope it will go away.

But through counseling efforts and with the general leading the way, positive steps are being made, Doohen said. “I think it’s changing and it’s changing for the better,” he said. “(We) get them to seek help early.”

People suffering from PTSD pull back, the general said. They isolate themselves from family, friends and co-workers. “That’s what makes it really hard to reach them,” he said.

South Dakota’s vast size and many small towns add to the problem. Some Guardsmen and women return home to a community with no health-care options.

But the Guard will send counselors to soldiers’ homes, he said. “If they want help, we can give them help,” Doohen said.
 

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