National Center for Telehealth & Technology (T2)

Defense Centers of Excellence for Psychological 

Health & Traumatic Brain Injury (DCoE)

www.t2health.org

CALENDAR YEAR 2010 ANNUAL REPORT

i

Acknowledgments

Calendar Year 2010 Annual Report

ACKNOWLEDGMENTS

Authors

The National Center for Telehealth & Technology (T2) prepared this Department of Defense Suicide Event 

Report (DoDSER) annual report with contributions from many organizations and individuals. We are grateful 

to the Services’ behavioral health providers and Command-designated appointees who collect and verify 

suicide event data and later complete DoDSERs. We also thank the Services’ Suicide Prevention Program 

Managers (SPPMs) and DoDSER Program Managers who oversee the DoDSER data collection process 

to ensure data integrity and program compliance. In particular, Maj Michael McCarthy (Air Force SPPM), 

Dr. Amy Millikan (Manager, Behavioral and Social Health Outcomes Program), Mr. Walter Morales (Army 

SPPM), Mr. John Wills (Army DoDSER Program Manager), LCDR Andrew Martin (Marine Corps SPPM), 

Mr. Todd Shuttleworth (Marine Corps DoDSER Program Manager) and LCDR Bonnie Chavez (Navy SPPM) 

are integral to DoDSER program success. We are also indebted to Ms. Lynne Oetjen-Gerdes and CAPT 

Joyce Cantrell, M.D., MPH, of the Mortality Surveillance Division of the Armed Forces Medical Examiner 

System (AFMES). The AFMES assists the DoDSER program through the reporting of confirmed suicides, 

the provision of the demographic and suicide rate data presented in this report, and general support for the 

DoDSER program. 

Julie T. Kinn, Ph.D., David D. Luxton, Ph.D., Mark A. Reger, Ph.D., Gregory A. Gahm, Ph.D., Nancy A. Skopp, Ph.D., and 

Nigel E. Bush, Ph.D.
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Contents

CONTENTS

I	 ACKNOWLEDGMENTS

VI	 LIST OF TABLES

1	 EXECUTIVE SUMMARY

1	 	 	 Background

1	 	 	 Results

4	 	 	 Conclusion

5	 CHAPTER 1: INTRODUCTION

5	 	 	 Background

5	 	 	 ModificationsinDoDSER 2010

5	 	 	 Method

8	 	 	 InterpretiveConsiderations

9	 	 	 FutureDirections

10	 CHAPTER 2: DOD-WIDEDODSER RESULTS

10 DoDSERs Submitted for Completed Suicides

10	 	 	 DoDSER Submissions and Point ofContact(POC)Compliance

11	 	 	 Dispositional/Personal Factors

18	 	 	 Contextual Factors

20	 	 	 ClinicalHealth Factors

25	 	 	 Historical/Developmental Factors

29	 	 	 Deployment Factors

31 DoDSERs Submitted for Suicide Attempts

31	 	 	 Dispositional/Personal Factors

36	 	 	 Contextual Factors

38	 	 	 ClinicalHealth Factors

43	 	 	 Historical/Developmental Factors

46	 	 	 Deployment Factors

48 Summary

49	 CHAPTER 3:DODSERS SUBMITTEDFOR SERVICEMEMBERSDEPLOYEDTO OPERATIONENDURING

	 FREEDOM(OEF), OPERATIONIRAQI FREEDOM(OIF)& OPERATIONNEW DAWN(OND)

49 DoDSERs Submitted for Completed Suicides

49	 	 	 DoDSER Submissions

49	 	 	 Dispositional/Personal Factors
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Contents

Calendar Year 2010 Annual Report

56	 	 	 ClinicalHealth Factors

63	 	 	 Historical/Developmental Factors

68	 	 	 Deployment Factors

71	 	 	 Dispositional/Personal Factors

71 OEF, OIF & OND DoDSERs Submitted for Suicide Attempts

76	 	 	 ClinicalHealth Factors

81	 	 	 Historical/Developmental Factors

85	 	 	 Deployment Factors

87 Summary

88	 CHAPTER 4: AIR FORCEDODSER

88 Air Force Results For Completed Suicides

88	 	 	 Air ForceDoDSER Submissions and Point ofContact(POC)Compliance

89	 	 	 Dispositional/Personal Factors

93	 	 	 Contextual Factors

95	 	 	 ClinicalHealth Factors

100	 	 	 Historical/Developmental Factors

104	 	 	 Deployment Factors

106 Air Force DoDSERs Submitted for Suicide Attempts

106	 	 	 Dispositional/Personal Factors

111	 	 	 Contextual Factors

113	 	 	 ClinicalHealth Factors

117	 	 	 Historical/Developmental Factors

121	 	 	 Deployment Factors

123 Summary

124	 CHAPTER 5: ARMYDODSER

124 Army Results For Completed Suicides

124	 	 	 ArmyDoDSER Submissions and Point ofContact(POC)Compliance

125	 	 	 Dispositional/Personal Factors

130	 	 	 Contextual Factors

132	 	 	 ClinicalHealth Factors

136	 	 	 Historical/Developmental Factors

140	 	 	 Deployment Factors

142 Army DoDSERs Submitted for Non-fatal Events

143	 	 	 Dispositional/Personal Factors

150	 	 	 Contextual Factors
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Contents

153	 	 	 ClinicalHealth Factors

160	 	 	 Historical/Developmental Factors

166	 	 	 Deployment Factors

168 Summary

169	 CHAPTER 6: MARINE CORPSDODSER

169 Marine Corps Results For Completed Suicides

169	 	 	 MarineCorpsDoDSER Submissions&Point ofContact(POC)Compliance

169	 	 	 Dispositional/Personal Factors

174	 	 	 Contextual Factors

176	 	 	 ClinicalHealth Factors

181	 	 	 Historical/Developmental Factors

185	 	 	 Deployment Factors

187 Marine Corps DoDSERs Submitted for Suicide Attempts

187	 	 	 Dispositional/Personal Factors

192	 	 	 Contextual Factors

193	 	 	 ClinicalHealth Factors

198	 	 	 Historical/Developmental Factors

202	 	 	 Deployment Factors

203 Summary

204	 CHAPTER 7: NAVYDODSER

204 Navy Results For Completed Suicides

204	 	 	 NavyDoDSER Submissions and Point ofContact(POC)Compliance

204	 	 	 Dispositional/Personal Factors

209	 	 	 Contextual Factors

211	 	 	 ClinicalHealth Factors

216	 	 	 Historical/Developmental Factors

220	 	 	 Deployment Factors

221 Navy DoDSERs Submitted for Suicide Attempts

221	 	 	 Dispositional/Personal Factors

226	 	 	 Contextual Factors

227	 	 	 ClinicalHealth Factors

228	 	 	 BehavioralHealthDisorders

232	 	 	 Historical/Developmental Factors

236	 	 	 Deployment Factors

237 Summary
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Calendar Year 2010 Annual Report

238	 APPENDIX A: GLOSSARY

240	 APPENDIX B: ACRONYMS

241	 APPENDIX C: REFERENCES

242	 APPENDIXD: FEEDBACK&SUGGESTIONS
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Contents

LIST OF TABLES

CHAPTER 2: DoD-WIDEDoDSER RESULTS

10	 TABLE 2.1. AFMES CONFIRMEDANDPENDINGSUICIDES ANDDoDSERS SUBMITTED

10	 TABLE 2.2. CY 2010 AND2008-2009DoDSERMISSINGANDUNKNOWNDATA

12	 TABLE 2.3. CY 2010 AND2008-2009 AFMES ANDDMDCDEMOGRAPHICDATA FOR SUICIDES

13	 TABLE 2.4. CY 2010 AND2008-2009 AFMES ANDDMDCDEMOGRAPHICDATA FOR SUICIDES BY SERVICE

15	 TABLE 2.5. CY 2010 AND2008-2009DoDSER EVENTGEOGRAPHIC LOCATION

15	 TABLE 2.6. CY 2010 AND2008-2009DoDSER EVENT SETTING

15	 TABLE 2.7. CY 2010 AND2008-2009DoDSER EVENTMETHOD

16	 TABLE 2.8. CY 2010 AND2008-2009DoDSER SUBSTANCE(S)USEDDURINGSUICIDE

17	 TABLE 2.9. CY 2010 AND2008-2009DoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

17	 TABLE 2.10. CY 2010 AND2008-2009DoDSERMODE OF COMMUNICATEDINTENT

18	 TABLE 2.12. CY 2010 AND2008-2009DoDSER ADDITIONAL EVENT INFORMATION

18	 TABLE 2.11. CY 2010 AND2008-2009DoDSER RECIPIENTS OF COMMUNICATEDINTENT

19	 TABLE 2.13. CY 2010 AND2008-2009DoDSERHOME ENVIRONMENT

20	 TABLE 2.14. CY 2010 AND2008-2009DoDSERDUTY ENVIRONMENT

20	 TABLE 2.15. CY 2010 AND2008-2009DoDSER SUICIDES BYMONTH

21	 TABLE 2.16. CY 2010 AND2008-2009DoDSER PRIOR SELF-INJURY

21	 TABLE 2.17. CY 2010 AND2008-2009DoDSER COMORBIDITY RATES

22	 TABLE 2.18. CY 2010 AND2008-2009DoDSERMOODDISORDERS

22	 TABLE 2.19. CY 2010 AND2008-2009DoDSER ANXIETYDISORDERS

23	 TABLE 2.20. CY 2010 AND2008-2009DoDSER OTHER BEHAVIORALHEALTHDISORDERS

24	 TABLE 2.21. CY 2010 AND2008-2009DoDSER TREATMENTHISTORY

25	 TABLE 2.22. CY 2010 AND2008-2009DoDSER PSYCHOTROPICMEDICATIONUSE

25	 TABLE 2.23. CY 2010 AND2008-2009DoDSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE

26	 TABLE 2.24. CY 2010 AND2008-2009DoDSER FAMILYHISTORY

27	 TABLE 2.25. CY 2010 AND2008-2009DoDSER ADMINISTRATIVE ANDLEGALHISTORY

28	 TABLE 2.26. CY 2010 AND2008-2009DoDSER ABUSEHISTORY

29	 TABLE 2.27. CY 2010 AND2008-2009DoDSER FINANCIAL AND WORKPLACEDIFFICULTIES

29	 TABLE 2.28. CY 2010 AND2008-2009DoDSER SUICIDES INTHEATER

30	 TABLE 2.29. CY 2010 AND2008-2009DODSER OEF/OIF/ONDDEPLOYMENTHISTORY

30	 TABLE 2.30. CY 2010 AND2008-2009DoDSER COMBATHISTORY

31	 TABLE 2.31. CY 2010DODSUICIDE ATTEMPTDoDSERS

31	 TABLE 2.32. CY 2010 SUICIDE ATTEMPTDoDSERMISSINGANDUNKNOWNDATA

32	 TABLE 2.33. CY 2010 SUICIDE ATTEMPTDoDSERDEMOGRAPHICS

33	 TABLE 2.34. CY 2010 SUICIDE ATTEMPTDoDSER EVENTGEOGRAPHIC LOCATION

33	 TABLE 2.35. CY 2010 SUICIDE ATTEMPTDoDSER EVENT SETTING

33	 TABLE 2.36. CY 2010 SUICIDE ATTEMPTDODSER EVENTMETHOD

34	 TABLE 2.37. CY 2010DoDSER SUBSTANCE(S)USEDDURINGSUICIDE ATTEMPTS

35	 TABLE 2.38. CY 2010 SUICIDE ATTEMPTDoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

35	 TABLE 2.39. CY 2010 SUICIDE ATTEMPTDoDSERMODE OF COMMUNICATEDINTENT

35	 TABLE 2.40. CY 2010 SUICIDE ATTEMPTDoDSER RECIPIENTS OF COMMUNICATEDINTENT

35	 TABLE 2.41. CY 2010 SUICIDE ATTEMPTDoDSER ADDITIONAL EVENT INFORMATION

36	 TABLE 2.42. CY 2010 SUICIDE ATTEMPTDoDSERHOME ENVIRONMENT

37	 TABLE 2.43. CY 2010 SUICIDE ATTEMPTDoDSERDUTY ENVIRONMENT

37	 TABLE 2.44. CY 2010DoDSER SUICIDE ATTEMPTS BYMONTH

38	 TABLE 2.45. CY 2010 SUICIDE ATTEMPTDoDSER PRIOR SELF-INJURY

39	 TABLE 2.46. CY 2010 SUICIDE ATTEMPTDoDSER COMORBIDITY RATES
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Calendar Year 2010 Annual Report

39	 TABLE 2.47. CY 2010 SUICIDE ATTEMPTDoDSERMOODDISORDERS

40	 TABLE 2.48. CY 2010 SUICIDE ATTEMPTDoDSER ANXIETYDISORDERS

40	 TABLE 2.49. CY 2010 SUICIDE ATTEMPTDoDSER OTHER BEHAVIORALHEALTHDISORDERS

41	 TABLE 2.50. CY 2010 SUICIDE ATTEMPTDoDSER TREATMENTHISTORY

42	 TABLE 2.51. CY 2010 SUICIDE ATTEMPTDoDSER PSYCHOTROPICMEDICATIONUSE

43	 TABLE 2.52. CY 2010DoDSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

43	 TABLE 2.53. CY 2010 SUICIDE ATTEMPTDoDSER FAMILYHISTORY

44	 TABLE 2.54. CY 2010 SUICIDE ATTEMPTDoDSER ADMINISTRATIVE ANDLEGALHISTORY

45	 TABLE 2.55. CY 2010 SUICIDE ATTEMPTDoDSER ABUSEHISTORY

46	 TABLE 2.56. CY 2010 SUICIDE ATTEMPTDoDSER FINANCIAL AND WORKPLACEDIFFICULTIES

47	 TABLE 2.57. CY 2010DoDSER SUICIDE ATTEMPTS INTHEATER

47	 TABLE 2.58. CY 2010 SUICIDE ATTEMPTDoDSER OEF/OIF/ONDDEPLOYMENTHISTORY

47	 TABLE 2.59. CY 2010 SUICIDE ATTEMPTDoDSER COMBATHISTORY

CHAPTER 3:DoDSERs SUBMITTEDFOR SERVICEMEMBERSDEPLOYEDTO OPERATIONENDURINGFREEDOM

(OEF), OPERATIONIRAQI FREEDOM(OIF)& OPERATIONNEW DAWN(OND)

50	 TABLE 3.1. CY 2010 AND2008-2009 AFMES ANDDMDCDEMOGRAPHICDATA FOR OEF/OIF/ONDAND OTHER SUICIDES

51	 TABLE 3.2. CY 2010DoDSER EVENT SETTINGFOR OEF/OIF/ONDAND OTHER SUICIDES

52	 TABLE 3.4. CY 2010 AND2008-2009DoDSER SUBSTANCE(S)USEDDURINGEVENT FOR OEF/OIF/OND& OTHER SUICIDES

54	 TABLE 3.5. CY 2010 AND2008-2009DoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT FOR OEF/OIF/OND

	 AND OTHER SUICIDES

54	 TABLE 3.6. CY 2010 AND2008-2009DoDSERMODE OF COMMUNICATEDINTENT FOR OEF/OIF/ONDAND OTHER SUICIDES

54	 TABLE 3.7. CY 2010 AND2008-2009DoDSER RECIPIENTS OF COMMUNICATEDINTENT FOR OEF/OIF/ONDAND OTHER SUICIDES

55	 TABLE 3.8. CY 2010 AND2008-2009DoDSER ADDITIONAL EVENT INFORMATIONFOR OEF/OIF/ONDAND OTHER SUICIDES

56	 TABLE 3.9. CY 2010 AND2008-2009DoDSER SUICIDES BYMONTHFOR OEF/OIF/ONDAND OTHER SUICIDES

57	 TABLE 3.10. CY 2010 AND2008-2009DoDSER PRIOR SELF-INJURY FOR OEF/OIF/ONDAND OTHER SUICIDES

57	 TABLE 3.11. CY 2010 AND2008-2009DoDSER COMORBIDITY RATES FOR OEF/OIF/ONDAND OTHER SUICIDES

58	 TABLE 3.12. CY 2010 AND2008-2009DoDSERMOODDISORDERS FOR OEF/OIF/ONDAND OTHER SUICIDES

59	 TABLE 3.13. CY 2010 AND2008-2009DoDSER ANXIETYDISORDERS FOR OEF/OIF/ONDAND OTHER SUICIDES

60	 TABLE 3.14. CY 2010 AND2008-2009DoDSER OTHER BEHAVIORALHEALTHDISORDERS FOR OEF/OIF/ONDAND OTHER SUICIDES

61	 TABLE 3.15. CY 2010 AND2008-2009DoDSER TREATMENTHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDES

62	 TABLE 3.16. CY 2010 AND2008-2009DoDSER PSYCHOTROPICMEDICATIONUSE FOR OEF/OIF/ONDAND OTHER SUICIDES

63	 TABLE 3.17. CY 2010 AND2008-2009DoDSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE FOR OEF/OIF/ONDAND OTHER SUICIDES

64	 TABLE 3.18. CY 2010 AND2008-2009DoDSER FAMILYHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDES

65	 TABLE 3.19. CY 2010 AND2008-2009DoDSER ADMINISTRATIVE ANDLEGALHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDES

66	 TABLE 3.20. CY 2010 AND2008-2009DoDSER ABUSEHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDES

68	 TABLE 3.21. CY 2010 AND2008-2009DoDSER FINANCIAL AND WORKPLACEDIFFICULTIES FOR OEF/OIF/ONDAND OTHER SUICIDES

69	 TABLE 3.22. CY 2010 AND2008-2009DoDSER SUICIDES INTHEATER FOR OEF/OIF/ONDAND OTHER SUICIDES

69	 TABLE 3.23. CY 2010 AND2008-2009DoDSERDEPLOYMENTHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDES

69	 TABLE 3.24. CY 2010 AND2008-2009DoDSER COMBATHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDES

71	 TABLE 3.25. CY 2010 OEF/OIF SUICIDE ATTEMPTDoDSERS

71	 TABLE 3.26. CY 2010DoDSERDEMOGRAPHICS FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

72	 TABLE 3.27. CY 2010DoDSER EVENT SETTINGFOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

73	 TABLE 3.28. CY 2010DoDSER EVENTMETHODFOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

73	 TABLE 3.29. CY 2010DODSER SUBSTANCE(S)USEDDURINGEVENT FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

74	 TABLE 3.30. CY 2010DoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT FOR OEF/OIF/ONDAND OTHER

SUICIDE ATTEMPTS

74	 TABLE 3.31. CY 2010DoDSERMODE OF COMMUNICATEDINTENT FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

75	 TABLE 3.32. CY 2010DoDSER RECIPIENTS OF COMMUNICATEDINTENT FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

75	 TABLE 3.33. CY 2010DoDSER ADDITIONAL EVENT INFORMATIONFOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS
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76	 TABLE 3.34. CY 2010DoDSER SUICIDE EVENTS BYMONTHFOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

76	 TABLE 3.35. CY 2010DoDSER PRIOR SELF-INJURY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

77	 TABLE 3.36. CY 2010DoDSER COMORBIDITY RATES FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

77	 TABLE 3.37. CY 2010DoDSERMOODDISORDERS FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

78	 TABLE 3.38. CY 2010DODSER ANXIETYDISORDERS FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

79	 TABLE 3.39. CY 2010DoDSER OTHER BEHAVIORALHEALTHDISORDERS FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

79	 TABLE 3.40. CY 2010DoDSER TREATMENTHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

80	 TABLE 3.41. CY 2010DoDSER PSYCHOTROPICMEDICATIONUSE FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

81	 TABLE 3.42. CY 2010DoDSER FAILEDRELATIONSHIPS PRIOR TO EVENT FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

82	 TABLE 3.43. CY 2010DoDSER FAMILYHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

83	 TABLE 3.44. CY 2010DoDSER ADMINISTRATIVE ANDLEGALHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

84	 TABLE 3.45. CY 2010DoDSER ABUSEHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

84	 TABLE 3.46. CY 2010DoDSER FINANCIAL AND WORKPLACEDIFFICULTIES FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

85	 TABLE 3.47. CY 2010DoDSERS SUICIDE ATTEMPTS INTHEATER FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

85	 TABLE 3.48. CY 2010DoDSERDEPLOYMENTHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

86	 TABLE 3.49. CY 2010DoDSER COMBATHISTORY FOR OEF/OIF/ONDAND OTHER SUICIDE ATTEMPTS

CHAPTER 4: AIR FORCEDoDSER

88	 TABLE 4.1. AIR FORCE AFMES CONFIRMEDANDPENDINGSUICIDES ANDDoDSERS SUBMITTED

88	 TABLE 4.2. CY 2010 AND2008-2009 AIR FORCEDoDSERMISSINGANDUNKNOWNDATA

89	 TABLE 4.3. CY 2010 AND2008-2009 AFMES ANDDMDCDEMOGRAPHICDATA FOR AIR FORCE SUICIDES

90	 TABLE 4.4. CY 2010 AND2008-2009 AIR FORCEDoDSER EVENTGEOGRAPHIC LOCATION

90	 TABLE 4.5. CY 2010 AND2008-2009 AIR FORCEDoDSER EVENT SETTING

91	 TABLE 4.6. CY 2010 AND2008-2009 AIR FORCEDoDSER EVENTMETHOD

91	 TABLE 4.7. CY 2010 AND2008-2009 AIR FORCEDoDSER SUBSTANCE(S)USEDDURINGEVENT

92	 TABLE 4.8. CY 2010 AND2008-2009 AIR FORCEDoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

92	 TABLE 4.9. CY 2010 AND2008-2009 AIR FORCEDoDSERMODE OF COMMUNICATEDINTENT

92	 TABLE 4.10. CY 2010 AND2008-2009 AIR FORCEDoDSER RECIPIENTS OF COMMUNICATEDINTENT

93	 TABLE 4.11. CY 2010 AND2008-2009 AIR FORCEDoDSER ADDITIONAL EVENT INFORMATION

94	 TABLE 4.12. CY 2010 AND2008-2009 AIR FORCEDoDSERHOME ENVIRONMENT

95	 TABLE 4.13. CY 2010 AND2008-2009 AIR FORCEDoDSERDUTY ENVIRONMENT

95	 TABLE 4.14. CY 2010 AND2008-2009 AIR FORCEDoDSER SUICIDES BYMONTH

96	 TABLE 4.15. CY 2010 AND2008-2009 AIR FORCEDoDSER PRIOR SELF-INJURY

96	 TABLE 4.16. CY 2010 AND2008-2009 AIR FORCEDoDSER COMORBIDITY RATES

97	 TABLE 4.17. CY 2010 AND2008-2009 AIR FORCEDoDSERMOODDISORDERS

97	 TABLE 4.18. CY 2010 AND2008-2009 AIR FORCEDoDSER ANXIETYDISORDERS

98	 TABLE 4.19. CY 2010 AND2008-2009 AIR FORCEDoDSER OTHER BEHAVIORALHEALTHDISORDERS

99	 TABLE 4.20. CY 2010 AND2008-2009 AIR FORCEDoDSER TREATMENTHISTORY

100	 TABLE 4.21. CY 2010 AND2008-2009 AIR FORCEDoDSER PSYCHOTROPICMEDICATIONUSE

100	 TABLE 4.22. CY 2010 AND2008-2009 AIR FORCEDoDSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE

101	 TABLE 4.23. CY 2010 AND2008-2009 AIR FORCEDoDSER FAMILYHISTORY

102	 TABLE 4.24. CY 2010 AND2008-2009 AIR FORCEDoDSER ADMINISTRATIVE ANDLEGALHISTORY

103	 TABLE 4.25. CY 2010 AND2008-2009 AIR FORCEDoDSER ABUSEHISTORY

104	 TABLE 4.26. CY 2010 AND2008-2009 AIR FORCEDoDSER FINANCIAL AND WORKPLACEDIFFICULTIES

104	 TABLE 4.27. CY 2010 AND2008-2009 AIR FORCEDoDSER SUICIDES INTHEATER

105	 TABLE 4.28. CY 2010 AND2008-2009 AIR FORCEDoDSER OEF/OIF/ONDDEPLOYMENTHISTORY

105	 TABLE 4.29. CY 2010 AND2008-2009 AIR FORCEDoDSER COMBATHISTORY

106	 TABLE 4.30. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERS

106	 TABLE 4.31. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERMISSINGANDUNKNOWNDATA 

107	 TABLE 4.32. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERDEMOGRAPHICS
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Calendar Year 2010 Annual Report

108	 TABLE 4.33. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER EVENTGEOGRAPHIC LOCATION

108	 TABLE 4.34. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER EVENT SETTING

108	 TABLE 4.35. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER EVENTMETHOD

109	 TABLE 4.36. CY 2010 AIR FORCEDoDSER SUBSTANCE(S)USEDDURINGSUICIDE ATTEMPTS

110	 TABLE 4.37. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

110	 TABLE 4.38. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERMODE OF COMMUNICATEDINTENT

110	 TABLE 4.39. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER RECIPIENTS OF COMMUNICATEDINTENT

110	 TABLE 4.40. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER ADDITIONAL EVENT INFORMATION

111	 TABLE 4.41. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERHOME ENVIRONMENT

112	 TABLE 4.42. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERDUTY ENVIRONMENT

112	 TABLE 4.43. CY 2010 AIR FORCEDoDSER SUICIDE ATTEMPTS BYMONTH

113	 TABLE 4.44. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER PRIOR SELF-INJURY

114	 TABLE 4.45. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER COMORBIDITY RATES

114	 TABLE 4.46. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSERMOODDISORDERS

115	 TABLE 4.47. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER ANXIETYDISORDERS

115	 TABLE 4.48. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER OTHER BEHAVIORALHEALTHDISORDERS

116	 TABLE 4.49. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER TREATMENTHISTORY

117	 TABLE 4.50. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER PSYCHOTROPICMEDICATIONUSE

118	 TABLE 4.51. CY 2010 AIR FORCEDoDSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

118	 TABLE 4.52. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER FAMILYHISTORY

119	 TABLE 4.53. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER ADMINISTRATIVE ANDLEGALHISTORY

120	 TABLE 4.54. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER ABUSEHISTORY

121	 TABLE 4.55. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER FINANCIAL AND WORKPLACEDIFFICULTIES

121	 TABLE 4.56. CY 2010 AIR FORCEDoDSER SUICIDE ATTEMPTS INTHEATER

122	 TABLE 4.57. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER OEF/OIF/ONDDEPLOYMENTHISTORY

122	 TABLE 4.58. CY 2010 AIR FORCE SUICIDE ATTEMPTDoDSER COMBATHISTORY

CHAPTER 5: ARMYDoDSER

124	 TABLE 5.1. ARMY AFMES CONFIRMEDANDPENDINGSUICIDES ANDDoDSERS SUBMITTED

124	 TABLE 5.2. CY 2010 AND2008-2009 ARMYDoDSERMISSINGANDUNKNOWNDATA

125	 TABLE 5.3. CY 2010 AFMES ANDDMDCDEMOGRAPHICDATA ANDRATES FOR ARMY SUICIDES (N= 160)

126	 TABLE 5.4. CY 2010 AND2008-2009 ARMYDoDSER EVENTGEOGRAPHIC LOCATION

126	 TABLE 5.5. CY 2010 AND2008-2009 ARMYDoDSER EVENT SETTING

127	 TABLE 5.6. CY 2010 AND2008-2009 ARMYDoDSER EVENTMETHOD

127	 TABLE 5.7. CY 2010 AND2008-2009 ARMYDoDSER SUBSTANCE(S)USEDDURINGSUICIDE

128	 TABLE 5.8. CY 2010 AND2008-2009 ARMYDoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

128	 TABLE 5.9. CY 2010 AND2008-2009 ARMYDoDSERMODE OF COMMUNICATEDINTENT

129	 TABLE 5.10. CY 2010 AND2008-2009 ARMYDoDSER RECIPIENTS OF COMMUNICATEDINTENT

129	 TABLE 5.11. CY 2010 AND2008-2009 ARMYDoDSER ADDITIONAL EVENT INFORMATION

130	 TABLE 5.12. CY 2010 AND2008-2009 ARMYDoDSERHOME ENVIRONMENT

131	 TABLE 5.13. CY 2010 AND2008-2009 ARMYDoDSERDUTY ENVIRONMENT

131	 TABLE 5.14. CY 2010 AND2008-2009 ARMYDoDSER SUICIDES BYMONTH

132	 TABLE 5.15. CY 2010 AND2008-2009 ARMYDoDSER PRIOR SELF-INJURY

133	 TABLE 5.16. CY 2010 AND2008-2009 ARMYDoDSER COMORBIDITY RATES

133	 TABLE 5.17. CY 2010 AND2008-2009 ARMYDoDSERMOODDISORDERS

133	 TABLE 5.18. CY 2010 AND2008-2009 ARMYDoDSER ANXIETYDISORDERS

134	 TABLE 5.19. CY 2010 AND2008-2009 ARMYDoDSER OTHER BEHAVIORALHEALTHDISORDERS

135	 TABLE 5.20. CY 2010 AND2008-2009 ARMYDoDSER TREATMENTHISTORY

136	 TABLE 5.21. CY 2010 AND2008-2009 ARMYDoDSER PSYCHOTROPICMEDICATIONUSE

137	 TABLE 5.22. CY 2010 AND2008-2009 ARMYDoDSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE
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137	 TABLE 5.23. CY 2010 AND2008-2009 ARMYDoDSER FAMILYHISTORY

138	 TABLE 5.24. CY 2010 AND2008-2009 ARMYDoDSER ADMINISTRATIVE ANDLEGALHISTORY

139	 TABLE 5.25. CY 2010 AND2008-2009 ARMYDoDSER ABUSEHISTORY

140	 TABLE 5.26. CY 2010 AND2008-2009 ARMYDoDSER FINANCIAL AND WORKPLACEDIFFICULTIES

141	 TABLE 5.27. CY 2010 AND2008-2009 ARMYDoDSER SUICIDES INTHEATER

141	 TABLE 5.28. CY 2010 AND2008-2009 ARMYDoDSER OEF/OIF/ONDDEPLOYMENTHISTORY

141	 TABLE 5.29. CY 2010 AND2008-2009 ARMYDoDSER COMBATHISTORY

142	 TABLE 5.30. CY 2010 ARMY SUICIDE ATTEMPTDoDSERS

142	 TABLE 5.31. CY 2010 ARMYDoDSERS FOR SELF-HARM WITHOUT INTENT TO DIE

142	 TABLE 5.32. CY 2010 ARMY SUICIDAL IDEATIONDODSERS

143	 TABLE 5.33. CY 2010 AND2008-2009 ARMYDoDSERMISSINGANDUNKNOWNDATA FORNON-FATAL SUICIDE EVENTS

144	 TABLE 5.34. CY 2010 AND2008-2009 ARMYDoDSERDEMOGRAPHICS FORNON-FATAL SUICIDE EVENTS

145	 TABLE 5.35. CY 2010 AND2008-2009 ARMYDoDSER EVENTGEOGRAPHIC LOCATIONFORNON-FATAL SUICIDE EVENTS

146	 TABLE 5.36. CY 2010 AND2008-2009 ARMYDoDSER EVENT SETTINGFORNON-FATAL SUICIDE EVENTS

146	 TABLE 5.37. CY 2010 AND2008-2009 ARMYDoDSER EVENTMETHODFORNON-FATAL SUICIDE EVENTS

147	 TABLE 5.38. CY 2010 AND2008-2009 ARMYDoDSER SUBSTANCE(S)USEDDURINGNON-FATAL SUICIDE EVENTS

148	 TABLE 5.39. CY 2010 AND2008-2009 ARMYDoDSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT FOR

NON-FATAL SUICIDE EVENTS

149	 TABLE 5.40. CY 2010 AND2008-2009 ARMYDoDSERMODE OF COMMUNICATEDINTENT FORNON-FATAL SUICIDE EVENTS

149	 TABLE 5.41. CY 2010 AND2008-2009 ARMYDoDSER RECIPIENTS OF COMMUNICATEDINTENT FORNON-FATAL SUICIDE EVENTS

150	 TABLE 5.42. CY 2010 AND2008-2009 ARMYDoDSER ADDITIONAL EVENT INFORMATIONFORNON-FATAL SUICIDE EVENTS

151	 TABLE 5.43. CY 2010 AND2008-2009 ARMYDoDSERHOME ENVIRONMENT FORNON-FATAL SUICIDE EVENTS

152	 TABLE 5.44. CY 2010 AND2008-2009 ARMYDoDSERDUTY ENVIRONMENT FORNON-FATAL SUICIDE EVENTS

153	 TABLE 5.45. CY 2010 AND2008-2009 ARMYDoDSERNON-FATAL SUICIDE EVENTS BYMONTH

154	 TABLE 5.46. CY 2010 AND2008-2009 ARMYDoDSER PRIOR SELF-INJURY FORNON-FATAL SUICIDE EVENTS

155	 TABLE 5.47. CY 2010 AND2008-2009 ARMYDoDSER COMORBIDITY RATES FORNON-FATAL SUICIDE EVENTS

155	 TABLE 5.48. CY 2010 AND2008-2009 ARMYDoDSERMOODDISORDERS FORNON-FATAL SUICIDE EVENTS

156	 TABLE 5.49. CY 2010 AND2008-2009 ARMYDoDSER ANXIETYDISORDERS FORNON-FATAL SUICIDE EVENTS

157	 TABLE 5.50. CY 2010 AND2008-2009 ARMYDoDSER OTHER BEHAVIORALHEALTHDISORDERS FORNON-FATAL SUICIDE EVENTS

158	 TABLE 5.51. CY 2010 AND2008-2009 ARMYDoDSER TREATMENTHISTORY FORNON-FATAL SUICIDE EVENTS

159	 TABLE 5.52. CY 2010 AND2008-2009 ARMYDoDSER PSYCHOTROPICMEDICATIONUSE FORNON-FATAL SUICIDE EVENTS

161	 TABLE 5.53. CY 2010 AND2008-2009 ARMYDoDSER FAILEDRELATIONSHIPS PRIOR TO NON-FATAL SUICIDE EVENTS

161	 TABLE 5.54. CY 2010 AND2008-2009 ARMYDoDSER FAMILYHISTORY FORNON-FATAL SUICIDE EVENTS

163	 TABLE 5.55. CY 2010 AND2008-2009 ARMYDoDSER ADMINISTRATIVE ANDLEGALHISTORY FORNON-FATAL SUICIDE EVENTS

164	 TABLE 5.56. CY 2010 AND2008-2009 ARMYDoDSER ABUSEHISTORY FORNON-FATAL SUICIDE EVENTS

165	 TABLE 5.57. CY 2010 AND2008-2009 ARMYDoDSER FINANCIAL AND WORKPLACEDIFFICULTIES FORNON-FATAL SUICIDE EVENTS

166	 TABLE 5.58. CY 2010 AND2008-2009 ARMYDoDSERNON-FATAL SUICIDE EVENTS INTHEATER

166	 TABLE 5.59. CY 2010 AND2008-2009 ARMYDoDSER OEF/OIF/ONDDEPLOYMENTHISTORY

167	 TABLE 5.60. CY 2010 AND2008-2009 ARMYDoDSER COMBATHISTORY FORNON-FATAL SUICIDE EVENTS

CHAPTER 6: MARINE CORPSDoDSER

169	 TABLE 6.1.MARINE CORPS AFMES CONFIRMEDANDPENDINGSUICIDES ANDDODSERS SUBMITTED

169	 TABLE 6.2. CY 2010 AND2008-2009MARINE CORPSDODSERMISSINGANDUNKNOWNDATA

170	 TABLE 6.3. CY 2010 AFMES ANDDMDCDEMOGRAPHICDATA ANDRATES FORMARINE CORPS SUICIDES

171	 TABLE 6.4. CY 2010 AND2008-2009MARINE CORPSDODSER EVENTGEOGRAPHIC LOCATION

171	 TABLE 6.5. CY 2010 AND2008-2009MARINE CORPSDODSER EVENT SETTING

172	 TABLE 6.6. CY 2010 AND2008-2009MARINE CORPSDODSER EVENTMETHOD

172	 TABLE 6.7. CY 2010 AND2008-2009MARINE CORPSDODSER SUBSTANCE(S)USEDDURINGSUICIDE

173	 TABLE 6.8. CY 2010 AND2008-2009MARINE CORPSDODSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

173	 TABLE 6.9. CY 2010 AND2008-2009MARINE CORPSDODSERMODE OF COMMUNICATEDINTENT
xi

Contents

Calendar Year 2010 Annual Report

173	 TABLE 6.10. CY 2010 AND2008-2009MARINE CORPSDODSER RECIPIENTS OF COMMUNICATEDINTENT

174	 TABLE 6.11. CY 2010 AND2008-2009MARINE CORPSDODSER ADDITIONAL EVENT INFORMATION

175	 TABLE 6.12. CY 2010 AND2008-2009MARINE CORPSDODSERHOME ENVIRONMENT

176	 TABLE 6.13. CY 2010 AND2008-2009MARINE CORPSDODSERDUTY ENVIRONMENT

176	 TABLE 6.14. CY 2010 AND2008-2009MARINE CORPSDODSER SUICIDES BYMONTH

177	 TABLE 6.15. CY 2010 AND2008-2009MARINE CORPSDODSER PRIOR SELF-INJURY

177	 TABLE 6.16. CY 2010 AND2008-2009MARINE CORPSDODSER COMORBIDITY RATES

178	 TABLE 6.17. CY 2010 AND2008-2009MARINE CORPSDODSERMOODDISORDERS

178	 TABLE 6.18. CY 2010 AND2008-2009MARINE CORPSDODSER ANXIETYDISORDERS

179	 TABLE 6.19. CY 2010 AND2008-2009MARINE CORPSDODSER OTHER BEHAVIORALHEALTHDISORDERS

180	 TABLE 6.20. CY 2010 AND2008-2009MARINE CORPSDODSER TREATMENTHISTORY

181	 TABLE 6.21. CY 2010 AND2008-2009MARINE CORPSDODSER PSYCHOTROPICMEDICATIONUSE

181	 TABLE 6.22. CY 2010 AND2008-2009MARINE CORPSDODSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE

182	 TABLE 6.23. CY 2010 AND2008-2009MARINE CORPSDODSER FAMILYHISTORY

183	 TABLE 6.24. CY 2010 AND2008-2009MARINE CORPSDODSER ADMINISTRATIVE ANDLEGALHISTORY

184	 TABLE 6.25. CY 2010 AND2008-2009MARINE CORPSDODSER ABUSEHISTORY

184	 TABLE 6.26. CY 2010 AND2008-2009MARINE CORPSDODSER FINANCIAL AND WORKPLACEDIFFICULTIES

185	 TABLE 6.27. CY 2010 AND2008-2009MARINE CORPSDODSER SUICIDES INTHEATER

185	 TABLE 6.28. CY 2010 AND2008-2009MARINE CORPSDODSER OEF/OIF/ONDDEPLOYMENTHISTORY

186	 TABLE 6.29. CY 2010 AND2008-2009MARINE CORPSDODSER COMBATHISTORY

187	 TABLE 6.30. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERS

187	 TABLE 6.31. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERMISSINGANDUNKNOWNDATA

188	 TABLE 6.32. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERDEMOGRAPHICS

189	 TABLE 6.33. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER EVENTGEOGRAPHIC LOCATION

189	 TABLE 6.34. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER EVENT SETTING

189	 TABLE 6.35. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER EVENTMETHOD

190	 TABLE 6.36. CY 2010MARINE CORPSDODSER SUBSTANCE(S)USEDDURINGSUICIDE ATTEMPTS

190	 TABLE 6.37. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

190	 TABLE 6.38. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERMODE OF COMMUNICATEDINTENT

191	 TABLE 6.39. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER RECIPIENTS OF COMMUNICATEDINTENT

191	 TABLE 6.40. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER ADDITIONAL EVENT INFORMATION

192	 TABLE 6.41. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERHOME ENVIRONMENT

193	 TABLE 6.42. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERDUTY ENVIRONMENT

193	 TABLE 6.43. CY 2010MARINE CORPSDODSER SUICIDE ATTEMPTS BYMONTH

194	 TABLE 6.44. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER PRIOR SELF-INJURY

194	 TABLE 6.45. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER COMORBIDITY RATES

195	 TABLE 6.46. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSERMOODDISORDERS

195	 TABLE 6.47. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER ANXIETYDISORDERS

196	 TABLE 6.48. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER OTHER BEHAVIORALHEALTHDISORDERS

196	 TABLE 6.49. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER TREATMENTHISTORY

197	 TABLE 6.50. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER PSYCHOTROPICMEDICATIONUSE

198	 TABLE 6.51. CY 2010MARINE CORPSDODSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

199	 TABLE 6.52. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER FAMILYHISTORY

200	 TABLE 6.53. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER ADMINISTRATIVE ANDLEGALHISTORY

200	 TABLE 6.54. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER ABUSEHISTORY

201	 TABLE 6.55. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER FINANCIAL AND WORKPLACEDIFFICULTIES

202	 TABLE 6.56. CY 2010MARINE CORPSDODSER SUICIDE ATTEMPTS INTHEATER

202	 TABLE 6.57. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER OEF/OIF/ONDDEPLOYMENTHISTORY

202	 TABLE 6.58. CY 2010MARINE CORPS SUICIDE ATTEMPTDODSER COMBATHISTORY
xii

Contents

CHAPTER 7: NAVYDoDSER

204	 TABLE 7.1.NAVY AFMES CONFIRMEDANDPENDINGSUICIDES ANDDODSERS SUBMITTED

204	 TABLE 7.2. CY 2010 AND2008-2009NAVYDODSERMISSINGANDUNKNOWNDATA

205	 TABLE 7.3. CY 2010 AFMES ANDDMDCDEMOGRAPHICDATA ANDRATES FORNAVY SUICIDES (N = 39)

206	 TABLE 7.4. CY 2010 AND2008-2009NAVYDODSER EVENTGEOGRAPHIC LOCATION

206	 TABLE 7.5. CY 2010 AND2008-2009NAVYDODSER EVENT SETTING

207	 TABLE 7.6. CY 2010 AND2008-2009NAVYDODSER EVENTMETHOD

207	 TABLE 7.7. CY 2010 AND2008-2009NAVYDODSER SUBSTANCE(S)USEDDURINGSUICIDE

208	 TABLE 7.8. CY 2010 AND2008-2009NAVYDODSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

208	 TABLE 7.9. CY 2010 AND2008-2009NAVYDODSERMODE OF COMMUNICATEDINTENT

208	 TABLE 7.10. CY 2010 AND2008-2009NAVYDODSER RECIPIENTS OF COMMUNICATEDINTENT

209	 TABLE 7.11. CY 2010 AND2008-2009NAVYDODSER ADDITIONAL EVENT INFORMATION

210	 TABLE 7.12. CY 2010 AND2008-2009NAVYDODSERHOME ENVIRONMENT

210	 TABLE 7.13. CY 2010 AND2008-2009NAVYDODSERDUTY ENVIRONMENT

211	 TABLE 7.14. CY 2010 AND2008-2009NAVYDODSER SUICIDES BYMONTH

211	 TABLE 7.15. CY 2010 AND2008-2009NAVYDODSER PRIOR SELF-INJURY

212	 TABLE 7.16. CY 2010 AND2008-2009NAVYDODSER COMORBIDITY RATES

212	 TABLE 7.17. CY 2010 AND2008-2009NAVYDODSERMOODDISORDERS

213	 TABLE 7.18. CY 2010 AND2008-2009NAVYDODSER ANXIETYDISORDERS

214	 TABLE 7.19. CY 2010 AND2008-2009NAVYDODSER OTHER BEHAVIORALHEALTHDISORDERS

214	 TABLE 7.20. CY 2010 AND2008-2009NAVYDODSER TREATMENTHISTORY

215	 TABLE 7.21. CY 2010 AND2008-2009NAVYDODSER PSYCHOTROPICMEDICATIONUSE

216	 TABLE 7.22. CY 2010 AND2008-2009NAVYDODSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE

217	 TABLE 7.23. CY 2010 AND2008-2009NAVYDODSER FAMILYHISTORY

218	 TABLE 7.24. CY 2010 AND2008-2009NAVYDODSER ADMINISTRATIVE ANDLEGALHISTORY

218	 TABLE 7.25. CY 2010 AND2008-2009NAVYDODSER ABUSEHISTORY

219	 TABLE 7.26. CY 2010 AND2008-2009NAVYDODSER FINANCIAL AND WORKPLACEDIFFICULTIES

220	 TABLE 7.27. CY 2010 AND2008-2009NAVYDODSER OEF/OIF/ONDDEPLOYMENTHISTORY

220	 TABLE 7.28. CY 2010 AND2008-2009NAVYDODSER COMBATHISTORY

221	 TABLE 7.29. CY 2010NAVY SUICIDE ATTEMPTDODSERS

221	 TABLE 7.30. CY 2010NAVY SUICIDE ATTEMPTDODSERMISSINGANDUNKNOWNDATA

222	 TABLE 7.31. CY 2010NAVY SUICIDE ATTEMPTDODSERDEMOGRAPHICS

223	 TABLE 7.32. CY 2010NAVY SUICIDE ATTEMPTDODSER EVENTGEOGRAPHIC LOCATION

223	 TABLE 7.33. CY 2010NAVY SUICIDE ATTEMPTDODSER EVENT SETTING

223	 TABLE 7.34. CY 2010NAVY SUICIDE ATTEMPTDODSER EVENTMETHOD

224	 TABLE 7.35. CY 2010NAVY SUICIDE ATTEMPTDODSER SUBSTANCE(S)USEDDURINGSUICIDE ATTEMPTS

224	 TABLE 7.36. CY 2010NAVY SUICIDE ATTEMPTDODSERNUMBER OF TYPES OF RECIPIENTS OF COMMUNICATEDINTENT

224	 TABLE 7.37. CY 2010NAVY SUICIDE ATTEMPTDODSERMODE OF COMMUNICATEDINTENT

225	 TABLE 7.38. CY 2010NAVY SUICIDE ATTEMPTDODSER RECIPIENTS OF COMMUNICATEDINTENT

225	 TABLE 7.39. CY 2010NAVY SUICIDE ATTEMPTDODSER ADDITIONAL EVENT INFORMATION

226	 TABLE 7.40. CY 2010NAVY SUICIDE ATTEMPTDODSERHOME ENVIRONMENT

227	 TABLE 7.41. CY 2010NAVY SUICIDE ATTEMPTDODSERDUTY ENVIRONMENT

227	 TABLE 7.42. CY 2010NAVYDODSER SUICIDE ATTEMPTS BYMONTH

228	 TABLE 7.43. CY 2010NAVY SUICIDE ATTEMPTDODSER PRIOR SELF-INJURY

228	 TABLE 7.44. CY 2010NAVY SUICIDE ATTEMPTDODSER COMORBIDITY RATES

229	 TABLE 7.45. CY 2010NAVY SUICIDE ATTEMPTDODSERMOODDISORDERS

229	 TABLE 7.46. CY 2010NAVY SUICIDE ATTEMPTDODSER ANXIETYDISORDERS

230	 TABLE 7.47. CY 2010NAVY SUICIDE ATTEMPTDODSER OTHER BEHAVIORALHEALTHDISORDERS

230	 TABLE 7.48. CY 2010NAVY SUICIDE ATTEMPTDODSER TREATMENTHISTORY

231	 TABLE 7.49. CY 2010NAVY SUICIDE ATTEMPTDODSER PSYCHOTROPICMEDICATIONUSE
xiii

Contents

Calendar Year 2010 Annual Report

232	 TABLE 7.50. CY 2010NAVY SUICIDE ATTEMPTDODSER FAILEDRELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

233	 TABLE 7.51. CY 2010NAVY SUICIDE ATTEMPTDODSER FAMILYHISTORY

234	 TABLE 7.52. CY 2010NAVY SUICIDE ATTEMPTDODSER ADMINISTRATIVE ANDLEGALHISTORY

234	 TABLE 7.53. CY 2010NAVY SUICIDE ATTEMPTDODSER ABUSEHISTORY

235	 TABLE 7.54. CY 2010NAVY SUICIDE ATTEMPTDODSER FINANCIAL AND WORKPLACEDIFFICULTIES

236	 TABLE 7.55. CY 2010NAVY SUICIDE ATTEMPTDODSER OEF/OIF/ONDDEPLOYMENTHISTORY

236	 TABLE 7.56. CY 2010NAVY SUICIDE ATTEMPTDODSER COMBATHISTORY
1

Executive Summary

Calendar Year 2010 Annual Report

Executive Summary

This annual report of the Department of Defense (DoD) Suicide Event Report (DoDSER) program summarizes 

calendar year (CY) 2010 fatal and non-fatal suicide events reported and submitted by 1 April 2011. This report 

presents aggregated DoDSER data for the overall DoD and individually for the Air Force, Army, Navy and 

Marine Corps. Personally identifiable information has been redacted from this report.

Background

The DoDSER program is a collaborative effort among the National Center for Telehealth & Technology (T2) 

and the Services’ suicide prevention program offices. Beginning 1 January 2008, the DoDSER program has 

standardized suicide surveillance across the Services with the ultimate goal of facilitating the DoD’s suicide 

prevention mission. When a death is ruled a suicide by the Armed Forces Medical Examiner System (AFMES), 

a designated professional in the respective Service reviews records, conducts interviews when appropriate, 

and responds to the DoDSER items via the secure web-based DoDSER application (https://dodser.t2.health.

mil). As of 1 January 2010, all Services have been collecting data on both suicides and suicide attempts, 

with some Services collecting data on non-fatal self harm and suicidal ideation. The DoDSER items collect 

comprehensive information about the Service Member and the suicide event.

Results

The AFMES indicates that 295 Service Members died by suicide in 2010 (Air Force = 59, Army = 160, Marine 

Corps = 37, Navy = 39). This number includes deaths strongly suspected to be suicides but pending final 

determination.

Since inception of the DoDSER program, DoDSER data have increased in comprehensiveness and reliability. 

DoDSER Points of Contact (POCs) submitted reports for 100% of AFMES confirmed 2010 suicides as of 1 

April 2011. This represents an improvement compared to calendar years 2009 (DoDSERs submitted for 97% 

of confirmed suicides) and 2008 (DoDSERs submitted for 90% of confirmed suicides). Further, the amount of 

missing data has steadily decreased since 2008.

Dispositional/Personal Factors

Demographic data and other individual characteristics of 2010 suicides were similar to those of 2009 and 2008. 

Data derived from the AFMES and DoDSERs provided the following information:

• As in 2009, Service Members who were Caucasian, under the age of 25, junior enlisted (E1-E4), or high 

school educated were at increased risk for suicide relative to their respective demographic comparison 

groups in crude rate comparisons.

• The suicide rate for divorced Service Members was 55% higher than the suicide rate for married Service 

Members 

• The majority of suicides were completed by Regular component Service Members (91%). Regular 
2

Executive Summary

component Active Duty Service Members had a 70% higher risk of suicide than did Activated and Deployed 

Reservists and Guard. 

• Female Service Members accounted for approximately one fourth of known suicide attempts in 2010. 

• Compared to suicide decedents, a larger percentage of Service Members who attempted suicide were 

under the age of 25 (60% compared to 47%), junior enlisted (71% compared to 55%) and had more than a 

high school education (36% compared to 18%). 

Suicide Event Details

• Service Members most frequently used firearms to die by suicide (n = 175, 62.28% for all firearms, n = 136, 

48.40% for non-military issue firearms), or hanging (n = 69, 24.56%). Drug overdose was the most frequent 

method for suicide attempt (n = 496, 57.47%), followed by injury with a sharp or blunt object (n = 122, 

14.14%).

• Drug and alcohol use was more frequent during non-fatal suicide events, with 536 suicide attempts 

(62.11%) involving drug use, and 287 (33.26%) involving alcohol use. Both drug and alcohol use were 

used during 187 (21.67%) suicide attempts. Known drug use was most frequently misuse of prescription 

medications.

• Most Service Members were not known to have communicated their potential for self-harm with others 

prior to suicide (n = 185, 65.84%) or attempted suicide (n = 673, 77.98%). Those who did disclose their 

potential for self-harm most often communicated with spouses, friends and other family members. These 

communications were most often verbal (n = 59, 21.00% of suicides; n = 143, 16.57% of attempted 

suicides), but an increased number of Service Members used text messages (n = 15, 5.34% of suicides; n

= 11, 1.27% of attempted suicides) compared to prior years. 

Contextual Factors

• Suicide decedents most frequently lived in homes or apartments outside of their assigned installations (n

= 121, 43.06%) or in a shared living environment on their installations (n = 93, 33.10%). Similar data were 

reported for those who attempted suicide. 

• Firearms were present in the home or immediate environment of 146 (51.96%) suicide decedents and 100 

(11.59%) of those who attempted suicide.

Clinical Health Factors

• Prior self-injurious behavior was known for 38, (13.52%) suicides and 240 (27.81%) suicide attempts.

• The majority of Service Members who died by suicide (n = 159, 56.58%) did not have a known history of 

a behavioral health disorder. Mood disorders were reported for 48 decedents (17.08%), most frequently 

major depressive disorder (n = 20, 7.12%) and 42 decedents (14.95%) were known to have had an anxiety 

disorder, most frequently posttraumatic stress disorder (n = 14, 4.98%). Approximately one fourth of 
3

Executive Summary

Calendar Year 2010 Annual Report

Service Members who died by suicide had a known history of substance abuse (n = 72, 25.62%). 

• The majority of DoDSERs for attempted suicide included a history of at least one documented behavioral 

health disorder (n = 550, 63.73%). Mood disorders were reported in 336 suicide attempt DoDSERs 

(38.93%), most frequently major depressive disorder (n = 153, 17.73%). One fourth of DoDSERs for 

suicide attempts (n = 225, 26.07%) included Service Members’ diagnoses of anxiety disorders, most 

frequently PTSD (n = 70, 8.19%). Nearly one fourth (n = 202, 23.41%) included a known history of 

substance abuse.

• Known use of psychotropic medication was more frequently reported in DoDSERs for suicide attempts (n = 

400, 46.35%) than for suicides (n = 68, 24.20%).

• DoDSERs indicated that 63 decedents (22.42%) had received outpatient behavioral health services 

within the month prior to suicide. Treatment use in the month prior was more frequent among those who 

attempted suicide (n = 381, 44.15% of suicide attempt DoDSERs).

Historical/Developmental Factors

• Half of DoDSERs included a known failure in a spousal or intimate relationship (n = 140, 49.82% of 

decedents; n = 462, 53.53% of suicide attempt DoDSERs), with many experiencing the failure within the 

month prior to suicide (n = 84, 29.89% of decedents; n = 283, 32.79% of suicide attempt DoDSERs). 

• The most frequent known legal issue was Article 15 proceedings/non-judicial punishment (n = 60, 21.35% 

of suicide DoDSERs; n = 150, 17.38% of suicide attempt DoDSERs), followed by civil legal problems.

• DoDSERs for suicide completions included more incidents of known abuse perpetration than did 

DoDSERs for suicide attempts, and DoDSERs for suicide attempts included more incidents of known 

abuse victimization than did suicide DoDSERs. Due to limitations in collecting comprehensive abuse data, 

interpretation of this data should be made with caution.

• DoDSERs included known history of job loss and instability (e.g., demotion) for 52 suicide completions 

(18.51%) and 275 suicide attempts (31.87%).

Deployment Factors

• The minority of suicides (n = 30, 10.68%) and attempted suicides (n = 46, 5.33%) occurred during 

Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) 

deployments. There were 18 (6.40%) suicides in OEF locations and 12 (4.27%) in Iraq. 

• Nearly half of suicide decedents had a history of OEF, OIF or OND deployment (n = 129, 45.91%), and 18 

(6.41%) had a history of multiple deployments to Iraq or OEF locations. Suicide attempt DoDSERs included 

slightly fewer previous deployments than did suicide DoDSERs (n = 352, 40.79% included at least one 

OEF/OIF/OND deployment; n = 40, 4.63% included more than one deployment).

• Direct combat experience was reported for 30 suicide decedents (10.68%) and 120 suicide attempts 
4

Executive Summary

(13.90%).

Conclusion

The DoDSER program has improved the accuracy and comprehensiveness of DoD suicide surveillance data 

collection since its inception in 2008. This DoDSER annual report reflects generally consistent patterns of data 

across time. However, differences that may exist between Service Members with and without reported suicide 

events are currently unknown. Until comprehensive control data are available, it is not possible to determine 

statistically if a given DoDSER variable is a true risk factor for suicide. T2 is currently conducting a pilot study 

to examine a potential process to collect these control data.
5

Chapter 1: Introduction

Calendar Year 2010 Annual Report

Background

This report presents results from the Department of Defense (DoD) Suicide Event Reports (DoDSERs) 

collected for calendar year (CY) 2010 for all Active Duty Service Members and Activated Guard and Reserves. 

The DoDSER is a suicide surveillance program that has standardized data collection across the Services since 

1 January 2008. Since 1 January 2010, all Services have collected DoDSERs for suicide attempts that resulted 

in hospitalization or evacuation. The Army also collects DoDSERs on other non-fatal suicide behaviors (see 

Method below).

This report provides summary statistics for 2010, with detailed tables presented for DoDSER items. 

Supplemental materials will be available on the National Center for Telehealth & Technology (T2) website 

(http://t2health.org) after this report is released, including: 

• CY 2009 and CY 2008 DoDSER Annual Reports

• Timeline data with relevant onset of stressors prior to suicide events (e.g., amount of time between specific 

legal issues or diagnoses and subsequent suicide events)

• Army and Marine Corps DoDSER data for fatal and non-fatal suicide events that occurred in theater during 

Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) and Operation New Dawn (OND) 

deployments

Modifications in DoDSER 2010

The DoDSER items and process are improved annually through a collaboration of the Services and T2. One 

noteworthy change in 2010is that all Services began collecting DoDSERs for suicide attempts. In addition, the 

revised 2010 DoDSER includes data on diagnoses of traumatic brain injury (TBI) and assignment in Warrior 

Transition Units (WTUs).

Method

DoDSER Items

DoDSER items were developed to provide a comprehensive set of information from a variety of sources to 

facilitate suicide prevention efforts and enable comprehensive surveillance across the DoD. Development of 

the current DoDSER content evolved from structured reviews of the Services’ historical surveillance items, 

workgroup deliberations with representation from all Services (including the Suicide Prevention Program 

Managers; SPPMs), and a systematic review of the literature. Feedback from the Services’ historical efforts 

to develop the best possible content informed the development process. Feedback on content from nationally 

recognized civilian and military experts was also integrated. In addition, suggestions from senior leaders and 

CHAPTER 1:

INTRODUCTION
6

Chapter 1: Introduction

other stakeholders were provided by some workgroup members. The complete DoDSER 2010 webform can be 

found online at http://t2health.org.

Variables are organized into categories for a theory-based, meaningful presentation. Although alternative 

approaches were available and considered, a relevant model successfully implemented in the violence risk 

assessment literature [1] was selected. Categories are organized as follows:

• Dispositional or personal factors (e.g., demographics, details about the suicide event)

• Historical or developmental factors (e.g., family history, prior suicide behaviors, life events)

• Contextual factors (e.g., access to firearms, place of residence, duty status)

• Clinical health factors (e.g., posttraumatic stress disorder, other behavioral health disorders or symptoms)

These categories were combined with a section on deployment history and a comprehensive set of questions 

related to the event to form the current DoDSER.

DoDSER items are updated once a year on 1 January. T2 leads a series of meetings with all the Services’ 

SPPMs and DoDSER Program Managers. Feedback received during the prior year, and any implications from 

the evolving scientific literature, are reviewed by the workgroup. All Service representatives concur with all 

item changes, unless the change relates only to a Service-specific need, in which case it is integrated into the 

Service’s unique items. 

Data Collection Process

The DoDSER is completed using a webform that is available via the Internet and submitted via a secure 

website. The descriptive DoDSER data presented here were compiled as they were completed and submitted 

by DoDSER respondents across the DoD. Personally identifiable information has been redacted from this 

report.

DoDSER data included in this report are for suicide events that occurred in CY 2010, that are reported and 

submitted by 1 April 2011. This date was selected with an acknowledgement that there is a tension between 

the competing values of timely reporting and complete data collection. We have considered extending the final 

reporting date in order to obtain additional DoDSERs, as it may take as long as one year to confirm suicide 

as the cause of death. The Centers for Disease Control and Prevention (CDC) addressed this issue by using 

longer timeframes for reporting (approximately two years) [1]. However, the DoD represents a much smaller 

population, and the vast majority of DoD suicides are determined by 1 April of the following year. The 1 April 

date was established to maintain consistency with guidance provided by the Under Secretary of Defense 

(Personnel and Readiness) which requires 90 days between the end of the calendar year and calculation of 

calendar year suicide data [2].

Where available, this report provides percentages for 2009 and 2008 DoDSER data for comparison. Specific 

counts for prior years are available in the previous DoDSER annual reports and are available for download at 

http://t2health.org.
7

Chapter 1: Introduction

Calendar Year 2010 Annual Report

DoDSERs are required for all Active component and Activated Guard and Reserve suicides in the DoD. Some 

Services exceed this minimum requirement (e.g., collect DoDSERs on Selected Reservists (SELRES) not 

on Active Duty). In addition, consistent with requirements for standardized DoD suicide rate calculation [3], 

DoDSERs are submitted for deaths when a Service’s SPPM strongly suspects suicide but the case is still 

awaiting final determination by the AFMES. This is intended to provide leaders and others working to prevent 

suicide with the most up-to-date information possible. The risk of overestimation is low; variation between final 

confirmed and suspected suicides is generally one or two cases per year, DoD-wide.

DoDSERs are also submitted for selected suicide-related behaviors, including suicide attempts, deliberate 

self-harm and suicidal ideation. In 2009, the Army was the only Service required to collect this data for the 

entire year, although all Services implemented a similar methodology for suicide attempts by 1 January 2010. 

Therefore, this 2010 report includes data on suicides and suicide attempts for the Air Force, Army, Marine 

Corps and Navy. For the Army, this report additionally includes DoDSERs for other non-fatal self-harm and 

suicidal ideation.

DoDSERs are submitted by behavioral health providers (psychologists, psychiatrists, psychiatric nurses 

or social workers), health care providers or command-appointed representative. Technicians may submit 

DoDSERs under the supervision of one of these professionals.

DoDSER responses are derived from a review of all relevant records. In addition, interviews are conducted 

in some cases. Following a suicide, respondents review medical and behavioral health records, personnel 

records, investigative agency records, and records related to the manner of death. Information is also often 

collected from co-workers, the responsible investigative agency officer, and other professionals or family 

members (for some Services). For non-fatal suicide behaviors, DoDSER respondents frequently conduct 

interviews with Service Members to collect some of the required information.

The process for identifying suicides and obtaining DoDSERs is similar across all Services. SPPMs coordinate 

closely with the AFMES at the Armed Forces Institute of Pathology (AFIP) to maintain an official list of suicides. 

In the Army, a DoDSER point of contact (POC) and Command POC at each medical treatment facility are 

notified when a Service Member’s death is confirmed as a suicide and are requested to complete a DoDSER 

within 60 days. In the Air Force, the Office of Special Investigations (OSI) is the primary data collection agency. 

In the Navy and Marine Corps, the SPPMs’ office contacts the local Command and requests an appropriate 

POC to meet the requirement within 15 working days.

Data Quality Control Procedures

Four primary quality control procedures are followed. First, the data submission website minimizes the 

possibility of data entry errors. The software uses form field validation to request user clarification when data 

are not logically possible (e.g., impossible dates). Radio buttons and checkboxes are used to reduce the 

chances of data entry errors.

Second, data submission requires a DoDSER account in which a user’s identity is confirmed with a microchipcontaining military identification known as a common access card (CAC). The CAC contains basic information 

about the owner and is associated with a personal identification number required for login. Therefore, “false” 

submissions have not occurred. However, suicide events and non-fatal suicide behaviors can be inadvertently 
8

Chapter 1: Introduction

misclassified by respondents in the DoDSER system. For example, the manner of death can be ambiguous 

in some cases, and a well-intentioned DoDSER respondent can misclassify an event. Therefore, DoDSER 

submissions are confirmed against the official list of DoD suicides provided by AFMES.

Third, DoDSERs are analyzed for incorrect data entry. In rare instances, individuals make data entry mistakes 

(such as transposing years) and these are corrected when identified. A conservative approach is taken to 

correct suspected errors such that only clear mistakes are corrected.

Fourth, all DoDSERs are reviewed to ensure that two or more DoDSERs were not submitted for the same 

event. Potential duplicates are automatically flagged for the Service’s DoDSER Program Manager to determine 

which submission represents the most complete data, and this DoDSER is used in analyses.

DoDSER Submission Compliance

DoDSER submission compliance rates are calculated for each Service. In the DoD, DoDSERs for suicides are 

due within 60 days of notification that a death has been confirmed as a suicide by the AFMES [2] (although 

some individual Service-level policies require submission sooner than 60 days). Therefore, the number of 

DoDSER submissions for each Service in this 2010 report was compared to the number of suicides confirmed 

by AFMES as of 31 January 2011 (60 days prior to the 1 April cut-off date for analysis). As such, DoDSERs that 

were not yet overdue at the time of the analysis were not counted as being out of compliance.

Demographic Risk Factors

DoDSER POCs collect data on a variety of demographic variables. However, because DoDSERs are not 

available for 100% of individuals, demographic data are obtained from the Defense Manpower Data Center 

(DMDC) with assistance from the AFMES. This provides the opportunity to analyze demographic variables as 

suicide risk factors with the use of DMDC population data. The demographic categories presented in this report 

are those provided by DMDC.

Procedures for calculating rates follow standard DoD reporting procedures [3]. DMDC rates are based on 

September quarter-end strength reports from DMDC and are obtained by the Mortality Surveillance Division of 

the AFMES. Race data in the DMDC report is obtained from a self-report source. This report reflects the most 

current data available at the time of writing, but some data are subject to variation over time due to updates 

from the various sources used to populate the database. In most cases, DMDC data are used in this report for 

demographic analyses. In a few analyses where DMDC data are not available (e.g., non-fatal suicide-related 

behaviors in the Army Chapter), DoDSER demographic data are used. Suicide rates based on fewer than 20 

individuals may be unstable and are therefore suppressed. Suicide rate ratios (RR), based on population rates 

provided by DMDC data, are calculated to compare groups based on demographic characteristics.

Interpretive Considerations

This report provides a broad presentation of DoDSER items to support a wide variety of possible needs. 

Given the very large number of possible combinations and the fact that we do not approach the data with 

a priori hypotheses, we do not currently compute statistical analyses to compare years. The probability of 
9

Chapter 1: Introduction

Calendar Year 2010 Annual Report

finding statistically significant results by chance, even when no real difference exists, would be high. Adequate 

data are presented in most cases to permit readers to conduct such analyses, if of interest. It is important to 

emphasize, however, that data analyses and descriptive information derived from small samples should always 

be interpreted with caution due to random error or potential outlier biases inherent in small samples.

DoDSER data are useful to help characterize the nature of suicide events. With a few exceptions (e.g., 

demographic characteristics), it is not possible to determine statistically whether a given DoDSER variable 

is a risk factor for suicide. To determine risk, additional data are required about the rate of the variable in the 

population. For example, it is not possible to determine if owning a firearm is a risk factor for suicide without 

examining the rate of owning a firearm in the overall military population. A pilot study to collect control DoDSER 

data is underway, and other efforts to improve the interpretive value of the DoDSER data are being pursued.

It is also important to note how the “don’t know” option that is provided for most DoDSER items can influence 

the interpretation of data. The information required to answer some DoDSER items may only be available for 

some respondents who benefited from detailed medical records or interviews with knowledgeable Service 

Members familiar with the decedent’s history. Therefore, “don’t know” responses are expected for some items. 

Percentages are often calculated based on the total number of responses, including “don’t know” responses. 

If one group has a higher “don’t know” response rate than comparison groups, it influences the way the data 

appear.

The objective and subjective nature of the item of interest should be taken into account when results are 

interpreted. Some DoDSER items are highly objective, whereas others are more subjective. Some results are 

therefore very reliable, while others reflect the best data available on a difficult to study topic that is provided by 

a respondent who is knowledgeable about the case. Reliability and validity of DoDSER items is not known at 

this time. Standardized coding guidance is available to respondents for many DoDSER items.

Future Directions

The DoDSER program continues to evolve, largely due to feedback received from leadership in the Services, 

SPPMs, and others (see Appendix D: FEEDBACK & SUGGESTIONS on page 242). In 2010, one of the 11 

foundational recommendations of the DoD Task Force on Suicide Prevention was to, “Mature and expand the 

DoDSER to serve as the main surveillance method to inform future suicide prevention efforts” [4]. Specific 

feedback and recommendations contained in the DoD Task Force Report are being considered for future 

refinement to the DoDSER program at the time of this writing. Future revisions to the DoDSER program will be 

aimed at helping the Services’ Suicide Prevention Offices and Military Leadership better understand the factors 

underlying Military suicide while maintaining our ability to compare data across years.
10

Chapter 2: DoD-Wide DoDSER Results

DoDSER Submissions and Point of Contact (POC) Compliance

2010 Reported Suicides

Across all Services, 281 suicides were confirmed by the Armed Forces Medical Examiner System (AFMES) 

for calendar year (CY) 2010 (Table 2.1). The AFMES has accounted for an additional 14 pending suicides. 

Demographic tables include data for all 295 suicides. Other data for these 14 individuals are not included 

in this report, as described in Chapter 1. Department of Defense Suicide Event Reports (DoDSERs) were 

submitted and analyzed for all 281 confirmed suicides, for a submission compliance rate of 100%. The tables 

in this section include data for all 281 decedents. The tables also provide percentages for 2009 and 2008 

DoDSER data for comparison. Specific suicide count data for prior years are available in the previous DoDSER 

annual reports and are available for download at http://t2health.org.

TABLE 2.1. AFMES CONFIRMED AND PENDING SUICIDES AND DoDSERS SUBMITTED

CHAPTER 2:

DoD-WIDE DoDSER RESULTS

DoDSERS SUBMITTED FOR COMPLETED SUICIDES

As summarized in Table 2.2, over one third of DoDSERs in 2010 had one or fewer missing or “Unknown” 

primary data points. Primary data points include any variables that are accessible using standard DoDSER 

methods (including accessing medical and military records). DoDSERs for 88 Service Members (31.32%) had 

five or more missing data points. 

TABLE 2.2. CY 2010 AND 2008-2009 DoDSER MISSING AND UNKNOWN DATA 

2010 2009 2008

Total DoDSERs Included in Annual Report 281 291 235

 Total AFMES Confirmed and Pending Suicides 295 309 268

AFMES Confirmed Suicides (By 31 January) 281 299 260

DoDSER Submission Compliance 100% 97% 90%

Data from 1/1/2008 through 12/31/2010 as of 4/1/2011

2010 2009 2008

Count Percent Percent Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 66 23.49% 20.20% 16.46%

1 45 16.01% 13.80% 10.29%

2 35 12.46% 12.46% 15.23%

3 28 9.96% 13.13% 10.70%

4 19 6.76% 6.06% 6.58%

5 or More 88 31.32% 34.34% 40.74%
11

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors of decedents that may have 

been associated with the suicide events. These factors include decedents’ demographic characteristics, event 

setting, suicide method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Tables 2.3 and 2.4 contain demographic data provided by the Defense Manpower Data Center (DMDC) and 

the AFMES. Although the DoDSER system does collect demographic data, use of DMDC data permits the 

calculation of suicide rates using DoD population-level data (described in Chapter 1). In addition, DMDC 

demographic data were provided for 14 suicides pending AFMES confirmation, for whom DoDSERs were not 

required. Thus, demographic data were available for all suicide cases (n=295), whereas the rest of the report 

utilizes DoDSER data (n=281). Table 2.3 provides summary data for all DoD Active Duty and Activated or 

Deployed Reservist and Guard Service Members. Table 2.4 provides these data across Services. 

Decedents were primarily male (n = 281, 95.37%), Caucasian (n = 235, 79.66%), under age 25 (n = 140, 47. 

46%), junior enlisted (n = 161, 54.58%), and Regular component (n = 269, 91.19%). 

Many demographic subgroups did not contain enough individuals to calculate a stable rate, therefore some 

subgroups were combined to allow for comparison. Service Members under age 25 were 60% more likely 

to die by suicide than were older Service Members (RR = 1.60). The suicide rate for junior enlisted Service 

Members (E1 – E4) was 67% higher than for senior enlisted Service Members (E5 – E9) and officers (RR = 

1.67). Service Members who had up to a high school education were more than twice as likley to die by suicide 

than were those who had a college or technical degree or above (RR = 2.39). The suicide rate for divorced 

Service Members was 55% higher than the suicide rate for married Service Members (RR = 1.55). Regular 

component Active Duty Service Members had a 70% higher risk of suicide than did Activated and Deployed 

Reservists and Guard (RR = 1.70).
12

Chapter 2: DoD-Wide DoDSER Results

2010 2009 2008

Suicide DoD

Total %

Rate/

100K Count Percent Rate/100K Count Percent Rate/100K Count Percent

TOTAL 295 100.00% 100.00% 17.52 309 100.00% 18.50 268 100.00% 16.1

GENDER Male 281 95.37% 85.28% 19.57 300 97.09% 21.02 255 95.15% 18.2

Female 14 4.63% 14.72% * 9 2.91% * 13 4.85% * 

RACE American Indian or Alaskan Native 6 2.03% 1.55% * 10 3.24% * 9 3.36% * 

Asian or Pacific Islander 16 5.42% 4.11% * 15 4.85% * 11 4.10% * 

Black/African American 36 12.20% 16.62% 12.86 33 10.68% 11.80 33 12.31% 11.9

White/Caucasian 235 79.66% 70.49% 19.80 247 79.94% 20.82 204 76.12% 17.4

Other/Don’t Know 2 0.68% 7.23% * 4 1.29% * 11 4.10% * 

AGE RANGE Under 25 140 47.46% 36.10% 23.03 143 46.28% 23.20 142 52.99% 20.10

25-29 76 25.76% 23.44% 19.25 73 23.62% 19.05 38 14.18% 13.70

30-34 30 10.17% 14.73% 12.09 43 13.92% 21.19

53 19.78% 12.10

35-39 33 11.19% 11.85% 16.53 26 8.41% 12.62

40-44 14 4.75% 8.09% * 15 4.85% * 

35 13.06% 15.7

45+ 2 0.68% 5.78% * 10 3.24% * 

RANK Cadet 1 0.34% 0.85% * 3 0.97% * 1 0.37% * 

E1-E4 161 54.58% 41.73% 22.91 168 54.37% 24.20 138 51.49% 20.1

E5-E9 118 40.00% 40.86% 17.15 112 36.25% 16.26 102 38.06% 14.8

Officer 15 5.08% 15.15% * 22 7.12% 8.91 25 9.33% 10.2

Warrant Officer 0 0.00% 1.42% * 4 1.29% * 2 0.75% * 

COMPONENT Regular 269 91.19% 85.02% 17.52 285 92.23% 19.87 235 87.69% 16.9

Reserve 9 3.05% 6.76% * 8 2.59% * 12 4.48% * 

National Guard 17 5.76% 8.22% * 16 5.18% * 21 7.84% * 

EDUCATION Some high school, did not graduate 2 0.68% 0.73% * 2 0.65% * 9 3.36% * 

GED 26 8.81% 5.16% 29.91 44 14.24% 45.21 24 8.96% 24.1

High school graduate 206 69.83% 61.87% 19.77 209 67.64% 20.01 170 63.43% 16.4

Some college or technical school 15 5.08% 2.41% * 16 5.18% * 4 1.49% * 

Degree/certificate less than four years 18 6.10% 8.64% * 9 2.91% * 25 9.33% * 

TABLE 2.3. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR SUICIDES
13

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Four-year college degree 18 6.10% 10.22% * 17 5.50% * 20 7.46% * 

Master’s degree or greater 3 1.02% 8.12% * 9 2.91% * 16 5.97% * 

Don’t Know 7 2.37% 2.85% * 3 0.97% * 0 0.00% * 

MARITAL STATUS Never Married 125 42.37% 39.09% 18.99 106 34.30% 16.20 100 37.31% 15.2

Married 147 49.83% 55.83% 15.64 158 51.13% 16.94 144 53.73% 15.9

Legally Separated 1 0.34% 0.08% * 0 0.00% * 0 0.00% * 

Divorced 20 6.78% 4.91% 24.20 37 11.97% 49.61 21 7.84% 27.6

Widowed 0 0.00% 0.07% * 1 0.32% * 0 0.00% * 

Don’t Know 2 0.68% 0.02% * 7 2.27% * 3 1.12% * 

Note: Data include 14 suicides still pending determination by AFMES as of 1 MAR 2011. Rates calculated only for cells with at least 20 individuals. “DoD Total %” column reflects population-level DMDC data for all Active 

Duty and Activated or Deployed Reserves.

TABLE 2.3. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR SUICIDES (CONT.)

TABLE 2.4. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR SUICIDES BY SERVICE

AIR FORCE ARMY MARINE CORPS NAVY

Suicide Service 

Total %

Rate/ 

100K

Suicide Service 

Total %

Rate/ 

100K

Suicide Service 

Total %

Rate/ 

100K

Suicide Service 

Total %

Rate/ 

Count Percent Count Percent Count Percent Count Percent 100K

TOTAL 59 100.00% 100.00% 15.51 160 100.00% 100.00% 21.72 37 100.00% 100.00% 17.21 39 100.00% 100.00% 11.08 

GENDER Male 57 96.61% 80.68% 18.57 151 94.38% 86.00% 23.84 36 97.30% 93.42% 17.92 37 94.87% 83.78% 12.55 

Female 2 3.39% 19.32% * 9 5.63% 14.00% * 1 2.70% 6.58% * 2 5.13% 16.22% * 

RACE American Indian/ 

Alaskan Native

1 1.69% 0.65% * 4 2.50% 0.79% * 0 0.00% 1.08% * 1 2.56% 4.41% * 

Asian/P.I. 1 1.69% 3.57% * 11 6.88% 3.53% * 2 5.41% 3.14% * 2 5.13% 6.47% * 

African American 8 13.56% 13.88% * 20 12.50% 19.33% 14.05 3 8.11% 10.24% * 5 12.82% 17.83% * 

Caucasian 46 77.97% 73.38% 17.20 125 78.13% 70.95% 23.92 32 86.49% 78.48% 18.96 30 76.92% 61.51% 13.86 

Other/Don’t Know 1 1.69% 8.52% * 0 0.00% 5.40% * 0 0.00% 7.05% * 1 2.56% 9.77% * 

AGE RANGE Under 25 20 33.90% 30.54% 23.03 76 47.50% 32.69% 31.56 22 59.46% 57.19% 17.89 22 56.41% 36.36% 17.19

25-29 16 27.12% 23.89% * 46 28.75% 23.71% 26.34 8 21.62% 21.46% * 6 15.38% 23.60% *

30-34 5 8.47% 16.20% * 17 10.63% 15.13% * 5 13.51% 9.78% * 3 7.69% 15.34% *

35-39 14 23.73% 13.18% * 11 6.88% 12.31% * 1 2.70% 6.63% * 7 17.95% 12.66% *

40-44 3 5.08% 9.59% * 10 6.25% 9.06% * 0 0.00% 3.34% * 1 2.56% 7.35% * 

45+ 1 1.69% 6.61% * 0 0.00% 7.10% * 1 2.70% 1.59% * 0 0.00% 4.69% * 
14

Chapter 2: DoD-Wide DoDSER Results

RANK Cadet 1 1.69% 1.25% * 0 0.00% 0.65% * 0 0.00% 0.00% * 0 0.00% 1.37% * 

E1-E4 24 40.68% 32.60% 19.35 93 58.13% 42.95% 29.40 22 59.46% 58.93% 17.36 22 56.41% 38.52% 16.23

E5-E9 31 52.54% 46.55% 17.51 61 38.13% 39.59% 20.92 12 32.43% 30.23% * 14 35.90% 43.86% *

Officer 3 5.08% 19.60% * 6 3.75% 14.09% * 3 8.11% 9.84% * 3 7.69% 15.77% * 

Warrant Officer 0 0.00% 0.00% * 0 0.00% 2.72% * 0 0.00% 1.00% * 0 0.00% 0.47% * 

COMPONENT Regular 53 89.83% 87.91% 15.85 142 88.75% 76.94% 25.06 36 97.30% 94.23% 17.77 38 97.44% 93.18% 11.08 

Reserve 0 0.00% 3.94% * 7 4.38% 8.48% * 1 2.70% 5.77% * 1 2.56% 6.82% * 

National Guard 6 10.17% 8.15% * 11 6.88% 14.58% * 0 0.00% 0.00% * 0 0.00% 0.00% * 

EDUCATION Some high school 0 0.00% 0.07% * 2 1.25% 1.17% * 0 0.00% 0.12% * 0 0.00% 0.88% * 

GED 0 0.00% 0.04% * 21 13.13% 9.28% 30.74 1 2.70% 3.45% * 4 10.26% 3.13% * 

High school 

graduate

42 71.19% 53.53% 20.63 104 65.00% 57.35% 24.62 30 81.08% 82.18% 16.98 30 76.92% 67.93% 12.55 

Some college 6 10.17% 0.03% * 7 4.38% 4.40% * 1 2.70% 0.87% * 1 2.56% 1.76% * 

Degree < four years 5 8.47% 19.48% * 11 6.88% 6.76% * 1 2.70% 1.79% * 1 2.56% 5.06% * 

Four-year college 

degree

5 8.47% 12.67% * 11 6.88% 10.32% * 2 5.41% 8.72% * 0 0.00% 8.27% * 

Master’s degree + 0 0.00% 12.46% * 0 0.00% 8.47% * 2 5.41% 2.44% * 1 2.56% 6.18% * 

Don’t Know 1 1.69% 1.71% * 4 2.50% 2.26% * 0 0.00% 0.43% * 2 5.13% 6.78% * 

MARITAL

STATUS

Never Married 18 30.51% 33.72% * 67 41.88% 36.21% 25.12 18 48.65% 47.39% * 22 56.41% 45.84% 13.64 

Married 34 57.63% 59.00% 15.15 81 50.63% 57.22% 19.22 17 45.95% 48.49% * 15 38.46% 53.96% *

Legally Separated 0 0.00% 0.01% * 0 0.00% 0.14% * 1 2.70% 0.16% * 0 0.00% 0.00% * 

Divorced 6 10.17% 7.18% * 11 6.88% 6.30% * 1 2.70% 3.92% * 2 5.13% 0.16% * 

Widowed 0 0.00% 0.09% * 0 0.00% 0.10% * 0 0.00% 0.04% * 0 0.00% 0.00% * 

Don’t Know 1 1.69% 0.00% * 1 0.63% 0.03% * 0 0.00% 0.00% * 0 0.00% 0.04% * 

Note: Data include 14 suicides still pending determination by AFMES as of 1 MAR 2011. Rates calculated only for cells with at least 20 individuals. “Service Total %” column reflects population-level DMDC data for all Active 

Duty and Activated or Deployed Reserves. P.I. = Pacific Islander.

TABLE 2.4. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR SUICIDES BY SERVICE (CONT.)
15

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

TABLE 2.6. CY 2010 AND 2008-2009 DoDSER EVENT SETTING

2010 2009 2008

Count Percent Percent Percent

GEOGRAPHIC LOCATION United States 232 82.56% 78.79% 79.01%

Iraq 12 4.27% 10.44% 12.76%

Afghanistan 17 6.05% 2.36% 2.88%

Kuwait 0 0.00% 0.34% 0.41%

Djibouti 1 0.36% 0.00% 0.00%

Asia 11 3.91% 2.36% 0.00%

Europe 2 0.71% 2.69% 2.06%

Canada or Mexico 0 0.00% 0.34% 0.00%

Other 6 2.14% 2.36% 0.00%

Don’t Know 0 0.00% 0.34% 2.88%

2010 2009 2008

Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 157 55.87% 60.27% 56.79%

Residence of friend or family 32 11.39% 8.08% 7.41%

Work/jobsite 23 8.19% 6.06% 9.05%

Automobile (away from residence) 13 4.63% 5.72% 6.58%

Inpatient medical facility 1 0.36% 0.00% 0.41%

Other 55 19.57% 19.87% 19.75%

Don’t Know 0 0.00% 0.00% 0.00%

Event Method

Nearly half of 2010 suicide decedents used non-military issue firearms (n = 136, 48.40%), and 13.88% (n = 

39) used military issue firearms to kill themselves (Table 2.7). Twenty-seven of those who used military issue 

firearms died by suicide in a deployed setting, as further described in Chapter 3. Hanging accounted for 

approximately one fourth of suicides (n = 69, 24.56%). Thirteen Service Members (4.63%) used drugs to die by 

suicide. 

TABLE 2.7. CY 2010 AND 2008-2009 DoDSER EVENT METHOD

2010 2009 2008

Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 136 48.40% 40.74% 41.98%

Firearm, military issue 39 13.88% 17.51% 20.99%

Event Setting

As summarized in Table 2.5, suicides most frequently took place in the United States (n = 232, 82.56%). 

Suicides primarily occurred in either the Service Members’ own residences (n = 157, 55.87%) or the residence 

of a friend or family member (n = 32, 11.39%). “Other” (write-in response) settings included hotels (n = 13, 

4.63%), parks and nature reserves (n = 9, 3.20%), and vacant property (n = 5, 1.78%; Table 2.6). 

TABLE 2.5. CY 2010 AND 2008-2009 DoDSER EVENT GEOGRAPHIC LOCATION 
16

Chapter 2: DoD-Wide DoDSER Results

2010 2009 2008

Count Percent Percent Percent

ALCOHOL USED Yes 58 20.64% 22.22% 22.63%

No 108 38.43% 38.72% 39.09%

Don’t Know 115 40.93% 39.06% 38.27%

ANY DRUGS USED Yes 27 9.61% 6.40% 7.00%

No 132 46.98% 47.14% 50.21%

Don’t Know 122 43.42% 46.46% 42.80%

 Illegal drugs Overdose 3 1.07% 0.00% 0.41%

Used, no overdose 3 1.07% 0.67% 0.00%

Were not used 153 54.45% 52.86% 53.91%

Don’t know 122 43.42% 46.46% 45.68%

 Prescription drugs Overdose 9 3.20% 2.69% 4.53%

Used, no overdose 11 3.91% 1.01% 1.65%

Were not used 139 49.47% 49.83% 50.62%

Don’t know 122 43.42% 46.46% 43.21%

 Over the counter drugs Overdose 6 2.14% 0.67% 2.06%

Substance Use during the Event

Comprehensive information about known substance use during suicide is unavailable for some suicides in 

2010. As summarized in Table 2.8, of decedents for whom information was available, approximately one third 

were known to have used alcohol during the suicide event (n = 58, 34.94% of DoDSERs with alcohol use data, 

20.64% of total). Fewer were known to have used drugs (n = 27, 16.98% of DoDSERs with drug use data, 

9.61% of total). Eight Service Members were known to have used both drugs and alcohol during their suicide 

events (7.92% of DoDSERs with substance abuse data, 2.85% of total). As in the prior two years, drug use 

most frequently consisted of misuse of prescription drugs. These frequencies include Service Members who 

used drugs as a suicide method (n = 13, 4.63%), as described above.

TABLE 2.8. CY 2010 AND 2008-2009 DoDSER SUBSTANCE(S) USED DURING SUICIDE

TABLE 2.7. CY 2010 AND 2008-2009 DoDSER EVENT METHOD (CONT.)

Hanging 69 24.56% 22.90% 20.99%

Drugs 13 4.63% 3.03% 4.53%

Alcohol 0 0.00% 0.34% 0.41%

Gas, vehicle exhaust 1 0.36% 3.70% 2.47%

Gas, utility (or other) 6 2.14% 1.68% 0.41%

Drowning 3 1.07% 0.00% 0.41%

Fire, steam, etc. 1 0.36% 0.00% 0.41%

Sharp or blunt object 2 0.71% 2.69% 0.82%

Jumping from high place 2 0.71% 1.68% 1.23%

Lying in front of moving object 2 0.71% 0.67% 0.82%

Crashing a motor vehicle 0 0.00% 0.00% 0.82%

Other 1 0.36% 3.03% 0.82%

Don’t Know 6 2.14% 2.02% 2.88%
17

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Used, no overdose 0 0.00% 1.68% 0.82%

Were not used 153 54.45% 51.18% 51.85%

Don’t know 122 43.42% 46.46% 45.27%

BOTH ALCOHOL AND DRUGS USED Yes 8 2.85% 3.03% 2.47%

No 134 47.69% 47.47% 52.26%

Don’t Know 139 49.47% 49.49% 45.27%

TABLE 2.9. CY 2010 AND 2008-2009 DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT 

TABLE 2.10. CY 2010 AND 2008-2009 DoDSER MODE OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 185 65.84% 72.05% 69.14%

1 82 29.18% 18.18% 22.63%

2 12 4.27% 6.73% 6.17%

3 1 0.36% 1.68% 2.06%

4 0 0.00% 1.01% 0.00%

5 1 0.36% 0.34% 0.00%

2010 2009 2008

Count Percent Percent Percent

MODE OF COMMUNICATED INTENT Verbal 59 21.00% 15.49% 21.81%

Written 13 4.63% 2.36% 1.23%

Other or Unknown 14 4.98% 5.72% 3.70%

Multiple Modes 10 3.56% 4.04% 4.12%

No Known Communication 185 65.84% 72.39% 69.14%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

Communication of Intent

Consistent with the prior two years, most decedents had no known history of communicating with others about 

intent to harm themselves (n = 185, 65.84%; Table 2.9). Approximately one third of Service Members who 

died by suicide were known to have communicated with at least one individual regarding their intent to die by 

suicide (n = 96, 34.17%). These communications were most frequently verbal (n = 59, 21.00%; Table 2.10). 

Fifteen DoDSERs included text messages as an “Other” (write-in) response (5.34%). As indicated in Table 

2.11, decedents most frequently communicated with their spouses (n = 30, 10.68%), friends (n = 13, 4.63%), 

and behavioral health providers (n = 12, 4.27%). “Other” (write-in) responses included family members (n = 10, 

3.56%) and coworkers (n = 8, 2.85%).

TABLE 2.8. CY 2010 AND 2008-2009 DoDSER SUBSTANCE(S) USED DURING SUICIDE (CONT.)
18

Chapter 2: DoD-Wide DoDSER Results

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

2010 2009 2008

Count Percent Percent Percent

INTENDED TO DIE Yes 201 71.53% 76.09% 70.37%

No 23 8.19% 5.39% 6.17%

Don’t Know 57 20.28% 18.52% 23.46%

DEATH RISK GAMBLING Yes 5 1.78% 1.35% 2.06%

No 237 84.34% 84.85% 69.96%

Don’t Know 39 13.88% 13.80% 27.98%

PLANNED/PREMEDITATED Yes 108 38.43% 39.39% 37.86%

No 97 34.52% 28.96% 26.75%

Don’t Know 76 27.05% 31.65% 35.39%

OBSERVABLE Yes 64 22.78% 20.54% 19.34%

No 178 63.35% 68.69% 58.85%

Don’t Know 39 13.88% 10.77% 21.81%

SUICIDE NOTE LEFT Yes 86 30.60% 24.92% 22.63%

No 141 50.18% 53.87% 46.09%

Don’t Know 54 19.22% 21.21% 31.28%

Additional Event Information

Table 2.12 provides information about other details of 2010 suicides. For the majority (n = 201, 71.53%), data 

indicate that the decedents intended to die. Over one third of the suicides appeared premeditated (n = 108, 

38.43%). Sixty-four decedents (22.78%) died in a location where the suicide was potentially observable by 

others. Eighty-six Service Members (30.60%) left suicide notes. Five Service Members (1.78%) were known to 

have died while engaging in death risk gambling (e.g., “Russian roulette”). 

TABLE 2.12. CY 2010 AND 2008-2009 DoDSER ADDITIONAL EVENT INFORMATION

TABLE 2.11. CY 2010 AND 2008-2009 DoDSER RECIPIENTS OF COMMUNICATED INTENT

2010 2009 2008

Count Percent Percent Percent

COMMUNICATION Spouse 30 10.68% 7.07% 6.58%

Friend 13 4.63% 4.04% 4.94%

Behavioral Health Provider 12 4.27% 0.34% 1.23%

Chaplain 0 0.00% 0.00% 0.82%

Supervisor 4 1.42% 0.67% 0.41%

Other or Unidentified 23 8.19% 5.72% 8.64%

Made Multiple Communications 14 4.98% 9.76% 8.23%

No Known Communication 185 65.84% 72.39% 69.14%
19

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

2010 2009 2008

Count Percent Percent Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 93 33.10% 30.98% 29.22%

Bachelor quarters 11 3.91% 5.05% 5.35%

On-base family housing 24 8.54% 4.71% 4.53%

Owned or leased apartment or house 121 43.06% 47.14% 39.51%

Ship 2 0.71% 1.01% 2.06%

Other 19 6.76% 7.07% 6.17%

Don’t Know 11 3.91% 4.04% 13.17%

MARRIED SERVICE MEMBER RESIDENCE Resided with spouse 74 26.33% 23.57% 21.81%

Separated due to relationship issues 35 12.46% 9.76% 12.76%

Apart for other reasons/deployed 16 5.69% 11.78% 9.47%

Don’t Know 9 3.20% 4.38% 4.94%

Unmarried at time of event 147 52.31% 50.51% 51.03%

RESIDED ALONE Yes 79 28.11% 34.34% 24.28%

No 180 64.06% 56.57% 60.49%

Don’t Know 22 7.83% 9.09% 15.23%

HAD MINOR CHILDREN Yes 103 36.65% 37.37% 32.51%

No 178 63.35% 62.63% 67.49%

Don’t Know 0 0.00% 0.00% 0.00%

CHILDREN RESIDED WITH Yes 52 18.51% 17.17% 13.58%

No 48 17.08% 18.52% 17.70%

Don’t Know 3 1.07% 1.68% 1.23%

No Children 178 63.35% 62.63% 67.49%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 146 51.96% 49.49% 54.73%

No 78 27.76% 26.26% 14.81%

Don’t Know 57 20.28% 24.24% 30.45%

Situational Factors

Table 2.13 provides details about the living situations for Service Members who died by suicide in 2010. 

Decedents most frequently lived in homes or apartments outside of their installations (n = 121, 43.06%) or 

in a shared living environment on the installation (n = 93, 33.10%). Of those who were married (n = 125), 

most lived with their spouses (n = 74, 59.20% of married, 26.33% of total), and 35 were separated due to 

relationship issues (28.00% of married, 12.46% of total). Most decedents lived with others (n = 180, 64.06%). 

Approximately one third of Service Members had minor children (n = 103, 36.65%) and 52 (18.51%) lived with 

their children at the time of death. Half of decedents had access to firearms either in their homes, at work, or 

other accessible locations (n = 146, 51.96%).

TABLE 2.13. CY 2010 AND 2008-2009 DoDSER HOME ENVIRONMENT

Duty Environment

Consistent with the previous two years, the primary duty environment for decedents was their permanent 

duty station (n = 162, 57.65%; Table 2.14). In addition, 30 Service Members were deployed (10.68%) and 19 
20

Chapter 2: DoD-Wide DoDSER Results

(6.76%) were hospitalized in an inpatient psychiatry unit at the time of event. 

TABLE 2.14. CY 2010 AND 2008-2009 DoDSER DUTY ENVIRONMENT 

Suicide Completions by Month

As in the prior two years, no clear pattern was evident for suicides by month (Table 2.15).

TABLE 2.15. CY 2010 AND 2008-2009 DoDSER SUICIDES BY MONTH 

2010 2009 2008

Count Percent Percent Percent

MONTH January 27 9.61% 9.09% 9.05%

February 21 7.47% 11.11% 6.17%

March 22 7.83% 6.73% 7.41%

April 21 7.47% 7.74% 8.64%

May 27 9.61% 9.76% 8.23%

June 25 8.90% 8.08% 7.82%

July 31 11.03% 9.76% 9.47%

August 22 7.83% 7.07% 8.23%

September 25 8.90% 5.39% 8.23%

October 24 8.54% 10.77% 8.23%

November 17 6.05% 7.07% 10.70%

December 19 6.76% 7.41% 7.82%

Clinical Health Factors

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

2010 2009 2008

Count Percent Percent Percent

DUTY ENVIRONMENT Permanent Duty Station 162 57.65% 53.20% 53.91%

Leave 0 0.00% 0.00% 0.41%

Psychiatric Hospitalization 19 6.76% 9.09% 9.88%

Medical Hold 1 0.36% 1.01% 1.23%

TDY 3 1.07% 1.68% 0.82%

AWOL 7 2.49% 4.38% 2.47%

Under Command Observation 0 0.00% 0.00% 0.41%

Deployed 30 10.68% 11.45% 15.23%

Training 7 2.49% 3.03% 2.06%

Other 16 5.69% 5.39% 5.76%

Multiple Duty Environments 18 6.41% 8.75% 5.35%

Duty Environment Unknown 18 6.41% 2.02% 2.47%
21

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Behavioral Health Disorders 

DoDSER POCs collect information about decedents’ history of behavioral health diagnoses. The data below 

reflect any known history of behavioral health disorders and are not limited to diagnoses at the time of death. 

One hundred and twenty-two (43.42%) Service Members who died by suicide in 2010 had a history of at least 

one documented behavioral health disorder (Table 2.17). One fourth of decedents (n = 70, 24.91%) had at 

least two co-occurring diagnoses. As indicated in Tables 2.18 and 2.19, 48 decedents (17.08%) had a mood 

disorder, most frequently major depressive disorder (n = 20, 7.12%) and 42 (14.95%) had an anxiety disorder, 

most frequently posttraumatic stress disorder (PTSD; n = 14, 4.98%). Table 2.20 provides summary data for 

other disorders. One fourth of Service Members who died by suicide had a known history of substance abuse 

(n = 72, 25.62%). Ten decedents had a history of personality disorder (3.56%) and eight (2.85%) had a prior 

diagnosis of traumatic brain injury. 

TABLE 2.17. CY 2010 AND 2008-2009 DoDSER COMORBIDITY RATES 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 159 56.58% 57.58% 67.49%

1 DX 52 18.51% 21.55% 22.63%

2 DX 42 14.95% 13.13% 4.53%

3 DX 15 5.34% 4.38% 4.12%

4 or more DX 13 4.63% 3.37% 1.23%

2010 2009 2008

Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 38 13.52% 17.17% 13.58%

 Within 30 days 3 1.07% 4.04% 2.47%

 Within 90 days (inclusive)* 8 2.85% 7.74% 4.94%

No 173 61.57% 58.25% 45.68%

Don’t Know 70 24.91% 24.58% 40.74%

 Number prior self-injuries One prior event 22 7.83% 10.10% 0.00%

More than one prior event 16 5.69% 7.07% 12.13%

N/A or Unknown 243 86.48% 82.83% 87.87%

 Event similar to prior self-injury Yes 9 3.20% 3.03% 2.47%

No 25 8.90% 10.10% 8.64%

Don’t Know 4 1.42% 4.04% 2.47%

N/A 243 86.48% 82.83% 86.42%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Prior Self-Injury 

Thirty-eight Service Members who died by suicide in 2010 (13.52%) had a known history of self-harm (Table 

2.16), and 16 decedents (5.69%) were known to have at least two prior incidents of self-harm.

TABLE 2.16. CY 2010 AND 2008-2009 DoDSER PRIOR SELF-INJURY
22

Chapter 2: DoD-Wide DoDSER Results

2010 2009 2008

Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 42 14.95% 17.85% 10.29%

No 203 72.24% 66.33% 67.90%

Don’t Know 36 12.81% 15.82% 21.81%

 PTSD Yes 14 4.98% 6.40% 2.47%

No 229 81.49% 76.09% 72.43%

Don’t Know 38 13.52% 17.51% 25.10%

 Panic disorder Yes 3 1.07% 0.00% 0.41%

No 240 85.41% 82.15% 73.66%

Don’t Know 38 13.52% 17.85% 25.93%

 Generalized anxiety disorder Yes 1 0.36% 1.01% 0.41%

No 241 85.77% 81.48% 74.07%

Don’t Know 39 13.88% 17.51% 25.51%

 Acute stress disorder Yes 0 0.00% 0.00% 0.41%

No 243 86.48% 82.15% 74.49%

Don’t Know 38 13.52% 17.85% 25.10%

TABLE 2.19. CY 2010 AND 2008-2009 DoDSER ANXIETY DISORDERS 

2010 2009 2008

Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 48 17.08% 24.92% 18.93%

No 193 68.68% 60.27% 58.44%

Don’t Know 40 14.23% 14.81% 22.63%

 Bipolar disorder Yes 2 0.71% 0.67% 0.82%

No 239 85.05% 80.47% 72.02%

Don’t Know 40 14.23% 18.86% 27.16%

 Major depression Yes 20 7.12% 11.45% 5.35%

No 220 78.29% 71.04% 68.72%

Don’t Know 41 14.59% 17.51% 25.93%

 Dysthymic disorder Yes 4 1.42% 1.68% 0.82%

No 236 83.99% 79.12% 72.43%

Don’t Know 41 14.59% 19.19% 26.75%

 Other mood disorder Yes 14 4.98% 5.05% 8.64%

No 226 80.43% 76.43% 64.20%

Don’t Know 41 14.59% 18.52% 27.16%

 Unspecified mood disorder Yes 3 1.07% 2.69% 2.47%

No 238 84.70% 82.49% 74.90%

Don’t Know 40 14.23% 14.81% 22.63%

 Multiple mood DX Yes 5 1.78% 3.37% 0.82%

No 236 83.99% 81.82% 76.54%

Don’t Know 40 14.23% 14.81% 22.63%

TABLE 2.18. CY 2010 AND 2008-2009 DoDSER MOOD DISORDERS 
23

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

TABLE 2.20. CY 2010 AND 2008-2009 DoDSER OTHER BEHAVIORAL HEALTH DISORDERS 

Treatment History

Table 2.21 provides data on decedents’ use of medical and behavioral health treatment prior to death. The 

majority of Service Members who died by suicide (n = 159, 56.58%) had received some form of treatment at 

a Military Treatment Facility (MTF). Forty-nine Service Members (17.44%) had a known history of a physical 

health problem and 31 of these (63.27%, 11.03% of total) had received treatment for the physical health 

problem within the month prior to suicide.

Fifty-nine decedents (21.00%) received substance abuse treatment services, and 28 (9.96%) were involved 

in family advocacy programs. Twenty-seven Service Members (9.61%) utilized chaplain services. Forty-one 

percent of decedents received outpatient behavioral healthcare (n = 114), with 63 Service Members (22.42%) 

having received treatment within the month prior to suicide. Thirty-two Service Members (11.39%) received 

inpatient behavioral health treatment, 15 of whom (5.34%) were treated within the month prior to suicide.

2010 2009 2008

Count Percent Percent Percent

DX W/PERSONALITY DISORDER Yes 10 3.56% 5.05% 4.94%

No 230 81.85% 77.78% 72.02%

Don’t Know 41 14.59% 17.17% 23.05%

DX W/PSYCHOTIC DISORDER Yes 0 0.00% 1.01% 0.82%

No 240 85.41% 82.83% 76.95%

Don’t Know 41 14.59% 16.16% 22.22%

HX SUBSTANCE ABUSE Yes 72 25.62% 21.55% 20.16%

No 159 56.58% 57.58% 55.14%

Don’t Know 50 17.79% 20.88% 24.69%

DX W/ TRAUMATIC BRAIN INJURY Yes 8 2.85%

No 228 81.14%

Don’t Know 45 16.01%

Note: Traumatic Brain Injury data unavailable prior to 2010.

 Other anxiety disorder Yes 13 4.63% 5.05% 2.47%

No 231 82.21% 77.44% 71.60%

Don’t Know 37 13.17% 17.51% 25.93%

 Unspecified anxiety DX Yes 5 1.78% 1.68% 1.65%

No 240 85.41% 82.49% 76.54%

Don’t Know 36 12.81% 15.82% 21.81%

 Multiple anxiety DX Yes 6 2.14% 3.70% 2.47%

No 239 85.05% 80.47% 75.72%

Don’t Know 36 12.81% 15.82% 21.81%

TABLE 2.19. CY 2010 AND 2008-2009 DoDSER ANXIETY DISORDERS (CONT.)
24

Chapter 2: DoD-Wide DoDSER Results

Table 2.22 summarizes psychotropic medications known to have been used by decedents prior to suicide. 

One fourth of decedents (n = 68, 24.20%) had known prescriptions for psychotropic medications, most 

frequently antidepressants (n = 55, 19.57%) and antianxiety medications (n = 26, 9.25%).

2010 2009 2008

Count Percent Percent Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 159 56.58% 58.92% 51.85%

 Within 30 days 107 38.08% 36.36% 29.22%

 Within 90 days (inclusive)* 130 46.26% 48.48% 39.51%

No 88 31.32% 27.27% 26.75%

Don’t Know 34 12.10% 13.80% 21.40%

HX PHYSICAL HEALTH PROBLEM Yes 49 17.44% 21.55% 20.16%

 Within 30 days 31 11.03% 12.46% 11.11%

 Within 90 days (inclusive)* 38 13.52% 14.81% 16.46%

No 163 58.01% 56.23% 55.97%

Don’t Know 69 24.56% 22.22% 23.87%

SUBSTANCE ABUSE SERVICES Yes 59 21.00% 16.50% 11.11%

 Within 30 days 21 7.47% 8.08% 4.12%

 Within 90 days (inclusive)* 27 9.61% 8.42% 6.17%

No 186 66.19% 67.68% 67.08%

Don’t Know 36 12.81% 15.82% 21.81%

FAMILY ADVOCACY PROGRAMS Yes 28 9.96% 6.40% 6.17%

 Within 30 days 5 1.78% 1.35% 3.29%

 Within 90 days (inclusive)* 12 4.27% 2.69% 3.70%

No 199 70.82% 71.38% 69.55%

Don’t Know 54 19.22% 22.22% 24.28%

CHAPLAIN SERVICES Yes 27 9.61% 12.79% 13.99%

 Within 30 days 19 6.76% 8.08% 7.41%

 Within 90 days (inclusive)* 22 7.83% 10.44% 10.29%

No 124 44.13% 42.09% 42.39%

Don’t Know 130 46.26% 45.12% 43.62%

OUTPATIENT BEHAVIORAL HEALTH Yes 114 40.57% 41.08% 32.92%

 Within 30 days 63 22.42% 21.55% 16.87%

 Within 90 days (inclusive)* 81 28.83% 24.92% 22.22%

No 134 47.69% 46.46% 51.03%

Don’t Know 33 11.74% 12.46% 16.05%

INPATIENT BEHAVIORAL HEALTH Yes 32 11.39% 15.15% 10.29%

 Within 30 days 15 5.34% 2.02% 4.12%

 Within 90 days (inclusive)* 18 6.41% 6.06% 5.35%

No 210 74.73% 70.03% 67.90%

Don’t Know 39 13.88% 14.81% 21.81%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 2.21. CY 2010 AND 2008-2009 DoDSER TREATMENT HISTORY 
25

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

Half of Service Members who died by suicide in 2010 (n = 140, 49.82%) had a known failure in a spousal or 

intimate relationship, with 84 (29.89%) experiencing the failure within the month prior to suicide (Table 2.23). 

Forty-one decedents (14.59%) had a failure in another important relationship, more than half of these (n = 24, 

8.54%) occurring within the month prior to suicide. 

2010 2009 2008

Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 68 24.20% 24.24% 20.99%

No 157 55.87% 54.55% 52.26%

Don’t Know 56 19.93% 21.21% 26.75%

 Antidepressants Yes 55 19.57% 20.88% 17.70%

No 168 59.79% 57.58% 53.91%

Don’t Know 58 20.64% 21.55% 28.40%

 Antianxiety Yes 26 9.25% 9.09% 6.58%

No 192 68.33% 68.35% 64.61%

Don’t Know 63 22.42% 22.56% 28.81%

 Antimanics Yes 5 1.78% 0.67% 0.82%

No 212 75.44% 76.77% 69.14%

Don’t Know 64 22.78% 22.56% 30.04%

 Anticonvulsants Yes 6 2.14% 2.36% 2.06%

No 213 75.80% 75.42% 67.90%

Don’t Know 62 22.06% 22.22% 30.04%

 Antipsychotics Yes 14 4.98% 5.05% 2.47%

No 206 73.31% 72.73% 67.90%

Don’t Know 61 21.71% 22.22% 29.63%

TABLE 2.23. CY 2010 AND 2008-2009 DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE

2010 2009 2008

Count Percent Percent Percent

HX FAILED INTIMATE RELATIONSHIP Yes 140 49.82% 50.84% 52.26%

 Within 30 days 84 29.89% 27.61% 32.92%

 Within 90 days (inclusive)* 101 35.94% 34.68% 43.21%

No 84 29.89% 25.25% 23.87%

Don’t Know 57 20.28% 23.91% 23.87%

TABLE 2.22. CY 2010 AND 2008-2009 DoDSER PSYCHOTROPIC MEDICATION USE 
26

Chapter 2: DoD-Wide DoDSER Results

Table 2.24 summarizes other family and relationship factors that may be associated with the suicide. Twentyseven decedents (9.61%) were known to have a family member with behavioral health problems, and 17 

(6.05%) had experienced the death of a family member. Twelve decedents (4.27%) had a family member who 

had died by suicide, and seven (2.49%) had known a friend who died by suicide. Friends of 14 decedents 

(4.98%) had died by other means. Twelve decedents (4.27%) were known to have family members with 

physical health problems.

TABLE 2.24. CY 2010 AND 2008-2009 DoDSER FAMILY HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.00% 0.41%

No 226 80.43% 84.18% 72.84%

Don’t Know 55 19.57% 15.82% 26.75%

HX FAMILY MEMBER SUICIDE Yes 12 4.27% 3.70% 4.53%

No 169 60.14% 64.31% 48.97%

Don’t Know 100 35.59% 31.99% 46.50%

HX FRIEND SUICIDE Yes 7 2.49% 1.68% 1.23%

No 162 57.65% 58.59% 50.21%

Don’t Know 112 39.86% 39.73% 48.56%

HX DEATH OF FAMILY MEMBER Yes 17 6.05% 6.06% 7.00%

No 160 56.94% 58.92% 48.15%

Don’t Know 104 37.01% 35.02% 44.86%

HX DEATH OF FRIEND Yes 14 4.98% 3.03% 4.94%

No 152 54.09% 53.87% 41.56%

Don’t Know 115 40.93% 43.10% 53.50%

HX FAMILY ILLNESS Yes 12 4.27% 6.40% 4.94%

No 166 59.07% 60.94% 45.27%

Don’t Know 103 36.65% 32.66% 49.79%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 27 9.61% 14.81% 8.64%

No 110 39.15% 30.30% 18.93%

Don’t Know 144 51.25% 54.88% 72.43%

TABLE 2.23. CY 2010 AND 2008-2009 DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE (CONT.)

HX FAILED OTHER RELATIONSHIP Yes 41 14.59% 13.47% 14.40%

 Within 30 days 24 8.54% 8.08% 7.82%

 Within 90 days (inclusive)* 29 10.32% 9.09% 10.70%

No 140 49.82% 47.81% 43.62%

Don’t Know 100 35.59% 38.72% 41.98%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 149 53.02% 53.54% 56.38%

 Within 30 days 94 33.45% 29.63% 36.21%

 Within 90 days (inclusive)* 111 39.50% 36.70% 46.09%

No 75 26.69% 23.91% 20.58%

Don’t Know 57 20.28% 22.56% 23.05%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”
27

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

2010 2009 2008

Count Percent Percent Percent

HX COURTS MARTIAL Yes 18 6.41% 6.40% 1.23%

No 209 74.38% 79.46% 81.89%

Don’t Know 54 19.22% 14.14% 16.87%

HX ARTICLE 15 OR NON-JUDICIAL PUNISHMENT Yes 60 21.35% 17.17% 14.81%

No 170 60.50% 66.33% 67.08%

Don’t Know 51 18.15% 16.50% 18.11%

HX ADMIN SEPARATION Yes 26 9.25% 8.42% 5.76%

No 203 72.24% 77.78% 74.07%

Don’t Know 52 18.51% 13.80% 20.16%

HX AWOL Yes 23 8.19% 10.10% 5.76%

No 208 74.02% 77.44% 74.90%

Don’t Know 50 17.79% 12.46% 19.34%

HX MEDICAL BOARD Yes 15 5.34% 8.08% 3.70%

No 227 80.78% 79.46% 76.13%

Don’t Know 39 13.88% 12.46% 20.16%

HX CIVIL LEGAL PROBLEMS Yes 37 13.17% 12.12% 13.17%

No 180 64.06% 65.32% 62.14%

Don’t Know 64 22.78% 22.56% 24.69%

HX NON-SELECTION FOR PROMOTION Yes 18 6.41% 7.74% 4.12%

No 203 72.24% 74.07% 63.79%

Don’t Know 60 21.35% 18.18% 32.10%

HAD ANY ADMIN/LEGAL ISSUE Yes 120 42.70% 41.08% 29.22%

No 111 39.50% 43.10% 51.03%

Don’t Know 50 17.79% 15.82% 19.75%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 49 17.44% 17.51% 10.70%

No 105 37.37% 41.08% 43.21%

Don’t Know 127 45.20% 41.41% 46.09%

Administrative and Legal History

As summarized in Table 2.25, 120 Service Members who died by suicide in 2010 (42.70%) had at least one 

known administrative or legal issue, and 49 (17.44%) had more than one. The most frequent administrative 

or legal issue was Article 15 proceedings or non-judicial punishment (n = 60, 21.35%), followed by civil legal 

problems (n = 37, 13.17%).

TABLE 2.25. CY 2010 AND 2008-2009 DoDSER ADMINISTRATIVE AND LEGAL HISTORY
28

Chapter 2: DoD-Wide DoDSER Results

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace. As summarized in Table 2.27, 28 

Service Members who died by suicide in 2010 (9.96%) had experienced significant debt. Fifty-two decedents 

(18.51%) either had lost a position or experienced job instability. Thirty-five Service Members (12.46%) were 

known to have had interpersonal issues with their supervisors or coworkers and 40 (14.23%) had previously 

received poor work evaluations. 

2010 2009 2008

Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 14 4.98% 6.73% 4.12%

No 174 61.92% 59.26% 47.33%

Don’t Know 93 33.10% 34.01% 48.56%

HX VICTIM SEXUAL ABUSE Yes 8 2.85% 4.38% 2.47%

No 180 64.06% 61.62% 50.21%

Don’t Know 93 33.10% 34.01% 47.33%

HX VICTIM EMOTIONAL ABUSE Yes 13 4.63% 7.07% 4.53%

No 169 60.14% 57.58% 46.50%

Don’t Know 99 35.23% 35.35% 48.97%

HX VICTIM SEXUAL HARASSMENT Yes 1 0.36% 0.34% 0.00%

No 183 65.12% 63.30% 51.85%

Don’t Know 97 34.52% 36.36% 48.15%

HX PERPETRATOR PHYSICAL ABUSE Yes 24 8.54% 8.75% 5.35%

No 171 60.85% 58.59% 47.74%

Don’t Know 86 30.60% 32.66% 46.91%

HX PERPETRATOR SEXUAL ABUSE Yes 8 2.85% 3.37% 3.70%

No 186 66.19% 61.95% 51.03%

Don’t Know 87 30.96% 34.68% 45.27%

HX PERPETRATOR EMOTIONAL ABUSE Yes 10 3.56% 3.03% 3.29%

No 183 65.12% 60.61% 50.21%

Don’t Know 88 31.32% 36.36% 46.50%

HX PERPETRATOR SEXUAL HARASSMENT Yes 2 0.71% 1.68% 1.23%

No 191 67.97% 62.63% 53.09%

Don’t Know 88 31.32% 35.69% 45.68%

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 2.26). 

Fourteen suicide decedents (4.98%) reportedly experienced physical abuse, and eight (2.85%) reportedly 

experienced sexual abuse. Thirteen Service Members (4.63%) had reportedly been victims of emotional 

abuse. Twenty-four decedents (8.54%) had allegedly physically abused others, eight (2.85%) had allegedly 

sexually abused others, and ten (3.56%) had allegedly perpetrated emotional abuse.

TABLE 2.26. CY 2010 AND 2008-2009 DoDSER ABUSE HISTORY
29

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

Of the 30 Service Members who died by suicide while deployed to Operation Enduring Freedom (OEF), 

Operation Iraqi Freedom (OIF), or Operation New Dawn (OND), 17 (6.05% of total) took place in Afghanistan, 

one (0.36% of total) took place in Djibouti and 12 (4.27% of total) took place in Iraq (Table 2.28). Given that 

OND began in 2010, Service Members with suicides in Iraq may have participated in both OIF and/or OND. 

Nearly half of decedents (n = 129, 45.91%) had a history of OEF, OIF or OND deployment (Table 2.29). Thirty 

decedents (10.68%) had known direct combat experiences, including participating in combat that resulted 

in injuries (n = 19, 6.76%), sustaining injuries (n = 6, 2.14%), witnessing killing (n = 18, 6.41%), seeing dead 

bodies (n =14, 4.98%) and killing others (n = 11, 3.91%; Table 2.30).

2010 2009 2008

Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 28 9.96% 10.77% 10.29%

No 162 57.65% 54.55% 51.44%

Don’t Know 91 32.38% 34.68% 38.27%

HX JOB LOSS/INSTABILITY Yes 52 18.51% 27.27% 18.11%

No 164 58.36% 51.18% 61.32%

Don’t Know 65 23.13% 21.55% 20.58%

HX SUPERVISOR/COWORKER ISSUES Yes 35 12.46% 14.14% 10.70%

No 175 62.28% 60.61% 55.97%

Don’t Know 71 25.27% 25.25% 33.33%

HX POOR WORK EVALUATION Yes 40 14.23% 16.84% 11.11%

No 176 62.63% 62.63% 59.67%

Don’t Know 65 23.13% 20.54% 29.22%

HX UNIT/WORKPLACE HAZING Yes 5 1.78% 1.68% 0.82%

No 208 74.02% 70.37% 65.02%

Don’t Know 68 24.20% 27.95% 34.16%

TABLE 2.28. CY 2010 AND 2008-2009 DoDSER SUICIDES IN THEATER 

2010 2009 2008

Count Percent Percent Percent

THEATER Afghanistan 17 6.05% 2.36% 2.88%

Iraq 12 4.27% 10.44% 12.76%

Djibouti 1 0.36% 0.00% 0.00%

Kuwait 0 0.00% 0.34% 0.41%

Not OEF/OIF/OND 251 89.32% 86.87% 83.95%

TABLE 2.27. CY 2010 AND 2008-2009 DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES 
30

Chapter 2: DoD-Wide DoDSER Results

TABLE 2.29. CY 2010 AND 2008-2009 DODSER OEF/OIF/OND DEPLOYMENT HISTORY 

TABLE 2.30. CY 2010 AND 2008-2009 DoDSER COMBAT HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 32 11.39% 3.70% 0.00%

Iraq 76 27.05% 37.71% 34.57%

Kuwait 3 1.07% 3.03% 2.88%

Multiple OEF/OIF/OND locations 18 6.41% 7.07% 1.65%

No history of OEF/OIF/OND deployment 152 54.09% 48.48% 60.91%

2010 2009 2008

Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 30 10.68% 17.17% 16.05%

Combat resulted in injuries/casualties for 

others

19 6.76% 11.45% 9.05%

 Injured in combat 6 2.14% 3.37% 3.29%

 Witnessed killing in combat 18 6.41% 9.76% 8.23%

 Saw dead bodies in combat 14 4.98% 9.43% 7.00%

 Killed others in combat 11 3.91% 4.04% 3.29%

NO DIRECT COMBAT HISTORY 251 89.32% 82.83% 83.95%
31

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors that may have been associated 

with the suicide attempts. These factors include demographic characteristics, event setting, suicide attempt 

method, substance use during the event, and intent to die, and communication of intent with others.

Demographics

Table 2.33 contains DoDSER demographic data for Service Members who attempted suicide in 2010. Males 

represented the majority of suicide attempts (n =653, 75.67%). Service Members were most often Caucasian 

(n = 587, 68.02%), under age 25 (n = 514, 59.56%), junior enlisted (n = 616, 71.46%), Regular component (n = 

817, 94.67%) and without a college degree (n = 678, 78.56%).

DoDSERs were submitted for 863 suicide attempts across all Services in 2010. As indicated in Table 2.31, 

these DoDSERs provide data on suicide attempts for 837 individuals. Two attempts were reported (DoDSERs 

submitted) for 22 (2.63%) individuals, and two individuals (0.24%) had DoDSERs for three discrete suicide 

attempts. Six Service Members with CY 2010 suicide attempt DoDSERs (0.72%) subsequently died by suicide 

in 2010 and were also included in the preceding section. The tables in this section use a denominator of 863. 

TABLE 2.31. CY 2010 DOD SUICIDE ATTEMPT DoDSERS

Count Percent

TOTAL SUICIDE ATTEMPT DoDSERs 863 100.00%

TOTAL INDIVIDUALS INCLUDED 837 100.00%

SUICIDE ATTEMPT DoDSERs SUBMITTED PER INDIVIDUAL 1 813 97.13%

2 22 2.63%

3 2 0.24%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDE ATTEMPT AND SUICIDE 6 0.72%

As summarized in Table 2.32, the majority of DoDSERs for 2010 suicide attempts had one or fewer missing or 

unknown primary data points (n = 542, 62.80%). Primary data points include any variables that are accessible 

using standard DoDSER methods (including accessing medical and military records). DoDSER POCs often 

interview Service Members after non-fatal suicide events, sometimes leading to more thorough data. 

TABLE 2.32. CY 2010 SUICIDE ATTEMPT DoDSER MISSING AND UNKNOWN DATA 

Count Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 391 45.31%

1 151 17.50%

2 80 9.27%

3 40 4.63%

4 31 3.59%

5 or More 170 19.70%

DoDSERS SUBMITTED FOR SUICIDE ATTEMPTS
32

Chapter 2: DoD-Wide DoDSER Results

TABLE 2.33. CY 2010 SUICIDE ATTEMPT DoDSER DEMOGRAPHICS 

Count Percent

TOTAL 863 100.00%

GENDER Male 653 75.67%

Female 210 24.33%

RACE American Indian or Alaskan Native 11 1.27%

Asian or Pacific Islander 23 2.67%

Black/African American 133 15.41%

White/Caucasian 587 68.02%

Other 53 6.14%

Don’t Know 56 6.49%

AGE RANGE Under 25 514 59.56%

25-29 190 22.02%

30-39 122 14.14%

40 + 37 4.29%

RANK E1-E4 616 71.46%

E5-E9 209 24.25%

Officer 32 3.71%

Warrant Officer 4 0.46%

Cadet/Midshipman 1 0.12%

COMPONENT Regular 817 94.67%

Reserve 24 2.78%

National Guard 20 2.32%

Other 2 0.23%

EDUCATION Some high school, did not graduate 7 0.81%

GED 63 7.30%

High school graduate 398 46.12%

Some college or technical school 210 24.33%

Degree/certificate less than four years 43 4.98%

Four-year college degree 39 4.52%

Master’s degree or greater 16 1.85%

Don’t Know 87 10.08%

MARITAL STATUS Never Married 364 42.18%

Married 364 42.18%

Legally Separated 41 4.75%

Divorced 73 8.46%

Widowed 1 0.12%

Don’t Know 20 2.32%

Event Setting

CY 2010 suicide attempts most frequently took place in the United States (n = 707, 81.92%), followed by 

European countries (n = 50, 5.79%) and Asian countries other than Iraq and Afghanistan (n = 45, 5.21%; Table 
33

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

2.34). As indicated in Table 2.35, suicide attempts primarily occurred in the Service Members’ residence (n = 

693, 80.30%). Hotels were the most frequent “Other” (write-in response) setting (n = 15, 1.74%).

TABLE 2.34. CY 2010 SUICIDE ATTEMPT DoDSER EVENT GEOGRAPHIC LOCATION 

TABLE 2.35. CY 2010 SUICIDE ATTEMPT DoDSER EVENT SETTING 

Event Method

As indicated in Table 2.36, drugs were the most frequent method for suicide attempt (n = 496, 57.47%), 

followed by injury with a sharp or blunt object (n = 122, 14.14%). 

TABLE 2.36. CY 2010 SUICIDE ATTEMPT DODSER EVENT METHOD 

Count Percent

GEOGRAPHIC LOCATION United States 707 81.92%

Iraq 26 3.01%

Afghanistan 20 2.32%

Asia 45 5.21%

Europe 50 5.79%

Canada or Mexico 3 0.35%

Other 9 1.04%

Don’t Know 3 0.35%

Count Percent

EVENT SETTING Residence (own) or barracks 693 80.30%

Residence of friend or family 33 3.82%

Work/jobsite 28 3.24%

Automobile (away from residence) 39 4.52%

Inpatient medical facility 6 0.70%

Other 62 7.18%

Don’t Know 2 0.23%

Count Percent

EVENT METHOD Firearm, non-military issue 23 2.67%

Firearm, military issue 17 1.97%

Hanging 72 8.34%

Drugs 496 57.47%

Alcohol 33 3.82%

Gas, vehicle exhaust 10 1.16%

Gas, utility (or other) 5 0.58%

Chemicals 10 1.16%

Drowning 5 0.58%

Fire, steam, etc. 2 0.23%

Sharp or blunt object 122 14.14%

Jumping from high place 22 2.55%
34

Chapter 2: DoD-Wide DoDSER Results

Substance Use during the Event

Table 2.37 summarizes known alcohol and drug use during suicide attempts. DoDSERs for one third of Service 

Members (n = 287, 33.26%) included known use of alcohol, and over half (n = 536, 62.11%) included known 

drug use during the suicide attempt, most frequently misused prescription drugs. These frequencies include 

Service Members who used drugs as a suicide attempt method (n = 496, 57.47%), as described above. One 

hundred eighty-seven DoDSERs (21.67%) included both alcohol and drug use during the event. 

TABLE 2.37. CY 2010 DoDSER SUBSTANCE(S) USED DURING SUICIDE ATTEMPTS

Communication of Intent

Most Service Members who attempted suicide had no known history of communicating with others about 

intending to harm themselves (n = 673, 77.98%; Table 2.38). Of those who did communicate with others, these 

communications were most frequently verbal (n = 143, 16.57%) or written (n = 23, 2.67%; Table 2.39). Eleven 

Lying in front of moving object 4 0.46%

Crashing a motor vehicle 12 1.39%

Other 18 2.09%

Don’t Know 12 1.39%

TABLE 2.36. CY 2010 SUICIDE ATTEMPT DoDSER EVENT METHOD (CONT.)

Count Percent

ALCOHOL USED Yes 287 33.26%

No 474 54.92%

Don’t Know 102 11.82%

ANY DRUGS USED Yes 536 62.11%

No 281 32.56%

Don’t Know 46 5.33%

 Illegal drugs Overdose 47 5.45%

Used, no overdose 22 2.55%

Were not used 748 86.67%

Don’t know 46 5.33%

 Prescription drugs Overdose 348 40.32%

Used, no overdose 62 7.18%

Were not used 407 47.16%

Don’t know 46 5.33%

 Over the counter drugs Overdose 143 16.57%

Used, no overdose 34 3.94%

Were not used 640 74.16%

Don’t know 46 5.33%

BOTH ALCOHOL AND DRUGS USED Yes 187 21.67%

No 556 64.43%

Don’t Know 120 13.90%
35

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

DoDSER POCs included text messages as an “Other” (write-in) response (1.27%). As indicated in Table 2.40, 

Service Members most frequently communicated with their spouses (n = 46, 5.33%) and friends (n = 40, 

4.63%). Family members were the most frequent “Other” (write-in) response (n = 17, 1.97%). 

TABLE 2.38. CY 2010 SUICIDE ATTEMPT DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT 

Count Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 673 77.98%

1 149 17.27%

2 32 3.71%

3 8 0.93%

4 1 0.12%

TABLE 2.39. CY 2010 SUICIDE ATTEMPT DoDSER MODE OF COMMUNICATED INTENT 

Count Percent

MODE OF COMMUNICATED INTENT Verbal 143 16.57%

Written 23 2.67%

Other or Unknown 17 1.97%

Multiple Modes 7 0.81%

No Known Communication 673 77.98%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

TABLE 2.40. CY 2010 SUICIDE ATTEMPT DoDSER RECIPIENTS OF COMMUNICATED INTENT 

Additional Event Information

Table 2.41 provides information about other details of 2010 suicide attempts. For the majority (n = 623, 

72.19%), there were data to indicate that the decedents intended to die. Half of the suicide attempts appeared 

spontaneous, without any prior planning (n = 429, 49.71%). Over one third of the suicide attempts (n = 353, 

40.90%) took place in a location potentially observable by others. Ninety-six (11.12%) left suicide notes.

TABLE 2.41. CY 2010 SUICIDE ATTEMPT DoDSER ADDITIONAL EVENT INFORMATION 

Count Percent

COMMUNICATION Spouse 46 5.33%

Friend 40 4.63%

Behavioral Health Provider 20 2.32%

Chaplain 2 0.23%

Supervisor 14 1.62%

Other or Unidentified 27 3.13%

Made Multiple Communications 41 4.75%

No Known Communication 673 77.98%

Count Percent

INTENDED TO DIE Yes 623 72.19%

No 103 11.94%
36

Chapter 2: DoD-Wide DoDSER Results

Don’t Know 137 15.87%

DEATH RISK GAMBLING Yes 9 1.04%

No 782 90.61%

Don’t Know 72 8.34%

PLANNED/PREMEDITATED Yes 234 27.11%

No 429 49.71%

Don’t Know 200 23.17%

OBSERVABLE Yes 353 40.90%

No 363 42.06%

Don’t Know 147 17.03%

SUICIDE NOTE LEFT Yes 96 11.12%

No 614 71.15%

Don’t Know 153 17.73%

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Situational Factors

Table 2.42 provides details about the living situations for Service Members who attempted suicide in 2010. 

DoDSERs most frequently reported shared living environments on installations (n = 367, 42.53%) or private 

homes outside of installations (n = 322, 37.31%). Married Service Members (n = 339) most often lived with 

their spouses at the time of their suicide attempts (n = 173, 51.03% of married Service Members, 20.05% of 

total), and 95 were separated because of relationship issues (28.02% of married Service Members, 11.01% of 

total). Two hundred sixty-three DoDSERs indicated that the Service Members had minor children (30.48%) and 

most resided with their children at the time of the suicide attempt (n = 119, 45.08% of Service Members with 

children, 13.79% of total). One hundred DoDSERs indicated that the Service Members (11.59%) were known 

to have access to firearms either in their homes, at work, or in other accessible locations.

TABLE 2.42. CY 2010 SUICIDE ATTEMPT DoDSER HOME ENVIRONMENT 

TABLE 2.41. CY 2010 SUICIDE ATTEMPT DoDSER ADDITIONAL EVENT INFORMATION (CONT).

Count Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 367 42.53%

Bachelor quarters 27 3.13%

On-base family housing 59 6.84%

Owned or leased apartment or house 322 37.31%

Ship 3 0.35%

Other 25 2.90%

Don’t Know 60 6.95%

MARRIED SERVICE MEMBER RESIDENCE Resides with spouse 173 20.05%

Separated due to relationship issues 95 11.01%
37

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Suicide Attempts by Month

No clear pattern was evident for suicide attempts by month (Table 2.44).

TABLE 2.44. CY 2010 DoDSER SUICIDE ATTEMPTS BY MONTH

Duty Environment

The primary duty environment for Service Members who attempted suicide was their permanent duty station (n

= 566, 65.59%; Table 2.43). In addition, DoDSERs indicated that 43 suicide attempts (4.98%) took place during 

a deployment. 

TABLE 2.43. CY 2010 SUICIDE ATTEMPT DoDSER DUTY ENVIRONMENT 

Apart for other reasons/deployed 71 8.23%

Don’t Know 25 2.90%

Unmarried at time of event 499 57.82%

RESIDED ALONE Yes 320 37.08%

No 436 50.52%

Don’t Know 107 12.40%

HAD MINOR CHILDREN Yes 263 30.48%

No 600 69.52%

Don’t Know 0 0.00%

CHILDREN RESIDED WITH Yes 119 13.79%

No 132 15.30%

Don’t Know 12 1.39%

No Children 600 69.52%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 100 11.59%

No 559 64.77%

Don’t Know 204 23.64%

TABLE 2.42. CY 2010 SUICIDE ATTEMPT DoDSER HOME ENVIRONMENT (CONT.)

Count Percent

DUTY ENVIRONMENT Permanent Duty Station 566 65.59%

Psychiatric Hospitalization 16 1.85%

Medical Hold 9 1.04%

TDY 6 0.70%

AWOL 6 0.70%

Deployed 43 4.98%

Training 35 4.06%

Other 26 3.01%

Multiple Duty Environments 60 6.95%

Duty Environment Unknown 96 11.12%

Count Percent

MONTH January 81 9.39%
38

Chapter 2: DoD-Wide DoDSER Results

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

Prior Self-Injury 

As summarized in Table 2.45, DoDSER POCs reported a known history of prior self-harm for over one fourth 

of suicide attempts (n = 240, 27.81%), and 52 (6.03%) self-harm incidents were known to have occurred within 

the month prior to attempting suicide. Of those with prior history of self-harm, 134 (55.83%, 15.53% of total) 

had more than one prior event. One hundred thirty-three suicide attempts (15.41%) were similar to the Service 

Members’ prior self-harm events.

TABLE 2.45. CY 2010 SUICIDE ATTEMPT DoDSER PRIOR SELF-INJURY 

February 68 7.88%

March 57 6.60%

April 71 8.23%

May 74 8.57%

June 83 9.62%

July 74 8.57%

August 70 8.11%

September 75 8.69%

October 76 8.81%

November 70 8.11%

December 64 7.42%

TABLE 2.44. CY 2010 DoDSER SUICIDE ATTEMPTS BY MONTH (CONT.)

Count Percent

HX PRIOR SELF-INJURY Yes 240 27.81%

 Within 30 days 52 6.03%

 Within 90 days (inclusive)* 88 10.20%

No 507 58.75%

Don’t Know 116 13.44%

 Number prior self-injuries One prior event 106 12.28%

More than one prior event 134 15.53%

N/A or Unknown 623 72.19%

 Event similar to prior self-injury Yes 133 15.41%

No 80 9.27%

Don’t Know 27 3.13%

N/A 623 72.19%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”
39

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Behavioral Health Disorders 

DoDSER POCs collect information about history of behavioral health diagnoses. The data below reflect any 

known history of behavioral health disorders and are not limited to diagnoses at the time of the suicide attempt. 

The majority of DoDSERs for attempted suicide included a history of at least one documented behavioral 

health disorder (n = 550, 63.73%; Table 2.46). Three hundred twenty-two (37.31%) had at least two cooccurring diagnoses. As indicated in Table 2.47, 336 DoDSERs (38.93%) indicated that Service Members 

had a diagnosis of a mood disorder, most frequently major depressive disorder (n = 153, 17.73%). Two 

hundred twenty-five DoDSERs for suicide attempts (26.07%) included Service Members’ diagnoses of anxiety 

disorders, most frequently PTSD (n = 70, 8.11%; Table 2.48). As summarized in Table 2.49, 63 DoDSERs 

(7.30%) included documentation of personality disorders, and 202 (23.41%) included a known history of 

substance abuse. Twenty-one DoDSERs (2.43%) indicated that Service Members had sustained a traumatic 

brain injury, and eleven (1.27%) included a diagnosis of psychotic disorder.

TABLE 2.46. CY 2010 SUICIDE ATTEMPT DoDSER COMORBIDITY RATES 

TABLE 2.47. CY 2010 SUICIDE ATTEMPT DoDSER MOOD DISORDERS 

Count Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 313 36.27%

1 DX 228 26.42%

2 DX 169 19.58%

3 DX 92 10.66%

4 or more DX 61 7.07%

Count Percent

DX W/ MOOD DISORDER Yes 336 38.93%

No 449 52.03%

Don’t Know 78 9.04%

 Bipolar disorder Yes 21 2.43%

No 727 84.24%

Don’t Know 115 13.33%

 Major depression Yes 153 17.73%

No 608 70.45%

Don’t Know 102 11.82%

 Dysthymic disorder Yes 16 1.85%

No 733 84.94%

Don’t Know 114 13.21%

 Other mood disorder Yes 58 6.72%

No 689 79.84%

Don’t Know 116 13.44%

 Unspecified mood disorder Yes 40 4.63%

No 745 86.33%

Don’t Know 78 9.04%
40

Chapter 2: DoD-Wide DoDSER Results

TABLE 2.48. CY 2010 SUICIDE ATTEMPT DoDSER ANXIETY DISORDERS 

TABLE 2.49. CY 2010 SUICIDE ATTEMPT DoDSER OTHER BEHAVIORAL HEALTH DISORDERS 

 Multiple mood DX Yes 48 5.56%

No 737 85.40%

Don’t Know 78 9.04%

Count Percent

DX W/ ANXIETY DISORDER Yes 225 26.07%

No 552 63.96%

Don’t Know 86 9.97%

 PTSD Yes 70 8.11%

No 693 80.30%

Don’t Know 100 11.59%

 Panic disorder Yes 11 1.27%

No 745 86.33%

Don’t Know 107 12.40%

 Generalized anxiety disorder Yes 24 2.78%

No 731 84.70%

Don’t Know 108 12.51%

 Acute stress disorder Yes 1 0.12%

No 753 87.25%

Don’t Know 109 12.63%

 Other anxiety disorder Yes 50 5.79%

No 708 82.04%

Don’t Know 105 12.17%

 Unspecified anxiety DX Yes 17 1.97%

No 760 88.06%

Don’t Know 86 9.97%

 Multiple anxiety DX Yes 52 6.03%

No 725 84.01%

Don’t Know 86 9.97%

Count Percent

DX W/PERSONALITY DISORDER Yes 63 7.30%

No 694 80.42%

Don’t Know 106 12.28%

DX W/PSYCHOTIC DISORDER Yes 11 1.27%

No 762 88.30%

Don’t Know 90 10.43%

HX SUBSTANCE ABUSE Yes 202 23.41%

No 555 64.31%
41

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Treatment History

Table 2.50 provides data on Service Members’ use of medical and behavioral health treatment prior to 

attempting suicide. The majority of DoDSERs (n = 454, 52.61%) indicated that Service Members had 

received some form of treatment at a Military Treatment Facility (MTF), 307 (35.57%) within the month 

prior to attempting suicide. One hundred ninety DoDSERs (22.02%) included evidence of a known physical 

health problem. Most DoDSERs (n = 545, 63.15%) indicated that Service Members had received outpatient 

behavioral health services, many within the month prior to attempting suicide (n = 381, 44.15%). One hundred 

eighty-eight DoDSERs (21.78%) indicated that the Service Members had previously been hospitalized in 

an inpatient psychiatry unit, 68 (7.88%) within the month prior to the suicide attempt. One hundred seventy 

DoDSERs (19.70%) included prior substance abuse treatment.

TABLE 2.50. CY 2010 SUICIDE ATTEMPT DoDSER TREATMENT HISTORY 

Don’t Know 106 12.28%

DX W/ TRAUMATIC BRAIN INJURY Yes 21 2.43%

No 738 85.52%

Don’t Know 104 12.05%

Count Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 454 52.61%

 Within 30 days 307 35.57%

 Within 90 days (inclusive)* 393 45.54%

No 326 37.78%

Don’t Know 83 9.62%

HX PHYSICAL HEALTH PROBLEM Yes 190 22.02%

 Within 30 days 110 12.75%

 Within 90 days (inclusive)* 143 16.57%

No 576 66.74%

Don’t Know 97 11.24%

SUBSTANCE ABUSE SERVICES Yes 170 19.70%

 Within 30 days 76 8.81%

 Within 90 days (inclusive)* 111 12.86%

No 622 72.07%

Don’t Know 71 8.23%

FAMILY ADVOCACY PROGRAMS Yes 58 6.72%

 Within 30 days 23 2.67%

 Within 90 days (inclusive)* 33 3.82%

No 704 81.58%

Don’t Know 101 11.70%

CHAPLAIN SERVICES Yes 92 10.66%

 Within 30 days 45 5.21%

 Within 90 days (inclusive)* 64 7.42%

TABLE 2.49. CY 2010 SUICIDE ATTEMPT DoDSER OTHER BEHAVIORAL HEALTH DISORDERS (CONT.) 
42

Chapter 2: DoD-Wide DoDSER Results

As indicated in Table 2.51, DoDSERs almost half of Service Member suicide attempts (n = 400, 46.35%) 

included psychotropic medication use prior to the suicide attempt. Antidepressants (n = 329, 82.25% of 

DoDSERs with known prescriptions, 38.12% of total DoDSERs) and antianxiety medication (n = 162, 40.50% 

of DoDSERs with known prescriptions, 18.77% of total DoDSERs) were the most frequently prescribed 

psychotropics. 

TABLE 2.51. CY 2010 SUICIDE ATTEMPT DoDSER PSYCHOTROPIC MEDICATION USE 

No 517 59.91%

Don’t Know 254 29.43%

OUTPATIENT BEHAVIORAL HEALTH Yes 545 63.15%

 Within 30 days 381 44.15%

 Within 90 days (inclusive)* 447 51.80%

No 274 31.75%

Don’t Know 44 5.10%

INPATIENT BEHAVIORAL HEALTH Yes 188 21.78%

 Within 30 days 68 7.88%

 Within 90 days (inclusive)* 112 12.98%

No 618 71.61%

Don’t Know 57 6.60%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Count Percent

TAKEN PSYCHOTROPIC MEDS Yes 400 46.35%

No 383 44.38%

Don’t Know 80 9.27%

 Antidepressants Yes 329 38.12%

No 437 50.64%

Don’t Know 97 11.24%

 Antianxiety Yes 162 18.77%

No 580 67.21%

Don’t Know 121 14.02%

 Antimanics Yes 23 2.67%

No 713 82.62%

Don’t Know 127 14.72%

 Anticonvulsants Yes 23 2.67%

No 713 82.62%

Don’t Know 127 14.72%

 Antipsychotics Yes 67 7.76%

No 671 77.75%

Don’t Know 125 14.48%

TABLE 2.50. CY 2010 SUICIDE ATTEMPT DoDSER TREATMENT HISTORY (CONT.)
43

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

Half of DoDSERs for Service Members who attempted suicide (n = 462, 53.53%) included a known failure in 

a spousal or intimate relationship, with 283 (32.79%) experiencing the failure within the month prior to suicide 

attempt (Table 2.52). One hundred twenty-seven (14.72%) included a failure in another important relationship, 

with many of these (n = 70, 8.11%) occurring within the month prior to the suicide attempt. 

TABLE 2.52. CY 2010 DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

Table 2.53 summarizes other family and relationship factors. Fifty-seven DoDSERs for Service Members 

(6.60%) included the loss of a family member to suicide, and 60 (6.95%) included the loss of friend to suicide. 

Many had experienced the death of a family member (n = 124, 14.37%) or friend (n = 77, 8.92%) by other 

means. Nearly one third of DoDSERs indicated that Service Members had a family member with behavioral 

health problems (n = 277, 32.10%).

TABLE 2.53. CY 2010 SUICIDE ATTEMPT DoDSER FAMILY HISTORY 

Count Percent

HX FAILED INTIMATE RELATIONSHIP Yes 462 53.53%

 Within 30 days 283 32.79%

 Within 90 days (inclusive)* 348 40.32%

No 324 37.54%

Don’t Know 77 8.92%

HX FAILED OTHER RELATIONSHIP Yes 127 14.72%

 Within 30 days 70 8.11%

 Within 90 days (inclusive)* 90 10.43%

No 580 67.21%

Don’t Know 156 18.08%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 462 53.53%

 Within 30 days 313 36.27%

 Within 90 days (inclusive)* 376 43.57%

No 324 37.54%

Don’t Know 77 8.92%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Count Percent

HX SPOUSE SUICIDE Yes 2 0.23%

No 794 92.00%

Don’t Know 67 7.76%
44

Chapter 2: DoD-Wide DoDSER Results

Administrative and Legal History

Over one third of DoDSERs for Service Members who attempted suicide included at least one administrative 

or legal issue (n = 341, 39.51%), and 124 (14.37%) included more than one (Table 2.54). The most frequent 

administrative or legal problems were Article 15 proceedings or non-judicial punishment (n = 150, 17.38%), civil 

legal problems (n = 88, 10.20%), and medical board proceedings (n = 71, 8.23%).

TABLE 2.54. CY 2010 SUICIDE ATTEMPT DoDSER ADMINISTRATIVE AND LEGAL HISTORY 

HX FAMILY MEMBER SUICIDE Yes 57 6.60%

No 688 79.72%

Don’t Know 118 13.67%

HX FRIEND SUICIDE Yes 60 6.95%

No 662 76.71%

Don’t Know 141 16.34%

HX DEATH OF FAMILY MEMBER Yes 124 14.37%

No 608 70.45%

Don’t Know 131 15.18%

HX DEATH OF FRIEND Yes 77 8.92%

No 645 74.74%

Don’t Know 141 16.34%

HX FAMILY ILLNESS Yes 72 8.34%

No 659 76.36%

Don’t Know 132 15.30%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 277 32.10%

No 418 48.44%

Don’t Know 168 19.47%

Count Percent

HX COURTS MARTIAL Yes 27 3.13%

No 727 84.24%

Don’t Know 109 12.63%

HX ARTICLE 15 OR NON-JUDICIAL PUNISHMENT Yes 150 17.38%

No 591 68.48%

Don’t Know 122 14.14%

HX ADMIN SEPARATION Yes 90 10.43%

No 663 76.83%

Don’t Know 110 12.75%

HX AWOL Yes 53 6.14%

No 714 82.73%

Don’t Know 96 11.12%

HX MEDICAL BOARD Yes 71 8.23%

No 702 81.34%

Don’t Know 90 10.43%

TABLE 2.53. CY 2010 SUICIDE ATTEMPT DoDSER FAMILY HISTORY (CONT.) 
45

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

HX CIVIL LEGAL PROBLEMS Yes 88 10.20%

No 642 74.39%

Don’t Know 133 15.41%

HX NON-SELECTION FOR PROMOTION Yes 47 5.45%

No 665 77.06%

Don’t Know 151 17.50%

HAD ANY ADMIN/LEGAL ISSUE Yes 341 39.51%

No 420 48.67%

Don’t Know 102 11.82%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 124 14.37%

No 391 45.31%

Don’t Know 348 40.32%

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 2.55). Some 

DoDSERs for Service Members who attempted suicide in 2010 included a history of reported emotional 

abuse (n = 199, 23.06%), physical abuse (n = 171, 19.81%), and sexual abuse (n = 136, 15.76%). Forty-three 

(4.98%) included an alleged history of physically abusing others.

TABLE 2.55. CY 2010 SUICIDE ATTEMPT DoDSER ABUSE HISTORY 

Count Percent

HX VICTIM PHYSICAL ABUSE Yes 171 19.81%

No 568 65.82%

Don’t Know 124 14.37%

HX VICTIM SEXUAL ABUSE Yes 136 15.76%

No 600 69.52%

Don’t Know 127 14.72%

HX VICTIM EMOTIONAL ABUSE Yes 199 23.06%

No 534 61.88%

Don’t Know 130 15.06%

HX VICTIM SEXUAL HARASSMENT Yes 31 3.59%

No 683 79.14%

Don’t Know 149 17.27%

HX PERPETRATOR PHYSICAL ABUSE Yes 43 4.98%

No 682 79.03%

Don’t Know 138 15.99%

HX PERPETRATOR SEXUAL ABUSE Yes 14 1.62%

No 712 82.50%

Don’t Know 137 15.87%

HX PERPETRATOR EMOTIONAL ABUSE Yes 26 3.01%

No 695 80.53%

TABLE 2.54. CY 2010 SUICIDE ATTEMPT DoDSER ADMINISTRATIVE AND LEGAL HISTORY (CONT.) 
46

Chapter 2: DoD-Wide DoDSER Results

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

Twenty-six (3.01%) suicide attempts occurred in Iraq and 20 (2.32%) occurred in Afghanistan (Table 2.57). 

Three hundred fifty-two DoDSERs (40.79%) included information about prior OEF, OIF or OND deployments 

(Table 2.58). One hundred twenty DoDSERs (13.90%) included experiences of direct combat (Table 2.59).

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 2.56). Almost one third of 

DoDSERs for Service Members who attempted suicide in 2010 included the experience of job loss or instability 

(n = 275, 31.87%). Two hundred six (23.87%) included problems with either supervisors or coworkers, and 131 

(15.18%) included prior poor work evaluations.

TABLE 2.56. CY 2010 SUICIDE ATTEMPT DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES 

Don’t Know 142 16.45%

HX PERPETRATOR SEXUAL HARASSMENT Yes 4 0.46%

No 718 83.20%

Don’t Know 141 16.34%

Count Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 86 9.97%

No 610 70.68%

Don’t Know 167 19.35%

HX JOB LOSS/INSTABILITY Yes 275 31.87%

No 466 54.00%

Don’t Know 122 14.14%

HX SUPERVISOR/COWORKER ISSUES Yes 206 23.87%

No 503 58.29%

Don’t Know 154 17.84%

HX POOR WORK EVALUATION Yes 131 15.18%

No 561 65.01%

Don’t Know 171 19.81%

HX UNIT/WORKPLACE HAZING Yes 40 4.63%

No 643 74.51%

Don’t Know 180 20.86%

TABLE 2.55. CY 2010 SUICIDE ATTEMPT DoDSER ABUSE HISTORY (CONT.) 
47

Chapter 2: DoD-Wide DoDSER Results

Calendar Year 2010 Annual Report

TABLE 2.58. CY 2010 SUICIDE ATTEMPT DoDSER OEF/OIF/OND DEPLOYMENT HISTORY 

TABLE 2.59. CY 2010 SUICIDE ATTEMPT DoDSER COMBAT HISTORY 

TABLE 2.57. CY 2010 DoDSER SUICIDE ATTEMPTS IN THEATER

Count Percent

THEATER Afghanistan 20 2.32%

Iraq 26 3.01%

Not OEF/OIF/OND 817 94.67%

Count Percent

HX DEPLOYMENT OEF/OIF Afghanistan 66 7.65%

Iraq 237 27.46%

Kuwait 9 1.04%

Multiple OEF/OIF/OND locations 40 4.63%

No history of OEF/OIF/OND deployment 511 59.21%

Count Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 120 13.90%

Combat resulted in injuries/casualties for others 70 8.11%

 Injured in combat 34 3.94%

 Witnessed killing in combat 74 8.57%

 Saw dead bodies in combat 77 8.92%

 Killed others in combat 45 5.21%

NO DIRECT COMBAT HISTORY 743 86.10%
48

Chapter 2: DoD-Wide DoDSER Results

Summary

This chapter provides data on DoD suicides and suicide attempts that occurred in 2010. Data are presented 

for 281 Service Members who died by suicide and for 839 Service Members who attempted suicide in 865 

separate suicide incidents. Decedents and those who attempted suicide were primarily Caucasian, enlisted, 

and Regular component Service Members. 

Most suicide events took place in the United States, in the Service Members’ own residences. The most 

frequent methods for Service Members who died by suicide were non-military issue firearm use and hanging. 

Suicide attempt methods were most often drug overdose, harming oneself with a sharp or blunt object, and 

hanging. Drug and alcohol use was more frequent among non-fatal suicide events. The majority of Service 

Members who died by suicide or had attempted suicide were not known to have communicated with others 

about their likelihood of harming themselves.

Service Members with non-fatal suicide events had more reported behavioral health disorders than did suicide 

decedents but similar behavioral health treatment use prior to the event. Additionally, those who attempted 

suicide had higher prevalence of prior abuse victimization. Failed intimate relationships were frequent 

among Service Members with suicide events. The most frequent administrative or legal issue was Article 15 

proceedings.
49

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

CHAPTER 3:

DoDSERs SUBMITTED FOR SERVICE MEMBERS DEPLOYED TO 

OPERATION ENDURING FREEDOM (OEF), OPERATION IRAQI 

FREEDOM (OIF) & OPERATION NEW DAWN (OND)

DoDSER Submissions 

2010 Reported Suicides during Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) and Operation New 

Dawn (OND)

Across all Services, 30 suicides confirmed by the Armed Forces Medical Examiner System (AFMES) for calendar year (CY) 2010 occurred during 

OEF, OIF or OND deployments. Given that Operation New Dawn (OND) began 1 September 2010, Service Members with suicides in Iraq may have 

participated in both OIF and/or OND. The tables in this section also include data for Service Members deployed to locations other than OIF/OEF/

OND and those not deployed at the time of suicide. Percentages for 2009 and 2008 DoDSER data are provided for comparison. Specific suicide 

count data for prior years are available in the previous DoDSER annual reports and are available for download at http://t2health.org.

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors of decedents that may have been associated with the suicide events. 

These factors include decedents’ demographic characteristics, event setting, suicide method, substance use during the event, intent to die, and 

communication of intent with others.

Demographics

As described in Table 3.1, deployed decedents were primarily male (n = 29, 96.67%), Caucasian (n = 21, 70.00%), junior enlisted (n = 22, 73.33%), 

and Regular component (n = 30, 100.00%).

DoDSERS SUBMITTED FOR COMPLETED SUICIDES
50

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

TOTAL 30 100.00% 100.00% 100.00% 251 100.00% 100.00% 100.00%

GENDER Male 29 96.67% 97.44% 89.74% 239 95.22% 97.29% 95.59%

Female 1 3.33% 2.56% 10.26% 12 4.78% 2.71% 4.41%

RACE American Indian or Alaskan Native 0 0.00% 0.00% 2.56% 2 0.80% 1.94% 0.98%

Asian or Pacific Islander 2 6.67% 2.56% 5.13% 6 2.39% 3.49% 3.43%

Black/African American 1 3.33% 17.95% 15.38% 29 11.55% 10.08% 11.27%

White/Caucasian 21 70.00% 64.10% 58.97% 175 69.72% 68.22% 71.08%

Other 1 3.33% 5.13% 7.69% 11 4.38% 6.98% 5.88%

Don’t Know 5 16.67% 10.26% 10.26% 28 11.16% 9.30% 7.35%

AGE RANGE Under 25 18 60.00% 58.97% 53.85% 115 46.00% 44.57% 48.53%

25-29 9 30.00% 25.64% 20.51% 64 25.60% 23.64% 20.10%

30-39 2 6.67% 10.26% 15.38% 56 22.40% 23.26% 20.10%

40 + 1 3.33% 5.13% 10.26% 15 6.00% 8.53% 11.27%

RANK E1-E4 22 73.33% 71.79% 71.79% 135 53.78% 52.71% 50.00%

E5-E9 7 23.33% 23.08% 17.95% 102 40.64% 38.37% 40.20%

Officer 1 3.33% 5.13% 10.26% 13 5.18% 6.98% 7.84%

Warrant Officer 0 0.00% 0.00% 0.00% 0 0.00% 1.16% 0.98%

Cadet/Midshipman 0 0.00% 0.00% 0.00% 1 0.40% 0.78% 0.49%

Does Not Apply 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.49%

COMPONENT Regular 30 100.00% 89.74% 89.74% 228 90.84% 94.57% 94.12%

Reserve 0 0.00% 2.56% 2.56% 9 3.59% 2.33% 2.45%

National Guard 0 0.00% 7.69% 7.69% 12 4.78% 2.71% 3.43%

Other 0 0.00% 0.00% 0.00% 2 0.80% 0.39% 0.00%

EDUCATION Some high school, did not graduate 0 0.00% 0.00% 0.00% 2 0.80% 0.78% 0.00%

GED 2 6.67% 10.26% 5.13% 19 7.57% 4.26% 2.45%

High school graduate 16 53.33% 61.54% 33.33% 105 41.83% 45.35% 36.76%

Some college or technical school 5 16.67% 10.26% 12.82% 41 16.33% 17.44% 7.84%

TABLE 3.1. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR OEF/OIF/OND AND OTHER SUICIDES
51

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Event Method

As indicated in Table 3.3, the majority of deployed suicide decedents used military issue firearms (n = 27, 90.00%).

Event Setting

Suicides primarily occurred in either the deployed Service Members’ own barracks (n = 13, 43.33%) or their jobsite (n = 10, 33.33%; Table 3.2). 

TABLE 3.2. CY 2010 DoDSER EVENT SETTING FOR OEF/OIF/OND AND OTHER SUICIDES

Degree/certificate of less than four years 0 0.00% 2.56% 0.00% 14 5.58% 2.71% 2.45%

Four-year college degree 1 3.33% 5.13% 2.56% 14 5.58% 3.88% 7.35%

Master’s degree or greater 0 0.00% 2.56% 5.13% 3 1.20% 3.49% 2.45%

Don’t Know 6 20.00% 7.69% 41.03% 53 21.12% 22.09% 40.69%

MARITAL STATUS Never Married 17 56.67% 51.28% 51.28% 94 37.45% 32.95% 33.33%

Married 8 26.67% 35.90% 41.03% 126 50.20% 51.16% 50.00%

Legally Separated 0 0.00% 2.56% 0.00% 8 3.19% 1.94% 3.92%

Divorced 1 3.33% 10.26% 0.00% 18 7.17% 10.85% 7.35%

Widowed 0 0.00% 0.00% 0.00% 0 0.00% 0.39% 0.00%

Don’t Know 4 13.33% 0.00% 7.69% 5 1.99% 2.71% 5.39%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 13 43.33% 61.54% 51.28% 144 57.37% 60.08% 57.84%

Residence of friend or family 0 0.00% 0.00% 0.00% 32 12.75% 9.30% 8.82%

Work/jobsite 10 33.33% 12.82% 28.21% 13 5.18% 5.04% 5.39%

Automobile (away from residence) 0 0.00% 0.00% 0.00% 13 5.18% 6.59% 7.84%

Inpatient medical facility 0 0.00% 0.00% 0.00% 1 0.40% 0.00% 0.49%

Other 7 23.33% 25.64% 20.51% 48 19.12% 18.99% 19.61%

Don’t Know 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00%

TABLE 3.1. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
52

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Substance Use during the Event

As summarized in Table 3.4, of deployed decedents for whom information was available, none used alcohol or drugs. 

TABLE 3.4. CY 2010 AND 2008-2009 DoDSER SUBSTANCE(S) USED DURING EVENT FOR OEF/OIF/OND & OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 2 6.67% 0.00% 0.00% 134 53.39% 46.90% 50.00%

Firearm, military issue 27 90.00% 97.44% 94.87% 12 4.78% 5.43% 6.86%

Hanging 0 0.00% 0.00% 0.00% 69 27.49% 26.36% 25.00%

Drugs 0 0.00% 0.00% 5.13% 13 5.18% 3.49% 4.41%

Alcohol 0 0.00% 0.00% 0.00% 0 0.00% 0.39% 0.49%

Gas, vehicle exhaust 0 0.00% 0.00% 0.00% 1 0.40% 4.26% 2.94%

Gas, utility (or other) 0 0.00% 0.00% 0.00% 5 1.99% 1.94% 0.49%

Drowning 0 0.00% 0.00% 0.00% 3 1.20% 0.00% 0.49%

Fire, steam, etc. 0 0.00% 0.00% 0.00% 1 0.40% 0.00% 0.49%

Sharp or blunt object 0 0.00% 0.00% 0.00% 2 0.80% 3.10% 0.98%

Jumping from high place 0 0.00% 0.00% 0.00% 2 0.80% 1.94% 1.47%

Lying in front of moving object 0 0.00% 0.00% 0.00% 2 0.80% 0.78% 0.98%

Crashing a motor vehicle 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.98%

Other 1 3.33% 2.56% 0.00% 1 0.40% 3.10% 0.98%

Don’t Know 0 0.00% 0.00% 0.00% 6 2.39% 2.33% 3.43%

TABLE 3.3. CY 2010 AND 2008-2009 DoDSER EVENT METHOD FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

ALCOHOL USED Yes 0 0.00% 0.00% 0.00% 58 23.11% 25.58% 26.96%

No 17 56.67% 66.67% 64.10% 91 36.25% 34.50% 34.31%

Don’t Know 13 43.33% 33.33% 35.90% 102 40.64% 39.92% 38.73%
53

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Communication of Intent

Consistent with the prior two years, most deployed suicide decedents had no known history of communicating with others about intent to harm 

themselves (n = 23, 76.67%; Table 3.5). Seven deployed Service Members were known to have communicated with at least one individual 

regarding their intent to die by suicide (23.33%). These communications were most frequently verbal (n = 6, 20.00%; Table 3.6). As indicated in 

Table 3.7, decedents most frequently communicated with their spouses (n = 2, 6.67%) and friends (n = 2, 6.67%).

ANY DRUGS USED Yes 0 0.00% 2.56% 5.13% 27 10.76% 6.98% 7.35%

No 15 50.00% 64.10% 53.85% 117 46.61% 44.57% 49.51%

Don’t Know 15 50.00% 33.33% 41.03% 107 42.63% 48.45% 43.14%

 Illegal drugs Overdose 0 0.00% 0.00% 0.00% 3 1.20% 0.00% 0.49%

Used, no overdose 0 0.00% 0.00% 0.00% 3 1.20% 0.78% 0.00%

Were not used 15 50.00% 66.67% 58.97% 138 54.98% 50.78% 52.94%

Don’t know 15 50.00% 33.33% 41.03% 107 42.63% 48.45% 46.57%

 Prescription drugs Overdose 0 0.00% 0.00% 5.13% 9 3.59% 3.10% 4.41%

Used, no overdose 0 0.00% 2.56% 0.00% 11 4.38% 0.78% 1.96%

Were not used 15 50.00% 64.10% 53.85% 124 49.40% 47.67% 50.00%

Don’t know 15 50.00% 33.33% 41.03% 107 42.63% 48.45% 43.63%

 Over the counter drugs Overdose 0 0.00% 0.00% 0.00% 6 2.39% 0.78% 2.45%

Used, no overdose 0 0.00% 0.00% 2.56% 0 0.00% 1.94% 0.49%

Were not used 15 50.00% 66.67% 56.41% 138 54.98% 48.84% 50.98%

Don’t know 15 50.00% 33.33% 41.03% 107 42.63% 48.45% 46.08%

BOTH ALCOHOL AND DRUGS USED Yes 0 0.00% 0.00% 0.00% 8 3.19% 3.49% 2.94%

No 15 50.00% 64.10% 58.97% 119 47.41% 44.96% 50.98%

Don’t Know 15 50.00% 35.90% 41.03% 124 49.40% 51.55% 46.08%

TABLE 3.4. CY 2010 AND 2008-2009 DoDSER SUBSTANCE(S) USED DURING EVENT FOR OEF/OIF/OND & OTHER SUICIDES (CONT.)
54

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

TABLE 3.6. CY 2010 AND 2008-2009 DoDSER MODE OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDES

TABLE 3.7. CY 2010 AND 2008-2009 DoDSER RECIPIENTS OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 23 76.67% 87.18% 82.05% 162 64.54% 69.77% 66.67%

1 5 16.67% 7.69% 17.95% 77 30.68% 19.77% 23.53%

2 2 6.67% 2.56% 0.00% 10 3.98% 7.36% 7.35%

3 0 0.00% 0.00% 0.00% 1 0.40% 1.94% 2.45%

4 0 0.00% 2.56% 0.00% 0 0.00% 0.78% 0.00%

5 0 0.00% 0.00% 0.00% 1 0.40% 0.39% 0.00%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

MODE OF COMMUNICATED INTENT Verbal 6 20.00% 7.69% 15.38% 53 21.12% 16.67% 23.04%

Written 0 0.00% 2.56% 2.56% 13 5.18% 2.33% 0.98%

Other or Unknown 0 0.00% 0.00% 0.00% 14 5.58% 6.59% 4.41%

Multiple Modes 1 3.33% 2.56% 0.00% 9 3.59% 4.26% 4.90%

No Known Communication 23 76.67% 87.18% 82.05% 162 64.54% 70.16% 66.67%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 23 76.67% 87.18% 82.05% 162 64.54% 69.77% 66.67%

1 5 16.67% 7.69% 17.95% 77 30.68% 19.77% 23.53%

2 2 6.67% 2.56% 0.00% 10 3.98% 7.36% 7.35%

3 0 0.00% 0.00% 0.00% 1 0.40% 1.94% 2.45%

TABLE 3.5. CY 2010 AND 2008-2009 DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDES
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Additional Event Information

Table 3.8 provides information about other details of suicides that occurred during OEF, OIF and OND deployment. For the majority (n = 22, 

73.33%), data indicate that the decedents intended to die. Seven of the suicides appeared premeditated (23.33%). Three decedents (10.00%) died 

in a location where the suicide was potentially observable by others. Six deployed Service Members (20.00%) left suicide notes. 

TABLE 3.8. CY 2010 AND 2008-2009 DoDSER ADDITIONAL EVENT INFORMATION FOR OEF/OIF/OND AND OTHER SUICIDES

4 0 0.00% 2.56% 0.00% 0 0.00% 0.78% 0.00%

5 0 0.00% 0.00% 0.00% 1 0.40% 0.39% 0.00%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

INTENDED TO DIE Yes 22 73.33% 89.74% 74.36% 179 71.31% 74.03% 69.61%

No 3 10.00% 5.13% 2.56% 20 7.97% 5.43% 6.86%

Don’t Know 5 16.67% 5.13% 23.08% 52 20.72% 20.54% 23.53%

DEATH RISK GAMBLING Yes 0 0.00% 0.00% 2.56% 5 1.99% 1.55% 1.96%

No 19 63.33% 92.31% 79.49% 218 86.85% 83.72% 68.14%

Don’t Know 11 36.67% 7.69% 17.95% 28 11.16% 14.73% 29.90%

PLANNED/PREMEDITATED Yes 7 23.33% 38.46% 38.46% 101 40.24% 39.53% 37.75%

No 11 36.67% 23.08% 25.64% 86 34.26% 29.84% 26.96%

Don’t Know 12 40.00% 38.46% 35.90% 64 25.50% 30.62% 35.29%

OBSERVABLE Yes 3 10.00% 12.82% 12.82% 61 24.30% 21.71% 20.59%

No 22 73.33% 76.92% 76.92% 156 62.15% 67.44% 55.39%

Don’t Know 5 16.67% 10.26% 10.26% 34 13.55% 10.85% 24.02%

SUICIDE NOTE LEFT Yes 6 20.00% 28.21% 28.21% 80 31.87% 24.42% 21.57%

No 13 43.33% 51.28% 41.03% 128 51.00% 54.26% 47.06%

Don’t Know 11 36.67% 20.51% 30.77% 43 17.13% 21.32% 31.37%

TABLE 3.7. CY 2010 AND 2008-2009 DoDSER RECIPIENTS OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Suicide Completions by Month

As in the prior two years, no clear pattern was evident for suicides by month (Table 3.9).

TABLE 3.9. CY 2010 AND 2008-2009 DoDSER SUICIDES BY MONTH FOR OEF/OIF/OND AND OTHER SUICIDES

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated with subsequent suicidal behavior. 

These factors include data on prior self-harm, previous diagnoses of behavioral health disorders and behavioral health issues, and relevant 

treatment histories, including prescribed medication. 

Prior Self-Injury 

Three deployed Service Members who died by suicide in 2010 (10.00%) had a known history of self-harm (Table 3.10), and two decedents (6.67%) 

were known to have at least two prior incidents of self-harm.

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

MONTH January 3 10.00% 10.26% 5.13% 24 9.56% 8.91% 9.80%

February 3 10.00% 5.13% 7.69% 18 7.17% 12.02% 5.88%

March 1 3.33% 10.26% 2.56% 21 8.37% 6.20% 8.33%

April 2 6.67% 17.95% 10.26% 19 7.57% 6.20% 8.33%

May 6 20.00% 12.82% 7.69% 21 8.37% 9.30% 8.33%

June 7 23.33% 5.13% 12.82% 18 7.17% 8.53% 6.86%

July 3 10.00% 2.56% 10.26% 28 11.16% 10.85% 9.31%

August 0 0.00% 5.13% 12.82% 22 8.76% 7.36% 7.35%

September 2 6.67% 2.56% 10.26% 23 9.16% 5.81% 7.84%

October 1 3.33% 7.69% 5.13% 23 9.16% 11.24% 8.82%

November 2 6.67% 12.82% 7.69% 15 5.98% 6.20% 11.27%

December 0 0.00% 7.69% 7.69% 19 7.57% 7.36% 7.84%
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Behavioral Health Disorders 

DoDSER POCs collect information about decedents’ history of behavioral health diagnoses. The data below reflect any known history of behavioral 

health disorders and are not limited to diagnoses at the time of death. Twenty-three deployed Service Members who died by suicide in 2010 

(76.67%) had a history of at least one documented behavioral health disorder (Table 3.11). Three decedents (10.00%) had at least two co-occurring 

diagnoses. As indicated in Tables 3.12, 3.13 and 3.14, deployed decedents had fewer reported behavioral health disorders as compared to other 

decedents. 

TABLE 3.11. CY 2010 AND 2008-2009 DoDSER COMORBIDITY RATES FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 23 76.67% 71.79% 69.23% 136 54.18% 55.43% 67.16%

1 DX 4 13.33% 17.95% 15.38% 48 19.12% 22.09% 24.02%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 3 10.00% 12.82% 10.26% 35 13.94% 17.83% 14.22%

 Within 30 days 0 0.00% 2.56% 0.00% 3 1.20% 4.26% 2.94%

 Within 90 days (inclusive)* 0 0.00% 2.56% 2.56% 8 3.19% 8.53% 5.39%

No 12 40.00% 64.10% 43.59% 161 64.14% 57.36% 46.08%

Don’t Know 15 50.00% 23.08% 46.15% 55 21.91% 24.81% 39.71%

 Number prior self-injuries One prior event 1 3.33% 5.13% 0.00% 21 8.37% 10.85% 0.00%

More than one prior event 2 6.67% 7.69% 10.26% 14 5.58% 6.98% 12.50%

N/A or Unknown 27 90.00% 87.18% 89.74% 216 86.06% 82.17% 87.50%

 Event similar to prior self-injury Yes 0 0.00% 0.00% 0.00% 9 3.59% 3.49% 2.94%

No 2 6.67% 7.69% 10.26% 23 9.16% 10.47% 8.33%

Don’t Know 1 3.33% 5.13% 0.00% 3 1.20% 3.88% 2.94%

N/A 27 90.00% 87.18% 89.74% 216 86.06% 82.17% 85.78%

TABLE 3.10. CY 2010 AND 2008-2009 DoDSER PRIOR SELF-INJURY FOR OEF/OIF/OND AND OTHER SUICIDES
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

TABLE 3.12. CY 2010 AND 2008-2009 DoDSER MOOD DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDES

2 DX 2 6.67% 2.56% 5.13% 40 15.94% 14.73% 4.41%

3 DX 1 3.33% 5.13% 10.26% 14 5.58% 4.26% 2.94%

4 or more DX 0 0.00% 2.56% 0.00% 13 5.18% 3.49% 1.47%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 1 3.33% 10.26% 23.08% 47 18.73% 27.13% 18.14%

No 20 66.67% 69.23% 51.28% 173 68.92% 58.91% 59.80%

Don’t Know 9 30.00% 20.51% 25.64% 31 12.35% 13.95% 22.06%

 Bipolar disorder Yes 0 0.00% 0.00% 0.00% 2 0.80% 0.78% 0.98%

No 21 70.00% 71.79% 71.79% 218 86.85% 81.78% 72.06%

Don’t Know 9 30.00% 28.21% 28.21% 31 12.35% 17.44% 26.96%

 Major depression Yes 0 0.00% 2.56% 10.26% 20 7.97% 12.79% 4.41%

No 20 66.67% 71.79% 61.54% 200 79.68% 70.93% 70.10%

Don’t Know 10 33.33% 25.64% 28.21% 31 12.35% 16.28% 25.49%

 Dysthymic disorder Yes 0 0.00% 0.00% 0.00% 4 1.59% 1.94% 0.98%

No 20 66.67% 71.79% 74.36% 216 86.06% 80.23% 72.06%

Don’t Know 10 33.33% 28.21% 25.64% 31 12.35% 17.83% 26.96%

 Other mood disorder Yes 1 3.33% 0.00% 12.82% 13 5.18% 5.81% 7.84%

No 20 66.67% 71.79% 61.54% 206 82.07% 77.13% 64.71%

Don’t Know 9 30.00% 28.21% 25.64% 32 12.75% 17.05% 27.45%

 Unspecified mood disorder Yes 0 0.00% 5.13% 0.00% 3 1.20% 2.33% 2.94%

No 21 70.00% 74.36% 74.36% 217 86.45% 83.72% 75.00%

Don’t Know 9 30.00% 20.51% 25.64% 31 12.35% 13.95% 22.06%

 Multiple mood DX Yes 0 0.00% 2.56% 0.00% 5 1.99% 3.49% 0.98%

No 21 70.00% 76.92% 74.36% 215 85.66% 82.56% 76.96%

Don’t Know 9 30.00% 20.51% 25.64% 31 12.35% 13.95% 22.06%

TABLE 3.11. CY 2010 AND 2008-2009 DoDSER COMORBIDITY RATES FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
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Calendar Year 2010 Annual Report

TABLE 3.13. CY 2010 AND 2008-2009 DoDSER ANXIETY DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 2 6.67% 12.82% 12.82% 40 15.94% 18.60% 9.80%

No 18 60.00% 61.54% 61.54% 185 73.71% 67.05% 69.12%

Don’t Know 10 33.33% 25.64% 25.64% 26 10.36% 14.34% 21.08%

 PTSD Yes 1 3.33% 2.56% 5.13% 13 5.18% 6.98% 1.96%

No 19 63.33% 69.23% 64.10% 210 83.67% 77.13% 74.02%

Don’t Know 10 33.33% 28.21% 30.77% 28 11.16% 15.89% 24.02%

 Panic disorder Yes 0 0.00% 0.00% 2.56% 3 1.20% 0.00% 0.00%

No 20 66.67% 71.79% 66.67% 220 87.65% 83.72% 75.00%

Don’t Know 10 33.33% 28.21% 30.77% 28 11.16% 16.28% 25.00%

 Generalized anxiety disorder Yes 0 0.00% 2.56% 0.00% 1 0.40% 0.78% 0.49%

No 20 66.67% 71.79% 66.67% 221 88.05% 82.95% 75.49%

Don’t Know 10 33.33% 25.64% 33.33% 29 11.55% 16.28% 24.02%

 Acute stress disorder Yes 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.49%

No 20 66.67% 71.79% 66.67% 223 88.84% 83.72% 75.98%

Don’t Know 10 33.33% 28.21% 33.33% 28 11.16% 16.28% 23.53%

 Other anxiety disorder Yes 0 0.00% 2.56% 2.56% 13 5.18% 5.43% 2.45%

No 20 66.67% 69.23% 66.67% 211 84.06% 78.68% 72.55%

Don’t Know 10 33.33% 28.21% 30.77% 27 10.76% 15.89% 25.00%

 Unspecified anxiety DX Yes 0 0.00% 0.00% 0.00% 5 1.99% 1.94% 1.96%

No 20 66.67% 74.36% 74.36% 220 87.65% 83.72% 76.96%

Don’t Know 10 33.33% 25.64% 25.64% 26 10.36% 14.34% 21.08%

 Multiple anxiety DX Yes 1 3.33% 5.13% 2.56% 5 1.99% 3.49% 2.45%

No 19 63.33% 69.23% 71.79% 220 87.65% 82.17% 76.47%

Don’t Know 10 33.33% 25.64% 25.64% 26 10.36% 14.34% 21.08%
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Treatment History

Table 3.15 provides data on decedents’ use of medical and behavioral health treatment prior to death. These data should be interpreted with 

caution, as treatment available to deployed Service Members can differ greatly from treatment available in other locations. One third of deployed 

Service Members who died by suicide (n = 10, 33.33%) had received some form of treatment at a Military Treatment Facility (MTF). Six Service 

Members (20.00%) had a known history of a physical health problem.

Four decedents (13.33%) received substance abuse treatment services, and one (3.33%) was involved in family advocacy programs. Five Service 

Members (16.67%) utilized chaplain services. One fourth of decedents received outpatient behavioral healthcare (n = 8, 26.67%) and two (6.67%) 

had received inpatient behavioral health treatment.

TABLE 3.14. CY 2010 AND 2008-2009 DoDSER OTHER BEHAVIORAL HEALTH DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

DX W/PERSONALITY DISORDER Yes 0 0.00% 2.56% 2.56% 10 3.98% 5.43% 5.39%

No 20 66.67% 71.79% 64.10% 210 83.67% 78.68% 73.53%

Don’t Know 10 33.33% 25.64% 33.33% 31 12.35% 15.89% 21.08%

DX W/PSYCHOTIC DISORDER Yes 0 0.00% 2.56% 0.00% 0 0.00% 0.78% 0.98%

No 20 66.67% 74.36% 71.79% 220 87.65% 84.11% 77.94%

Don’t Know 10 33.33% 23.08% 28.21% 31 12.35% 15.12% 21.08%

HX SUBSTANCE ABUSE Yes 4 13.33% 15.38% 17.95% 68 27.09% 22.48% 20.59%

No 13 43.33% 61.54% 51.28% 146 58.17% 56.98% 55.88%

Don’t Know 13 43.33% 23.08% 30.77% 37 14.74% 20.54% 23.53%

DX W/ TRAUMATIC BRAIN INJURY Yes 0 0.00% 0.00% 0.00% 8 3.19% 0.39% 0.00%

No 17 56.67% 30.77% 0.00% 211 84.06% 59.30% 0.49%

Don’t Know 13 43.33% 69.23% 100.00% 32 12.75% 40.31% 99.51%
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Calendar Year 2010 Annual Report

TABLE 3.15. CY 2010 AND 2008-2009 DoDSER TREATMENT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 10 33.33% 41.03% 48.72% 149 59.36% 61.63% 52.45%

 Within 30 days 6 20.00% 17.95% 30.77% 101 40.24% 39.15% 28.92%

 Within 90 days (inclusive)* 6 20.00% 25.64% 41.03% 124 49.40% 51.94% 39.22%

No 12 40.00% 41.03% 23.08% 76 30.28% 25.19% 27.45%

Don’t Know 8 26.67% 17.95% 28.21% 26 10.36% 13.18% 20.10%

HX PHYSICAL HEALTH PROBLEM Yes 6 20.00% 5.13% 12.82% 43 17.13% 24.03% 21.57%

 Within 30 days 3 10.00% 2.56% 7.69% 28 11.16% 13.95% 11.76%

 Within 90 days (inclusive)* 3 10.00% 2.56% 12.82% 35 13.94% 16.67% 17.16%

No 11 36.67% 66.67% 64.10% 152 60.56% 54.65% 54.41%

Don’t Know 13 43.33% 28.21% 23.08% 56 22.31% 21.32% 24.02%

SUBSTANCE ABUSE SERVICES Yes 4 13.33% 7.69% 5.13% 55 21.91% 17.83% 12.25%

 Within 30 days 0 0.00% 0.00% 0.00% 21 8.37% 9.30% 4.90%

 Within 90 days (inclusive)* 0 0.00% 0.00% 0.00% 27 10.76% 9.69% 7.35%

No 17 56.67% 69.23% 64.10% 169 67.33% 67.44% 67.65%

Don’t Know 9 30.00% 23.08% 30.77% 27 10.76% 14.73% 20.10%

FAMILY ADVOCACY PROGRAMS Yes 1 3.33% 2.56% 0.00% 27 10.76% 6.98% 7.35%

 Within 30 days 0 0.00% 0.00% 0.00% 5 1.99% 1.55% 3.92%

 Within 90 days (inclusive)* 0 0.00% 0.00% 0.00% 12 4.78% 3.10% 4.41%

No 16 53.33% 66.67% 69.23% 183 72.91% 72.09% 69.61%

Don’t Know 13 43.33% 30.77% 30.77% 41 16.33% 20.93% 23.04%

CHAPLAIN SERVICES Yes 5 16.67% 20.51% 23.08% 22 8.76% 11.63% 12.25%

 Within 30 days 4 13.33% 17.95% 17.95% 15 5.98% 6.59% 5.39%

 Within 90 days (inclusive)* 4 13.33% 20.51% 20.51% 18 7.17% 8.91% 8.33%

No 12 40.00% 46.15% 33.33% 112 44.62% 41.47% 44.12%

Don’t Know 13 43.33% 33.33% 43.59% 117 46.61% 46.90% 43.63%

OUTPATIENT BEHAVIORAL HEALTH Yes 8 26.67% 35.90% 41.03% 106 42.23% 41.86% 31.37%

 Within 30 days 5 16.67% 15.38% 23.08% 58 23.11% 22.48% 15.69%
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Table 3.16 summarizes psychotropic medications known to have been used by deployed Service Members prior to suicide. Four decedents 

(13.33%) had known prescriptions for psychotropic medications, most frequently antidepressants (n = 3, 10.00%).

TABLE 3.16. CY 2010 AND 2008-2009 DoDSER PSYCHOTROPIC MEDICATION USE FOR OEF/OIF/OND AND OTHER SUICIDES

 Within 90 days (inclusive)* 5 16.67% 20.51% 28.21% 76 30.28% 25.58% 21.08%

No 15 50.00% 46.15% 46.15% 119 47.41% 46.51% 51.96%

Don’t Know 7 23.33% 17.95% 12.82% 26 10.36% 11.63% 16.67%

INPATIENT BEHAVIORAL HEALTH Yes 2 6.67% 5.13% 7.69% 30 11.95% 16.67% 10.78%

 Within 30 days 1 3.33% 0.00% 0.00% 14 5.58% 2.33% 4.90%

 Within 90 days (inclusive)* 1 3.33% 0.00% 0.00% 17 6.77% 6.98% 6.37%

No 20 66.67% 69.23% 74.36% 190 75.70% 70.16% 66.67%

Don’t Know 8 26.67% 25.64% 17.95% 31 12.35% 13.18% 22.55%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 4 13.33% 12.82% 28.21% 64 25.50% 25.97% 19.61%

No 13 43.33% 61.54% 48.72% 144 57.37% 53.49% 52.94%

Don’t Know 13 43.33% 25.64% 23.08% 43 17.13% 20.54% 27.45%

 Antidepressants Yes 3 10.00% 7.69% 23.08% 52 20.72% 22.87% 16.67%

No 14 46.67% 66.67% 51.28% 154 61.35% 56.20% 54.41%

Don’t Know 13 43.33% 25.64% 25.64% 45 17.93% 20.93% 28.92%

 Antianxiety Yes 1 3.33% 5.13% 10.26% 25 9.96% 9.69% 5.88%

No 15 50.00% 69.23% 61.54% 177 70.52% 68.22% 65.20%

Don’t Know 14 46.67% 25.64% 28.21% 49 19.52% 22.09% 28.92%

 Antimanics Yes 1 3.33% 0.00% 0.00% 4 1.59% 0.78% 0.98%

No 14 46.67% 74.36% 69.23% 198 78.88% 77.13% 69.12%

Don’t Know 15 50.00% 25.64% 30.77% 49 19.52% 22.09% 29.90%

TABLE 3.15. CY 2010 AND 2008-2009 DoDSER TREATMENT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
63

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These data include information about family 

histories, interpersonal relationships, legal, financial and administrative difficulties, and reports of prior abuse.

Family and Relationship History

Thirteen deployed Service Members who died by suicide in 2010 (43.33%) had a known failure in a spousal or intimate relationship, with seven 

(23.33%) experiencing the failure within the month prior to suicide (Table 3.17). Four decedents (13.33%) had a failure in another important 

relationship, with one of these (3.33%) occurring within the month prior to suicide. 

TABLE 3.17. CY 2010 AND 2008-2009 DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE FOR OEF/OIF/OND AND OTHER SUICIDES

 Anticonvulsants Yes 1 3.33% 0.00% 0.00% 5 1.99% 2.71% 2.45%

No 15 50.00% 74.36% 69.23% 198 78.88% 75.58% 67.65%

Don’t Know 14 46.67% 25.64% 30.77% 48 19.12% 21.71% 29.90%

 Antipsychotics Yes 0 0.00% 2.56% 0.00% 14 5.58% 5.43% 2.94%

No 16 53.33% 71.79% 69.23% 190 75.70% 72.87% 67.65%

Don’t Know 14 46.67% 25.64% 30.77% 47 18.73% 21.71% 29.41%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

HX FAILED INTIMATE RELATIONSHIP Yes 13 43.33% 46.15% 46.15% 127 50.60% 51.55% 53.43%

 Within 30 days 7 23.33% 25.64% 33.33% 77 30.68% 27.91% 32.84%

 Within 90 days (inclusive)* 1 3.33% 7.69% 5.13% 16 6.37% 6.98% 11.27%

No 9 30.00% 25.64% 23.08% 75 29.88% 25.19% 24.02%

Don’t Know 8 26.67% 28.21% 30.77% 49 19.52% 23.26% 22.55%

HX FAILED OTHER RELATIONSHIP Yes 4 13.33% 17.95% 10.26% 37 14.74% 12.79% 15.20%

 Within 30 days 1 3.33% 15.38% 7.69% 23 9.16% 6.98% 7.84%

TABLE 3.16. CY 2010 AND 2008-2009 DoDSER PSYCHOTROPIC MEDICATION USE FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
64

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Table 3.18 summarizes other family and relationship factors that may be associated with the suicide. Two deployed suicide decedents (6.67%) had 

lost a friend to suicide, and friends of two had lost a friend by other means (6.67%). Three decedents (10.00%) had experienced a death of a family 

member. One decedent (3.33%) was known to have a family member with physical health problems and three were known to have a family member 

with behavioral health problems (10.00%).

TABLE 3.18. CY 2010 AND 2008-2009 DoDSER FAMILY HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES

 Within 90 days (inclusive)* 1 3.33% 2.56% 0.00% 4 1.59% 0.78% 3.43%

No 9 30.00% 41.03% 33.33% 131 52.19% 48.84% 45.59%

Don’t Know 17 56.67% 41.03% 56.41% 83 33.07% 38.37% 39.22%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 13 43.33% 46.15% 46.15% 127 50.60% 51.55% 53.43%

 Within 30 days 7 23.33% 35.90% 38.46% 87 34.66% 28.68% 35.78%

 Within 90 days (inclusive)* 1 3.33% 7.69% 2.56% 16 6.37% 6.98% 11.27%

No 9 30.00% 25.64% 23.08% 75 29.88% 25.19% 24.02%

Don’t Know 8 26.67% 28.21% 30.77% 49 19.52% 23.26% 22.55%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.49%

No 19 63.33% 79.49% 79.49% 207 82.47% 84.88% 71.57%

Don’t Know 11 36.67% 20.51% 20.51% 44 17.53% 15.12% 27.94%

HX FAMILY MEMBER SUICIDE Yes 0 0.00% 2.56% 2.56% 12 4.78% 3.88% 4.90%

No 13 43.33% 61.54% 61.54% 156 62.15% 64.73% 46.57%

Don’t Know 17 56.67% 35.90% 35.90% 83 33.07% 31.40% 48.53%

HX FRIEND SUICIDE Yes 2 6.67% 2.56% 0.00% 5 1.99% 1.55% 1.47%

No 12 40.00% 61.54% 61.54% 150 59.76% 58.14% 48.04%

Don’t Know 16 53.33% 35.90% 38.46% 96 38.25% 40.31% 50.49%

HX DEATH OF FAMILY MEMBER Yes 3 10.00% 5.13% 5.13% 14 5.58% 6.20% 7.35%

No 15 50.00% 61.54% 58.97% 145 57.77% 58.53% 46.08%

TABLE 3.17. CY 2010 AND 2008-2009 DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
65

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Administrative and Legal History

As summarized in Table 3.19, nine deployed Service Members who died by suicide in 2010 (30.00%) had at least one known administrative or legal 

issue, and one (3.33%) had more than one. The most frequent administrative or legal issue was Article 15 proceedings or non-judicial punishment 

(n = 8, 26.67%).

TABLE 3.19. CY 2010 AND 2008-2009 DoDSER ADMINISTRATIVE AND LEGAL HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES

Don’t Know 12 40.00% 33.33% 35.90% 92 36.65% 35.27% 46.57%

HX DEATH OF FRIEND Yes 2 6.67% 0.00% 5.13% 12 4.78% 3.49% 4.90%

No 13 43.33% 64.10% 51.28% 139 55.38% 52.33% 39.71%

Don’t Know 15 50.00% 35.90% 43.59% 100 39.84% 44.19% 55.39%

HX FAMILY ILLNESS Yes 1 3.33% 7.69% 5.13% 11 4.38% 6.20% 4.90%

No 14 46.67% 56.41% 48.72% 152 60.56% 61.63% 44.61%

Don’t Know 15 50.00% 35.90% 46.15% 88 35.06% 32.17% 50.49%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 3 10.00% 17.95% 12.82% 24 9.56% 14.34% 7.84%

No 8 26.67% 28.21% 17.95% 102 40.64% 30.62% 19.12%

Don’t Know 19 63.33% 53.85% 69.23% 125 49.80% 55.04% 73.04%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

HX COURTS MARTIAL Yes 0 0.00% 0.00% 2.56% 18 7.17% 7.36% 0.98%

No 17 56.67% 87.18% 76.92% 192 76.49% 78.29% 82.84%

Don’t Know 13 43.33% 12.82% 20.51% 41 16.33% 14.34% 16.18%

HX ARTICLE 15 OR NON-JUDICIAL PUNISHMENT Yes 8 26.67% 12.82% 17.95% 52 20.72% 17.83% 14.22%

No 12 40.00% 76.92% 64.10% 158 62.95% 64.73% 67.65%

Don’t Know 10 33.33% 10.26% 17.95% 41 16.33% 17.44% 18.14%

HX ADMIN SEPARATION Yes 0 0.00% 2.56% 5.13% 26 10.36% 9.30% 5.88%

No 17 56.67% 84.62% 76.92% 186 74.10% 76.74% 73.53%

Don’t Know 13 43.33% 12.82% 17.95% 39 15.54% 13.95% 20.59%

TABLE 3.18. CY 2010 AND 2008-2009 DoDSER FAMILY HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
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Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 3.20). Two deployed suicide decedents (6.67%) 

had reportedly experienced physical abuse, and two (6.67%) had reportedly experienced emotional abuse. Two decedents (6.67%) had allegedly 

physically abused others and one (3.33%) had allegedly perpetrated sexual harassment.

TABLE 3.20. CY 2010 AND 2008-2009 DoDSER ABUSE HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES

HX AWOL Yes 0 0.00% 0.00% 2.56% 23 9.16% 11.63% 6.37%

No 19 63.33% 87.18% 82.05% 189 75.30% 75.97% 73.53%

Don’t Know 11 36.67% 12.82% 15.38% 39 15.54% 12.40% 20.10%

HX MEDICAL BOARD Yes 0 0.00% 0.00% 2.56% 15 5.98% 9.30% 3.92%

No 19 63.33% 87.18% 79.49% 208 82.87% 78.29% 75.49%

Don’t Know 11 36.67% 12.82% 17.95% 28 11.16% 12.40% 20.59%

HX CIVIL LEGAL PROBLEMS Yes 1 3.33% 5.13% 10.26% 36 14.34% 13.18% 13.73%

No 17 56.67% 76.92% 64.10% 163 64.94% 63.57% 61.76%

Don’t Know 12 40.00% 17.95% 25.64% 52 20.72% 23.26% 24.51%

HX NON-SELECTION FOR PROMOTION Yes 1 3.33% 5.13% 2.56% 17 6.77% 8.14% 4.41%

No 18 60.00% 79.49% 64.10% 185 73.71% 73.26% 63.73%

Don’t Know 11 36.67% 15.38% 33.33% 49 19.52% 18.60% 31.86%

HAD ANY ADMIN/LEGAL ISSUE Yes 9 30.00% 20.51% 30.77% 111 44.22% 44.19% 28.92%

No 11 36.67% 66.67% 48.72% 100 39.84% 39.53% 51.47%

Don’t Know 10 33.33% 12.82% 20.51% 40 15.94% 16.28% 19.61%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 1 3.33% 5.13% 7.69% 48 19.12% 19.38% 11.27%

No 10 33.33% 64.10% 43.59% 95 37.85% 37.60% 43.14%

Don’t Know 19 63.33% 30.77% 48.72% 108 43.03% 43.02% 45.59%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 2 6.67% 7.69% 5.13% 12 4.78% 6.59% 3.92%

TABLE 3.19. CY 2010 AND 2008-2009 DoDSER ADMINISTRATIVE AND LEGAL HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
67

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace. As summarized in Table 3.21, four deployed Service Members who 

died by suicide in 2010 (13.33%) had experienced significant debt. Six decedents (20.00%) either had lost a position or experienced job instability. 

Nine Service Members (30.00%) were known to have had interpersonal issues with their supervisors or coworkers and three (10.00%) had 

previously received poor work evaluations. Two decedents (6.67%) were known to have been victims of hazing in the unit or workplace.

No 11 36.67% 71.79% 41.03% 163 64.94% 57.36% 48.53%

Don’t Know 17 56.67% 20.51% 53.85% 76 30.28% 36.05% 47.55%

HX VICTIM SEXUAL ABUSE Yes 0 0.00% 5.13% 5.13% 8 3.19% 4.26% 1.96%

No 14 46.67% 74.36% 43.59% 166 66.14% 59.69% 51.47%

Don’t Know 16 53.33% 20.51% 51.28% 77 30.68% 36.05% 46.57%

HX VICTIM EMOTIONAL ABUSE Yes 2 6.67% 10.26% 5.13% 11 4.38% 6.59% 4.41%

No 10 33.33% 66.67% 41.03% 159 63.35% 56.20% 47.55%

Don’t Know 18 60.00% 23.08% 53.85% 81 32.27% 37.21% 48.04%

HX VICTIM SEXUAL HARASSMENT Yes 0 0.00% 2.56% 0.00% 1 0.40% 0.00% 0.00%

No 13 43.33% 74.36% 48.72% 170 67.73% 61.63% 52.45%

Don’t Know 17 56.67% 23.08% 51.28% 80 31.87% 38.37% 47.55%

HX PERPETRATOR PHYSICAL ABUSE Yes 2 6.67% 7.69% 0.00% 22 8.76% 8.91% 6.37%

No 12 40.00% 64.10% 56.41% 159 63.35% 57.75% 46.08%

Don’t Know 16 53.33% 28.21% 43.59% 70 27.89% 33.33% 47.55%

HX PERPETRATOR SEXUAL ABUSE Yes 0 0.00% 5.13% 2.56% 8 3.19% 3.10% 3.92%

No 14 46.67% 66.67% 56.41% 172 68.53% 61.24% 50.00%

Don’t Know 16 53.33% 28.21% 41.03% 71 28.29% 35.66% 46.08%

HX PERPETRATOR EMOTIONAL ABUSE Yes 0 0.00% 5.13% 2.56% 10 3.98% 2.71% 3.43%

No 14 46.67% 66.67% 56.41% 169 67.33% 59.69% 49.02%

Don’t Know 16 53.33% 28.21% 41.03% 72 28.69% 37.60% 47.55%

HX PERPETRATOR SEXUAL HARASSMENT Yes 1 3.33% 5.13% 2.56% 1 0.40% 1.16% 0.98%

No 14 46.67% 64.10% 56.41% 177 70.52% 62.40% 52.45%

Don’t Know 15 50.00% 30.77% 41.03% 73 29.08% 36.43% 46.57%

TABLE 3.20. CY 2010 AND 2008-2009 DoDSER ABUSE HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
68

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include deployment location information as 

well as history of direct combat operations. 

Deployment and Combat History

Of the 30 Service Members who died by suicide while on OEF, OIF or OND deployment, 17 (56.67%) took place in Afghanistan, 12 (40.00%) 

took place in Iraq, and one took place in Djibouti (3.33%; Table 3.22). As indicated in Table 3.23, four decedents were known to have had multiple 

deployments (13.33%). Six deployed decedents (20.00%) were known to have had direct combat experiences, including participating in combat 

TABLE 3.21. CY 2010 AND 2008-2009 DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 4 13.33% 12.82% 5.13% 24 9.56% 10.47% 11.27%

No 15 50.00% 56.41% 53.85% 147 58.57% 54.26% 50.98%

Don’t Know 11 36.67% 30.77% 41.03% 80 31.87% 35.27% 37.75%

HX JOB LOSS/INSTABILITY Yes 6 20.00% 35.90% 23.08% 46 18.33% 25.97% 17.16%

No 14 46.67% 43.59% 53.85% 150 59.76% 52.33% 62.75%

Don’t Know 10 33.33% 20.51% 23.08% 55 21.91% 21.71% 20.10%

HX SUPERVISOR/COWORKER ISSUES Yes 9 30.00% 35.90% 25.64% 26 10.36% 10.85% 7.84%

No 11 36.67% 38.46% 48.72% 164 65.34% 63.95% 57.35%

Don’t Know 10 33.33% 25.64% 25.64% 61 24.30% 25.19% 34.80%

HX POOR WORK EVALUATION Yes 3 10.00% 28.21% 17.95% 37 14.74% 15.12% 9.80%

No 13 43.33% 53.85% 51.28% 163 64.94% 63.95% 61.27%

Don’t Know 14 46.67% 17.95% 30.77% 51 20.32% 20.93% 28.92%

HX UNIT/WORKPLACE HAZING Yes 2 6.67% 5.13% 2.56% 3 1.20% 1.16% 0.49%

No 15 50.00% 58.97% 61.54% 193 76.89% 72.09% 65.69%

Don’t Know 13 43.33% 35.90% 35.90% 55 21.91% 26.74% 33.82%
69

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

TABLE 3.22. CY 2010 AND 2008-2009 DoDSER SUICIDES IN THEATER FOR OEF/OIF/OND AND OTHER SUICIDES

TABLE 3.23. CY 2010 AND 2008-2009 DoDSER DEPLOYMENT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES

TABLE 3.24. CY 2010 AND 2008-2009 DoDSER COMBAT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

THEATER Afghanistan 17 56.67% 17.95% 17.95% 0 0.00% 0.00% 0.00%

Iraq 12 40.00% 79.49% 79.49% 0 0.00% 0.00% 0.00%

Kuwait 0 0.00% 2.56% 2.56% 0 0.00% 0.00% 0.00%

Djibuti 1 3.33% 0.00% 0.00% 0 0.00% 0.00% 0.00%

Not OEF/OIF/OND 0 0.00% 0.00% 0.00% 251 100.00% 100.00% 100.00%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 13 43.33% 5.13% 10.26% 20 7.97% 3.88% 0.00%

Iraq 13 43.33% 69.23% 76.92% 64 25.50% 32.95% 26.47%

Kuwait 0 0.00% 7.69% 5.13% 3 1.20% 2.33% 2.45%

Multiple OEF/OIF/OND locations 4 13.33% 17.95% 7.69% 14 5.58% 5.43% 0.49%

No history of OEF/OIF/OND deployment 0 0.00% 0.00% 0.00% 150 59.76% 55.43% 70.59%

OEF/OIF/OND Other

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 6 20.00% 10.26% 17.95% 24 9.56% 18.22% 15.69%

Combat resulted in injuries/casualties for 

others 4 13.33% 2.56% 10.26% 15 5.98% 12.79% 8.82%

that resulted in injuries for others (n = 4, 13.33%), sustaining injuries (n = 1, 3.33%), witnessing killing (n = 3, 10.00%), seeing dead bodies (n =2, 

6.67%) and killing others (n = 2, 6.67%; Table 3.24).
70

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

 Injured in combat 1 3.33% 0.00% 2.56% 5 1.99% 3.88% 3.43%

 Witnessed killing in combat 3 10.00% 2.56% 7.69% 15 5.98% 10.85% 8.33%

 Saw dead bodies in combat 2 6.67% 2.56% 7.69% 12 4.78% 10.47% 6.86%

 Killed others in combat 2 6.67% 0.00% 2.56% 9 3.59% 4.65% 3.43%

NO DIRECT COMBAT HISTORY 24 80.00% 89.74% 82.05% 227 90.44% 81.78% 84.31%

TABLE 3.24. CY 2010 AND 2008-2009 DoDSER COMBAT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDES (CONT.)
71

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

OEF, OIF & OND DoDSERS SUBMITTED FOR SUICIDE ATTEMPTS

DoDSER POCs submitted 46 DoDSERs for 2010 OEF, OIF and OND suicide attempts. As indicated in 

Table 3.25, these DoDSERs provide data on suicide attempts for 45 individuals. Two attempts were reported 

(DoDSERs submitted) for one individual (2.22%). Additionally, one deployed Service Member with a 2010 

suicide attempt DoDSER (2.22%) subsequently died by suicide in 2010 while In the United States, and 

was included in Chapter 2. The tables in this section use a denominator of 46. The “Other” column includes 

aggregated data for all Service Members who were either not deployed at the time of their suicide attempts or 

were deployed to locations other than OEF, OIF and OND.

TABLE 3.25. CY 2010 OEF/OIF SUICIDE ATTEMPT DoDSERS

Count Percent

TOTAL SUICIDE ATTEMPT DoDSERs 46 100.00%

TOTAL INDIVIDUALS INCLUDED 45 100.00%

SUICIDE ATTEMPT DoDSERs SUBMITTED PER INDIVIDUAL 1 44 99.78%

2 1 2.22%

3 0 0.00%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDE ATTEMPT AND SUICIDE 1 2.22%

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors that may have been associated 

with the suicide attempts. These factors include demographic characteristics, event setting, suicide attempt 

method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 3.26 contains DoDSER demographic data for Service Members deployed to OEF, OIF or OND who 

attempted suicide in 2010. Males represented the majority (n = 35, 76.09%). Deployed Service Members that 

attempted suicide were most often male (n = 35, 76.09%), Caucasian (n = 26, 56.52%), under age 25 (n = 24, 

52.17%), junior enlisted (n = 27, 58.70%), Regular component (n = 38, 82.61%), and without a college degree 

(n = 33, 71.74%).

TABLE 3.26. CY 2010 DoDSER DEMOGRAPHICS FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

TOTAL 46 100.00% 817 100.00%

GENDER Male 35 76.09% 618 75.64%

Female 11 23.91% 199 24.36%

RACE American Indian or Alaskan Native 0 0.00% 11 1.35%

Asian or Pacific Islander 2 4.35% 21 2.57%

Black/African American 12 26.09% 121 14.81%
72

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Event Setting

As indicated in Table 3.27, suicide attempts primarily occurred in the Service Members’ barracks (n = 40, 

86.96%). 

TABLE 3.27. CY 2010 DoDSER EVENT SETTING FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

White/Caucasian 26 56.52% 561 68.67%

Other 4 8.70% 49 6.00%

Don’t Know 2 4.35% 54 6.61%

AGE RANGE Under 25 24 52.17% 490 59.98%

25-29 9 19.57% 181 22.15%

30-39 10 21.74% 112 13.71%

40 + 3 6.52% 34 4.16%

RANK E1-E4 27 58.70% 589 72.18%

E5-E9 16 34.78% 193 23.65%

Officer 3 6.52% 29 3.55%

Warrant Officer 0 0.00% 4 0.49%

Cadet/Midshipman 0 0.00% 1 0.12%

COMPONENT Regular 38 82.61% 779 95.35%

Reserve 2 4.35% 22 2.69%

National Guard 6 13.04% 14 1.71%

Other 0 0.00% 2 0.24%

EDUCATION Some high school, did not graduate 0 0.00% 7 0.86%

GED 5 10.87% 58 7.10%

High school graduate 19 41.30% 379 46.39%

Some college or technical school 9 19.57% 201 24.60%

Degree/certificate less than four years 4 8.70% 39 4.77%

Four-year college degree 3 6.52% 36 4.41%

Master’s degree or greater 2 4.35% 14 1.71%

Don’t Know 4 8.70% 83 10.16%

MARITAL STATUS Never Married 16 34.78% 348 42.59%

Married 27 58.70% 337 41.25%

Legally Separated 2 4.35% 39 4.77%

Divorced 1 2.17% 72 8.81%

Widowed 0 0.00% 1 0.12%

Don’t Know 0 0.00% 20 2.45%

OEF/OIF/OND Other

Count Percent Count Percent

EVENT SETTING Residence (own) or barracks 40 86.96% 653 79.93%

Residence of friend or family 0 0.00% 33 4.04%

Work/jobsite 4 8.70% 24 2.94%

TABLE 3.26. CY 2010 DoDSER DEMOGRAPHICS FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)
73

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Event Method

As indicated in Table 3.28, drugs were the most frequent method for suicide attempt (n = 25, 54.35%), followed 

by use of military issue firearm (n = 14, 30.43%). 

TABLE 3.28. CY 2010 DoDSER EVENT METHOD FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

EVENT METHOD Firearm, non-military issue 0 0.00% 23 2.82%

Firearm, military issue 14 30.43% 3 0.37%

Hanging 3 6.52% 69 8.45%

Drugs 25 54.35% 471 57.65%

Alcohol 0 0.00% 33 4.04%

Gas, vehicle exhaust 0 0.00% 10 1.22%

Gas, utility (or other) 0 0.00% 5 0.61%

Drowning 0 0.00% 5 0.61%

Fire, steam, etc. 0 0.00% 2 0.24%

Sharp or blunt object 3 6.52% 119 14.57%

Jumping from high place 0 0.00% 22 2.69%

Lying in front of moving object 0 0.00% 4 0.49%

Crashing a motor vehicle 0 0.00% 12 1.47%

Chemicals 1 2.17% 9 1.10%

Other 0 0.00% 18 2.20%

Don’t Know 0 0.00% 12 1.47%

Automobile (away from residence) 1 2.17% 38 4.65%

Inpatient medical facility 0 0.00% 6 0.73%

Other 1 2.17% 61 7.47%

Don’t Know 0 0.00% 2 0.24%

Substance Use during the Event

Known alcohol use during OEF, OIF and OND suicide attempts was rare (n = 1, 2.17%; Table 3.29). Twentyseven deployed Service Members (58.70%) were known to have used drugs during suicide attempts, most 

frequently the misuse of prescription medication. These frequencies include Service Members who used drugs 

as a suicide attempt method (n = 25, 54.35%), as described above.

TABLE 3.29. CY 2010 DODSER SUBSTANCE(S) USED DURING EVENT FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

ALCOHOL USED Yes 1 2.17% 286 35.01%

No 44 95.65% 430 52.63%

TABLE 3.27. CY 2010 DoDSER EVENT SETTING FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)
74

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Communication of Intent

DoDSER POCs indicated that prior to suicide attempts, most deployed Service Members did not communicate 

their potential for self-harm with others (n = 37, 80.43%; Table 3.30). Nine Service Members (19.57%) were 

known to have communicated their intent to hurt themselves to at least one individual. These communications 

were most frequently verbal (n = 6, 13.04%; Table 3.31). As indicated in Table 3.32, Service Members most 

frequently communicated potential for self-harm with their spouses (n = 3, 6.52%). 

TABLE 3.30. CY 2010 DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT FOR OEF/OIF/OND AND 

OTHER SUICIDE ATTEMPTS

TABLE 3.31. CY 2010 DoDSER MODE OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 37 80.43% 636 77.85%

1 6 13.04% 143 17.50%

2 2 4.35% 30 3.67%

3 1 2.17% 7 0.86%

4 0 0.00% 1 0.12%

OEF/OIF/OND Other

Count Percent Count Percent

MODE OF COMMUNICATED INTENT Verbal 6 13.04% 137 16.77%

Don’t Know 1 2.17% 101 12.36%

ANY DRUGS USED Yes 27 58.70% 509 62.30%

No 18 39.13% 263 32.19%

Don’t Know 1 2.17% 45 5.51%

 Illegal drugs Overdose 0 0.00% 47 5.75%

Used, no overdose 1 2.17% 21 2.57%

Were not used 44 95.65% 704 86.17%

Don’t know 1 2.17% 45 5.51%

 Prescription drugs Overdose 17 36.96% 331 40.51%

Used, no overdose 2 4.35% 60 7.34%

Were not used 26 56.52% 381 46.63%

Don’t know 1 2.17% 45 5.51%

 Over the counter drugs Overdose 10 21.74% 133 16.28%

Used, no overdose 0 0.00% 34 4.16%

Were not used 35 76.09% 605 74.05%

Don’t know 1 2.17% 45 5.51%

BOTH ALCOHOL AND DRUGS USED Yes 1 2.17% 186 22.77%

No 44 95.65% 512 62.67%

Don’t Know 1 2.17% 119 14.57%

TABLE 3.29. CY 2010 DoDSER SUBSTANCE(S) USED DURING EVENT FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS (CONT.)
75

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

TABLE 3.32. CY 2010 DoDSER RECIPIENTS OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

COMMUNICATION Spouse 3 6.52% 43 5.26%

Friend 1 2.17% 39 4.77%

Behavioral Health Provider 0 0.00% 20 2.45%

Chaplain 0 0.00% 2 0.24%

Supervisor 2 4.35% 12 1.47%

Other or Unidentified 0 0.00% 27 3.30%

Made Multiple Communications 3 6.52% 38 4.65%

No Known Communication 37 80.43% 636 77.85%

Written 1 2.17% 22 2.69%

Other or Unknown 2 4.35% 15 1.84%

Multiple Modes 0 0.00% 7 0.86%

No Known Communication 37 80.43% 636 77.85%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

TABLE 3.31. CY 2010 DoDSER MODE OF COMMUNICATED INTENT FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)

Additional Event Information

Table 3.33 provides information about other details of 2010 OEF, OIF and OND suicide attempts. For the 

majority (n = 35, 76.09%), there were data to indicate that the Service Members intended to die. One fourth of 

suicide attempts (n = 12, 26.09%) appeared planned or premeditated. Eighteen suicide attempts (39.13%) took 

place in a location potentially observable by others. Eight (17.39%) left suicide notes.

TABLE 3.33. CY 2010 DoDSER ADDITIONAL EVENT INFORMATION FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

INTENDED TO DIE Yes 35 76.09% 588 71.97%

No 2 4.35% 101 12.36%

Don’t Know 9 19.57% 128 15.67%

DEATH RISK GAMBLING Yes 0 0.00% 9 1.10%

No 42 91.30% 740 90.58%

Don’t Know 4 8.70% 68 8.32%

PLANNED/PREMEDITATED Yes 12 26.09% 222 27.17%

No 19 41.30% 410 50.18%

Don’t Know 15 32.61% 185 22.64%

OBSERVABLE Yes 18 39.13% 335 41.00%

No 20 43.48% 343 41.98%

Don’t Know 8 17.39% 139 17.01%

SUICIDE NOTE LEFT Yes 8 17.39% 88 10.77%
76

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

Prior Self-Injury 

As indicated in Table 3.35, suicide attempt DoDSERs for approximately one fourth of deployed Service 

Members included a known history of prior self-harm (n = 12, 26.09%), and three (6.52%) included history 

of self-harm within the month prior to attempting suicide. Of those DoDSERs for suicide attempts with prior 

history of self-harm, six (50.00%, 13.04% of total) had more than one prior event. For six Service Members 

(13.04%), their suicide attempts were similar to their prior self-harm events.

TABLE 3.35. CY 2010 DoDSER PRIOR SELF-INJURY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

HX PRIOR SELF-INJURY Yes 12 26.09% 228 27.91%

Suicide Attempts by Month

No clear pattern was evident for suicide attempts by month (Table 3.34).

TABLE 3.34. CY 2010 DoDSER SUICIDE EVENTS BY MONTH FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

MONTH January 4 8.70% 77 9.42%

February 4 8.70% 64 7.83%

March 3 6.52% 54 6.61%

April 4 8.70% 67 8.20%

May 5 10.87% 69 8.45%

June 1 2.17% 82 10.04%

July 1 2.17% 73 8.94%

August 9 19.57% 61 7.47%

September 4 8.70% 71 8.69%

October 1 2.17% 75 9.18%

November 3 6.52% 67 8.20%

December 7 15.22% 57 6.98%

No 27 58.70% 587 71.85%

Don’t Know 11 23.91% 142 17.38%

TABLE 3.33. CY 2010 DoDSER ADDITIONAL EVENT INFORMATION FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS (CONT.)
77

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Behavioral Health Disorders 

DoDSER POCs collect information about history of behavioral health diagnoses. The data below reflect any 

known history of behavioral health disorders and are not limited to diagnoses at the time of the suicide attempt. 

DoDSERs for twenty-four deployed Service Member suicide attempts (52.17%) included the history of at least 

one documented behavioral health disorder (Table 3.36). Fifteen DoDSERs (32.61%) included at least two 

co-occurring diagnoses. As indicated in Tables 3.37 and 3.38, nine DoDSERs (19.57%) included a diagnosis of 

mood disorder, and nine (19.57%) included an anxiety disorder. As summarized in Table 3.39, eight DoDSERs 

(17.39%) included a known history of substance abuse. Three DoDSERs (6.52%) included known personality 

disorders, one Service Member (2.17%) had a diagnosis of psychotic disorder and one (2.17%) had a known 

traumatic brain injury.

TABLE 3.36. CY 2010 DoDSER COMORBIDITY RATES FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

 Within 30 days 3 6.52% 49 6.00%

 Within 90 days (inclusive)* 3 6.52% 85 10.40%

No 29 63.04% 478 58.51%

Don’t Know 5 10.87% 111 13.59%

 Number prior self-injuries One prior event 6 13.04% 100 12.24%

More than one prior event 6 13.04% 128 15.67%

N/A or Unknown 34 73.91% 589 72.09%

 Event similar to prior self-injury Yes 6 13.04% 127 15.54%

No 6 13.04% 74 9.06%

Don’t Know 0 0.00% 27 3.30%

N/A 34 73.91% 589 72.09%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 3.35. CY 2010 DoDSER PRIOR SELF-INJURY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)

OEF/OIF/OND Other

Count Percent Count Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 22 47.83% 291 35.62%

1 DX 9 19.57% 219 26.81%

2 DX 11 23.91% 158 19.34%

3 DX 4 8.70% 88 10.77%

4 or more DX 0 0.00% 61 7.47%

TABLE 3.37. CY 2010 DoDSER MOOD DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

DX W/ MOOD DISORDER Yes 9 19.57% 327 40.02%

No 33 71.74% 416 50.92%

Don’t Know 4 8.70% 74 9.06%

 Bipolar disorder Yes 0 0.00% 21 2.57%

No 40 86.96% 687 84.09%
78

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

TABLE 3.38. CY 2010 DODSER ANXIETY DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

DX W/ ANXIETY DISORDER Yes 9 19.57% 216 26.44%

No 32 69.57% 520 63.65%

Don’t Know 5 10.87% 81 9.91%

 PTSD Yes 2 4.35% 68 8.32%

No 39 84.78% 654 80.05%

Don’t Know 5 10.87% 95 11.63%

 Panic disorder Yes 0 0.00% 11 1.35%

No 40 86.96% 705 86.29%

Don’t Know 6 13.04% 101 12.36%

 Generalized anxiety disorder Yes 0 0.00% 24 2.94%

No 41 89.13% 690 84.46%

Don’t Know 5 10.87% 103 12.61%

 Acute stress disorder Yes 0 0.00% 1 0.12%

No 40 86.96% 713 87.27%

Don’t Know 6 13.04% 103 12.61%

 Other anxiety disorder Yes 6 13.04% 44 5.39%

No 34 73.91% 674 82.50%

Don’t Know 6 13.04% 99 12.12%

 Unspecified anxiety DX Yes 0 0.00% 17 2.08%

No 41 89.13% 719 88.00%

Don’t Know 5 10.87% 81 9.91%

 Multiple anxiety DX Yes 1 2.17% 51 6.24%

Don’t Know 6 13.04% 109 13.34%

 Major depression Yes 3 6.52% 150 18.36%

No 37 80.43% 571 69.89%

Don’t Know 6 13.04% 96 11.75%

 Dysthymic disorder Yes 0 0.00% 16 1.96%

No 40 86.96% 693 84.82%

Don’t Know 6 13.04% 108 13.22%

 Other mood disorder Yes 3 6.52% 55 6.73%

No 37 80.43% 652 79.80%

Don’t Know 6 13.04% 110 13.46%

 Unspecified mood disorder Yes 3 6.52% 37 4.53%

No 39 84.78% 706 86.41%

Don’t Know 4 8.70% 74 9.06%

 Multiple mood DX Yes 0 0.00% 48 5.88%

No 42 91.30% 695 85.07%

Don’t Know 4 8.70% 74 9.06%

TABLE 3.37. CY 2010 DoDSER MOOD DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)
79

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

TABLE 3.39. CY 2010 DoDSER OTHER BEHAVIORAL HEALTH DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

DX W/PERSONALITY DISORDER Yes 3 6.52% 60 7.34%

No 37 80.43% 657 80.42%

Don’t Know 6 13.04% 100 12.24%

DX W/PSYCHOTIC DISORDER Yes 1 2.17% 10 1.22%

No 40 86.96% 722 88.37%

Don’t Know 5 10.87% 85 10.40%

HX SUBSTANCE ABUSE Yes 8 17.39% 194 23.75%

No 33 71.74% 522 63.89%

Don’t Know 5 10.87% 101 12.36%

DX W/ TRAUMATIC BRAIN INJURY Yes 1 2.17% 20 2.45%

No 41 89.13% 697 85.31%

Don’t Know 4 8.70% 100 12.24%

Treatment History

Table 3.40 provides data on use of medical and behavioral health treatment prior to attempting suicide. These 

data should be interpreted with caution, as treatment available to deployed Service Members differs from 

treatment available in other locations. One third of DoDSERs for deployed Service Members (n = 15, 32.61%) 

included the history of some form of treatment at a Military Treatment Facility (MTF), five (10.87%) within the 

month prior to attempting suicide. Eight (17.39%) included a known physical health problem. Ten DoDSERs 

(21.74%) included history of chaplain services, four (8.70%) within the month prior to the suicide attempt. Most 

DoDSERs for deployed Service Members included history of outpatient behavioral health services (n = 28, 

60.87%), over half within the month prior to attempting suicide (n = 17, 36.96%). Three DoDSERs (6.52%) 

included history of hospitalization in an inpatient psychiatry unit.

TABLE 3.40. CY 2010 DoDSER TREATMENT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 15 32.61% 439 53.73%

 Within 30 days 5 10.87% 302 36.96%

 Within 90 days (inclusive)* 8 17.39% 385 47.12%

No 26 56.52% 300 36.72%

Don’t Know 5 10.87% 78 9.55%

HX PHYSICAL HEALTH PROBLEM Yes 8 17.39% 182 22.28%

 Within 30 days 2 4.35% 108 13.22%

No 40 86.96% 685 83.84%

Don’t Know 5 10.87% 81 9.91%

TABLE 3.38. CY 2010 DoDSER ANXIETY DISORDERS FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)
80

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

 Within 90 days (inclusive)* 3 6.52% 140 17.14%

No 33 71.74% 543 66.46%

Don’t Know 5 10.87% 92 11.26%

SUBSTANCE ABUSE SERVICES Yes 1 2.17% 169 20.69%

 Within 30 days 0 0.00% 76 9.30%

 Within 90 days (inclusive)* 0 0.00% 111 13.59%

No 42 91.30% 580 70.99%

Don’t Know 3 6.52% 68 8.32%

FAMILY ADVOCACY PROGRAMS Yes 1 2.17% 57 6.98%

 Within 30 days 0 0.00% 23 2.82%

 Within 90 days (inclusive)* 0 0.00% 33 4.04%

No 42 91.30% 662 81.03%

Don’t Know 3 6.52% 98 12.00%

CHAPLAIN SERVICES Yes 10 21.74% 82 10.04%

 Within 30 days 4 8.70% 41 5.02%

 Within 90 days (inclusive)* 7 15.22% 57 6.98%

No 27 58.70% 490 59.98%

Don’t Know 9 19.57% 245 29.99%

OUTPATIENT BEHAVIORAL HEALTH Yes 28 60.87% 517 63.28%

 Within 30 days 17 36.96% 364 44.55%

 Within 90 days (inclusive)* 23 50.00% 424 51.90%

No 17 36.96% 257 31.46%

Don’t Know 1 2.17% 43 5.26%

INPATIENT BEHAVIORAL HEALTH Yes 3 6.52% 185 22.64%

 Within 30 days 0 0.00% 68 8.32%

 Within 90 days (inclusive)* 1 2.17% 111 13.59%

No 42 91.30% 576 70.50%

Don’t Know 1 2.17% 56 6.85%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

OEF/OIF/OND Other

Count Percent Count Percent

TAKEN PSYCHOTROPIC MEDS Yes 23 50.00% 377 46.14%

No 21 45.65% 362 44.31%

Don’t Know 2 4.35% 78 9.55%

 Antidepressants Yes 16 34.78% 313 38.31%

No 26 56.52% 411 50.31%

TABLE 3.40. CY 2010 DoDSER TREATMENT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS (CONT.)

As indicated in Table 3.41, one half of DoDSERs for deployed Service Members who attempted suicide (n

= 23, 50.00%) included known prescriptions for psychotropic medication prior to the suicide attempt, most 

frequently antidepressants (n = 16, 34.78%). 

TABLE 3.41. CY 2010 DoDSER PSYCHOTROPIC MEDICATION USE FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS
81

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

The majority of DoDSERs for deployed Service Members who attempted suicide (n = 27, 58.70%) included 

a known failure in a spousal or intimate relationship, with 20 (43.48%) indicating the failure occurred within 

the month prior to attempting suicide (Table 3.42). Eight DoDSERs (17.39%) indicated a failure in another 

important relationship, with most of these (n = 6, 13.04%) occurring within the month prior to the suicide 

attempt. 

TABLE 3.42. CY 2010 DoDSER FAILED RELATIONSHIPS PRIOR TO EVENT FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS

Don’t Know 4 8.70% 93 11.38%

 Antianxiety Yes 6 13.04% 156 19.09%

No 35 76.09% 545 66.71%

Don’t Know 5 10.87% 116 14.20%

 Antimanics Yes 0 0.00% 23 2.82%

No 41 89.13% 672 82.25%

Don’t Know 5 10.87% 122 14.93%

 Anticonvulsants Yes 0 0.00% 23 2.82%

No 41 89.13% 672 82.25%

Don’t Know 5 10.87% 122 14.93%

 Antipsychotics Yes 2 4.35% 65 7.96%

No 39 84.78% 632 77.36%

Don’t Know 5 10.87% 120 14.69%

OEF/OIF/OND Other

Count Percent Count Percent

HX FAILED INTIMATE RELATIONSHIP Yes 27 58.70% 435 53.24%

 Within 30 days 20 43.48% 263 32.19%

 Within 90 days (inclusive)* 23 50.00% 325 39.78%

No 17 36.96% 307 37.58%

Don’t Know 2 4.35% 75 9.18%

HX FAILED OTHER RELATIONSHIP Yes 8 17.39% 119 14.57%

 Within 30 days 6 13.04% 64 7.83%

 Within 90 days (inclusive)* 6 13.04% 84 10.28%

No 29 63.04% 551 67.44%

Don’t Know 9 19.57% 147 17.99%

TABLE 3.41. CY 2010 DoDSER PSYCHOTROPIC MEDICATION USE FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS (CONT.)
82

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Administrative and Legal History

As summarized in Table 3.44, approximately one third of DoDSERs for deployed Service Members who 

attempted suicide included at least one administrative or legal issue (n = 16, 34.78%), and six (13.04%) 

Table 3.43 summarizes other family and relationship factors. Five DoDSERs (10.87%) included history of 

losing a family member to suicide, and four (8.70%) included a friend’s suicide. Two DoDSERs (4.35%) 

included a death of a family member by means other than suicide, and five (10.87%) included a non-suicide 

death of a friend. DoDSERs for five deployed Service Members (10.87%) included a significant physical health 

problem for a family member and 17 (36.96%) included a behavioral health problem for a family member.

TABLE 3.43. CY 2010 DoDSER FAMILY HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

HX SPOUSE SUICIDE Yes 0 0.00% 2 0.24%

No 43 93.48% 751 91.92%

Don’t Know 3 6.52% 64 7.83%

HX FAMILY MEMBER SUICIDE Yes 5 10.87% 52 6.36%

No 34 73.91% 654 80.05%

Don’t Know 7 15.22% 111 13.59%

HX FRIEND SUICIDE Yes 4 8.70% 56 6.85%

No 35 76.09% 627 76.74%

Don’t Know 7 15.22% 134 16.40%

HX DEATH OF FAMILY MEMBER Yes 2 4.35% 122 14.93%

No 36 78.26% 572 70.01%

Don’t Know 8 17.39% 123 15.06%

HX DEATH OF FRIEND Yes 5 10.87% 72 8.81%

No 33 71.74% 612 74.91%

Don’t Know 8 17.39% 133 16.28%

HX FAMILY ILLNESS Yes 5 10.87% 67 8.20%

No 33 71.74% 626 76.62%

Don’t Know 8 17.39% 124 15.18%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 17 36.96% 260 31.82%

No 21 45.65% 397 48.59%

Don’t Know 8 17.39% 160 19.58%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 30 65.22% 435 53.24%

 Within 30 days 22 47.83% 291 35.62%

 Within 90 days (inclusive)* 25 54.35% 351 42.96%

No 14 30.43% 307 37.58%

Don’t Know 2 4.35% 75 9.18%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 3.42. CY 2010 DoDSER FAILED RELATIONSHIPS PRIOR TO EVENT FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS (CONT.)
83

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

OEF/OIF/OND Other

Count Percent Count Percent

HX COURTS MARTIAL Yes 1 2.17% 26 3.18%

No 40 86.96% 687 84.09%

Don’t Know 5 10.87% 104 12.73%

HX ARTICLE 15 OR NON-JUDICIAL PUNISHMENT Yes 11 23.91% 139 17.01%

No 30 65.22% 561 68.67%

Don’t Know 5 10.87% 117 14.32%

HX ADMIN SEPARATION Yes 1 2.17% 89 10.89%

No 40 86.96% 623 76.25%

Don’t Know 5 10.87% 105 12.85%

HX AWOL Yes 1 2.17% 52 6.36%

No 40 86.96% 674 82.50%

Don’t Know 5 10.87% 91 11.14%

HX MEDICAL BOARD Yes 1 2.17% 70 8.57%

No 40 86.96% 662 81.03%

Don’t Know 5 10.87% 85 10.40%

HX CIVIL LEGAL PROBLEMS Yes 4 8.70% 84 10.28%

No 34 73.91% 608 74.42%

Don’t Know 8 17.39% 125 15.30%

HX NON-SELECTION FOR PROMOTION Yes 3 6.52% 44 5.39%

No 34 73.91% 631 77.23%

Don’t Know 9 19.57% 142 17.38%

HAD ANY ADMIN/LEGAL ISSUE Yes 16 34.78% 325 39.78%

No 25 54.35% 395 48.35%

Don’t Know 5 10.87% 97 11.87%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 6 13.04% 118 14.44%

No 25 54.35% 366 44.80%

Don’t Know 15 32.61% 333 40.76%

included more than one. The most frequent administrative or legal problems were Article 15 proceedings (n = 

11, 23.91%), civil legal problems (n = 4, 8.70%), and non-selection for advancement (n =3, 6.52%).

TABLE 3.44. CY 2010 DoDSER ADMINISTRATIVE AND LEGAL HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 3.45). 

DoDSERs for deployed Service Members who attempted suicide included a history of reported physical abuse 

(n = 9, 19.57%), sexual abuse (n = 9, 19.57%), emotional abuse (n = 11, 23.91%), and sexual harassment (n = 

2, 4.35%). One DoDSER (2.17%) included a history of allegedly perpetrating physical abuse, and one included 

alleged perpetration of sexual abuse (2.17%).
84

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 3.46). The most 

frequent responses on DoDSERs for deployed Service Members who attempted suicide indicated history of 

interpersonal problems with coworkers or supervisors (n = 19, 41.30%), job loss or instability (n = 17, 36.96%), 

poor work evaluations (n = 8, 17.39%), and excessive debt (n = 6, 13.04%).

TABLE 3.46. CY 2010 DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 6 13.04% 80 9.79%

No 29 63.04% 581 71.11%

Don’t Know 11 23.91% 156 19.09%

HX JOB LOSS/INSTABILITY Yes 17 36.96% 258 31.58%

TABLE 3.45. CY 2010 DoDSER ABUSE HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

HX VICTIM PHYSICAL ABUSE Yes 9 19.57% 162 19.83%

No 26 56.52% 542 66.34%

Don’t Know 11 23.91% 113 13.83%

HX VICTIM SEXUAL ABUSE Yes 9 19.57% 127 15.54%

No 28 60.87% 572 70.01%

Don’t Know 9 19.57% 118 14.44%

HX VICTIM EMOTIONAL ABUSE Yes 11 23.91% 188 23.01%

No 24 52.17% 510 62.42%

Don’t Know 11 23.91% 119 14.57%

HX VICTIM SEXUAL HARASSMENT Yes 2 4.35% 29 3.55%

No 33 71.74% 650 79.56%

Don’t Know 11 23.91% 138 16.89%

HX PERPETRATOR PHYSICAL ABUSE Yes 1 2.17% 42 5.14%

No 36 78.26% 646 79.07%

Don’t Know 9 19.57% 129 15.79%

HX PERPETRATOR SEXUAL ABUSE Yes 1 2.17% 13 1.59%

No 36 78.26% 676 82.74%

Don’t Know 9 19.57% 128 15.67%

HX PERPETRATOR EMOTIONAL ABUSE Yes 0 0.00% 26 3.18%

No 37 80.43% 658 80.54%

Don’t Know 9 19.57% 133 16.28%

HX PERPETRATOR SEXUAL HARASSMENT Yes 0 0.00% 4 0.49%

No 37 80.43% 681 83.35%

Don’t Know 9 19.57% 132 16.16%
85

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

The data in this section include the Service Members’ prior deployments as well as the deployment during 

which their suicide attempts took place. Twenty-six suicide attempts occurred in Iraq (56.52%) and 20 occurred 

in Afghanistan (43.48%; Table 3.47). As summarized in Table 3.48, 10 DoDSERs for Service Members 

(21.74%) included history of multiple OEF/OIF deployments. Six DoDSERs (13.04%) included experiences of 

direct combat (Table 3.49).

TABLE 3.47. CY 2010 DoDSERS SUICIDE ATTEMPTS IN THEATER FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

No 25 54.35% 441 53.98%

Don’t Know 4 8.70% 118 14.44%

HX SUPERVISOR/COWORKER ISSUES Yes 19 41.30% 187 22.89%

No 21 45.65% 482 59.00%

Don’t Know 6 13.04% 148 18.12%

HX POOR WORK EVALUATION Yes 8 17.39% 123 15.06%

No 30 65.22% 531 64.99%

Don’t Know 8 17.39% 163 19.95%

HX UNIT/WORKPLACE HAZING Yes 3 6.52% 37 4.53%

No 33 71.74% 610 74.66%

Don’t Know 10 21.74% 170 20.81%

TABLE 3.46. CY 2010 DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES FOR OEF/OIF/OND AND OTHER SUICIDE 

ATTEMPTS (CONT.)

TABLE 3.48. CY 2010 DoDSER DEPLOYMENT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

HX DEPLOYMENT OEF/OIF Afghanistan 13 28.26% 53 6.49%

Iraq 23 50.00% 214 26.19%

Kuwait 0 0.00% 9 1.10%

Multiple OEF/OIF/OND locations 10 21.74% 30 3.67%

No history of OEF/OIF/OND deployment 0 0.00% 511 62.55%

OEF/OIF/OND Other

Count Percent Count Percent

THEATER Afghanistan 20 43.48% 0 0.00%

Iraq 26 56.52% 0 0.00%

Not OEF/OIF/OND 0 0.00% 817 100.00%
86

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

TABLE 3.49. CY 2010 DoDSER COMBAT HISTORY FOR OEF/OIF/OND AND OTHER SUICIDE ATTEMPTS

OEF/OIF/OND Other

Count Percent Count Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 6 13.04% 114 13.95%

Combat resulted in injuries/casualties for 

others

3 6.52% 67 8.20%

 Injured in combat 2 4.35% 32 3.92%

 Witnessed killing in combat 3 6.52% 71 8.69%

 Saw dead bodies in combat 4 8.70% 73 8.94%

 Killed others in combat 2 4.35% 43 5.26%

NO DIRECT COMBAT HISTORY 40 86.96% 703 86.05%
87

Chapter 3: DoDSERs Submitted for Service Members Deployed to OEF, OIF & OND

Calendar Year 2010 Annual Report

Summary

This chapter provides data on suicide events that occurred during OEF, OIF and OND deployments in 2010, 

including suicides and suicide attempts. Data are presented for 30 Service Members who died by suicide and 

for 45 Service Members who attempted suicide in 46 separate incidents. Decedents and those who attempted 

suicide were primarily male Caucasian, under age 25, enlisted, Regular component Service Members, and 

without a college degree. 

The most frequent method for Service Members who died by suicide was military issue firearm use. Suicide 

attempt methods were most often drug overdose and use of military issue firearm. Drug and alcohol use was 

less frequent during suicide events on deployment. The majority of Service Members who died by suicide or 

had attempted suicide were not known to have communicated with others about their likelihood of harming 

themselves.

Service Members with non-fatal suicide events had more reported behavioral health disorders than did 

decedents, but similar behavioral health treatment use prior to the event. Additionally, those who attempted 

suicide had higher prevalence of prior abuse victimization. Failed intimate relationships were frequent 

among Service Members with suicide events. The most frequent administrative or legal issue was Article 15 

proceedings. 
88

Chapter 4: Air Force DoDSER

CHAPTER 4:

AIR FORCE DoDSER

AIR FORCE RESULTS FOR COMPLETED SUICIDES

Air Force DoDSER Submissions and Point of Contact (POC) Compliance

2010 Reported Suicides

Fifty-nine Air Force suicides were confirmed by the Armed Forces Medical Examiner System (AFMES) for 

calendar year (CY) 2010 (Table 4.1). Air Force Department of Defense Suicide Event Reports (DoDSERs) 

were submitted and analyzed for all 59, for a submission compliance rate of 100%. The tables in this section 

include data for all decedents. In addition, the tables provide percentages for 2009 and 2008 DoDSER data 

for comparison. Specific counts for prior years are available in the previous DoDSER annual reports and are 

available for download at http://t2health.org.

TABLE 4.1. AIR FORCE AFMES CONFIRMED AND PENDING SUICIDES AND DoDSERS SUBMITTED

As summarized in Table 4.2, half of DoDSERs for 2010 Air Force suicides had one or fewer “Unknown” or 

missing primary data points (n = 30, 50.85%). DoDSERs for 17 Airmen (28.81%) had five or more missing 

data points. Primary data points include any variables that are accessible using standard DoDSER methods 

(including accessing medical and military records). Since 2008, the amount of missing data has greatly 

decreased. 

TABLE 4.2. CY 2010 AND 2008-2009 AIR FORCE DoDSER MISSING AND UNKNOWN DATA 

2010 2009 2008

Total DoDSERs Included in Annual Report 59 43 35

Total AFMES Confirmed and Pending Suicides 60 43 45

AFMES Confirmed Suicides (By 31 January) 59 43 45

DoDSER Submission Compliance 100% 100% 78%

Data from 1/1/2008 through 12/31/2010 as of 4/1/2011

2010 2009 2008

Count Percent Percent Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 20 33.90% 13.04% 0.00%

1 10 16.95% 13.04% 0.00%

2 7 11.86% 13.04% 5.71%

3 3 5.08% 17.39% 0.00%

4 2 3.39% 4.35% 2.86%

5 or More 17 28.81% 39.13% 91.43%
89

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors of decedents that may have 

been associated with or contributed to the suicide events. These factors include decedents’ demographic 

characteristics, event setting, suicide method, substance use during the event, intent to die, and 

communication of intent with others.

Demographics

Table 4.3 contains demographic data provided by the Defense Manpower Data Center (DMDC). All but two 

of the 59 Air Force 2010 suicides were completed by males. Decedents were primarily Caucasian (n = 48, 

81.36%), enlisted (n = 55, 93.22%), and Regular component (n = 53, 89.33%).

TABLE 4.3. CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR AIR FORCE SUICIDES

2010 2009 2008

Count Percent Service

Total %

Rate/

100K

(N = 46) 

Percent

(N = 45) 

Percent

TOTAL 59 100.00% 100.00% 15.51 100.00% 100.00%

GENDER Male 57 96.61% 80.68% 18.57 95.65% 95.56%

Female 2 3.39% 19.32% * 4.35% 4.44%

RACE American Indian or Alaskan Native 1 1.69% 0.65% * 4.35% 8.89%

Asian or Pacific Islander 1 1.69% 3.57% * 2.17% 2.22%

Black/African American 8 13.56% 13.88% * 10.87% 8.89%

White/Caucasian 46 77.97% 73.38% 17.20 78.26% 66.67%

Other/Don’t Know 1 1.69% 8.52% * 4.35% 13.33%

AGE RANGE Under 25 20 33.90% 30.54% 23.03 36.96% 44.44%

25-29 16 27.12% 23.89% * 23.91% 8.89%

30-34 5 8.47% 16.20% * 17.39%

24.44%

35-39 14 23.73% 13.18% * 4.35%

40-44 3 5.08% 9.59% * 8.70%

22.22%

45+ 1 1.69% 6.61% * 8.70%

RANK Cadet 1 1.69% 1.25% * 0.00% 0.00%

E1-E4 24 40.68% 32.60% 19.35 45.65% 33.33%

E5-E9 31 52.54% 46.55% 17.51 43.48% 51.11%

Officer 3 5.08% 19.60% * 10.87% 15.56%

Warrant Officer 0 0.00% 0.00% * 0.00% 0.00%

COMPONENT Regular 53 89.83% 87.91% 15.85 89.13% 86.67%

Reserve 0 0.00% 3.94% * 6.52% 2.22%

National Guard 6 10.17% 8.15% * 4.35% 11.11%

EDUCATION Some high school, did not graduate 0 0.00% 0.07% * 0.00% 0.00%

GED 0 0.00% 0.04% * 0.00% 0.00%

High school graduate 42 71.19% 53.53% 20.63 76.09% 60.00%

Some college or technical school 6 10.17% 0.03% * 2.17% 0.00%

Degree/certificate less than four years 5 8.47% 19.48% * 8.70% 17.78%
90

Chapter 4: Air Force DoDSER

Event Setting

In 2010, as in the previous two years, Air Force suicides most frequently took place in the United States (n = 

52, 88.14%), with one suicide occurring during deployment to Afghanistan (1.69%) and none in Iraq (Table 

4.4). Suicides primarily occurred in either the Service Members’ own residences (n = 40, 67.80%) or the 

residence of a friend or family member (n = 7, 11.86%). Other settings included vehicles (n = 4, 6.78%) and job 

sites (n = 3, 5.08%; Table 4.5). 

TABLE 4.4. CY 2010 AND 2008-2009 AIR FORCE DoDSER EVENT GEOGRAPHIC LOCATION 

TABLE 4.5. CY 2010 AND 2008-2009 AIR FORCE DoDSER EVENT SETTING 

2010 2009 2008

Count Percent Percent Percent

GEOGRAPHIC LOCATION United States 52 88.14% 89.13% 91.43%

Iraq 0 0.00% 2.17% 0.00%

Afghanistan 1 1.69% 2.17% 0.00%

Kuwait 0 0.00% 2.17% 0.00%

Asia 3 5.08% 2.17% 0.00%

Europe 1 1.69% 2.17% 8.57%

Other 2 3.39% 0.00% 0.00%

2010 2009 2008

Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 40 67.80% 67.39% 57.14%

Residence of friend or family 7 11.86% 4.35% 0.00%

Work/jobsite 3 5.08% 0.00% 5.71%

Automobile (away from residence) 4 6.78% 6.52% 0.00%

Inpatient medical facility 0 0.00% 0.00% 0.00%

Other 5 8.47% 21.74% 37.14%

Don’t Know 0 0.00% 0.00% 0.00%

TABLE 4.3 CY 2010 AND 2008-2009 AFMES AND DMDC DEMOGRAPHIC DATA FOR AIR FORCE SUICIDES (CONT.)

Four-year college degree 5 8.47% 12.67% * 0.00% 11.11%

Master’s degree or greater 0 0.00% 12.46% * 8.70% 11.11%

Don’t Know 1 1.69% 1.71% * 4.35% 0.00%

MARITAL STATUS Never Married 18 30.51% 33.72% * 30.43% 26.67%

Married 34 57.63% 59.00% 15.15 56.52% 57.78%

Legally Separated 0 0.00% 0.01% * 0.00% 0.00%

Divorced 6 10.17% 7.18% * 13.04% 15.56%

Widowed 0 0.00% 0.09% * 0.00% 0.00%

Don’t Know 1 1.69% 0.00% * 0.00% 0.00%

Note: Rates calculated only for cells with at least 20 individuals.
91

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

2010 2009 2008

Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 30 50.85% 54.35% 48.57%

Firearm, military issue 4 6.78% 10.87% 2.86%

Hanging 20 33.90% 17.39% 25.71%

Drugs 2 3.39% 2.17% 0.00%

Gas, vehicle exhaust 1 1.69% 0.00% 8.57%

Gas, utility (or other) 0 0.00% 2.17% 0.00%

Sharp or blunt object 0 0.00% 4.35% 0.00%

Jumping from high place 0 0.00% 2.17% 2.86%

Crashing a motor vehicle 0 0.00% 0.00% 2.86%

Other 0 0.00% 2.17% 0.00%

Don’t Know 2 3.39% 4.35% 8.57%

Substance Use during the Event

Comprehensive information about substance use during suicide is unavailable for many Air Force suicides in 

2010. Of those for whom information was available, almost one third used alcohol during the suicide event (n

= 10, 29.41% of DoDSERs with alcohol use data, 16.95% of total; Table 4.7). Fewer were known to have used 

drugs (n = 5, 13.51% of DoDSERs with drug use data, 8.47% of total). As in the prior two years, drug use most 

frequently consisted of misuse of prescription drugs. These frequencies include one Airman who used drugs as 

a suicide attempt method (1.69%), as described above.

TABLE 4.7. CY 2010 AND 2008-2009 AIR FORCE DoDSER SUBSTANCE(S) USED DURING EVENT 

2010 2009 2008

Count Percent Percent Percent

ALCOHOL USED Yes 10 16.95% 36.96% 25.71%

No 24 40.68% 17.39% 45.71%

Don’t Know 25 42.37% 45.65% 28.57%

ANY DRUGS USED Yes 5 8.47% 13.04% 8.57%

No 32 54.24% 41.30% 60.00%

Don’t Know 22 37.29% 45.65% 31.43%

 Illegal drugs Overdose 0 0.00% 0.00% 0.00%

Used, no overdose 1 1.69% 0.00% 0.00%

Were not used 36 61.02% 54.35% 65.71%

Don’t know 22 37.29% 45.65% 34.29%

 Prescription drugs Overdose 1 1.69% 2.17% 0.00%

Used, no overdose 3 5.08% 2.17% 5.71%

Were not used 33 55.93% 50.00% 62.86%

Event Method

As indicated in Table 4.6, approximately half of 2010 Air Force suicides involved non-military issue firearms 

(n = 30, 50.85%), and hanging accounted for approximately one third (n = 20, 33.90%). As in the prior two 

years, few Airmen died by suicide using military issue firearms (n = 4, 6.78%). Methods used for the remaining 

suicides included drugs (n = 2, 3.39%) and vehicle gas or exhaust (n = 1, 1.69%). 

TABLE 4.6. CY 2010 AND 2008-2009 AIR FORCE DoDSER EVENT METHOD 
92

Chapter 4: Air Force DoDSER

Don’t know 22 37.29% 45.65% 31.43%

 Over the counter drugs Overdose 0 0.00% 0.00% 0.00%

Used, no overdose 0 0.00% 8.70% 2.86%

Were not used 37 62.71% 45.65% 62.86%

Don’t know 22 37.29% 45.65% 34.29%

BOTH ALCOHOL AND DRUGS USED Yes 1 1.69% 13.04% 8.57%

No 30 50.85% 39.13% 60.00%

Don’t Know 28 47.46% 47.83% 31.43%

Communication of Intent

Consistent with the prior two years, most Air Force decedents had no known history of communicating with 

others about their intent to harm themselves (n = 36, 61.02%; Table 4.8). Over one third of Airmen were known 

to have communicated with at least one individual regarding their potential to die by suicide (n = 22, 37.29%). 

These communications were most frequently verbal (n = 13, 22.03%) or text messages (n = 5, 8.47%; Table 

4.9). One decedent communicated intent to self-harm via a post on a social networking site. As indicated in 

Table 4.10, decedents most frequently communicated with their spouses (n = 8, 13.56%), behavioral health 

providers (n = 5, 8.47%), and friends (n = 3, 5.08%). 

TABLE 4.8. CY 2010 AND 2008-2009 AIR FORCE DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 36 61.02% 73.91% 71.43%

1 22 37.29% 13.04% 25.71%

2 1 1.69% 6.52% 0.00%

3 0 0.00% 6.52% 2.86%

TABLE 4.9. CY 2010 AND 2008-2009 AIR FORCE DoDSER MODE OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

MODE OF COMMUNICATED INTENT Verbal 14 23.73% 13.04% 22.86%

Written 1 1.69% 2.17% 0.00%

Other or Unknown 5 8.47% 2.17% 5.71%

Multiple Modes 3 5.08% 8.70% 0.00%

No Known Communication 36 61.02% 73.91% 71.43%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

TABLE 4.7. CY 2010 AND 2008-2009 AIR FORCE DoDSER SUBSTANCE(S) USED DURING EVENT (CONT.)

TABLE 4.10. CY 2010 AND 2008-2009 AIR FORCE DoDSER RECIPIENTS OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

COMMUNICATION Spouse 8 13.56% 4.35% 0.00%

Friend 3 5.08% 0.00% 2.86%
93

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Additional Event Information

Table 4.11 provides information about other details of 2010 Air Force suicides. For the majority (n= 48, 

81.36%), there were data to indicate that the decedents intended to die. No Airmen were known to have 

died while engaging in death risk gambling (e.g., “Russian roulette”). Almost half of the suicides appeared 

premeditated (n = 28, 47.46%). Fifteen Air Force decedents (25.42%) died in a location where the suicide was 

potentially observable by others. Twenty-four (40.68%) left suicide notes.

TABLE 4.11. CY 2010 AND 2008-2009 AIR FORCE DoDSER ADDITIONAL EVENT INFORMATION 

2010 2009 2008

Count Percent Percent Percent

INTENDED TO DIE Yes 48 81.36% 71.74% 34.29%

No 2 3.39% 4.35% 0.00%

Don’t Know 9 15.25% 23.91% 65.71%

DEATH RISK GAMBLING Yes 0 0.00% 0.00% 0.00%

No 52 88.14% 71.74% 0.00%

Don’t Know 7 11.86% 28.26% 100.00%

PLANNED/PREMEDITATED Yes 28 47.46% 30.43% 17.14%

No 20 33.90% 21.74% 0.00%

Don’t Know 11 18.64% 47.83% 82.86%

OBSERVABLE Yes 15 25.42% 19.57% 0.00%

No 38 64.41% 54.35% 0.00%

Don’t Know 6 10.17% 26.09% 100.00%

SUICIDE NOTE LEFT Yes 24 40.68% 23.91% 0.00%

No 24 40.68% 47.83% 0.00%

Don’t Know 11 18.64% 28.26% 100.00%

Behavioral Health Provider 4 6.78% 0.00% 5.71%

Chaplain 0 0.00% 0.00% 0.00%

Supervisor 1 1.69% 0.00% 0.00%

Other or Unidentified 6 10.17% 8.70% 17.14%

Made Multiple Communications 1 1.69% 13.04% 2.86%

No Known Communication 36 61.02% 73.91% 71.43%

TABLE 4.10. CY 2010 AND 2008-2009 AIR FORCE DoDSER RECIPIENTS OF COMMUNICATED INTENT (CONT.)

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.
94

Chapter 4: Air Force DoDSER

2010 2009 2008

Count Percent Percent Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 13 22.03% 17.39% 0.00%

On-base family housing 2 3.39% 6.52% 5.71%

Owned or leased apartment or house 40 67.80% 65.22% 31.43%

Other 2 3.39% 6.52% 2.86%

Don’t Know 2 3.39% 4.35% 60.00%

MARRIED SERVICE MEMBER RESIDENCE Resided with spouse 24 40.68% 34.78% 42.86%

Separated due to relationship issues 4 6.78% 4.35% 2.86%

Apart for other reasons/deployed 1 1.69% 4.35% 0.00%

Don’t Know 1 1.69% 8.70% 11.43%

Unmarried at time of event 29 49.15% 47.83% 42.86%

RESIDED ALONE Yes 24 40.68% 43.48% 17.14%

No 33 55.93% 43.48% 48.57%

Don’t Know 2 3.39% 13.04% 34.29%

HAD MINOR CHILDREN Yes 27 45.76% 39.13% 34.29%

No 32 54.24% 60.87% 65.71%

Don’t Know 0 0.00% 0.00% 0.00%

CHILDREN RESIDED WITH Yes 16 27.12% 23.91% 31.43%

No 10 16.95% 10.87% 0.00%

Don’t Know 1 1.69% 4.35% 2.86%

No Children 32 54.24% 60.87% 65.71%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 27 45.76% 45.65% 34.29%

No 23 38.98% 28.26% 0.00%

Don’t Know 9 15.25% 26.09% 65.71%

Duty Environment

Consistent with the previous two years, the primary duty environment of decedents was their permanent duty 

station (n = 39, 66.10%; Table 4.13). In addition, four (6.78%) were hospitalized in an inpatient psychiatry unit 

at the time of event. 

Situational Factors

Table 4.12 provides details about the living situations for Airmen who died by suicide in 2010. Decedents most 

frequently lived in homes or apartments outside of their installations (n = 40, 67.80%). Nearly one fourth lived 

in shared living environments on their installations (n = 13, 22.03%). Of those who were married (n = 29), 

most lived with their spouses (n = 24, 82.76% of married, 40.68% of total), and four were separated (13.79% 

of married, 6.78% of total). Most decedents lived with others (n = 33, 55.93%). Twenty-seven (45.76%) Air 

Force decedents had minor children, and 16 (27.12%) lived with their children at the time of death. Nearly 

half of decedents had access to firearms either in their homes, at work, or other accessible locations (n = 27, 

45.76%).

TABLE 4.12. CY 2010 AND 2008-2009 AIR FORCE DoDSER HOME ENVIRONMENT 
95

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Suicide Completions by Month

As in the prior two years, no clear pattern existed for Air Force suicides by month (Table 4.14).

TABLE 4.14. CY 2010 AND 2008-2009 AIR FORCE DoDSER SUICIDES BY MONTH 

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

2010 2009 2008

Count Percent Percent Percent

DUTY ENVIRONMENT Permanent Duty Station 39 66.10% 60.87% 77.14%

Psychiatric Hospitalization 4 6.78% 6.52% 2.86%

Medical Hold 0 0.00% 2.17% 0.00%

TDY 1 1.69% 0.00% 0.00%

AWOL 1 1.69% 0.00% 0.00%

Deployed 1 1.69% 4.35% 0.00%

Training 1 1.69% 0.00% 0.00%

Other 5 8.47% 8.70% 8.57%

Multiple Duty Environments 1 1.69% 10.87% 0.00%

Duty Environment Unknown 6 10.17% 6.52% 11.43%

2010 2009 2008

Count Percent Percent Percent

MONTH January 5 8.47% 6.52% 11.43%

February 3 5.08% 13.04% 5.71%

March 5 8.47% 0.00% 2.86%

April 5 8.47% 13.04% 11.43%

May 7 11.86% 4.35% 2.86%

June 2 3.39% 8.70% 5.71%

July 7 11.86% 8.70% 17.14%

August 3 5.08% 6.52% 2.86%

September 4 6.78% 10.87% 11.43%

October 9 15.25% 13.04% 14.29%

November 4 6.78% 8.70% 14.29%

December 5 8.47% 6.52% 0.00%

TABLE 4.13. CY 2010 AND 2008-2009 AIR FORCE DoDSER DUTY ENVIRONMENT 
96

Chapter 4: Air Force DoDSER

Prior Self-Injury 

Nine Airmen who died by suicide in 2010 (15.25%) had a known history of self-harm (Table 4.15), and four 

decedents (6.78%) were known to have at least two prior incidents of self-harm.

TABLE 4.15. CY 2010 AND 2008-2009 AIR FORCE DoDSER PRIOR SELF-INJURY 

Behavioral Health Disorders 

DoDSER POCs collect information about decedents’ history of behavioral health diagnoses. The data below 

reflect any known history of behavioral health disorders and are not limited to diagnoses at the time of death. 

Twenty-seven (45.76%) Airmen who died by suicide in 2010 had a history of at least one documented 

behavioral health disorder (Table 4.16). Fourteen (23.73%) had at least two co-occurring diagnoses. As 

indicated in Table 4.17, nine decedents (15.25%) had a mood disorder. As summarized in Table 4.18, 

nine (15.25%) had an anxiety disorder, including PTSD (n = 2, 3.39%) and panic disorder (n = 2, 3.39%). 

Personality disorders were rare (n = 2, 3.39%), as was traumatic brain injury (n = 1, 1.69%; Table 4.19). 

Eleven decedents (18.64%) had a known history of substance abuse.

TABLE 4.16. CY 2010 AND 2008-2009 AIR FORCE DoDSER COMORBIDITY RATES 

2010 2009 2008

Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 9 15.25% 19.57% 8.57%

 Within 30 days 0 0.00% 4.35% 0.00%

 Within 90 days (inclusive)* 1 1.69% 6.52% 5.71%

No 38 64.41% 47.83% 0.00%

Don’t Know 12 20.34% 32.61% 91.43%

 Number prior self-injuries One prior event 5 8.47% 15.22% 0.00%

More than one prior event 4 6.78% 4.35% 0.00%

N/A or Unknown 50 84.75% 80.43% 100.00%

 Event similar to prior self-injury Yes 2 3.39% 0.00% 0.00%

No 6 10.17% 10.87% 0.00%

Don’t Know 1 1.69% 8.70% 8.57%

N/A 50 84.75% 80.43% 91.43%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

2010 2009 2008

Count Percent Percent Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 32 54.24% 60.87% 74.29%

1 DX 13 22.03% 15.22% 25.71%

2 DX 8 13.56% 19.57% 0.00%

3 DX 6 10.17% 4.35% 0.00%

4 or more DX 0 0.00% 0.00% 0.00%
97

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

TABLE 4.17. CY 2010 AND 2008-2009 AIR FORCE DoDSER MOOD DISORDERS 

TABLE 4.18. CY 2010 AND 2008-2009 AIR FORCE DoDSER ANXIETY DISORDERS 

2010 2009 2008

Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 9 15.25% 28.26% 14.29%

No 45 76.27% 54.35% 45.71%

Don’t Know 5 8.47% 17.39% 40.00%

 Bipolar disorder Yes 0 0.00% 2.17% 0.00%

No 54 91.53% 78.26% 45.71%

Don’t Know 5 8.47% 19.57% 54.29%

 Major depression Yes 2 3.39% 8.70% 0.00%

No 52 88.14% 69.57% 45.71%

Don’t Know 5 8.47% 21.74% 54.29%

 Dysthymic disorder Yes 1 1.69% 2.17% 0.00%

No 53 89.83% 73.91% 45.71%

Don’t Know 5 8.47% 23.91% 54.29%

 Other mood disorder Yes 6 10.17% 15.22% 2.86%

No 48 81.36% 65.22% 45.71%

Don’t Know 5 8.47% 19.57% 51.43%

 Unspecified mood disorder Yes 0 0.00% 0.00% 11.43%

No 54 91.53% 82.61% 48.57%

Don’t Know 5 8.47% 17.39% 40.00%

 Multiple mood DX Yes 0 0.00% 0.00% 0.00%

No 54 91.53% 82.61% 60.00%

Don’t Know 5 8.47% 17.39% 40.00%

2010 2009 2008

Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 9 15.25% 23.91% 11.43%

No 46 77.97% 56.52% 51.43%

Don’t Know 4 6.78% 19.57% 37.14%

 PTSD Yes 2 3.39% 4.35% 2.86%

No 52 88.14% 71.74% 51.43%

Don’t Know 5 8.47% 23.91% 45.71%

 Panic disorder Yes 2 3.39% 0.00% 0.00%

No 52 88.14% 76.09% 51.43%

Don’t Know 5 8.47% 23.91% 48.57%

 Generalized anxiety disorder Yes 0 0.00% 0.00% 0.00%

No 54 91.53% 76.09% 51.43%

Don’t Know 5 8.47% 23.91% 48.57%

 Acute stress disorder Yes 0 0.00% 0.00% 0.00%

No 54 91.53% 76.09% 51.43%

Don’t Know 5 8.47% 23.91% 48.57%
98

Chapter 4: Air Force DoDSER

Treatment History

Table 4.20 provides data on Air Force suicide decedents’ use of medical and behavioral health treatment 

prior to death. The majority (n = 37, 62.71%) had received some form of treatment at a Military Treatment 

Facility (MTF). Twenty-six decedents (44.07%) were treated at a MTF within a month of their suicides. These 

percentages are higher than in previous years, but are likely due to improved reporting as indicated by the 

decrease in “Don’t Know” responses. Nine Airmen (15.25%) had a known history of a physical health problem 

and five decedents (8.47%) had received physical health diagnoses within the month prior to suicide.

Thirteen Air Force decedents (22.03%) received substance abuse treatment services, and seven (11.86%) 

were involved in family advocacy programs. Six Airmen (10.17%) utilized chaplain services. Nearly half of 

decedents (n = 26, 44.07%) had received outpatient behavioral health treatment, with 11 (18.64%) receiving 

treatment within the month prior to suicide. Eight Airmen (13.56%) received inpatient behavioral health 

treatment, four of whom (6.78%) were treated within the month prior to suicide.

TABLE 4.19. CY 2010 AND 2008-2009 AIR FORCE DoDSER OTHER BEHAVIORAL HEALTH DISORDERS 

 Other anxiety disorder Yes 1 1.69% 15.22% 0.00%

No 53 89.83% 63.04% 51.43%

Don’t Know 5 8.47% 21.74% 48.57%

 Unspecified anxiety DX Yes 3 5.08% 4.35% 8.57%

No 52 88.14% 76.09% 54.29%

Don’t Know 4 6.78% 19.57% 37.14%

 Multiple anxiety DX Yes 1 1.69% 0.00% 0.00%

No 54 91.53% 80.43% 62.86%

Don’t Know 4 6.78% 19.57% 37.14%

2010 2009 2008

Count Percent Percent Percent

DX W/PERSONALITY DISORDER Yes 2 3.39% 4.35% 5.71%

No 52 88.14% 71.74% 54.29%

Don’t Know 5 8.47% 23.91% 40.00%

DX W/PSYCHOTIC DISORDER Yes 0 0.00% 0.00% 2.86%

No 54 91.53% 80.43% 57.14%

Don’t Know 5 8.47% 19.57% 40.00%

HX SUBSTANCE ABUSE Yes 11 18.64% 13.04% 20.00%

No 41 69.49% 56.52% 40.00%

Don’t Know 7 11.86% 30.43% 40.00%

DX W/ TRAUMATIC BRAIN INJURY Yes 1 1.69%

No 52 88.14%

Don’t Know 6 10.17%

Note: Traumatic Brain Injury data unavailable prior to 2010.

TABLE 4.18. CY 2010 AND 2008-2009 AIR FORCE DoDSER ANXIETY DISORDERS (CONT.) 
99

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

TABLE 4.20. CY 2010 AND 2008-2009 AIR FORCE DoDSER TREATMENT HISTORY 

2010 2009 2008

Count Percent Percent Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 37 62.71% 60.87% 48.57%

 Within 30 days 26 44.07% 32.61% 8.57%

 Within 90 days (inclusive)* 31 52.54% 43.48% 20.00%

No 15 25.42% 15.22% 17.14%

Don’t Know 7 11.86% 23.91% 34.29%

HX PHYSICAL HEALTH PROBLEM Yes 9 15.25% 34.78% 17.14%

 Within 30 days 5 8.47% 13.04% 2.86%

 Within 90 days (inclusive)* 7 11.86% 17.39% 11.43%

No 37 62.71% 36.96% 22.86%

Don’t Know 13 22.03% 28.26% 60.00%

SUBSTANCE ABUSE SERVICES Yes 13 22.03% 21.74% 5.71%

 Within 30 days 4 6.78% 10.87% 2.86%

 Within 90 days (inclusive)* 5 8.47% 10.87% 2.86%

No 42 71.19% 60.87% 54.29%

Don’t Know 4 6.78% 17.39% 40.00%

FAMILY ADVOCACY PROGRAMS Yes 7 11.86% 6.52% 8.57%

 Within 30 days 0 0.00% 0.00% 2.86%

 Within 90 days (inclusive)* 3 5.08% 2.17% 5.71%

No 48 81.36% 71.74% 51.43%

Don’t Know 4 6.78% 21.74% 40.00%

CHAPLAIN SERVICES Yes 6 10.17% 10.87% 8.57%

 Within 30 days 4 6.78% 4.35% 2.86%

 Within 90 days (inclusive)* 5 8.47% 6.52% 8.57%

No 26 44.07% 23.91% 51.43%

Don’t Know 27 45.76% 65.22% 40.00%

OUTPATIENT BEHAVIORAL HEALTH Yes 26 44.07% 39.13% 25.71%

 Within 30 days 11 18.64% 21.74% 20.00%

 Within 90 days (inclusive)* 17 28.81% 23.91% 22.86%

No 29 49.15% 45.65% 34.29%

Don’t Know 4 6.78% 15.22% 40.00%

INPATIENT BEHAVIORAL HEALTH Yes 8 13.56% 17.39% 0.00%

 Within 30 days 4 6.78% 0.00% 0.00%

 Within 90 days (inclusive)* 4 6.78% 2.17% 0.00%

No 46 77.97% 60.87% 34.29%

Don’t Know 5 8.47% 21.74% 65.71%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Table 4.21 summarizes psychotropic medications known to have been used by decedents prior to suicide. 

Relative percentages are higher in 2010 than in the previous two years, but this change is likely a result of 

improved reporting as indicated by decreases in “Don’t Know” responses. Fourteen decedents (23.73%) had 
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Chapter 4: Air Force DoDSER

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

Half of 2010 Air Force decedents (n = 30, 50.85%) had a known failure in a spousal or intimate relationship, 

with 22 (37.29%) experiencing the failure within the month prior to suicide (Table 4.22). Thirteen decedents 

(22.03%) had a failure in another important relationship, half of these (n = 6, 10.17%) occurring a month prior 

to suicide. More than half of Airmen who died by suicide in 2010 had some form of failed relationship (n = 32, 

54.24%), with twenty-three (38.98%) occurring within the month prior to death.

TABLE 4.22. CY 2010 AND 2008-2009 AIR FORCE DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE

2010 2009 2008

Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 14 23.73% 21.74% 2.86%

No 37 62.71% 54.35% 25.71%

Don’t Know 8 13.56% 23.91% 71.43%

 Antidepressants Yes 13 22.03% 21.74% 2.86%

No 38 64.41% 54.35% 25.71%

Don’t Know 8 13.56% 23.91% 71.43%

 Antianxiety Yes 7 11.86% 6.52% 0.00%

No 43 72.88% 67.39% 28.57%

Don’t Know 9 15.25% 26.09% 71.43%

 Antimanics Yes 2 3.39% 0.00% 0.00%

No 48 81.36% 73.91% 28.57%

Don’t Know 9 15.25% 26.09% 71.43%

 Anticonvulsants Yes 0 0.00% 2.17% 0.00%

No 51 86.44% 71.74% 28.57%

Don’t Know 8 13.56% 26.09% 71.43%

 Antipsychotics Yes 3 5.08% 4.35% 0.00%

No 48 81.36% 71.74% 28.57%

Don’t Know 8 13.56% 23.91% 71.43%

2010 2009 2008

Count Percent Percent Percent

HX FAILED INTIMATE RELATIONSHIP Yes 30 50.85% 56.52% 40.00%

 Within 30 days 22 37.29% 23.91% 8.57%

 Within 90 days (inclusive)* 23 38.98% 32.61% 40.00%

known prescriptions for psychotropic medications, most frequently antidepressants (n = 13, 22.03%).

TABLE 4.21. CY 2010 AND 2008-2009 AIR FORCE DoDSER PSYCHOTROPIC MEDICATION USE 
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Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Table 4.23 summarizes other family and relationship factors that may be associated with the suicide. Ten 

Air Force decedents (16.95%) were known to have a family member with behavioral health problems, and 

eight (13.56%) had experienced the death of a family member. Friends of two decedents (3.39%) had died 

by suicide prior to the Airmen’s deaths, and one decedent’s friend (1.69%) had died by other means. Two 

decedents (3.39%) were known to have family members with physical health problems.

TABLE 4.23. CY 2010 AND 2008-2009 AIR FORCE DoDSER FAMILY HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.00% 0.00%

No 49 83.05% 76.09% 2.86%

Don’t Know 10 16.95% 23.91% 97.14%

HX FAMILY MEMBER SUICIDE Yes 0 0.00% 6.52% 0.00%

No 44 74.58% 50.00% 0.00%

Don’t Know 15 25.42% 43.48% 100.00%

HX FRIEND SUICIDE Yes 2 3.39% 4.35% 0.00%

No 40 67.80% 41.30% 0.00%

Don’t Know 17 28.81% 54.35% 100.00%

HX DEATH OF FAMILY MEMBER Yes 8 13.56% 6.52% 2.86%

No 35 59.32% 36.96% 0.00%

Don’t Know 16 27.12% 56.52% 97.14%

HX DEATH OF FRIEND Yes 1 1.69% 2.17% 0.00%

No 40 67.80% 39.13% 0.00%

Don’t Know 18 30.51% 58.70% 100.00%

HX FAMILY ILLNESS Yes 2 3.39% 4.35% 0.00%

No 41 69.49% 45.65% 0.00%

Don’t Know 16 27.12% 50.00% 100.00%

No 21 35.59% 23.91% 17.14%

Don’t Know 8 13.56% 19.57% 42.86%

HX FAILED OTHER RELATIONSHIP Yes 13 22.03% 6.52% 20.00%

 Within 30 days 6 10.17% 4.35% 0.00%

 Within 90 days (inclusive)* 7 11.86% 4.35% 17.14%

No 31 52.54% 47.83% 20.00%

Don’t Know 15 25.42% 45.65% 60.00%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 32 54.24% 56.52% 42.86%

 Within 30 days 23 38.98% 23.91% 8.57%

 Within 90 days (inclusive)* 24 40.68% 32.61% 40.00%

No 19 32.20% 23.91% 14.29%

Don’t Know 8 13.56% 19.57% 42.86%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 4.22. CY 2010 AND 2008-2009 AIR FORCE DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE (CONT.)
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Chapter 4: Air Force DoDSER

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 10 16.95% 15.22% 2.86%

No 27 45.76% 30.43% 0.00%

Don’t Know 22 37.29% 54.35% 97.14%

Administrative and Legal History

For 2010 Air Force suicide events, DoDSER POCs provided more data compared to prior years, as indicated 

by decreases in “Don’t Knows.” As such, increases in “Yes” responses below (Table 4.24) likely result from 

improved reporting rather than an increase in administrative and legal problems. Approximately one third of 

Airmen who died by suicide in 2010 (33.90%) had at least one known administrative or legal issue, and 11 

(18.64%) had more than one. The most frequent administrative or legal issue was Article 15 proceedings (n = 

9, 15.25%), followed by civil legal problems (n = 8, 13.56%).

TABLE 4.24. CY 2010 AND 2008-2009 AIR FORCE DoDSER ADMINISTRATIVE AND LEGAL HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX COURTS MARTIAL Yes 4 6.78% 4.35% 0.00%

No 44 74.58% 71.74% 54.29%

Don’t Know 11 18.64% 23.91% 45.71%

HX ARTICLE 15 Yes 9 15.25% 10.87% 5.71%

No 39 66.10% 60.87% 51.43%

Don’t Know 11 18.64% 28.26% 42.86%

HX ADMIN SEPARATION Yes 4 6.78% 2.17% 0.00%

No 46 77.97% 71.74% 28.57%

Don’t Know 9 15.25% 26.09% 71.43%

HX AWOL Yes 2 3.39% 2.17% 0.00%

No 47 79.66% 71.74% 25.71%

Don’t Know 10 16.95% 26.09% 74.29%

HX MEDICAL BOARD Yes 4 6.78% 8.70% 0.00%

No 46 77.97% 71.74% 11.43%

Don’t Know 9 15.25% 19.57% 88.57%

HX CIVIL LEGAL PROBLEMS Yes 8 13.56% 15.22% 2.86%

No 39 66.10% 52.17% 45.71%

Don’t Know 12 20.34% 32.61% 51.43%

HX NON-SELECTION FOR PROMOTION Yes 2 3.39% 10.87% 0.00%

No 46 77.97% 56.52% 0.00%

Don’t Know 11 18.64% 32.61% 100.00%

HAD ANY ADMIN/LEGAL ISSUE Yes 20 33.90% 32.61% 8.57%

No 28 47.46% 41.30% 42.86%

Don’t Know 11 18.64% 26.09% 48.57%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 11 18.64% 17.39% 0.00%

No 27 45.76% 41.30% 0.00%

Don’t Know 21 35.59% 41.30% 100.00%

TABLE 4.23. CY 2010 AND 2008-2009 AIR FORCE DoDSER FAMILY HISTORY (CONT.) 
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Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 4.25). Five 

Air Force suicide decedents (8.47%) reportedly experienced physical abuse, and one (1.69%) reportedly 

experienced sexual abuse. Five Airmen (8.47%) had reportedly been victims of emotional abuse. Six 

decedents (10.17%) had allegedly physically abused others, three (5.08%) had allegedly sexually abused 

others, and two (3.39%) had allegedly perpetrated emotional abuse.

TABLE 4.25. CY 2010 AND 2008-2009 AIR FORCE DoDSER ABUSE HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 5 8.47% 4.35% 0.00%

No 42 71.19% 65.22% 0.00%

Don’t Know 12 20.34% 30.43% 100.00%

HX VICTIM SEXUAL ABUSE Yes 1 1.69% 2.17% 0.00%

No 45 76.27% 67.39% 0.00%

Don’t Know 13 22.03% 30.43% 100.00%

HX VICTIM EMOTIONAL ABUSE Yes 5 8.47% 6.52% 0.00%

No 42 71.19% 63.04% 0.00%

Don’t Know 12 20.34% 30.43% 100.00%

HX VICTIM SEXUAL HARASSMENT Yes 0 0.00% 0.00% 0.00%

No 47 79.66% 65.22% 0.00%

Don’t Know 12 20.34% 34.78% 100.00%

HX PERPETRATOR PHYSICAL ABUSE Yes 6 10.17% 10.87% 0.00%

No 42 71.19% 50.00% 0.00%

Don’t Know 11 18.64% 39.13% 100.00%

HX PERPETRATOR SEXUAL ABUSE Yes 3 5.08% 4.35% 0.00%

No 46 77.97% 54.35% 0.00%

Don’t Know 10 16.95% 41.30% 100.00%

HX PERPETRATOR EMOTIONAL ABUSE Yes 2 3.39% 0.00% 0.00%

No 47 79.66% 54.35% 0.00%

Don’t Know 10 16.95% 45.65% 100.00%

HX PERPETRATOR SEXUAL HARASSMENT Yes 0 0.00% 2.17% 0.00%

No 49 83.05% 54.35% 0.00%

Don’t Know 10 16.95% 43.48% 100.00%

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 4.26). Six Airmen (10.17%) 

who died by suicide in 2010 had experienced significant debt. Eight decedents (13.56%) either had lost a 

position or experienced job instability. Six Airmen (10.17%) were known to have had interpersonal issues with 

their supervisors or coworkers. Poor evaluations were reported for six decedents (10.17%).
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Chapter 4: Air Force DoDSER

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

One Airman died while deployed on OEF in Afghanistan (1.69%; Table 4.27). Fourteen of the Airmen who 

died by suicide in 2010 (23.73%) had previously served in Afghanistan or Iraq (Table 4.28). Three decedents 

(5.08%) had known direct combat experiences, including participating in combat that resulted in injuries (n = 2, 

3.39%), witnessing killing (n = 2, 3.39%), and seeing dead bodies (n = 2, 3.39%; Table 4.29).

TABLE 4.27. CY 2010 AND 2008-2009 AIR FORCE DoDSER SUICIDES IN THEATER 

2010 2009 2008

Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 6 10.17% 8.70% 20.00%

No 40 67.80% 54.35% 22.86%

Don’t Know 13 22.03% 36.96% 57.14%

HX JOB LOSS/INSTABILITY Yes 8 13.56% 30.43% 22.86%

No 42 71.19% 41.30% 31.43%

Don’t Know 9 15.25% 28.26% 45.71%

HX SUPERVISOR/COWORKER ISSUES Yes 6 10.17% 8.70% 0.00%

No 42 71.19% 56.52% 0.00%

Don’t Know 11 18.64% 34.78% 100.00%

HX POOR WORK EVALUATION Yes 6 10.17% 15.22% 5.71%

No 42 71.19% 54.35% 8.57%

Don’t Know 11 18.64% 30.43% 85.71%

HX UNIT/WORKPLACE HAZING Yes 1 1.69% 0.00% 0.00%

No 45 76.27% 63.04% 0.00%

Don’t Know 13 22.03% 36.96% 100.00%

2010 2009 2008

Count Percent Percent Percent

THEATER Afghanistan 1 1.69% 2.17% 0.00%

Iraq 0 0.00% 2.17% 0.00%

Kuwait 0 0.00% 2.17% 0.00%

Not OEF/OIF/OND 58 98.31% 93.48% 100.00%

TABLE 4.26. CY 2010 AND 2008-2009 AIR FORCE DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES 
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Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

TABLE 4.29. CY 2010 AND 2008-2009 AIR FORCE DoDSER COMBAT HISTORY 

2010 2009 2008

Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 3 5.08% 6.52% 0.00%

Combat resulted in injuries/casualties for 

others 2 3.39% 4.35% 0.00%

 Injured in combat 0 0.00% 2.17% 0.00%

 Witnessed killing in combat 2 3.39% 4.35% 0.00%

 Saw dead bodies in combat 2 3.39% 2.17% 0.00%

NO DIRECT COMBAT HISTORY 56 94.92% 93.48% 100.00%

TABLE 4.28. CY 2010 AND 2008-2009 AIR FORCE DoDSER OEF/OIF/OND DEPLOYMENT HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 6 10.17% 8.70% 0.00%

Iraq 7 11.86% 13.04% 2.86%

Kuwait 0 0.00% 4.35% 0.00%

Multiple OEF/OIF/OND locations 1 1.69% 2.17% 0.00%

No history of OEF/OIF/OND deployment 45 76.27% 71.74% 97.14%
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Chapter 4: Air Force DoDSER

AIR FORCE DoDSERs SUBMITTED FOR SUICIDE ATTEMPTS

DoDSER POCs submitted 241 DoDSERs for 2010 Air Force suicide attempts. As indicated in Table 4.30, 

these DoDSERs provide data on suicide attempts for 230 individuals. Two attempts were reported (DoDSERs 

submitted) for nine (3.91%) individuals, and three for one individual (0.43%). Additionally, one Airman with a 

2010 suicide attempt DoDSER subsequently died by suicide in 2010 and was also included in the preceding 

section. The tables in this section use a denominator of 241.

TABLE 4.30. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSERS

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors that may have been associated 

with or contributed to the suicide attempts. These factors include demographic characteristics, event setting, 

suicide attempt method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 4.32 contains DoDSER demographic data for Airmen who attempted suicide in 2010. Airmen who 

attempted suicide were most often male (n = 153; 63. 49%), Caucasian (n = 180, 74.69%), under age 25 (n = 

136, 56.43%), junior enlisted (n = 155, 64.58%), Regular component (n = 234, 97.50%) and without a college 

education (n = 186, 77.18%).

As summarized in Table 4.31, half of DoDSERs for 2010 Air Force suicide attempts had no missing or 

“Unknown” primary data points (n = 122, 50.62%). Primary data points include any variables that are 

accessible using standard DoDSER methods (including accessing medical and military records).

TABLE 4.31. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER MISSING AND UNKNOWN DATA 

Count Percent

TOTAL SUICIDE ATTEMPT DoDSERs 241 100.00%

TOTAL INDIVIDUALS INCLUDED 230 100.00%

SUICIDE ATTEMPT DoDSERs SUBMITTED PER INDIVIDUAL 1 220 95.65%

2 9 3.91%

3 1 0.43%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDE ATTEMPT AND SUICIDE 1 0.43%

Count Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 122 50.62%

1 49 20.33%

2 23 9.54%

3 9 3.73%

4 10 4.15%

5 or More 28 11.62%
107

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

TABLE 4.32. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER DEMOGRAPHICS 

Count Percent

TOTAL 241 100.00%

GENDER Male 153 63.49%

Female 88 36.51%

RACE American Indian or Alaskan Native 1 0.41%

Asian or Pacific Islander 4 1.66%

Black/African American 37 15.35%

White/Caucasian 180 74.69%

Other 9 3.73%

Don’t Know 10 4.15%

AGE RANGE Under 25 136 56.43%

25-29 57 23.65%

30-39 39 16.18%

40 + 9 3.73%

RANK E1-E4 155 64.58%

E5-E9 72 30.00%

Officer 12 5.00%

Warrant Officer 1 0.42%

COMPONENT Regular 234 97.50%

Reserve 2 0.83%

National Guard 3 1.25%

Other 1 0.42%

EDUCATION Some high school, did not graduate 1 0.42%

GED 1 0.42%

High school graduate 97 40.42%

Some college or technical school 87 36.25%

Degree/certificate less than four years 15 6.25%

Four-year college degree 14 5.83%

Master’s degree or greater 7 2.92%

Don’t Know 18 7.50%

MARITAL STATUS Never Married 114 47.30%

Married 89 36.93%

Legally Separated 10 4.15%

Divorced 25 10.37%

Don’t Know 3 1.24%

Event Setting

CY 2010 Air Force suicide attempts most frequently took place in the United States (n = 190, 78.84%), 

followed by European countries (n = 22, 9.13%) and Asian countries other than Iraq and Afghanistan (n = 19, 

7.88%; Table 4.33). As indicated in Table 4.34, suicide attempts primarily occurred in the Service Members’ 
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Chapter 4: Air Force DoDSER

Event Method

As indicated in Table 4.35, drugs were the most frequent method for suicide attempt (n = 145, 60.17%), 

followed by injury with a sharp or blunt object (n = 38, 15.77%). 

TABLE 4.35. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER EVENT METHOD 

TABLE 4.34. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER EVENT SETTING 

Count Percent

GEOGRAPHIC LOCATION United States 190 78.84%

Iraq 1 0.41%

Afghanistan 2 0.83%

Asia 19 7.88%

Europe 22 9.13%

Canada or Mexico 1 0.41%

Other 4 1.66%

Don’t Know 2 0.83%

Count Percent

EVENT SETTING Residence (own) or barracks 197 81.74%

Residence of friend or family 8 3.32%

Work/jobsite 4 1.66%

Automobile (away from residence) 6 2.49%

Other 24 9.96%

Don’t Know 2 0.83%

Count Percent

EVENT METHOD Firearm, non-military issue 4 1.66%

Hanging 17 7.05%

Drugs 145 60.17%

Alcohol 13 5.39%

Gas, vehicle exhaust 3 1.24%

Gas, utility (or other) 2 0.83%

Drowning 3 1.24%

Fire, steam, etc. 1 0.41%

Sharp or blunt object 38 15.77%

Jumping from high place 6 2.49%

Lying in front of moving object 1 0.41%

Chemicals 2 0.83%

Other 2 0.83%

Don’t Know 4 1.66%

residences (n = 197, 81.74%). The most frequent “Other” settings include hotels (n = 6, 2.49%) and parks (n = 

3, 1.24%).

TABLE 4.33. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER EVENT GEOGRAPHIC LOCATION 
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Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Substance Use during the Event

DoDSER POCs collected data on known alcohol and drug use during Air Force suicide attempts. As indicated 

in Table 4.36, 97 Air Force suicide attempt DoDSERs (40.25%) included evidence of alcohol use, and 157 

(65.15%) included evidence of drug use during the suicide attempt. Sixty-four DoDSERs (26.56%) included 

information about both drugs and alcohol. These frequencies include Airmen who used drugs as a suicide 

attempt method (n = 145, 60.17%), as described above.

TABLE 4.36. CY 2010 AIR FORCE DoDSER SUBSTANCE(S) USED DURING SUICIDE ATTEMPTS

Count Percent

ALCOHOL USED Yes 97 40.25%

No 128 53.11%

Don’t Know 16 6.64%

ANY DRUGS USED Yes 157 65.15%

No 76 31.54%

Don’t Know 8 3.32%

 Illegal drugs Overdose 11 4.56%

Used, no overdose 6 2.49%

Were not used 216 89.63%

Don’t know 8 3.32%

 Prescription drugs Overdose 103 42.74%

Used, no overdose 19 7.88%

Were not used 111 46.06%

Don’t know 8 3.32%

 Over the counter drugs Overdose 44 18.26%

Used, no overdose 15 6.22%

Were not used 174 72.20%

Don’t know 8 3.32%

BOTH ALCOHOL AND DRUGS USED Yes 64 26.56%

No 157 65.15%

Don’t Know 20 8.30%

Communication of Intent

Most DoDSERs regarding Air Force suicide attempts included no known history of Airmen communicating with 

others about intent to harm themselves (n = 168, 69.71%; Table 4.37). Almost one fourth of DoDSERs (n = 56, 

23.24%) indicated that Airmen communicated their intent to hurt themselves to at least one individual prior to 

attempting suicide. These communications were most frequently verbal (n = 58, 24.07%) or text messages (n = 

6, 2.49%; Table 4.38). As indicated in Table 4.39, Airmen most frequently communicated with their spouses (n

= 15, 6.22%), friends (n = 15, 6.22%), and other family members (n = 10, 4.15%). 
110

Chapter 4: Air Force DoDSER

TABLE 4.38. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER MODE OF COMMUNICATED INTENT 

TABLE 4.39. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER RECIPIENTS OF COMMUNICATED INTENT 

Count Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 168 69.71%

1 56 23.24%

2 14 5.81%

3 3 1.24%

Count Percent

MODE OF COMMUNICATED INTENT Verbal 58 24.07%

Written 5 2.07%

Other or Unknown 7 2.90%

Multiple Modes 3 1.24%

No Known Communication 168 69.71%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

Count Percent

COMMUNICATION Spouse 15 6.22%

Friend 15 6.22%

Behavioral Health Provider 8 3.32%

Supervisor 6 2.49%

Other or Unidentified 12 4.98%

Made Multiple Communications 17 7.05%

No Known Communication 168 69.71%

Additional Event Information

Table 4.40 provides information about other details of 2010 Air Force suicide attempts. For the majority (n = 

169, 70.12%), there were data to indicate that the Airmen intended to die. One fourth of suicide attempts (n = 

61, 25.31%) appeared planned or premeditated. Ninety-nine suicide attempts (41.08%) took place in a location 

potentially observable by others. Thirty-one (12.86%) left suicide notes.

TABLE 4.40. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER ADDITIONAL EVENT INFORMATION 

Count Percent

INTENDED TO DIE Yes 169 70.12%

No 34 14.11%

Don’t Know 38 15.77%

DEATH RISK GAMBLING Yes 2 0.83%

No 225 93.36%

Don’t Know 14 5.81%

TABLE 4.37. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED 

INTENT 
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Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Situational Factors

Table 4.41 provides details about the living situations for Airmen who attempted suicide in 2010. Most 

DoDSERs indicated the Airmen lived in homes or apartments outside of their installations (n = 105, 43.57%). 

One third lived in a shared living environment on the installation (n = 81, 33.61%). Married Airmen (n = 78) 

most often lived with their spouses at the time of their suicide attempts (n = 51, 65.38% of married Airmen, 

21.16% of total), and 17 were separated due to relationship issues (21.79% of married Airmen, 7.05% of total). 

About one fourth of Airmen had minor children (n = 58, 24.07%), and most resided with their children at the 

time of the suicide attempt (n = 32, 54.24% of Airmen with children, 13.28% of total). Twenty-four of those 

(9.96%) were known to have access to firearms either in their homes, at work, or in other accessible locations.

TABLE 4.41. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER HOME ENVIRONMENT 

Count Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 81 33.61%

Bachelor quarters 9 3.73%

On-base family housing 19 7.88%

Owned or leased apartment or house 105 43.57%

Other 9 3.73%

Don’t Know 18 7.47%

MARRIED SERVICE MEMBER RESIDENCE Resides with spouse 51 21.16%

Separated due to relationship issues 17 7.05%

Apart for other reasons/deployed 10 4.15%

Don’t Know 11 4.56%

Unmarried at time of event 152 63.07%

RESIDED ALONE Yes 117 48.55%

No 105 43.57%

PLANNED/PREMEDITATED Yes 61 25.31%

No 129 53.53%

Don’t Know 51 21.16%

OBSERVABLE Yes 99 41.08%

No 108 44.81%

Don’t Know 34 14.11%

SUICIDE NOTE LEFT Yes 31 12.86%

No 179 74.27%

Don’t Know 31 12.86%

TABLE 4.40. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER ADDITIONAL EVENT INFORMATION (CONT.) 
112

Chapter 4: Air Force DoDSER

Don’t Know 19 7.88%

HAD MINOR CHILDREN Yes 58 24.07%

No 183 75.93%

Don’t Know 0 0.00%

CHILDREN RESIDED WITH Yes 32 13.28%

No 23 9.54%

Don’t Know 3 1.24%

No Children 183 75.93%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 24 9.96%

No 182 75.52%

Don’t Know 35 14.52%

Duty Environment

The primary duty environment for Airmen who attempted suicide was their permanent duty station (n = 185, 

76.76%; Table 4.42). In addition, five (2.07%) were deployed at the time of event. 

TABLE 4.42. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER DUTY ENVIRONMENT 

Suicide Attempts by Month

No clear pattern was evident for Air Force suicide attempts by month (Table 4.43).

TABLE 4.43. CY 2010 AIR FORCE DoDSER SUICIDE ATTEMPTS BY MONTH 

Count Percent

DUTY ENVIRONMENT Permanent Duty Station 185 76.76%

Psychiatric Hospitalization 4 1.66%

Medical Hold 1 0.41%

TDY 1 0.41%

Deployed 5 2.07%

Training 5 2.07%

Other 10 4.15%

Multiple Duty Environments 7 2.90%

Duty Environment Unknown 23 9.54%

TABLE 4.41. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER HOME ENVIRONMENT (CONT.) 

Count Percent

MONTH January 17 7.05%

February 14 5.81%

March 14 5.81%

April 22 9.13%

May 23 9.54%

June 20 8.30%

July 24 9.96%
113

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

Prior Self-Injury 

As summarized in Table 4.44, approximately one fourth of DoDSERs included evidence of prior history of 

self-harm (n = 65, 26.97%), and 18 (7.47%) DoDSERs indicated Airmen harmed themselves within the month 

priorto attempting suicide. Of those with prior history of self-harm, 32 (49.23%, 13.28% of total) had more than 

one prior event. Forty DoDSERs for Airmen (16.60%) indicated that the suicide attempts were similar to prior 

self-harm events.

TABLE 4.44. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER PRIOR SELF-INJURY 

Count Percent

HX PRIOR SELF-INJURY Yes 65 26.97%

 Within 30 days 18 7.47%

 Within 90 days (inclusive)* 31 12.86%

No 154 63.90%

Don’t Know 22 9.13%

 Number prior self-injuries One prior event 33 13.69%

More than one prior event 32 13.28%

N/A or Unknown 176 73.03%

 Event similar to prior self-injury Yes 40 16.60%

No 19 7.88%

Don’t Know 6 2.49%

N/A 176 73.03%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

August 21 8.71%

September 32 13.28%

October 26 10.79%

November 16 6.64%

December 12 4.98%

TABLE 4.43. CY 2010 AIR FORCE DoDSER SUICIDE ATTEMPTS BY MONTH (CONT.) 

Behavioral Health Disorders 

DoDSER POCs collect information about history of behavioral health diagnoses. The data below reflect 

any known history of behavioral health disorders and are not limited to diagnoses at the time of the suicide 

attempt. One hundred and sixty-one Airmen who attempted suicide (66.80%) had a history of at least one 
114

Chapter 4: Air Force DoDSER

TABLE 4.46. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER MOOD DISORDERS 

Count Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 80 33.20%

1 DX 71 29.46%

2 DX 44 18.26%

3 DX 26 10.79%

4 or more DX 20 8.30%

Count Percent

DX W/ MOOD DISORDER Yes 102 42.32%

No 130 53.94%

Don’t Know 9 3.73%

 Bipolar disorder Yes 7 2.90%

No 221 91.70%

Don’t Know 13 5.39%

 Major depression Yes 40 16.60%

No 190 78.84%

Don’t Know 11 4.56%

 Dysthymic disorder Yes 5 2.07%

No 222 92.12%

Don’t Know 14 5.81%

 Other mood disorder Yes 15 6.22%

No 213 88.38%

Don’t Know 13 5.39%

 Unspecified mood disorder Yes 15 6.22%

No 217 90.04%

Don’t Know 9 3.73%

 Multiple mood DX Yes 20 8.30%

No 212 87.97%

Don’t Know 9 3.73%

documented behavioral health disorder (Table 4.45). Ninety (37.34%) had at least two co-occurring diagnoses. 

As indicated in Table 4.46, 102 of Airmen (42.32%) had a diagnosis of mood disorder, most frequently major 

depressive disorder (n = 40, 16.60%). Seventy-one Airmen (29.46%) had a diagnosis of an anxiety disorder, 

most frequently PTSD (n = 17, 7.05%; Table 4.47). Table 4.48 summarizes the data regarding other behavioral 

health diagnoses. Twenty-one (8.71%) were known to have a personality disorder. Fifty-three Airmen (21.99%) 

had a known history of substance abuse. One individual (0.41%) had a known traumatic brain injury, and none 

had a diagnosis of psychotic disorder.

TABLE 4.45. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER COMORBIDITY RATES 
115

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

TABLE 4.47. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER ANXIETY DISORDERS 

TABLE 4.48. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER OTHER BEHAVIORAL HEALTH DISORDERS 

Count Percent

DX W/ ANXIETY DISORDER Yes 71 29.46%

No 159 65.98%

Don’t Know 11 4.56%

 PTSD Yes 17 7.05%

No 212 87.97%

Don’t Know 12 4.98%

 Panic disorder Yes 5 2.07%

No 224 92.95%

Don’t Know 12 4.98%

 Generalized anxiety disorder Yes 9 3.73%

No 220 91.29%

Don’t Know 12 4.98%

 Acute stress disorder Yes 0 0.00%

No 229 95.02%

Don’t Know 12 4.98%

 Other anxiety disorder Yes 12 4.98%

No 217 90.04%

Don’t Know 12 4.98%

 Unspecified anxiety DX Yes 6 2.49%

No 224 92.95%

Don’t Know 11 4.56%

 Multiple anxiety DX Yes 22 9.13%

No 208 86.31%

Don’t Know 11 4.56%

Count Percent

DX W/PERSONALITY DISORDER Yes 21 8.71%

No 204 84.65%

Don’t Know 16 6.64%

DX W/PSYCHOTIC DISORDER Yes 0 0.00%

No 230 95.44%

Don’t Know 11 4.56%

HX SUBSTANCE ABUSE Yes 53 21.99%

No 166 68.88%

Don’t Know 22 9.13%

DX W/ TRAUMATIC BRAIN INJURY Yes 1 0.41%

No 215 89.21%

Don’t Know 25 10.37%
116

Chapter 4: Air Force DoDSER

Treatment History

Table 4.49 provides data on use of medical and behavioral health treatment prior to attempting suicide. The 

majority of Air Force suicide attempt DoDSERs (n = 156, 64.73%) included a history of treatment at a Military 

Treatment Facility (MTF), 109 (45.23%) within the month prior to attempting suicide. Sixty-eight DoDSERs 

(28.22%) included a known physical health problem. Most DoDSERs included outpatient behavioral health 

services (n = 168, 69.71%), over half within the month prior to attempting suicide (n = 128, 53.11%). Sixty 

DoDSERs (24.90%) indicated the Airmen had previously been hospitalized in an inpatient psychiatry unit, 24 

(9.96%) within the month prior to the suicide attempt. Almost one fourth of DoDSERs (n = 57, 23.65%) included 

previous substance abuse treatment.

TABLE 4.49. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER TREATMENT HISTORY 

Count Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 156 64.73%

 Within 30 days 109 45.23%

 Within 90 days (inclusive)* 140 58.09%

No 57 23.65%

Don’t Know 28 11.62%

SUBSTANCE ABUSE SERVICES Yes 57 23.65%

 Within 30 days 28 11.62%

 Within 90 days (inclusive)* 39 16.18%

No 177 73.44%

Don’t Know 7 2.90%

FAMILY ADVOCACY PROGRAMS Yes 18 7.47%

 Within 30 days 6 2.49%

 Within 90 days (inclusive)* 9 3.73%

No 215 89.21%

Don’t Know 8 3.32%

CHAPLAIN SERVICES Yes 16 6.64%

 Within 30 days 7 2.90%

 Within 90 days (inclusive)* 11 4.56%

No 154 63.90%

Don’t Know 71 29.46%

OUTPATIENT BEHAVIORAL HEALTH Yes 168 69.71%

 Within 30 days 128 53.11%

 Within 90 days (inclusive)* 141 58.51%

No 66 27.39%

Don’t Know 7 2.90%

INPATIENT BEHAVIORAL HEALTH Yes 60 24.90%

 Within 30 days 24 9.96%

 Within 90 days (inclusive)* 37 15.35%

No 173 71.78%

Don’t Know 8 3.32%
117

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

As indicated in Table 4.50, approximately half of DoDSERs for Airmen who attempted suicide (n = 

126, 52.28%) included known prescriptions for psychotropic medication prior to the suicide attempt. 

Antidepressants (n = 106, 84.13% of those with known prescriptions, 43.98% of total) and antianxiety 

medication (n = 56, 44.44% of those with known prescriptions, 23.24% of total) were the most frequently 

prescribed psychotropics. 

TABLE 4.50. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER PSYCHOTROPIC MEDICATION USE 

HX PHYSICAL HEALTH PROBLEM Yes 68 28.22%

 Within 30 days 40 16.60%

 Within 90 days (inclusive)* 52 21.58%

No 149 61.83%

Don’t Know 24 9.96%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Count Percent

TAKEN PSYCHOTROPIC MEDS Yes 126 52.28%

No 99 41.08%

Don’t Know 16 6.64%

 Antidepressants Yes 106 43.98%

No 115 47.72%

Don’t Know 20 8.30%

 Antianxiety Yes 56 23.24%

No 158 65.56%

Don’t Know 27 11.20%

 Antimanics Yes 6 2.49%

No 207 85.89%

Don’t Know 28 11.62%

 Anticonvulsants Yes 11 4.56%

No 203 84.23%

Don’t Know 27 11.20%

 Antipsychotics Yes 18 7.47%

No 195 80.91%

Don’t Know 28 11.62%

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

TABLE 4.49. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER TREATMENT HISTORY (CONT.) 
118

Chapter 4: Air Force DoDSER

Family and Relationship History

Half of DoDSERs for Airmen who attempted suicide (n = 129, 53.53%) included a known failure in a spousal 

or intimate relationship, with 89 (36.93%) indicating the failure occurred within the month prior to suicide (Table 

4.51). Thirty-six DoDSERs (14.94%) included a failure in another important relationship, with half of these (n = 

19, 7.88%) occurring within the month prior to the suicide attempt. 

TABLE 4.51. CY 2010 AIR FORCE DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

Table 4.52 summarizes other family and relationship factors. Twenty-one DoDSERs for Airmen (8.71%) 

included the loss of a family member to suicide, and 15 (6.22%) indicated that a friend of the Airmen had died 

by suicide. Many DoDSERs included the death of a family member (n = 37, 15.35%) or friend (n = 21, 8.71%) 

by other means. Nearly half of DoDSERs indicated a family member had behavioral health problems (n = 101, 

41.91%).

TABLE 4.52. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER FAMILY HISTORY 

Count Percent

HX FAILED INTIMATE RELATIONSHIP Yes 129 53.53%

 Within 30 days 89 36.93%

 Within 90 days (inclusive)* 104 43.15%

No 93 38.59%

Don’t Know 19 7.88%

HX FAILED OTHER RELATIONSHIP Yes 36 14.94%

 Within 30 days 19 7.88%

 Within 90 days (inclusive)* 27 11.20%

No 163 67.63%

Don’t Know 42 17.43%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 141 58.51%

 Within 30 days 100 41.49%

 Within 90 days (inclusive)* 114 47.30%

No 82 34.02%

Don’t Know 18 7.47%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Count Percent

HX SPOUSE SUICIDE Yes 0 0.00%

No 219 90.87%

Don’t Know 22 9.13%

HX FAMILY MEMBER SUICIDE Yes 21 8.71%

No 186 77.18%

Don’t Know 34 14.11%

HX FRIEND SUICIDE Yes 15 6.22%

No 179 74.27%

Don’t Know 47 19.50%
119

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Administrative and Legal History

Over one third of DoDSERs for Airmen who attempted suicide included at least one administrative or 

legal issue (n = 86, 35.68%), and 32 (13.28%) included more than one (Table 4.53). The most frequent 

administrative or legal problems were Article 15 proceedings (n = 33, 13.69%), civil legal problems (n = 27, 

11.20%), and medical board proceedings (n = 26, 10.79%).

TABLE 4.53. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER ADMINISTRATIVE AND LEGAL HISTORY 

HX DEATH OF FAMILY MEMBER Yes 37 15.35%

No 161 66.80%

Don’t Know 43 17.84%

HX DEATH OF FRIEND Yes 21 8.71%

No 180 74.69%

Don’t Know 40 16.60%

HX FAMILY ILLNESS Yes 22 9.13%

No 175 72.61%

Don’t Know 44 18.26%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 101 41.91%

No 101 41.91%

Don’t Know 39 16.18%

Count Percent

HX COURTS MARTIAL Yes 6 2.49%

No 213 88.38%

Don’t Know 22 9.13%

HX ARTICLE 15 Yes 33 13.69%

No 186 77.18%

Don’t Know 22 9.13%

HX ADMIN SEPARATION Yes 16 6.64%

No 206 85.48%

Don’t Know 19 7.88%

HX AWOL Yes 9 3.73%

No 213 88.38%

Don’t Know 19 7.88%

HX MEDICAL BOARD Yes 26 10.79%

No 204 84.65%

Don’t Know 11 4.56%

HX CIVIL LEGAL PROBLEMS Yes 27 11.20%

No 188 78.01%

Don’t Know 26 10.79%

HX NON-SELECTION FOR PROMOTION Yes 17 7.05%

No 201 83.40%

Don’t Know 23 9.54%

TABLE 4.52. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER FAMILY HISTORY (CONT.) 
120

Chapter 4: Air Force DoDSER

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 4.54). Airmen 

who attempted suicide in 2010 had a history of reported emotional abuse (n = 70, 29.05%), physical abuse 

(n = 51, 21.16%), and sexual abuse (n = 46, 19.09%). Fourteen (5.81%) had a history of allegedly physically 

abusing others.

TABLE 4.54. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER ABUSE HISTORY 

Count Percent

HX VICTIM PHYSICAL ABUSE Yes 51 21.16%

No 164 68.05%

Don’t Know 26 10.79%

HX VICTIM SEXUAL ABUSE Yes 46 19.09%

No 168 69.71%

Don’t Know 27 11.20%

HX VICTIM EMOTIONAL ABUSE Yes 70 29.05%

No 146 60.58%

Don’t Know 25 10.37%

HX VICTIM SEXUAL HARASSMENT Yes 8 3.32%

No 200 82.99%

Don’t Know 33 13.69%

HX PERPETRATOR PHYSICAL ABUSE Yes 14 5.81%

No 201 83.40%

Don’t Know 26 10.79%

HX PERPETRATOR SEXUAL ABUSE Yes 3 1.24%

No 214 88.80%

Don’t Know 24 9.96%

HX PERPETRATOR EMOTIONAL ABUSE Yes 7 2.90%

No 207 85.89%

Don’t Know 27 11.20%

HX PERPETRATOR SEXUAL HARASSMENT Yes 1 0.41%

No 212 87.97%

Don’t Know 28 11.62%

HAD ANY ADMIN/LEGAL ISSUE Yes 86 35.68%

No 134 55.60%

Don’t Know 21 8.71%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 32 13.28%

No 131 54.36%

Don’t Know 78 32.37%

TABLE 4.53. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER ADMINISTRATIVE AND LEGAL HISTORY (CONT.) 
121

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 4.55). Over one third 

of DoDSERs for Airmen who attempted suicide in 2010 indicated a history of job loss or instability (n = 86, 

35.68%). Sixty-four DoDSERs (26.56%) included interpersonal problems with either supervisors or coworkers, 

and 31 (12.86%) included prior poor work evaluations.

TABLE 4.55. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES 

Count Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 22 9.13%

No 180 74.69%

Don’t Know 39 16.18%

HX JOB LOSS/INSTABILITY Yes 86 35.68%

No 129 53.53%

Don’t Know 26 10.79%

HX SUPERVISOR/COWORKER ISSUES Yes 64 26.56%

No 149 61.83%

Don’t Know 28 11.62%

HX POOR WORK EVALUATION Yes 31 12.86%

No 182 75.52%

Don’t Know 28 11.62%

HX UNIT/WORKPLACE HAZING Yes 8 3.32%

No 195 80.91%

Don’t Know 38 15.77%

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

Two Airmen (0.83%) attempted suicide while deployed in Afghanistan and one Airman attempted suicide 

while deployed in Iraq (0.41%; Table 4.56). Fifty-seven Air Force suicide attempt DoDSERs (23.65%) included 

information about prior OEF, OIF or OND deployments (Table 4.57). Fifteen DoDSERs (6.22%) included 

experiences of direct combat (Table 4.58).

TABLE 4.56. CY 2010 AIR FORCE DoDSER SUICIDE ATTEMPTS IN THEATER

Count Percent

THEATER Afghanistan 2 0.83%

Iraq 1 0.41%

Not OEF/OIF/OND 238 98.76%
122

Chapter 4: Air Force DoDSER

TABLE 4.57. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER OEF/OIF/OND DEPLOYMENT HISTORY 

TABLE 4.58. CY 2010 AIR FORCE SUICIDE ATTEMPT DoDSER COMBAT HISTORY 

Count Percent

HX DEPLOYMENT OEF/OIF Afghanistan 12 4.98%

Iraq 37 15.35%

Kuwait 3 1.24%

Multiple OEF/OIF/OND locations 5 2.07%

No history of OEF/OIF/OND deployment 184 76.35%

Count Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 15 6.22%

Combat resulted in injuries/casualties for others 5 2.07%

 Injured in combat 1 0.41%

 Witnessed killing in combat 7 2.90%

 Saw dead bodies in combat 7 2.90%

 Killed others in combat 3 1.24%

NO DIRECT COMBAT HISTORY 226 93.78%
123

Chapter 4: Air Force DoDSER

Calendar Year 2010 Annual Report

Summary

This chapter provides data on Air Force suicides and suicide attempts that occurred in 2010. Data are 

presented for 59 Airmen who died by suicide and for 230 Airmen who attempted suicide in 241 separate 

incidents. Decedents and those who attempted suicide were primarily male, Caucasian, under age 25, 

enlisted, Regular component Airmen, and without a college degree. 

Most suicide events took place in the United States in the Service Members’ own residences. The most 

frequent methods for Airmen who died by suicide were non-military issue firearm use and hanging. Suicide 

attempt methods were most often drug overdose, harming oneself with a sharp or blunt object, and hanging. 

Drug and alcohol use was much more frequent among non-fatal Air Force suicide events. The majority of 

Airmen who died by suicide or had attempted suicide were not known to have communicated with others about 

their likelihood of harming themselves.

Airmen with non-fatal suicide events had more reported behavioral health disorders than did decedents, but 

similar behavioral health treatment use prior to the event. Additionally, those who attempted suicide had higher 

prevalence of prior abuse victimization. Failed intimate relationships were frequent among Airmen with suicide 

events. The most frequent administrative or legal issue was Article 15 proceedings. 

Few Airmen were deployed at the time of their suicide events. For those with prior deployments, few had 

experienced direct combat.
124

Chapter 5: Army DoDSER

CHAPTER 5:

ARMY DoDSER

ARMY RESULTS FOR COMPLETED SUICIDES

Army DoDSER Submissions and Point of Contact (POC) Compliance

2010 Reported Suicides

One hundred forty-seven Army suicides were confirmed by the Armed Forces Medical Examiner System 

(AFMES) for calendar year (CY) 2010 (Table 5.1). An additional 13 Army suicides remained pending at the 

time of analysis, per the timeline described in Chapter 1. Army Department of Defense Suicide Event Reports 

(DoDSERs) were submitted and analyzed for all 147 confirmed suicides for a submission compliance rate of 

100%. The tables in this section include data for 147 decedents. In addition, the tables provide percentages 

for 2009 and 2008 DoDSER data for comparison. Specific counts for prior years are available in the previous 

DoDSER annual reports and are available for download at http://t2health.org.

TABLE 5.1. ARMY AFMES CONFIRMED AND PENDING SUICIDES AND DoDSERS SUBMITTED

2010 2009 2008

Total DoDSERs Included in Annual Report 147 154 121

Total AFMES Confirmed and Pending Suicides 160 164 140

AFMES Confirmed Suicides (By 31 January) 147 162 135

DoDSER Submission Compliance 100% 95% 89%

Data from 1/1/2008 through 12/31/2010 as of 4/1/2011

As summarized in Table 5.2, nearly one third of DoDSERs for 2010 Army suicides had one or fewer “Unknown” 

or missing primary data points (n = 46, 31.29%). DoDSERs for 57 Soldiers (38.78%) had five or more missing 

data points. Primary data points include any variables that are accessible using standard DoDSER methods 

(including accessing medical and military records). 

TABLE 5.2. CY 2010 AND 2008-2009 ARMY DoDSER MISSING AND UNKNOWN DATA 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 22 14.97% 18.30% 16.67%

1 24 16.33% 16.34% 11.11%

2 16 10.88% 10.46% 15.08%

3 16 10.88% 9.80% 14.29%

4 12 8.16% 7.84% 8.73%

5 or More 57 38.78% 37.25% 34.13%
125

Chapter 5: Army DoDSER

Calendar Year 2010 Annual Report

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors of decedents that may have 

been associated with the suicide events. These factors include decedents’ demographic characteristics, event 

setting, suicide method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 5.3 contains demographic data provided by the Defense Manpower Data Center (DMDC). The majority 

of Army 2010 suicides were completed by males (n = 151, 94.38%). Decedents were primarily Caucasian (n = 

125, 78.13%), junior enlisted (n = 93, 58.13%), and Regular component (n = 142, 88.75%).

TABLE 5.3. CY 2010 AFMES AND DMDC DEMOGRAPHIC DATA AND RATES FOR ARMY SUICIDES (N = 160)

2010 2009 2008

Count Percent Service

Total %

Rate/

100K

(N = 166) 

Percent

(N = 140) 

Percent

TOTAL 160 100.00% 100.00% 21.72 100.00% 100.00%

GENDER Male 151 94.38% 86.00% 23.84 97.59% 94.29%

Female 9 5.63% 14.00% * 2.41% 5.71%

RACE American Indian or Alaskan Native 4 2.50% 0.79% * 2.41% 0.71%

Asian or Pacific Islander 11 6.88% 3.53% * 6.63% 5.00%

Black/African American 20 12.50% 19.33% 14.05 11.45% 14.29%

White/Caucasian 125 78.13% 70.95% 23.92 79.52% 77.86%

Other/Don’t Know 0 0.00% 5.40% * 0.00% 4.29%

AGE RANGE Under 25 76 47.50% 32.69% 31.56 43.64% 50.00%

25-29 46 28.75% 23.71% 26.34 29.70% 15.71%

30-34 17 10.63% 15.13% * 11.52%

21.43%

35-39 11 6.88% 12.31% * 8.48%

40-44 10 6.25% 9.06% * 5.45%

12.86%

45+ 0 0.00% 7.10% * 1.21%

RANK Cadet 0 0.00% 0.65% * 0.00% 0.71%

E1-E4 93 58.13% 42.95% 29.40 58.43% 55.71%

E5-E9 61 38.13% 39.59% 20.92 30.12% 32.86%

Officer 6 3.75% 14.09% * 9.04% 9.29%

Warrant Officer 0 0.00% 2.72% * 1.20% 1.43%

COMPONENT Regular 142 88.75% 76.94% 25.06 89.16% 82.86%

Reserve 7 4.38% 8.48% * 1.81% 5.71%

National Guard 11 6.88% 14.58% * 9.04% 11.43%

EDUCATION Some high school, did not graduate 2 1.25% 1.17% * 1.20% 2.86%

GED 21 13.13% 9.28% 30.74 20.48% 15.71%

High school graduate 104 65.00% 57.35% 24.62 58.43% 57.86%

Some college or technical school 7 4.38% 4.40% * 6.63% 0.00%

Degree/certificate less than four years 11 6.88% 6.76% * 1.81% 10.71%
126

Chapter 5: Army DoDSER

Event Setting

In 2010, as in the previous two years, Army suicides most frequently took place in the United States (n = 116, 

78.91%), with 12 suicides occurring during deployment in Iraq (8.16%) and 12 in Afghanistan (8.16%; Table 

5.4). As summarized in Table 5.5, suicides primarily occurred in either the Soldiers’ own residences (n = 78, 

53.06%) or the residence of a friend or family member (n = 19, 12.93%). “Other” settings included hotels (n = 

6, 4.08%), parks and nature reserves (n = 5, 3.40%), vacant or secluded property (n = 3, 2.04%), and latrines 

(n = 3, 2.04%)

TABLE 5.4. CY 2010 AND 2008-2009 ARMY DoDSER EVENT GEOGRAPHIC LOCATION 

2010 2009 2008

Count Percent Percent Percent

GEOGRAPHIC LOCATION United States 116 78.91% 73.20% 71.43%

Iraq 12 8.16% 14.38% 19.84%

Afghanistan 12 8.16% 1.96% 5.56%

Kuwait 0 0.00% 0.00% 0.79%

Asia 5 3.40% 3.27% 0.00%

Europe 1 0.68% 4.58% 1.59%

Canada or Mexico 0 0.00% 0.65% 0.00%

Other 1 0.68% 1.31% 0.00%

Don’t Know 0 0.00% 0.65% 0.79%

Four-year college degree 11 6.88% 10.32% * 7.83% 7.14%

Master’s degree or greater 0 0.00% 8.47% * 2.41% 5.71%

Don’t Know 4 2.50% 2.26% * 1.20% 0.00%

MARITAL STATUS Never Married 67 41.88% 36.21% 25.12 36.14% 38.57%

Married 81 50.63% 57.22% 19.22 50.60% 55.00%

Legally Separated 0 0.00% 0.14% * 1.81% 0.00%

Divorced 11 6.88% 6.30% * 10.84% 5.71%

Widowed 0 0.00% 0.10% * 0.60% 0.00%

Don’t Know 1 0.63% 0.03% * 0.00% 0.71%

Note: Data include 13 suicides still pending determination by AFMES as of 1 MAR 2011. Rates calculated only for cells with at least 20 individuals.

TABLE 5.3. CY 2010 AFMES AND DMDC DEMOGRAPHIC DATA AND RATES FOR ARMY SUICIDES (N = 160) (CONT.)

TABLE 5.5. CY 2010 AND 2008-2009 ARMY DoDSER EVENT SETTING 

2010 2009 2008

Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 78 53.06% 58.17% 58.73%

Residence of friend or family 19 12.93% 9.15% 7.94%

Work/jobsite 11 7.48% 5.23% 8.73%

Automobile (away from residence) 7 4.76% 6.54% 5.56%

Inpatient medical facility 1 0.68% 0.00% 0.79%

Other 31 21.09% 20.92% 18.25%

Don’t Know 0 0.00% 0.00% 0.00%
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Chapter 5: Army DoDSER

Calendar Year 2010 Annual Report

Event Method

As indicated in Table 5.6, the primary methods for Army suicide in 2010 were use of non-military issue firearms 

n = 72, 48.98%), hanging (n = 31, 21.09%), and use of military issue firearms (n = 28, 19.05%). 

TABLE 5.6. CY 2010 AND 2008-2009 ARMY DoDSER EVENT METHOD 

2010 2009 2008

Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 72 48.98% 40.52% 40.48%

Firearm, military issue 28 19.05% 18.95% 27.78%

Hanging 31 21.09% 21.57% 15.08%

Drugs 6 4.08% 4.58% 7.94%

Alcohol 0 0.00% 0.65% 0.79%

Gas, vehicle exhaust 0 0.00% 4.58% 0.79%

Gas, utility (or other) 1 0.68% 1.31% 0.79%

Drowning 3 2.04% 0.00% 0.00%

Fire, steam, etc. 0 0.00% 0.00% 0.79%

Sharp or blunt object 0 0.00% 0.65% 0.00%

Jumping from high place 0 0.00% 1.31% 1.59%

Lying in front of moving object 1 0.68% 1.31% 0.00%

Other 1 0.68% 2.61% 0.79%

Don’t Know 4 2.72% 1.96% 3.17%

Substance Use during the Event

Comprehensive information about substance use during suicide is unavailable for many Army suicides in 2010. 

As summarized in Table 5.7, of decedents for whom information was available, over one third used alcohol 

during the suicide event (n = 33, 37.08% of DoDSERs with alcohol use data, 22.45% of total). Fewer were 

known to have used drugs (n = 13, 16.46% of DoDSERs with drug use data, 8.84% of total). Six Soldiers used 

both drugs and alcohol during their suicide events (10.91% of DoDSERs with substance abuse data, 4.08% 

of total). As in the prior two years, drug use most frequently consisted of misuse of prescription drugs. These 

frequencies include Soldiers who used drugs as a suicide method (n = 6, 4.08%), as described above.

TABLE 5.7. CY 2010 AND 2008-2009 ARMY DoDSER SUBSTANCE(S) USED DURING SUICIDE

2010 2009 2008

Count Percent Percent Percent

ALCOHOL USED Yes 33 22.45% 21.57% 20.63%

No 56 38.10% 39.22% 37.30%

Don’t Know 58 39.46% 39.22% 42.06%

ANY DRUGS USED Yes 13 8.84% 5.88% 8.73%

No 66 44.90% 46.41% 43.65%

Don’t Know 68 46.26% 47.71% 47.62%

 Illegal drugs Overdose 2 1.36% 0.00% 0.79%

Used, no overdose 2 1.36% 0.65% 0.00%
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Chapter 5: Army DoDSER

Communication of Intent

Consistent with the prior two years, most Army decedents had no known history of communicating with others 

about intent to harm themselves (n = 99, 67.35%; Table 5.8). One third of Soldiers who died by suicide were 

known to have communicated with at least one individual regarding their potential to die by suicide (n = 48, 

32.65%). These communications were most frequently verbal (n = 30, 20.41%; Table 5.9). DoDSER POCs 

indicated that seven Soldiers used text messages to indicate potential for self-harm (4.76%; included in “Other” 

category and “Multiple Modes”). As indicated in Table 5.10, decedents most frequently communicated with their 

spouses (n = 17, 11.56%) and behavioral health providers (n = 7, 4.76%). The predominant “Other” response 

was family members (n = 5, 3.40%).

TABLE 5.8. CY 2010 AND 2008-2009 ARMY DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 99 67.35% 70.59% 72.22%

1 41 27.89% 19.61% 17.46%

2 6 4.08% 6.54% 7.14%

3 1 0.68% 1.31% 3.17%

4 0 0.00% 1.31% 0.00%

5 0 0.00% 0.65% 0.00%

Were not used 75 51.02% 51.63% 49.21%

Don’t know 68 46.26% 47.71% 50.00%

 Prescription drugs Overdose 4 2.72% 3.92% 8.73%

Used, no overdose 5 3.40% 0.00% 0.00%

Were not used 70 47.62% 48.37% 43.65%

Don’t know 68 46.26% 47.71% 47.62%

 Over the counter drugs Overdose 3 2.04% 1.31% 3.17%

Used, no overdose 0 0.00% 0.00% 0.79%

Were not used 76 51.70% 50.98% 46.03%

Don’t know 68 46.26% 47.71% 50.00%

BOTH ALCOHOL AND DRUGS USED Yes 6 4.08% 1.31% 1.59%

No 69 46.94% 47.06% 48.41%

Don’t Know 72 48.98% 51.63% 50.00%

TABLE 5.7. CY 2010 AND 2008-2009 ARMY DoDSER SUBSTANCE(S) USED DURING SUICIDE (CONT.)

TABLE 5.9. CY 2010 AND 2008-2009 ARMY DoDSER MODE OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

MODE OF COMMUNICATED INTENT Verbal 30 20.41% 16.34% 20.63%

Written 8 5.44% 3.92% 0.79%

Other or Unknown 4 2.72% 7.19% 0.79%
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TABLE 5.10. CY 2010 AND 2008-2009 ARMY DoDSER RECIPIENTS OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

COMMUNICATION Spouse 17 11.56% 7.19% 7.14%

Friend 6 4.08% 5.23% 4.76%

Behavioral Health Provider 7 4.76% 0.65% 0.00%

Chaplain 0 0.00% 0.00% 0.79%

Supervisor 2 1.36% 1.31% 0.79%

Other or Unidentified 9 6.12% 5.23% 3.97%

Made Multiple Communications 7 4.76% 9.80% 10.32%

No Known Communication 99 67.35% 70.59% 72.22%

Additional Event Information

Table 5.11 provides information about other details of 2010 Army suicides. For the majority (n = 100, 68.03%), 

there were data to indicate that the decedents intended to die. Four Soldiers (2.72%) were known to have 

died while engaging in death risk gambling (e.g., “Russian roulette”). One third of the suicides appeared 

premeditated (n = 51, 34.69%). Thirty-eight Army decedents (25.85%) died in a location where the suicide was 

potentially observable by others. Thirty-eight (25.85%) left suicide notes.

TABLE 5.11. CY 2010 AND 2008-2009 ARMY DoDSER ADDITIONAL EVENT INFORMATION 

2010 2009 2008

Count Percent Percent Percent

INTENDED TO DIE Yes 100 68.03% 76.47% 84.13%

No 17 11.56% 6.54% 5.56%

Don’t Know 30 20.41% 16.99% 10.32%

DEATH RISK GAMBLING Yes 4 2.72% 1.96% 1.59%

No 118 80.27% 86.93% 80.16%

Don’t Know 25 17.01% 11.11% 18.25%

PLANNED/PREMEDITATED Yes 51 34.69% 42.48% 42.86%

No 52 35.37% 30.72% 31.75%

Don’t Know 44 29.93% 26.80% 25.40%

OBSERVABLE Yes 38 25.85% 22.88% 23.02%

No 86 58.50% 69.28% 66.67%

Don’t Know 23 15.65% 7.84% 10.32%

SUICIDE NOTE LEFT Yes 38 25.85% 24.84% 26.98%

No 75 51.02% 53.59% 49.21%

Don’t Know 34 23.13% 21.57% 23.81%

TABLE 5.9. CY 2010 AND 2008-2009 ARMY DoDSER MODE OF COMMUNICATED INTENT (CONT.) 

Multiple Modes 6 4.08% 1.96% 5.56%

No Known Communication 99 67.35% 70.59% 72.22%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).
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Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Situational Factors

Table 5.12 provides details about the living situations for Soldiers who died by suicide in 2010. Decedents most 

frequently lived in shared living environments on their installations (n = 58, 39.46%) or homes or apartments 

outside of their installations (n = 52, 35.37%). Of those who were married (n = 65), over half lived with their 

spouses (n = 36, 55.38% of married, 24.49% of total), and 21 were known to be separated due to relationship 

issues (32.31% of married, 14.29% of total). Most decedents lived with others (n = 93, 63.27%). Fifty-six 

(38.10%) Army decedents had minor children, and 25 (17.01%) lived with their children at the time of death. 

Half of decedents had access to firearms either in their homes, at work, or other accessible locations (n = 79, 

53.74%).

TABLE 5.12. CY 2010 AND 2008-2009 ARMY DoDSER HOME ENVIRONMENT 

2010 2009 2008

Count Percent Percent Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 58 39.46% 41.83% 47.62%

Bachelor quarters 1 0.68% 0.65% 0.00%

On-base family housing 16 10.88% 4.58% 3.97%

Owned or leased apartment or house 52 35.37% 39.87% 37.30%

Other 11 7.48% 9.15% 5.56%

Don’t Know 9 6.12% 3.92% 5.56%

MARRIED SERVICE MEMBER RESIDENCE Resided with spouse 36 24.49% 20.26% 19.05%

Separated due to relationship issues 21 14.29% 11.76% 13.49%

Apart for other reasons/deployed 8 5.44% 11.76% 12.70%

Don’t Know 6 4.08% 3.27% 1.59%

Unmarried at time of event 76 51.70% 52.94% 53.17%

RESIDED ALONE Yes 36 24.49% 32.68% 27.78%

No 93 63.27% 54.90% 57.14%

Don’t Know 18 12.24% 12.42% 15.08%

HAD MINOR CHILDREN Yes 56 38.10% 39.87% 33.33%

No 91 61.90% 60.13% 66.67%

Don’t Know 0 0.00% 0.00% 0.00%

CHILDREN RESIDED WITH Yes 25 17.01% 14.38% 11.11%

No 29 19.73% 24.18% 21.43%

Don’t Know 2 1.36% 1.31% 0.79%

No Children 91 61.90% 60.13% 66.67%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 79 53.74% 52.29% 63.49%

No 32 21.77% 23.53% 10.32%

Don’t Know 36 24.49% 24.18% 26.19%
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Duty Environment

Consistent with the previous two years, the primary duty environment of Army suicide decedents was their 

permanent duty station (n = 76, 51.70%; Table 5.13). Twenty-four were deployed (16.33%) and 12 (8.16%) 

were hospitalized in an inpatient psychiatry unit at the time of death. 

TABLE 5.13. CY 2010 AND 2008-2009 ARMY DoDSER DUTY ENVIRONMENT 

2010 2009 2008

Count Percent Percent Percent

DUTY ENVIRONMENT Permanent Duty Station 76 51.70% 51.63% 46.03%

Leave 0 0.00% 0.00% 0.79%

Psychiatric Hospitalization 12 8.16% 9.80% 9.52%

Medical Hold 1 0.68% 0.65% 0.79%

TDY 0 0.00% 0.65% 0.00%

AWOL 4 2.72% 3.92% 2.38%

Under Command Observation 0 0.00% 0.00% 0.79%

Deployed 24 16.33% 16.34% 24.60%

Training 2 1.36% 2.61% 1.59%

Other 7 4.76% 5.23% 7.14%

Multiple Duty Environments 11 7.48% 8.50% 4.76%

Duty Environment Unknown 10 6.80% 0.65% 1.59%

Suicide Completions by Month

As in the prior two years, no clear pattern existed for Army suicides by month (Table 5.14).

TABLE 5.14. CY 2010 AND 2008-2009 ARMY DoDSER SUICIDES BY MONTH

2010 2009 2008

Count Percent Percent Percent

MONTH January 15 10.20% 12.42% 3.97%

February 13 8.84% 13.07% 8.73%

March 12 8.16% 7.84% 7.94%

April 11 7.48% 5.88% 9.52%

May 9 6.12% 11.76% 6.35%

June 20 13.61% 5.23% 9.52%

July 13 8.84% 7.84% 7.94%

August 14 9.52% 6.54% 10.32%

September 17 11.56% 4.58% 9.52%

October 8 5.44% 12.42% 8.73%

November 8 5.44% 6.54% 9.52%

December 7 4.76% 5.88% 7.94%
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Chapter 5: Army DoDSER

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

Prior Self-Injury 

Twenty-two Soldiers who died by suicide in 2010 (14.97%) had a known history of self-harm (Table 5.15), and 

nine decedents (6.12%) were known to have at least two prior incidents of self-harm.

TABLE 5.15. CY 2010 AND 2008-2009 ARMY DoDSER PRIOR SELF-INJURY 

2010 2009 2008

Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 22 14.97% 19.61% 15.87%

 Within 30 days 3 2.04% 3.92% 1.59%

 Within 90 days (inclusive)* 6 4.08% 7.19% 3.17%

No 80 54.42% 56.86% 51.59%

Don’t Know 45 30.61% 23.53% 32.54%

 Number prior self-injuries One prior event 13 8.84% 10.46% 0.00%

More than one prior event 9 6.12% 9.15% 15.20%

N/A or Unknown 125 85.03% 80.39% 84.80%

 Event similar to prior self-injury Yes 5 3.40% 3.27% 1.59%

No 14 9.52% 12.42% 12.70%

Don’t Know 3 2.04% 3.92% 1.59%

N/A 125 85.03% 80.39% 84.13%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Behavioral Health Disorders 

The DoDSER items collect information about decedents’ history of behavioral health diagnoses. The data 

below reflect any known history of behavioral health disorders and are not limited to diagnoses at the time of 

death. Sixty-seven Soldiers who died by suicide in 2010 (45.58%) had a history of at least one documented 

behavioral health disorder (Table 5.16). Forty-two (28.57%) had at least two co-occurring diagnoses. As 

indicated in Table 5.17, twenty-six decedents (17.69%) had a mood disorder, most frequently major depressive 

disorder (n = 13, 8.84%). Twenty-four Soldiers (16.33%) were known to have had an anxiety disorder, including 

posttraumatic stress disorder (PTSD; n = 9, 6.12%; Table 5.18). As summarized in Table 5.19, five decedents 

(3.40%) were known to have personality disorders and six (4.08%) had previously sustained a traumatic brain 

injury. Over one fourth of Army decedents (n = 41, 27.89%) had a known history of substance abuse.
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TABLE 5.16. CY 2010 AND 2008-2009 ARMY DoDSER COMORBIDITY RATES 

TABLE 5.17. CY 2010 AND 2008-2009 ARMY DoDSER MOOD DISORDERS 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 80 54.42% 54.25% 60.32%

1 DX 25 17.01% 22.22% 24.60%

2 DX 27 18.37% 13.73% 7.14%

3 DX 6 4.08% 5.23% 6.35%

4 or more DX 9 6.12% 4.58% 1.59%

2010 2009 2008

Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 26 17.69% 27.45% 25.40%

No 93 63.27% 62.09% 54.76%

Don’t Know 28 19.05% 10.46% 19.84%

 Bipolar disorder Yes 1 0.68% 0.65% 1.59%

No 118 80.27% 86.27% 76.19%

Don’t Know 28 19.05% 13.07% 22.22%

 Major depression Yes 13 8.84% 13.73% 7.94%

No 105 71.43% 74.51% 71.43%

Don’t Know 29 19.73% 11.76% 20.63%

 Dysthymic disorder Yes 2 1.36% 1.31% 0.79%

No 116 78.91% 86.27% 77.78%

Don’t Know 29 19.73% 12.42% 21.43%

 Other mood disorder Yes 5 3.40% 3.27% 13.49%

No 114 77.55% 83.66% 64.29%

Don’t Know 28 19.05% 13.07% 22.22%

 Unspecified mood disorder Yes 2 1.36% 3.27% 0.00%

No 117 79.59% 86.27% 80.16%

Don’t Know 28 19.05% 10.46% 19.84%

 Multiple mood DX Yes 3 2.04% 5.23% 1.59%

No 116 78.91% 84.31% 78.57%

Don’t Know 28 19.05% 10.46% 19.84%

TABLE 5.18. CY 2010 AND 2008-2009 ARMY DoDSER ANXIETY DISORDERS 

2010 2009 2008

Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 24 16.33% 18.95% 11.90%

No 98 66.67% 69.28% 67.46%

Don’t Know 25 17.01% 11.76% 20.63%

 PTSD Yes 9 6.12% 9.15% 3.97%

No 112 76.19% 78.43% 73.81%
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Chapter 5: Army DoDSER

TABLE 5.19. CY 2010 AND 2008-2009 ARMY DoDSER OTHER BEHAVIORAL HEALTH DISORDERS 

2010 2009 2008

Count Percent Percent Percent

DX W/PERSONALITY DISORDER Yes 5 3.40% 4.58% 6.35%

No 115 78.23% 83.01% 70.63%

Don’t Know 27 18.37% 12.42% 23.02%

DX W/PSYCHOTIC DISORDER Yes 0 0.00% 1.31% 0.79%

No 120 81.63% 86.93% 78.57%

Don’t Know 27 18.37% 11.76% 20.63%

HX SUBSTANCE ABUSE Yes 41 27.89% 22.88% 23.81%

No 72 48.98% 60.13% 53.97%

Don’t Know 34 23.13% 16.99% 22.22%

DX W/ TRAUMATIC BRAIN INJURY Yes 6 4.08%

No 114 77.55%

Don’t Know 27 18.37%

Note: Traumatic Brain Injury data unavailable prior to 2010.

Don’t Know 26 17.69% 12.42% 22.22%

 Panic disorder Yes 0 0.00% 0.00% 0.79%

No 121 82.31% 86.93% 76.19%

Don’t Know 26 17.69% 13.07% 23.02%

 Generalized anxiety disorder Yes 1 0.68% 1.31% 0.00%

No 120 81.63% 86.27% 76.19%

Don’t Know 26 17.69% 12.42% 23.81%

 Acute stress disorder Yes 0 0.00% 0.00% 0.00%

No 121 82.31% 86.93% 76.19%

Don’t Know 26 17.69% 13.07% 23.81%

 Other anxiety disorder Yes 10 6.80% 3.92% 3.97%

No 112 76.19% 82.35% 72.22%

Don’t Know 25 17.01% 13.73% 23.81%

 Unspecified anxiety DX Yes 1 0.68% 1.31% 0.79%

No 121 82.31% 86.93% 78.57%

Don’t Know 25 17.01% 11.76% 20.63%

 Multiple anxiety DX Yes 3 2.04% 3.27% 2.38%

No 119 80.95% 84.97% 76.98%

Don’t Know 25 17.01% 11.76% 20.63%

TABLE 5.18. CY 2010 AND 2008-2009 ARMY DoDSER ANXIETY DISORDERS (CONT.) 

Treatment History

Table 5.20 provides data on Army suicide decedents’ use of medical and behavioral health treatment prior 

to death. The majority (n = 84, 57.14%) had received some form of treatment at a Military Treatment Facility 

(MTF). Fifty-four decedents (36.73%) were treated at a MTF within the month prior to suicide. Twenty-seven 
135

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Calendar Year 2010 Annual Report

2010 2009 2008

Count Percent Percent Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 84 57.14% 62.09% 59.52%

 Within 30 days 54 36.73% 40.52% 38.89%

 Within 90 days (inclusive)* 64 43.54% 53.59% 50.00%

No 40 27.21% 28.76% 21.43%

Don’t Know 23 15.65% 9.15% 19.05%

HX PHYSICAL HEALTH PROBLEM Yes 27 18.37% 22.88% 24.60%

 Within 30 days 19 12.93% 16.34% 15.08%

 Within 90 days (inclusive)* 22 14.97% 18.30% 21.43%

No 71 48.30% 52.94% 58.73%

Don’t Know 49 33.33% 24.18% 16.67%

SUBSTANCE ABUSE SERVICES Yes 35 23.81% 14.38% 15.08%

 Within 30 days 12 8.16% 7.19% 6.35%

 Within 90 days (inclusive)* 16 10.88% 7.19% 9.52%

No 89 60.54% 72.55% 65.08%

Don’t Know 23 15.65% 13.07% 19.84%

FAMILY ADVOCACY PROGRAMS Yes 13 8.84% 6.54% 6.35%

 Within 30 days 2 1.36% 1.96% 3.17%

 Within 90 days (inclusive)* 4 2.72% 2.61% 3.17%

No 101 68.71% 75.82% 73.81%

Don’t Know 33 22.45% 17.65% 19.84%

CHAPLAIN SERVICES Yes 11 7.48% 10.46% 15.87%

 Within 30 days 7 4.76% 9.15% 10.32%

 Within 90 days (inclusive)* 9 6.12% 9.80% 11.90%

No 52 35.37% 41.18% 34.92%

Don’t Know 84 57.14% 48.37% 49.21%

OUTPATIENT BEHAVIORAL HEALTH Yes 65 44.22% 50.33% 42.86%

 Within 30 days 39 26.53% 28.10% 21.43%

 Within 90 days (inclusive)* 45 30.61% 32.03% 29.37%

No 62 42.18% 42.48% 46.03%

Don’t Know 20 13.61% 7.19% 11.11%

Soldiers (18.37%) had a known history of a physical health problem and nineteen decedents (12.93%) had 

received physical health diagnoses within the month prior to suicide.

Thirty-five Army decedents (23.81%) received substance abuse treatment services, and thirteen (8.84%) 

were involved in family advocacy programs. Eleven Soldiers (7.48%) utilized chaplain services. Nearly half of 

decedents (n = 65, 44.22%) had received outpatient behavioral health treatment, with 39 (26.53%) receiving 

treatment within the month prior to suicide. Eighteen Soldiers (12.24%) received inpatient behavioral health 

treatment, nine of whom (6.12%) were treated within the month prior to suicide. Seven Army decedents 

(4.76%) were assigned to a Warrior Transition Unit.

TABLE 5.20. CY 2010 AND 2008-2009 ARMY DoDSER TREATMENT HISTORY 
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Chapter 5: Army DoDSER

INPATIENT BEHAVIORAL HEALTH Yes 18 12.24% 18.95% 15.87%

 Within 30 days 9 6.12% 2.61% 6.35%

 Within 90 days (inclusive)* 11 7.48% 9.15% 7.94%

No 104 70.75% 71.24% 71.43%

Don’t Know 25 17.01% 9.80% 12.70%

IN A WARRIOR TRANSITION UNIT Yes 7 4.76%

No 40 27.21%

Don’t Know 100 68.03%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Note: Warrior Transition Unit data unavailable prior to 2010.

TABLE 5.20. CY 2010 AND 2008-2009 ARMY DoDSER TREATMENT HISTORY (CONT.) 

Table 5.21 summarizes psychotropic medications known to have been used by decedents prior to suicide. 

Forty-two decedents (28.57%) had known prescriptions for psychotropic medications, most frequently 

antidepressants (n = 33, 22.45%) and antianxiety medication (n = 14, 9.52%).

TABLE 5.21. CY 2010 AND 2008-2009 ARMY DoDSER PSYCHOTROPIC MEDICATION USE 

2010 2009 2008

Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 42 28.57% 35.95% 33.33%

No 72 48.98% 49.67% 48.41%

Don’t Know 33 22.45% 14.38% 18.25%

 Antidepressants Yes 33 22.45% 30.07% 27.78%

No 79 53.74% 55.56% 51.59%

Don’t Know 35 23.81% 14.38% 20.63%

 Antianxiety Yes 14 9.52% 13.73% 10.32%

No 95 64.63% 70.59% 67.46%

Don’t Know 38 25.85% 15.69% 22.22%

 Antimanics Yes 2 1.36% 0.65% 0.79%

No 106 72.11% 83.66% 75.40%

Don’t Know 39 26.53% 15.69% 23.81%

 Anticonvulsants Yes 5 3.40% 2.61% 3.17%

No 104 70.75% 82.35% 73.02%

Don’t Know 38 25.85% 15.03% 23.81%

 Antipsychotics Yes 7 4.76% 7.84% 3.97%

No 103 70.07% 76.47% 73.02%

Don’t Know 37 25.17% 15.69% 23.02%

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.
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Calendar Year 2010 Annual Report

2010 2009 2008

Count Percent Percent Percent

HX FAILED INTIMATE RELATIONSHIP Yes 75 51.02% 50.33% 54.76%

 Within 30 days 41 27.89% 27.45% 39.68%

 Within 90 days (inclusive)* 49 33.33% 35.29% 45.24%

No 34 23.13% 21.57% 23.81%

Don’t Know 38 25.85% 28.10% 21.43%

HX FAILED OTHER RELATIONSHIP Yes 21 14.29% 15.03% 14.29%

 Within 30 days 13 8.84% 10.46% 7.94%

 Within 90 days (inclusive)* 16 10.88% 11.76% 8.73%

No 63 42.86% 46.41% 45.24%

Don’t Know 63 42.86% 38.56% 40.48%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 79 53.74% 54.90% 58.73%

 Within 30 days 48 32.65% 31.37% 42.06%

 Within 90 days (inclusive)* 56 38.10% 39.22% 47.62%

No 30 20.41% 18.95% 20.63%

Don’t Know 38 25.85% 26.14% 20.63%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Table 5.23 summarizes other family and relationship factors that may be associated with the suicide. Eleven 

Army decedents (7.48%) were known to have a family member with behavioral health problems, four (2.72%) 

had experienced the death of a family member by suicide, and four (2.72%) had experienced non-suicide 

deaths of family. Friends of five decedents (3.40%) had died by suicide prior to the Soldiers’ deaths, and 

eleven decedents’ friends (7.48%) had died by other means. Five decedents (3.40%) were known to have 

family members with significant physical health problems.

TABLE 5.23. CY 2010 AND 2008-2009 ARMY DoDSER FAMILY HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.00% 0.79%

No 107 72.79% 81.70% 80.95%

Don’t Know 40 27.21% 18.30% 18.25%

HX FAMILY MEMBER SUICIDE Yes 4 2.72% 3.92% 4.76%

No 74 50.34% 64.05% 54.76%

Don’t Know 69 46.94% 32.03% 40.48%

Family and Relationship History

Half of 2010 Army decedents (n = 75, 51.02%) had a known failure in a spousal or intimate relationship, with 

41 (27.89%) experiencing the failure within the month prior to suicide (Table 5.22). Twenty-one decedents 

(14.29%) had a failure in another important relationship, over half of these (n = 13, 8.84%) occurring within 

the month prior to suicide. More than half of Soldiers who died by suicide in 2010 had some form of failed 

relationship (n = 79, 53.74%), with 48 (32.65%) occurring within the month prior to death.

TABLE 5.22. CY 2010 AND 2008-2009 ARMY DoDSER FAILED RELATIONSHIPS PRIOR TO SUICIDE
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Administrative and Legal History

Nearly one half of Soldiers who died by suicide in 2010 (n = 65, 44.22%) had at least one known administrative 

or legal issue, and 24 (16.33%) had more than one (Table 5.24). The most frequent administrative or legal 

issues were Article 15 proceedings (n = 31, 21.09%), followed by civil legal problems (n = 21, 14.29%).

TABLE 5.24. CY 2010 AND 2008-2009 ARMY DoDSER ADMINISTRATIVE AND LEGAL HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX COURTS MARTIAL Yes 7 4.76% 7.19% 1.59%

No 99 67.35% 75.16% 78.57%

Don’t Know 41 27.89% 17.65% 19.84%

HX ARTICLE 15 Yes 31 21.09% 12.42% 19.05%

No 78 53.06% 66.67% 58.73%

Don’t Know 38 25.85% 20.92% 22.22%

HX ADMIN SEPARATION Yes 19 12.93% 9.15% 7.14%

No 88 59.86% 73.20% 74.60%

Don’t Know 40 27.21% 17.65% 18.25%

HX AWOL Yes 10 6.80% 9.15% 7.14%

No 100 68.03% 75.82% 76.19%

Don’t Know 37 25.17% 15.03% 16.67%

HX MEDICAL BOARD Yes 9 6.12% 10.46% 3.97%

No 111 75.51% 74.51% 82.54%

Don’t Know 27 18.37% 15.03% 13.49%

HX CIVIL LEGAL PROBLEMS Yes 21 14.29% 11.11% 19.84%

No 83 56.46% 63.40% 54.76%

HX FRIEND SUICIDE Yes 5 3.40% 0.65% 1.59%

No 67 45.58% 60.78% 57.14%

Don’t Know 75 51.02% 38.56% 41.27%

HX DEATH OF FAMILY MEMBER Yes 4 2.72% 4.58% 9.52%

No 75 51.02% 61.44% 51.59%

Don’t Know 68 46.26% 33.99% 38.89%

HX DEATH OF FRIEND Yes 11 7.48% 3.27% 6.35%

No 65 44.22% 56.21% 46.03%

Don’t Know 71 48.30% 40.52% 47.62%

HX FAMILY ILLNESS Yes 5 3.40% 7.84% 5.56%

No 75 51.02% 60.78% 48.41%

Don’t Know 67 45.58% 31.37% 46.03%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 11 7.48% 20.26% 11.11%

No 50 34.01% 30.72% 24.60%

Don’t Know 86 58.50% 49.02% 64.29%

TABLE 5.23. CY 2010 AND 2008-2009 ARMY DoDSER FAMILY HISTORY (CONT.) 
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Don’t Know 43 29.25% 25.49% 25.40%

HX NON-SELECTION FOR PROMOTION Yes 7 4.76% 5.88% 2.38%

No 94 63.95% 71.90% 67.46%

Don’t Know 46 31.29% 22.22% 30.16%

HAD ANY ADMIN/LEGAL ISSUE Yes 65 44.22% 39.87% 36.51%

No 48 32.65% 41.18% 43.65%

Don’t Know 34 23.13% 18.95% 19.84%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 24 16.33% 15.03% 13.49%

No 44 29.93% 38.56% 40.48%

Don’t Know 79 53.74% 46.41% 46.03%

TABLE 5.24. CY 2010 AND 2008-2009 ARMY DoDSER ADMINISTRATIVE AND LEGAL HISTORY (CONT.) 

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 5.25). Seven 

Army suicide decedents (4.76%) were reported to have experienced physical abuse and three (2.04%) were 

reported to have experienced sexual abuse. Five Soldiers (3.40%) had reportedly been victims of emotional 

abuse. Twelve decedents (8.16%) had allegedly physically abused others, four (2.27%) had allegedly sexually 

abused others, and six (4.08%) were alleged to have perpetrated emotional abuse.

TABLE 5.25. CY 2010 AND 2008-2009 ARMY DoDSER ABUSE HISTORY

2010 2009 2008

Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 7 4.76% 6.54% 5.56%

No 79 53.74% 53.59% 50.79%

Don’t Know 61 41.50% 39.87% 43.65%

HX VICTIM SEXUAL ABUSE Yes 3 2.04% 3.92% 4.76%

No 83 56.46% 56.86% 52.38%

Don’t Know 61 41.50% 39.22% 42.86%

HX VICTIM EMOTIONAL ABUSE Yes 5 3.40% 6.54% 6.35%

No 79 53.74% 52.29% 49.21%

Don’t Know 63 42.86% 41.18% 44.44%

HX VICTIM SEXUAL HARASSMENT Yes 1 0.68% 0.65% 0.00%

No 83 56.46% 58.17% 54.76%

Don’t Know 63 42.86% 41.18% 45.24%

HX PERPETRATOR PHYSICAL ABUSE Yes 12 8.16% 9.15% 6.35%

No 71 48.30% 52.94% 48.41%

Don’t Know 64 43.54% 37.91% 45.24%

HX PERPETRATOR SEXUAL ABUSE Yes 4 2.72% 3.92% 5.56%

No 81 55.10% 55.56% 51.59%

Don’t Know 62 42.18% 40.52% 42.86%

HX PERPETRATOR EMOTIONAL ABUSE Yes 6 4.08% 3.92% 6.35%

No 78 53.06% 54.90% 49.21%
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Don’t Know 63 42.86% 41.18% 44.44%

HX PERPETRATOR SEXUAL HARASSMENT Yes 2 1.36% 2.61% 0.79%

No 83 56.46% 55.56% 53.97%

Don’t Know 62 42.18% 41.83% 45.24%

TABLE 5.25. CY 2010 AND 2008-2009 ARMY DoDSER ALLEGED ABUSE HISTORY (CONT.)

Financial and Workplace Difficulties

The DoDSER includes data on economic hardship and problems in the workplace (Table 5.26). Seventeen 

Soldiers who died by suicide in 2010 (11.56%) had experienced significant debt. Thirty-one decedents 

(21.09%) either had lost a position or had experienced job instability. Twenty Soldiers (13.61%) were known 

to have had interpersonal issues with their supervisors or coworkers. Poor evaluations were reported for 21 

decedents (14.29%). Four Army suicide decedents (2.72%) were known to have been hazed in the workplace.

TABLE 5.26. CY 2010 AND 2008-2009 ARMY DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES 

2010 2009 2008

Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 17 11.56% 7.84% 8.73%

No 69 46.94% 55.56% 51.59%

Don’t Know 61 41.50% 36.60% 39.68%

HX JOB LOSS/INSTABILITY Yes 31 21.09% 25.49% 19.84%

No 67 45.58% 47.06% 57.94%

Don’t Know 49 33.33% 27.45% 22.22%

HX SUPERVISOR/COWORKER ISSUES Yes 20 13.61% 13.07% 14.29%

No 75 51.02% 54.90% 57.14%

Don’t Know 52 35.37% 32.03% 28.57%

HX POOR WORK EVALUATION Yes 21 14.29% 15.69% 13.49%

No 76 51.70% 58.82% 57.94%

Don’t Know 50 34.01% 25.49% 28.57%

HX UNIT/WORKPLACE HAZING Yes 4 2.72% 2.61% 1.59%

No 93 63.27% 62.09% 66.67%

Don’t Know 50 34.01% 35.29% 31.75%

Deployment Factors

The DoDSER items capture detailed information about Service Members’ three most recent deployments. 

Data include deployment location information as well as history of direct combat operations. 

Deployment and Combat History

Of the 24 Soldiers who died by suicide while deployed to Operation Enduring Freedom (OEF), Operation Iraqi 

Freedom (OIF), or Operation New Dawn (OND) deployment, 12 (8.16% of total) took place in Afghanistan and 

12 (8.16% of total) took place in Iraq (Table 5.27). The majority of decedents (n = 91, 61.90%) had a history 
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TABLE 5.28. CY 2010 AND 2008-2009 ARMY DoDSER OEF/OIF/OND DEPLOYMENT HISTORY 

TABLE 5.29. CY 2010 AND 2008-2009 ARMY DoDSER COMBAT HISTORY 

2010 2009 2008

Count Percent Percent Percent

THEATER Afghanistan 12 8.16% 1.96% 5.56%

Iraq 12 8.16% 14.38% 19.84%

Kuwait 0 0.00% 0.00% 0.79%

Not OEF/OIF/OND 123 83.67% 83.66% 73.81%

2010 2009 2008

Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 20 13.61% 1.96% 0.00%

Iraq 56 38.10% 51.63% 46.03%

Kuwait 2 1.36% 3.27% 5.56%

Multiple OEF/OIF/OND locations 13 8.84% 8.50% 3.17%

No history of OEF/OIF/OND deployment 56 38.10% 34.64% 45.24%

2010 2009 2008

Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 21 14.29% 24.84% 19.05%

Combat resulted in injuries/casualties for 

others

13 8.84% 20.26% 9.52%

 Injured in combat 3 2.04% 5.88% 3.17%

 Witnessed killing in combat 13 8.84% 15.69% 6.35%

 Saw dead bodies in combat 9 6.12% 15.69% 7.14%

 Killed others in combat 9 6.12% 7.84% 0.79%

NO DIRECT COMBAT HISTORY 126 85.71% 75.16% 80.95%

of OEF, OIF or OND deployment (Table 5.28). Twenty-one decedents (14.29%) had known direct combat 

experiences, including participating in combat that resulted in injuries (n = 13, 8.84%), sustaining injuries 

(n = 3, 2.04%), witnessing killing (n = 13, 8.84%), seeing dead bodies (n = 9, 6.12%) and killing others (n = 9, 

6.12%; Table 5.29).

TABLE 5.27. CY 2010 AND 2008-2009 ARMY DoDSER SUICIDES IN THEATER
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DoDSER POCs submitted 413 DoDSERs for 2010 Army suicide attempts. As indicated in Table 5.30, these 

DoDSERs provide data on suicide attempts for 400 individuals. Two attempts were reported (DoDSERs 

submitted) for 11 (2.75%) individuals, and three for one individual (0.25%). Additionally, four Soldiers with a 

2010 suicide attempt DoDSER subsequently died by suicide in 2010 and were also included in the preceding 

section. The tables in this section use a denominator of 413 for suicide attempts.

TABLE 5.30. CY 2010 ARMY SUICIDE ATTEMPT DoDSERS

ARMY DoDSERS SUBMITTED FOR NON-FATAL EVENTS

Count Percent

TOTAL SUICIDE ATTEMPT DoDSERs 413 100.00%

TOTAL INDIVIDUALS INCLUDED 400 100.00%

SUICIDE ATTEMPT DoDSERs SUBMITTED PER INDIVIDUAL 1 388 97.00%

2 11 2.75%

3 1 0.25%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDE ATTEMPT AND SUICIDE 4 1.00%

Two hundred thirty seven Army DoDSERs were submitted for 228 individuals who were known to harm 

themselves without intent to die (Table 5.31). Four Soldiers with a 2010 self-harm DoDSER subsequently 

died by suicide in 2010 and were also included in the preceding section. The tables in this section use a 

denominator of 237 for self-harm without intent to die.

TABLE 5.31. CY 2010 ARMY DoDSERS FOR SELF-HARM WITHOUT INTENT TO DIE 

Count Percent

TOTAL SELF-HARM DoDSERs 237 100.00%

TOTAL INDIVIDUALS INCLUDED 228 100.00%

SELF-HARM DoDSERs SUBMITTED PER INDIVIDUAL 1 219 96.05%

2 9 3.95%

3 0 0.00%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SELF-HARM AND SUICIDE 4 1.75%

Nine hundred eighteen Army DoDSERs for suicidal ideation without self-harm behavior were submitted for 

863 individuals (Table 5.33). Forty-three individual Soldiers (4.98%) had two 2010 Army DoDSERs for suicidal 

ideation, and six Soldiers (0.70%) had three. The tables in this section use a denominator of 918 for suicidal 

ideation.

TABLE 5.32. CY 2010 ARMY SUICIDAL IDEATION DODSERS

Count Percent

TOTAL SUICIDAL IDEATION DoDSERs 918 100.00%

TOTAL INDIVIDUALS INCLUDED 863 100.00%

SUICIDAL IDEATION DoDSERs SUBMITTED PER INDIVIDUAL 1 814 94.32%

2 43 4.98%
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3 6 0.70%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDAL IDEATION AND 1 0.12%

TABLE 5.32. CY 2010 ARMY SUICIDAL IDEATION DoDSERS (CONT.)

As summarized in Table 5.33, the majority of DoDSERs for 2010 Army suicide attempts (n = 259, 62.71%) and 

deliberate self-harm without intent to die (n = 155, 65.40%) had one or fewer missing or “Unknown” primary 

data points. DoDSER POCs often interview Service Members after non-fatal suicide events, sometimes 

leading to more thorough data.

TABLE 5.33. CY 2010 AND 2008-2009 ARMY DoDSER MISSING AND UNKNOWN DATA FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

NUMBER OF PRIMARY 

DATA FIELDS MISSING OR 

UNKNOWN

0 191 46.25% 60.08% 54.45% 112 47.26% 48.99% 54.57%

1 68 16.46% 13.44% 13.11% 43 18.14% 20.46% 13.22%

2 42 10.17% 5.93% 5.38% 16 6.75% 10.09% 8.89%

3 17 4.12% 4.15% 5.38% 13 5.49% 2.88% 4.57%

4 15 3.63% 1.19% 3.87% 10 4.22% 2.02% 4.33%

5 or More 80 19.37% 15.22% 17.82% 43 18.14% 15.56% 14.42%

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors that may have been associated 

with the suicide events. These factors include demographic characteristics, event setting, self-harm method, 

substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 5.34 contains DoDSER demographic data for Soldiers who attempted suicide, harmed themselves 

without intent to die, or were known to experience suicidal ideation in 2010. Soldiers who attempted suicide 

were most often male (n = 328, 79.42%), Caucasian (n = 264, 63.92%), under 25 (n = 219, 53.03%), junior 

enlisted (n = 298, 72.15%), Regular component (n = 385, 93.22%) and without a college degree (n = 314, 

76.03%). 

DoDSER POCs provided similar demographic data for other non-fatal suicide events.
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TABLE 5.34. CY 2010 AND 2008-2009 ARMY DoDSER DEMOGRAPHICS FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

TOTAL 413 100.00% 100.00% 100.00% 237 100.00% 100.00% 100.00% 918 100.00% 100.00% 100.00%

GENDER Male 328 79.42% 74.31% 76.64% 175 73.84% 71.76% 73.56% 733 79.85% 77.22% 80.55%

Female 85 20.58% 25.69% 23.36% 62 26.16% 28.24% 26.44% 185 20.15% 22.78% 19.45%

RACE American Indian or Alaskan 

Native 7 1.69% 1.19% 1.18% 3 1.27% 0.29% 1.92% 9 0.98% 0.83% 1.09%

Asian or Pacific Islander 10 2.42% 2.77% 2.02% 8 3.38% 3.75% 1.92% 21 2.29% 2.73% 2.67%

Black/African American 71 17.19% 15.81% 13.11% 34 14.35% 11.53% 10.82% 138 15.03% 15.41% 12.34%

White/Caucasian 264 63.92% 67.19% 70.42% 156 65.82% 72.05% 71.15% 620 67.54% 66.78% 69.69%

Other 23 5.57% 9.09% 8.57% 12 5.06% 6.34% 8.65% 73 7.95% 8.45% 8.69%

Don’t Know 38 9.20% 3.95% 4.71% 24 10.13% 6.05% 5.53% 57 6.21% 5.80% 5.53%

AGE RANGE Under 25 219 53.03% 59.49% 64.37% 131 55.27% 64.27% 69.47% 490 53.38% 63.02% 63.87%

25-29 104 25.18% 23.91% 17.82% 64 27.00% 21.61% 19.23% 208 22.66% 18.99% 17.28%

30-39 65 15.74% 13.44% 14.12% 32 13.50% 10.66% 9.62% 152 16.56% 13.52% 14.31%

40 + 25 6.05% 3.16% 3.70% 10 4.22% 3.46% 1.68% 68 7.41% 4.48% 4.54%

RANK E1-E4 298 72.15% 74.31% 78.15% 187 78.90% 79.83% 85.34% 689 75.05% 80.38% 81.24%

E5-E9 97 23.49% 21.54% 17.82% 35 14.77% 14.70% 13.46% 180 19.61% 15.63% 15.89%

Officer 15 3.63% 2.57% 3.53% 9 3.80% 3.46% 0.96% 35 3.81% 2.00% 1.78%

Warrant Officer 3 0.73% 0.20% 0.00% 2 0.84% 0.29% 0.24% 1 0.11% 0.42% 0.20%

Cadet/Midshipman 0 0.00% 0.40% 0.17% 3 1.27% 1.44% 0.00% 12 1.31% 0.75% 0.49%

Does Not Apply 0 0.00% 0.99% 0.34% 1 0.42% 0.29% 0.00% 1 0.11% 0.83% 0.39%

COMPONENT Regular 385 93.22% 91.30% 89.92% 219 92.41% 90.78% 92.31% 837 91.18% 89.19% 89.63%

Reserve 11 2.66% 3.16% 4.37% 10 4.22% 1.44% 2.88% 33 3.59% 3.08% 3.36%

National Guard 17 4.12% 4.94% 5.38% 5 2.11% 6.63% 4.81% 36 3.92% 6.65% 6.32%

Other 0 0.00% 0.59% 0.34% 3 1.27% 1.15% 0.00% 12 1.31% 1.08% 0.69%

EDUCATION Some high school 4 0.97% 1.38% 1.18% 2 0.84% 1.44% 1.68% 14 1.53% 0.58% 1.38%

GED 57 13.80% 17.59% 17.98% 34 14.35% 13.54% 12.98% 102 11.11% 13.87% 14.41%

High school graduate 159 38.50% 33.99% 40.50% 101 42.62% 49.28% 50.72% 372 40.52% 47.51% 43.34%
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Event Setting

Army non-fatal suicide events in 2010 most frequently took place in the United States (n = 338, 81.84%; Table 5.35). As indicated in Table 5.36, 

suicide attempts primarily occurred in the Soldiers’ residences (n = 334, 80.87%) and vehicles (n = 21, 5.08%). The most frequent “Other” settings 

for Army suicide attempts included hotels (n = 6, 1.45%) and parks and nature reserves (n = 5, 1.21%). Proportions were similar for other non-fatal 

suicide events.

TABLE 5.35. CY 2010 AND 2008-2009 ARMY DoDSER EVENT GEOGRAPHIC LOCATION FOR NON-FATAL SUICIDE EVENTS

Some college 94 22.76% 28.46% 17.65% 59 24.89% 20.46% 19.47% 217 23.64% 20.60% 20.24%

Degree less than four years 25 6.05% 4.15% 4.71% 8 3.38% 1.44% 2.40% 40 4.36% 3.07% 3.65%

Four-year college degree 18 4.36% 3.75% 4.54% 10 4.22% 4.32% 1.44% 36 3.92% 3.65% 2.27%

Master’s degree or greater 8 1.94% 0.59% 1.34% 3 1.27% 1.73% 0.72% 16 1.74% 1.08% 1.09%

Don’t Know 48 11.62% 10.08% 12.10% 20 8.44% 7.78% 10.58% 121 13.18% 9.63% 13.62%

MARITAL STATUS Never Married 146 35.35% 43.08% 44.37% 90 37.97% 47.26% 47.36% 377 41.07% 48.88% 46.89%

Married 185 44.79% 43.68% 43.03% 125 52.74% 42.36% 41.11% 403 43.90% 38.26% 41.76%

Legally Separated 27 6.54% 3.16% 3.36% 6 2.53% 3.17% 2.16% 50 5.45% 3.90% 2.76%

Divorced 40 9.69% 7.91% 6.39% 10 4.22% 5.76% 6.73% 62 6.75% 5.98% 5.63%

Widowed 1 0.24% 0.40% 0.67% 0 0.00% 0.00% 0.72% 3 0.33% 0.00% 0.20%

Don’t Know 14 3.39% 1.78% 2.18% 6 2.53% 1.44% 1.92% 23 2.51% 2.99% 2.76%

TABLE 5.34. CY 2010 AND 2008-2009 ARMY DoDSER DEMOGRAPHICS FOR NON-FATAL SUICIDE EVENTS (CONT.)

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

GEOGRAPHIC LOCATION United States 338 81.84% 78.85% 75.13% 200 84.39% 85.30% 83.89% 838 91.29% 88.98% 91.31%

Iraq 25 6.05% 8.70% 13.95% 10 4.22% 5.19% 8.41% 18 1.96% 4.14% 5.73%

Afghanistan 14 3.39% 1.58% 1.68% 6 2.53% 1.73% 0.72% 7 0.76% 0.75% 0.59%

Kuwait 0 0.00% 0.59% 0.34% 0 0.00% 0.58% 0.48% 3 0.33% 0.25% 0.20%

Asia 13 3.15% 3.56% 3.03% 12 5.06% 2.02% 2.40% 11 1.20% 0.50% 0.99%

Europe 19 4.60% 4.74% 5.21% 8 3.38% 4.03% 3.37% 36 3.92% 4.39% 1.18%

Canada or Mexico 1 0.24% 0.59% 0.17% 0 0.00% 0.00% 0.00% 1 0.11% 0.25% 0.00%
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Central or South America 0 0.00% 0.00% 0.17% 0 0.00% 0.00% 0.00% 0 0.00% 0.08% 0.00%

Other 3 0.73% 0.79% 0.00% 1 0.42% 0.58% 0.00% 4 0.44% 0.00% 0.00%

Don’t Know 0 0.00% 0.59% 0.34% 0 0.00% 0.58% 0.72% 0 0.00% 0.66% 0.00%

TABLE 5.35. CY 2010 AND 2008-2009 ARMY DoDSER EVENT GEOGRAPHIC LOCATION FOR NON-FATAL SUICIDE EVENTS (CONT.)

TABLE 5.36. CY 2010 AND 2008-2009 ARMY DoDSER EVENT SETTING FOR NON-FATAL SUICIDE EVENTS

Event Method

As indicated in Table 5.37, drugs were the most common method for suicide attempt (n = 238, 57.63%), followed by injury with a sharp or blunt 

object (n = 50, 12.11%), and hanging (n = 35, 8.47%). Similar patterns were reported for self-harm events without intent to die.

TABLE 5.37. CY 2010 AND 2008-2009 ARMY DoDSER EVENT METHOD FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 334 80.87% 79.45% 79.33% 186 78.48% 83.57% 85.82%

Residence of friend or family 14 3.39% 5.14% 4.71% 13 5.49% 2.88% 2.64%

Work/jobsite 14 3.39% 1.98% 4.20% 9 3.80% 4.03% 3.85%

Automobile (away from residence) 21 5.08% 5.34% 3.03% 4 1.69% 2.59% 1.92%

Inpatient medical facility 6 1.45% 0.59% 0.67% 8 3.38% 2.02% 0.00%

Other 24 5.81% 7.51% 8.07% 17 7.17% 4.90% 5.77%

Don’t Know 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00%

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 14 3.39% 3.75% 2.18% 9 3.80% 2.02% 1.20%

Firearm, military issue 15 3.63% 5.34% 5.88% 2 0.84% 2.59% 1.44%

Hanging 35 8.47% 8.10% 9.08% 7 2.95% 4.32% 4.09%

Drugs 238 57.63% 55.93% 58.99% 126 53.16% 48.99% 48.08%
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Substance Use during the Event

DoDSER POCs collected data on alcohol and drug use during Army non-fatal suicide events (Table 5.38). For both suicide attempts and self-harm 

without intent to die, drug use was more frequent than was alcohol use. DoDSERs included alcohol use for 125 Army suicide attempts (30.27%), 

and included drug use for 261 Army suicide attempts (63.20%). Drug use most frequently involved misuse of prescription drugs. These frequencies 

include Soldiers who used drugs as a suicide attempt method (n = 239, 57.87%), as described above.

TABLE 5.38. CY 2010 AND 2008-2009 ARMY DoDSER SUBSTANCE(S) USED DURING NON-FATAL SUICIDE EVENTS

Alcohol 12 2.91% 2.17% 3.19% 5 2.11% 4.61% 5.53%

Gas, vehicle exhaust 5 1.21% 0.79% 0.67% 0 0.00% 0.58% 0.00%

Gas, utility (or other) 1 0.24% 0.40% 0.00% 2 0.84% 0.00% 0.00%

Drowning 1 0.24% 0.20% 0.17% 1 0.42% 0.58% 0.24%

Fire, steam, etc. 1 0.24% 0.00% 0.00% 1 0.42% 0.29% 0.72%

Sharp or blunt object 50 12.11% 15.22% 12.27% 65 27.43% 27.67% 29.33%

Jumping from high place 9 2.18% 0.99% 1.01% 3 1.27% 1.44% 0.48%

Lying in front of moving object 2 0.48% 0.79% 0.17% 1 0.42% 0.29% 0.24%

Crashing a motor vehicle 8 1.94% 2.17% 1.34% 0 0.00% 0.58% 0.96%

Chemicals 6 1.45% 1.38% 1.34% 2 0.84% 0.29% 0.96%

Other 8 1.94% 1.98% 2.02% 6 2.53% 3.46% 4.09%

Don’t Know 8 1.94% 0.79% 1.68% 7 2.95% 2.31% 2.64%

TABLE 5.37. CY 2010 AND 2008-2009 ARMY DoDSER EVENT METHOD FOR NON-FATAL SUICIDE EVENTS (CONT.)

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

ALCOHOL USED Yes 125 30.27% 27.47% 24.71% 48 20.25% 27.09% 26.20%

No 240 58.11% 64.03% 64.71% 168 70.89% 67.44% 60.82%

Don’t Know 48 11.62% 8.50% 10.59% 21 8.86% 5.48% 12.98%

ANY DRUGS USED Yes 261 63.20% 59.68% 58.99% 126 53.16% 50.14% 48.80%

No 132 31.96% 34.78% 33.78% 98 41.35% 45.53% 41.83%

Don’t Know 20 4.84% 5.53% 7.23% 13 5.49% 4.32% 9.38%
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 Illegal drugs Overdose 29 7.02% 3.36% 3.03% 8 3.38% 2.59% 1.20%

Used, no overdose 11 2.66% 2.37% 2.18% 7 2.95% 2.59% 3.13%

Were not used 353 85.47% 78.85% 69.75% 209 88.19% 84.44% 77.16%

Don’t know 20 4.84% 15.42% 25.04% 13 5.49% 10.37% 18.51%

 Prescription Overdose 177 42.86% 39.13% 36.47% 52 21.94% 23.05% 23.80%

Used, no overdose 28 6.78% 5.93% 6.89% 42 17.72% 14.12% 11.78%

Were not used 188 45.52% 47.04% 45.04% 130 54.85% 56.20% 52.40%

Don’t know 20 4.84% 7.91% 11.60% 13 5.49% 6.63% 12.02%

 OTC Overdose 62 15.01% 15.61% 15.46% 20 8.44% 9.22% 8.65%

Used, no overdose 10 2.42% 2.77% 3.36% 10 4.22% 4.90% 4.33%

Were not used 321 77.72% 67.00% 58.66% 194 81.86% 75.50% 69.47%

Don’t know 20 4.84% 14.62% 22.52% 13 5.49% 10.37% 17.55%

BOTH ALCOHOL AND DRUGS 

USED

Yes 85 20.58% 17.39% 15.63% 25 10.55% 13.54% 14.18%

No 271 65.62% 71.94% 71.93% 186 78.48% 78.10% 70.67%

Don’t Know 57 13.80% 10.67% 12.44% 26 10.97% 8.36% 15.14%

TABLE 5.38. CY 2010 AND 2008-2009 ARMY DoDSER SUBSTANCE(S) USED DURING NON-FATAL SUICIDE EVENTS (CONT.)

Communication of Intent

As summarized in Table 5.39, DoDSERs indicated that most Soldiers were not known to communicate with others prior to attempting suicide 

(n = 326, 78.93%) or harming themselves in other ways without intent to die (n = 204, 86.08%). As indicated in Table 5.40, those Soldiers who did 

communicate with others primarily verbally indicated their potential for self-harm (n = 64 suicide attempts, 15.50% and n = 26 self-harm events, 

10.97%). Table 5.41 describes the most frequent individuals with whom Soldiers communicated.

TABLE 5.39. CY 2010 AND 2008-2009 ARMY DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS 

OF COMMUNICATED INTENT

0 326 78.93% 76.88% 78.32% 204 86.08% 84.15% 85.58%

1 69 16.71% 17.59% 13.78% 28 11.81% 12.39% 10.82%

2 13 3.15% 3.75% 5.88% 4 1.69% 2.88% 1.68%
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3 4 0.97% 1.19% 1.51% 1 0.42% 0.58% 1.20%

4 1 0.24% 0.40% 0.17% 0 0.00% 0.00% 0.72%

5 0 0.00% 0.20% 0.34% 0 0.00% 0.00% 0.00%

TABLE 5.39. CY 2010 AND 2008-2009 ARMY DoDSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT FOR NON-FATAL SUICIDE EVENTS (CONT.)

TABLE 5.40. CY 2010 AND 2008-2009 ARMY DoDSER MODE OF COMMUNICATED INTENT FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

MODE OF COMMUNICATED 

INTENT

Verbal 64 15.50% 16.60% 17.31% 26 10.97% 12.39% 12.98%

Written 16 3.87% 2.77% 1.68% 4 1.69% 1.44% 0.72%

Other or Unknown 4 0.97% 1.19% 0.00% 3 1.27% 0.86% 0.24%

Multiple Modes 3 0.73% 1.98% 2.69% 0 0.00% 0.58% 0.24%

No Known Communication 326 78.93% 77.47% 78.32% 204 86.08% 84.73% 85.82%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

TABLE 5.41. CY 2010 AND 2008-2009 ARMY DoDSER RECIPIENTS OF COMMUNICATED INTENT FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

COMMUNICATION Spouse 24 5.81% 4.74% 1.51% 5 2.11% 2.02% 1.92%

Friend 18 4.36% 3.36% 4.87% 5 2.11% 2.59% 1.44%

Behavioral Health Provider 8 1.94% 3.16% 2.86% 9 3.80% 3.17% 2.88%

Chaplain 2 0.48% 0.40% 0.17% 3 1.27% 0.00% 0.24%

Supervisor 7 1.69% 1.19% 0.84% 4 1.69% 2.59% 1.44%

Other or Unidentified 10 2.42% 4.15% 3.53% 2 0.84% 1.44% 2.64%

 Multiple Communications 18 4.36% 5.53% 7.90% 5 2.11% 3.46% 3.61%

No Known Communication 326 78.93% 77.47% 78.32% 204 86.08% 84.73% 85.82%
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Additional Event Information

Table 5.42 provides information about other details of 2010 Army suicide attempts. For the majority of suicide attempts (n = 300, 72.64%), there 

were data to indicate that the Soldiers intended to die. The high proportion of “Don’t Know” responses suggests that all inferences should be made 

with caution.

TABLE 5.42. CY 2010 AND 2008-2009 ARMY DoDSER ADDITIONAL EVENT INFORMATION FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die)

2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent

INTENDED TO DIE Yes 300 72.64% 70.36% 64.20%

No 39 9.44% 12.25% 13.61%

Don’t Know 74 17.92% 17.39% 22.18%

DEATH RISK GAMBLING Yes 3 0.73% 1.58% 1.34% 3 1.27% 0.29% 3.13%

No 366 88.62% 92.09% 91.09% 224 94.51% 97.69% 91.59%

Don’t Know 44 10.65% 6.32% 7.56% 10 4.22% 2.02% 5.29%

PLANNED/ PREMEDITATED Yes 114 27.60% 27.27% 26.55% 29 12.24% 10.66% 10.10%

No 196 47.46% 58.30% 54.62% 171 72.15% 74.35% 78.37%

Don’t Know 103 24.94% 14.43% 18.82% 37 15.61% 14.99% 11.54%

OBSERVABLE Yes 165 39.95% 46.25% 40.34% 110 46.41% 55.91% 52.64%

No 170 41.16% 38.34% 43.70% 78 32.91% 29.97% 33.65%

Don’t Know 78 18.89% 15.42% 15.97% 49 20.68% 14.12% 13.70%

SUICIDE NOTE LEFT Yes 45 10.90% 12.45% 14.79% 6 2.53% 2.02% 2.40%

No 285 69.01% 76.48% 71.60% 209 88.19% 89.05% 88.94%

Don’t Know 83 20.10% 11.07% 13.61% 22 9.28% 8.93% 8.65%

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of residence, general living situation and duty 

environment.
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Situational Factors

Table 5.43 provides details about the living situations for Soldiers with non-fatal suicide events in 2010. Army suicide attempt DoDSERs indicated 

that Soldiers most frequently lived in shared living environments on their installations (n = 202, 48.91%) or private homes or apartments outside of 

their installations (n = 149, 36.08%). Married Soldiers most often lived with their spouses at the time of their suicide attempts (n = 87, 21.07%), but 

many were separated due to relationship issues (n = 48, 11.62%). The minority of Army suicide attempt DoDSERs indicated that the Soldiers had 

minor children (n = 156, 37.77%). DoDSERs for 61 Army suicide attempts (14.77%) included known access to firearms. Data were similar for other 

non-fatal suicide events.

TABLE 5.43. CY 2010 AND 2008-2009 ARMY DoDSER HOME ENVIRONMENT FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

RESIDENCE AT TIME OF 

EVENT

Shared military living 

environment

202 48.91% 58.89% 66.89% 131 55.27% 58.21% 64.42% 458 49.89% 64.37% 62.98%

Bachelor quarters 4 0.97% 0.79% 1.01% 2 0.84% 0.00% 0.72% 6 0.65% 0.75% 0.49%

On-base family housing 31 7.51% 6.32% 4.20% 14 5.91% 5.19% 7.69% 75 8.17% 6.46% 5.63%

Owned or leased apartment 

or house

149 36.08% 24.51% 21.01% 69 29.11% 26.80% 22.36% 295 32.14% 20.96% 22.51%

Ship 0 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00% 0 0.00% 0.08% 0.00%

Other 7 1.69% 4.35% 2.86% 12 5.06% 4.32% 2.40% 34 3.70% 2.98% 2.67%

Don’t Know 20 4.84% 5.14% 4.03% 9 3.80% 5.48% 2.40% 50 5.45% 4.39% 5.73%

MARRIED SERVICE 

MEMBER RESIDENCE

Resides with spouse 87 21.07% 19.96% 16.97% 54 22.78% 21.90% 21.63% 217 23.64% 16.82% 19.55%

Separated 48 11.62% 8.70% 8.57% 34 14.35% 8.36% 7.45% 88 9.59% 8.45% 8.39%

Apart (not separated) 46 11.14% 13.44% 16.81% 35 14.77% 9.80% 11.54% 89 9.69% 11.35% 11.06%

Don’t Know 4 0.97% 1.98% 0.84% 2 0.84% 2.59% 0.48% 9 0.98% 1.49% 3.06%

Unmarried at time of event 228 55.21% 55.93% 56.81% 112 47.26% 57.35% 58.89% 515 56.10% 61.89% 57.95%

RESIDED ALONE Yes 158 38.26% 26.68% 27.06% 68 28.69% 17.87% 23.32% 266 28.98% 18.89% 19.45%

No 206 49.88% 60.28% 61.18% 137 57.81% 66.57% 69.23% 555 60.46% 69.18% 71.57%

Don’t Know 49 11.86% 13.04% 11.76% 32 13.50% 15.56% 7.45% 97 10.57% 11.93% 8.98%

HAD MINOR CHILDREN Yes 156 37.77% 35.18% 31.60% 76 32.07% 25.94% 21.63% 319 34.75% 26.35% 27.34%

No 257 62.23% 64.82% 68.24% 161 67.93% 74.06% 78.13% 599 65.25% 73.57% 72.66%
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Don’t Know 0 0.00% 0.00% 0.17% 0 0.00% 0.00% 0.24% 0 0.00% 0.08% 0.00%

CHILDREN RESIDED 

WITH

Yes 60 14.53% 11.07% 10.42% 31 13.08% 9.80% 6.25% 142 15.47% 8.70% 10.17%

No 90 21.79% 22.92% 20.84% 44 18.57% 15.56% 15.38% 164 17.86% 15.82% 16.49%

Don’t Know 6 1.45% 1.19% 0.50% 1 0.42% 0.58% 0.24% 13 1.42% 1.91% 0.69%

No Children 257 62.23% 64.82% 68.24% 161 67.93% 74.06% 78.13% 599 65.25% 73.57% 72.66%

FIREARM IN 

IMMEDIATE/LIVING 

ENVIRONMENT

Yes 61 14.77% 15.61% 18.99% 28 11.81% 10.37% 13.46% 86 9.37% 11.52% 13.52%

No 260 62.95% 66.01% 57.14% 181 76.37% 72.91% 66.59% 671 73.09% 72.66% 63.57%

Don’t Know 92 22.28% 18.38% 23.87% 28 11.81% 16.71% 19.95% 161 17.54% 15.82% 22.90%

TABLE 5.43. CY 2010 AND 2008-2009 ARMY DoDSER HOME ENVIRONMENT FOR NON-FATAL SUICIDE EVENTS (CONT.)

Duty Environment

Table 5.44 summarizes duty environments for Soldiers with non-fatal suicide events. The majority of DoDSERs for Army suicide attempts indicated 

that the Soldiers were stationed at their permanent duty station (n = 240, 58.11%). Thirty-three DoDSERs (7.99%) indicated the Soldiers were 

deployed during the suicide event, and 19 were in training (4.60%). Similar proportions were reported for other non-fatal suicide events.

TABLE 5.44. CY 2010 AND 2008-2009 ARMY DoDSER DUTY ENVIRONMENT FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

DUTY ENVIRONMENT Permanent Duty Station 240 58.11% 61.07% 55.13% 155 65.40% 67.44% 62.98% 589 64.16% 64.95% 61.99%

Leave 0 0.00% 0.40% 0.17% 1 0.42% 0.29% 0.00% 1 0.11% 0.50% 0.30%

Psychiatric Hospitalization 7 1.69% 2.37% 2.35% 3 1.27% 0.58% 0.96% 15 1.63% 0.41% 0.89%

Medical Hold 6 1.45% 1.98% 1.34% 1 0.42% 2.59% 1.20% 8 0.87% 1.91% 1.88%

TDY 0 0.00% 0.20% 0.00% 0 0.00% 0.29% 0.72% 2 0.22% 0.17% 0.20%

AWOL 4 0.97% 0.99% 0.84% 2 0.84% 1.15% 0.72% 2 0.22% 0.66% 1.09%

Under Command Observation 0 0.00% 0.59% 0.17% 0 0.00% 0.00% 0.48% 3 0.33% 0.25% 0.39%

Deployed 33 7.99% 10.08% 11.60% 11 4.64% 6.63% 6.73% 26 2.83% 4.72% 5.33%

Training 19 4.60% 10.67% 12.94% 11 4.64% 6.92% 14.66% 56 6.10% 12.01% 16.39%

Other 3 0.73% 2.96% 4.37% 3 1.27% 1.15% 3.37% 13 1.42% 1.82% 4.34%

Multiple Duty Environments 43 10.41% 6.13% 10.76% 34 14.35% 10.09% 6.73% 41 4.47% 6.46% 5.33%

Duty Environment Unknown 58 14.04% 2.57% 0.34% 16 6.75% 2.88% 1.44% 162 17.65% 6.13% 1.88%
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Non-fatal Suicide Events by Month

No clear pattern was evident for Army non-fatal suicide events by month (Table 5.45).

TABLE 5.45. CY 2010 AND 2008-2009 ARMY DoDSER NON-FATAL SUICIDE EVENTS BY MONTH

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

MONTH January 43 10.41% 14.03% 9.92% 18 7.59% 10.66% 7.93% 77 8.39% 8.37% 6.52%

February 33 7.99% 6.92% 8.91% 16 6.75% 8.93% 5.05% 80 8.71% 8.45% 6.12%

March 24 5.81% 11.07% 8.07% 29 12.24% 12.68% 7.45% 86 9.37% 8.78% 4.44%

April 27 6.54% 8.70% 6.39% 17 7.17% 8.07% 7.21% 86 9.37% 10.02% 6.81%

May 26 6.30% 8.30% 6.55% 26 10.97% 7.49% 9.13% 90 9.80% 10.52% 6.22%

June 44 10.65% 8.70% 9.08% 20 8.44% 8.07% 10.58% 77 8.39% 10.44% 8.88%

July 35 8.47% 8.70% 9.58% 26 10.97% 9.80% 9.13% 82 8.93% 8.53% 9.48%

August 36 8.72% 9.49% 9.92% 15 6.33% 8.65% 9.38% 71 7.73% 8.53% 9.87%

September 32 7.75% 8.70% 9.08% 19 8.02% 4.61% 9.62% 88 9.59% 7.54% 11.85%

October 31 7.51% 8.30% 8.57% 17 7.17% 8.65% 10.34% 77 8.39% 8.29% 11.55%

November 39 9.44% 3.75% 7.06% 22 9.28% 6.92% 5.77% 58 6.32% 5.14% 9.77%

December 43 10.41% 3.36% 6.89% 12 5.06% 5.48% 8.41% 46 5.01% 5.39% 8.49%

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated with subsequent suicidal behavior. 

These factors include data on prior self-harm, previous diagnoses of behavioral health disorders and behavioral health issues, and relevant 

treatment histories, including prescribed medication. 

Prior Self-Injury 

Nearly one third of Army DoDSERs for attempted suicide included a known history of prior self-harm (n = 128, 30.99%; Table 5.46). Seventy-six 

DoDSERs for Army suicide attempts (18.40%) included evidence of more than one prior event. Similar data were provided in Army DoDSERs for 
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self-harm without intent to die and suicidal ideation

TABLE 5.46. CY 2010 AND 2008-2009 ARMY DoDSER PRIOR SELF-INJURY FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 128 30.99% 39.33% 37.14% 75 31.65% 35.16% 35.58% 247 26.91% 26.01% 25.57%

 Within 30 days 25 6.05% 6.92% 2.69% 16 6.75% 7.49% 3.37% 41 4.47% 4.14% 2.67%

 Within 90 days (inclusive)* 41 9.93% 11.07% 5.04% 29 12.24% 11.24% 6.01% 73 7.95% 6.55% 4.84%

No 235 56.90% 52.96% 49.41% 128 54.01% 54.18% 54.09% 551 60.02% 61.64% 59.33%

Don’t Know 50 12.11% 7.71% 13.45% 34 14.35% 10.66% 10.34% 120 13.07% 12.34% 15.10%

Number prior selfinjuriesOne prior event 52 12.59% 9.72% 0.00% 37 15.61% 8.43% 0.00% 127 13.83% 7.65% 0.20%

More than one prior event 76 18.40% 29.37% 36.39% 38 16.03% 26.16% 34.79% 120 13.07% 18.12% 24.78%

N/A or Unknown 285 69.01% 60.91% 63.61% 162 68.35% 65.41% 65.21% 671 73.09% 74.23% 75.02%

Event similar to prior 

self-injury

Yes 71 17.19% 19.21% 19.50% 39 16.46% 22.48% 22.60%

No 43 10.41% 16.44% 14.12% 22 9.28% 8.93% 8.89%

Don’t Know 14 3.39% 3.56% 3.53% 14 5.91% 3.75% 4.09%

N/A 285 69.01% 60.79% 62.86% 162 68.35% 64.84% 64.42%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Behavioral Health Disorders 

DoDSER POCs collect information about history of behavioral health diagnoses. The data below reflect any known history of behavioral health 

disorders and are not limited to diagnoses at the time of the suicide event. Most DoDSERs for Army suicide attempts included history of at least one 

documented behavioral health disorder (n = 268, 64.89%; Table 5.47). As indicated in Table 5.48, over one third of Army suicide attempt DoDSERs 

(n = 161, 38.98%) included known history of a mood disorder, primarily major depressive disorder (n = 77, 18.64%). Over one fourth of DoDSERs 

for Army suicide attempts included known history of an anxiety disorder (n = 116, 28.09%), most frequently PTSD (n = 40, 9.69%; Table 5.49). As 

summarized in Table 5.50, 24 DoDSERs (5.81%) included known personality disorders, eight (1.94%) included psychosis, 100 (24.21%) included 

known substance abuse history, and 13 Army suicide attempt DoDSERs (3.15%) included traumatic brain injuries. Similar patterns were evident for 

all types of non-fatal suicide events.
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TABLE 5.47. CY 2010 AND 2008-2009 ARMY DoDSER COMORBIDITY RATES FOR NON-FATAL SUICIDE EVENTS

TABLE 5.48. CY 2010 AND 2008-2009 ARMY DoDSER MOOD DISORDERS FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

NUMBER OF BEHAVIORAL 

HEALTH DIAGNOSES

No DX 145 35.11% 43.08% 44.20% 90 37.97% 39.19% 48.80% 365 39.76% 45.57% 50.25%

1 DX 105 25.42% 29.25% 27.23% 58 24.47% 26.51% 26.92% 245 26.69% 29.00% 27.44%

2 DX 92 22.28% 15.02% 17.48% 36 15.19% 19.31% 17.55% 150 16.34% 15.49% 14.12%

3 DX 42 10.17% 8.50% 8.07% 33 13.92% 11.82% 5.77% 93 10.13% 6.55% 5.33%

4 or more DX 29 7.02% 4.15% 3.03% 20 8.44% 3.17% 0.96% 65 7.08% 3.40% 2.86%

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 161 38.98% 38.54% 41.34% 81 34.18% 39.48% 37.26% 288 31.37% 36.37% 33.96%

No 208 50.36% 51.58% 45.55% 123 51.90% 51.59% 53.37% 539 58.71% 52.78% 51.92%

Don’t Know 44 10.65% 9.88% 13.11% 33 13.92% 8.93% 9.38% 91 9.91% 10.85% 14.12%

Bipolar disorder Yes 9 2.18% 3.16% 2.86% 7 2.95% 2.88% 5.29% 22 2.40% 3.81% 3.16%

No 337 81.60% 84.39% 79.50% 191 80.59% 86.46% 82.45% 785 85.51% 83.51% 80.55%

Don’t Know 67 16.22% 12.45% 17.65% 39 16.46% 10.66% 12.26% 111 12.09% 12.68% 16.29%

Major depression Yes 77 18.64% 18.77% 23.53% 43 18.14% 18.16% 15.63% 128 13.94% 15.33% 16.19%

No 279 67.55% 69.76% 60.84% 158 66.67% 71.76% 72.60% 681 74.18% 72.41% 67.62%

Don’t Know 57 13.80% 11.46% 15.63% 36 15.19% 10.09% 11.78% 109 11.87% 12.26% 16.19%

Dysthymic disorder Yes 5 1.21% 0.79% 0.34% 5 2.11% 2.02% 0.96% 14 1.53% 1.74% 1.18%

No 346 83.78% 86.36% 81.51% 193 81.43% 86.46% 86.06% 783 85.29% 85.75% 82.03%

Don’t Know 62 15.01% 12.85% 18.15% 39 16.46% 11.53% 12.98% 121 13.18% 12.51% 16.78%

Other mood disorder Yes 34 8.23% 8.89% 8.07% 16 6.75% 10.66% 9.62% 57 6.21% 9.86% 6.81%

No 315 76.27% 78.66% 73.28% 184 77.64% 78.10% 78.85% 741 80.72% 77.38% 76.90%

Don’t Know 64 15.50% 12.45% 18.66% 37 15.61% 11.24% 11.54% 120 13.07% 12.76% 16.29%

Unspecified mood 

disorder

Yes 19 4.60% 0.99% 1.85% 4 1.69% 1.15% 1.68% 23 2.51% 1.24% 2.37%

No 350 84.75% 89.13% 85.04% 200 84.39% 89.91% 88.94% 804 87.58% 87.90% 83.51%
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TABLE 5.49. CY 2010 AND 2008-2009 ARMY DoDSER ANXIETY DISORDERS FOR NON-FATAL SUICIDE EVENTS

Don’t Know 44 10.65% 9.88% 13.11% 33 13.92% 8.93% 9.38% 91 9.91% 10.85% 14.12%

Multiple mood DX Yes 17 4.12% 5.93% 4.71% 6 2.53% 4.61% 4.09% 44 4.79% 4.39% 4.24%

No 352 85.23% 84.19% 82.18% 198 83.54% 86.46% 86.54% 783 85.29% 84.76% 81.64%

Don’t Know 44 10.65% 9.88% 13.11% 33 13.92% 8.93% 9.38% 91 9.91% 10.85% 14.12%

TABLE 5.48. CY 2010 AND 2008-2009 ARMY DoDSER MOOD DISORDERS FOR NON-FATAL SUICIDE EVENTS (CONT.)

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 116 28.09% 23.91% 23.36% 73 30.80% 27.95% 16.11% 221 24.07% 17.81% 19.74%

No 251 60.77% 67.19% 61.51% 137 57.81% 63.11% 72.84% 609 66.34% 72.08% 65.45%

Don’t Know 46 11.14% 8.89% 15.13% 27 11.39% 8.93% 11.06% 88 9.59% 10.11% 14.81%

PTSD Yes 40 9.69% 9.68% 11.60% 30 12.66% 10.95% 7.45% 91 9.91% 7.46% 8.09%

No 316 76.51% 79.84% 72.10% 179 75.53% 79.25% 80.05% 733 79.85% 81.77% 76.11%

Don’t Know 57 13.80% 10.47% 16.30% 28 11.81% 9.80% 12.50% 94 10.24% 10.77% 15.79%

Panic disorder Yes 4 0.97% 0.79% 0.67% 2 0.84% 0.58% 0.72% 4 0.44% 0.33% 0.89%

No 348 84.26% 88.74% 81.68% 203 85.65% 88.76% 86.30% 809 88.13% 88.15% 83.22%

Don’t Know 61 14.77% 10.47% 17.65% 32 13.50% 10.66% 12.98% 105 11.44% 11.52% 15.89%

Generalized anxiety 

disorder

Yes 10 2.42% 1.98% 2.69% 11 4.64% 3.17% 1.68% 17 1.85% 2.32% 2.76%

No 344 83.29% 87.15% 79.66% 194 81.86% 86.74% 85.82% 793 86.38% 86.25% 81.24%

Don’t Know 59 14.29% 10.87% 17.65% 32 13.50% 10.09% 12.50% 108 11.76% 11.43% 15.99%

Acute stress disorder Yes 1 0.24% 0.40% 0.00% 2 0.84% 0.00% 0.24% 4 0.44% 0.00% 0.20%

No 352 85.23% 89.13% 81.51% 203 85.65% 89.34% 87.02% 809 88.13% 88.57% 83.51%

Don’t Know 60 14.53% 10.47% 18.49% 32 13.50% 10.66% 12.74% 105 11.44% 11.43% 16.29%

Other anxiety disorder Yes 30 7.26% 5.34% 3.53% 8 3.38% 5.48% 3.85% 47 5.12% 3.23% 3.46%

No 325 78.69% 84.98% 78.82% 200 84.39% 83.86% 83.89% 763 83.12% 85.34% 80.95%

Don’t Know 58 14.04% 9.68% 17.65% 29 12.24% 10.66% 12.26% 108 11.76% 11.43% 15.60%

Unspecified anxiety DX Yes 10 2.42% 1.19% 1.01% 2 0.84% 0.58% 0.48% 6 0.65% 0.91% 0.89%

No 357 86.44% 89.92% 83.87% 208 87.76% 90.49% 88.46% 824 89.76% 88.98% 84.30%

Don’t Know 46 11.14% 8.89% 15.13% 27 11.39% 8.93% 11.06% 88 9.59% 10.11% 14.81%
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TABLE 5.50. CY 2010 AND 2008-2009 ARMY DoDSER OTHER BEHAVIORAL HEALTH DISORDERS FOR NON-FATAL SUICIDE EVENTS

Multiple anxiety DX Yes 21 5.08% 4.55% 3.87% 18 7.59% 7.20% 1.68% 52 5.66% 3.56% 3.46%

No 346 83.78% 86.56% 81.01% 192 81.01% 83.86% 87.26% 778 84.75% 86.33% 81.74%

Don’t Know 46 11.14% 8.89% 15.13% 27 11.39% 8.93% 11.06% 88 9.59% 10.11% 14.81%

TABLE 5.49. CY 2010 AND 2008-2009 ARMY DoDSER ANXIETY DISORDERS FOR NON-FATAL SUICIDE EVENTS (CONT.)

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

DX W/PERSONALITY 

DISORDER

Yes 24 5.81% 6.13% 7.56% 12 5.06% 11.24% 9.86% 30 3.27% 5.97% 6.12%

No 335 81.11% 83.60% 74.62% 194 81.86% 77.23% 77.88% 786 85.62% 83.10% 78.68%

Don’t Know 54 13.08% 10.28% 17.82% 31 13.08% 11.53% 12.26% 102 11.11% 10.94% 15.20%

DX W/PSYCHOTIC DISORDER Yes 8 1.94% 0.79% 2.02% 3 1.27% 0.29% 1.92% 8 0.87% 1.66% 1.88%

No 358 86.68% 89.53% 84.37% 205 86.50% 89.91% 87.74% 818 89.11% 88.57% 84.30%

Don’t Know 47 11.38% 9.68% 13.61% 29 12.24% 9.80% 10.34% 92 10.02% 9.78% 13.82%

HX SUBSTANCE ABUSE Yes 100 24.21% 27.87% 26.89% 68 28.69% 29.97% 25.96% 222 24.18% 26.68% 24.38%

No 263 63.68% 62.25% 58.99% 136 57.38% 61.96% 62.50% 600 65.36% 63.05% 61.90%

Don’t Know 50 12.11% 9.88% 14.12% 33 13.92% 8.07% 11.54% 96 10.46% 10.27% 13.72%

DX W/ TRAUMATIC BRAIN 

INJURY

Yes 13 3.15% 8 3.38% 44 4.79%

No 353 85.47% 197 83.12% 785 85.51%

Don’t Know 47 11.38% 32 13.50% 89 9.69%

Note: Traumatic Brain Injury data unavailable prior to 2010.

Treatment History

Table 5.51 provides data on use of medical and behavioral health treatment prior to non-fatal suicide events. Half of Army suicide attempt DoDSERs 

(n = 209, 50.61%) indicated that Soldiers had received some form of treatment at a Military Treatment Facility (MTF), 141 (34.14%) within the month 

prior to attempting suicide. Eighty-nine Army suicide attempt DoDSERs (21.55%) included evidence of a known physical health problem. Eighty 

DoDSERs (19.37%) included prior substance abuse treatment. 
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Most Army suicide attempt DoDSERs (n = 275, 66.59%) indicated that Soldiers had received outpatient behavioral health services, many within 

the month prior to attempting suicide (n = 188, 45.52%). One hundred three DoDSERs (24.94%) indicated that the Soldiers had previously been 

hospitalized in an inpatient psychiatry unit, 40 (9.69%) within the month prior to the suicide event. Similar treatment use patterns were reported in 

DoDSERs for self-harm without intent to die and suicidal ideation.

TABLE 5.51. CY 2010 AND 2008-2009 ARMY DoDSER TREATMENT HISTORY FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

SEEN AT MILITARY 

TREATMENT FACILITY

Yes 209 50.61% 43.48% 43.70% 116 48.95% 40.06% 42.79% 574 62.53% 47.47% 47.38%

 Within 30 days 141 34.14% 27.87% 32.27% 81 34.18% 25.36% 32.69% 356 38.78% 33.80% 31.79%

 Within 90 days (inclusive)* 176 42.62% 34.98% 40.00% 100 42.19% 31.70% 40.87% 465 50.65% 42.09% 41.07%

No 174 42.13% 45.65% 46.22% 89 37.55% 49.57% 48.32% 260 28.32% 42.17% 41.86%

Don’t Know 30 7.26% 10.87% 10.08% 32 13.50% 10.37% 8.89% 84 9.15% 10.36% 10.76%

HX PHYSICAL HEALTH 

PROBLEM

Yes 89 21.55% 20.55% 17.65% 52 21.94% 16.71% 14.42% 190 20.70% 19.14% 18.16%

 Within 30 days 54 13.08% 12.85% 9.08% 27 11.39% 9.51% 9.86% 101 11.00% 8.86% 8.69%

 Within 90 days (inclusive)* 69 16.71% 15.42% 11.93% 38 16.03% 13.26% 12.02% 122 13.29% 12.43% 12.24%

No 284 68.77% 69.17% 71.09% 163 68.78% 78.39% 76.92% 665 72.44% 72.74% 69.99%

Don’t Know 40 9.69% 10.28% 11.26% 22 9.28% 4.90% 8.65% 63 6.86% 8.12% 11.85%

SUBSTANCE ABUSE 

SERVICES

Yes 80 19.37% 15.02% 16.30% 47 19.83% 17.29% 16.11% 147 16.01% 16.24% 12.64%

 Within 30 days 39 9.44% 7.91% 7.90% 23 9.70% 9.80% 7.45% 88 9.59% 9.36% 5.13%

 Within 90 days (inclusive)* 56 13.56% 9.88% 10.59% 31 13.08% 12.97% 11.30% 107 11.66% 12.26% 8.00%

No 302 73.12% 75.69% 72.61% 160 67.51% 73.78% 74.28% 703 76.58% 73.49% 75.91%

Don’t Know 31 7.51% 9.29% 11.09% 30 12.66% 8.93% 9.62% 68 7.41% 10.27% 11.45%

FAMILY ADVOCACY 

PROGRAMS

Yes 29 7.02% 6.13% 4.20% 12 5.06% 6.34% 5.53% 68 7.41% 5.14% 4.34%

 Within 30 days 12 2.91% 2.17% 1.18% 3 1.27% 2.02% 2.16% 35 3.81% 1.74% 2.17%

 Within 90 days (inclusive)* 17 4.12% 4.35% 2.35% 6 2.53% 4.03% 3.85% 43 4.68% 3.07% 2.96%

No 343 83.05% 83.79% 82.86% 192 81.01% 83.00% 84.13% 770 83.88% 84.01% 81.24%

Don’t Know 41 9.93% 10.08% 12.94% 33 13.92% 10.66% 10.34% 80 8.71% 10.85% 14.41%

CHAPLAIN SERVICES Yes 54 13.08% 18.18% 16.47% 26 10.97% 12.10% 14.18% 137 14.92% 17.32% 14.61%

 Within 30 days 30 7.26% 11.46% 10.25% 18 7.59% 7.20% 10.10% 96 10.46% 12.59% 11.15%
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 Within 90 days (inclusive)* 38 9.20% 16.21% 13.61% 22 9.28% 9.51% 12.50% 115 12.53% 15.66% 13.23%

No 251 60.77% 60.47% 56.13% 139 58.65% 62.82% 59.86% 500 54.47% 50.79% 45.80%

Don’t Know 108 26.15% 21.34% 27.39% 72 30.38% 25.07% 25.96% 281 30.61% 31.90% 39.59%

OUTPATIENT 

BEHAVIORAL HEALTH

Yes 275 66.59% 56.92% 59.50% 147 62.03% 61.96% 56.49% 600 65.36% 62.88% 59.82%

 Within 30 days 188 45.52% 41.11% 39.33% 99 41.77% 43.23% 36.78% 439 47.82% 44.82% 42.84%

 Within 90 days (inclusive)* 223 54.00% 47.83% 48.07% 114 48.10% 50.72% 45.19% 498 54.25% 51.78% 50.15%

No 120 29.06% 36.96% 33.95% 67 28.27% 31.41% 39.66% 272 29.63% 30.65% 31.89%

Don’t Know 18 4.36% 6.13% 6.55% 23 9.70% 6.63% 3.85% 46 5.01% 6.46% 8.29%

INPATIENT BEHAVIORAL 

HEALTH

Yes 103 24.94% 27.67% 25.55% 62 26.16% 29.68% 21.63% 250 27.23% 26.68% 24.19%

 Within 30 days 40 9.69% 11.26% 9.92% 22 9.28% 10.95% 7.21% 106 11.55% 10.69% 11.35%

 Within 90 days (inclusive)* 62 15.01% 17.19% 15.97% 38 16.03% 19.60% 12.98% 155 16.88% 16.16% 16.39%

No 285 69.01% 65.22% 66.55% 149 62.87% 62.82% 72.60% 607 66.12% 65.53% 66.63%

Don’t Know 25 6.05% 7.11% 7.90% 26 10.97% 7.49% 5.77% 61 6.64% 7.79% 9.18%

IN A WARRIOR 

TRANSITION UNIT

Yes 27 6.54% 22 9.28% 61 6.64%

No 35 8.47% 6 2.53% 51 5.56%

Don’t Know 351 84.99% 209 88.19% 806 87.80%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Note: Warrior Transition Unit data unavailable prior to 2010.

As indicated in Table 5.52, nearly half of DoDSERs for Soldiers who attempted suicide (n = 199, 48.18%) included known prescriptions for 

psychotropic medication prior to the suicide event. Antidepressants (n = 159, 79.90% of those with known prescriptions, 38.50% of total) and 

antianxiety medication (n = 83, 41.71% of those with known prescriptions, 20.10% of total) were the most frequently prescribed psychotropics. 

Similar data were included in self-harm DoDSERs and suicidal ideation DoDSERs.

TABLE 5.52. CY 2010 AND 2008-2009 ARMY DoDSER PSYCHOTROPIC MEDICATION USE FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 199 48.18% 40.51% 40.50% 111 46.84% 44.67% 36.78% 389 42.37% 41.18% 33.56%

No 177 42.86% 51.38% 48.74% 100 42.19% 45.24% 54.81% 433 47.17% 47.97% 53.21%

Don’t Know 37 8.96% 8.10% 10.76% 26 10.97% 10.09% 8.41% 96 10.46% 10.85% 13.23%

TABLE 5.51. CY 2010 AND 2008-2009 ARMY DoDSER TREATMENT HISTORY FOR NON-FATAL SUICIDE EVENTS (CONT.)
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 Antidepressants Yes 159 38.50% 35.18% 35.63% 99 41.77% 40.06% 31.97% 343 37.36% 35.87% 29.22%

No 208 50.36% 56.13% 52.44% 109 45.99% 49.57% 58.89% 464 50.54% 51.70% 56.27%

Don’t Know 46 11.14% 8.70% 11.93% 29 12.24% 10.37% 9.13% 111 12.09% 12.43% 14.51%

 Antianxiety Yes 83 20.10% 15.61% 16.13% 50 21.10% 19.02% 10.82% 157 17.10% 14.66% 12.64%

No 272 65.86% 73.32% 68.24% 151 63.71% 68.30% 76.68% 638 69.50% 71.09% 70.88%

Don’t Know 58 14.04% 11.07% 15.63% 36 15.19% 12.68% 12.50% 123 13.40% 14.25% 16.49%

 Antimanics Yes 13 3.15% 1.38% 2.35% 5 2.11% 1.73% 3.61% 23 2.51% 2.40% 2.27%

No 338 81.84% 86.17% 79.83% 196 82.70% 85.30% 84.62% 772 84.10% 82.60% 81.54%

Don’t Know 62 15.01% 12.45% 17.82% 36 15.19% 12.97% 11.78% 123 13.40% 15.00% 16.19%

 Anticonvulsants Yes 9 2.18% 1.58% 1.85% 4 1.69% 2.59% 1.68% 19 2.07% 2.15% 1.38%

No 341 82.57% 86.56% 81.18% 197 83.12% 84.73% 85.82% 773 84.20% 82.93% 82.23%

Don’t Know 63 15.25% 11.86% 16.97% 36 15.19% 12.68% 12.50% 126 13.73% 14.91% 16.39%

 Antipsychotics Yes 32 7.75% 9.29% 9.08% 20 8.44% 11.82% 7.69% 55 5.99% 7.21% 7.31%

No 319 77.24% 78.66% 74.96% 181 76.37% 76.37% 79.81% 741 80.72% 78.29% 76.11%

Don’t Know 62 15.01% 12.06% 15.97% 36 15.19% 11.82% 12.50% 122 13.29% 14.50% 16.58%

TABLE 5.52. CY 2010 AND 2008-2009 ARMY DoDSER PSYCHOTROPIC MEDICATION USE FOR NON-FATAL SUICIDE EVENTS (CONT.)

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These data include information about family 

histories, interpersonal relationships, legal, financial and administrative difficulties, and reports of prior abuse.

Family and Relationship History

DoDSERs for half of Soldiers who attempted suicide (n = 223, 54.00%) indicated a known failure in a spousal or intimate relationship, with 139 

(33.66%) indicating the failure occurred within the month prior to attempting suicide (Table 5.53). Sixty-four (15.50%) indicated a failure in another 

important relationship, with over half of these (n = 39, 9.44%) occurring within the month prior to the suicide attempt. Data were similar in DoDSERs 

for Soldiers with self-harm without intent to die and suicidal ideation.
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TABLE 5.53. CY 2010 AND 2008-2009 ARMY DoDSER FAILED RELATIONSHIPS PRIOR TO NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

HX FAILED INTIMATE 

RELATIONSHIP

Yes 223 54.00% 50.00% 46.72% 124 52.32% 52.74% 43.27% 410 44.66% 39.35% 35.44%

 Within 30 days 139 33.66% 30.24% 27.23% 55 23.21% 25.65% 20.91% 206 22.44% 17.56% 17.67%

 Within 90 days (inclusive)* 170 41.16% 37.94% 36.30% 90 37.97% 40.92% 31.01% 284 30.94% 26.51% 26.55%

No 155 37.53% 41.70% 43.19% 94 39.66% 40.63% 47.84% 453 49.35% 53.02% 52.32%

Don’t Know 35 8.47% 8.30% 10.08% 19 8.02% 6.63% 8.89% 55 5.99% 7.62% 12.24%

HX FAILED OTHER 

RELATIONSHIP

Yes 64 15.50% 17.00% 11.76% 26 10.97% 11.24% 8.65% 108 11.76% 12.43% 9.67%

 Within 30 days 39 9.44% 8.89% 5.55% 18 7.59% 5.48% 5.05% 51 5.56% 5.05% 4.44%

 Within 90 days (inclusive)* 47 11.38% 11.66% 7.90% 21 8.86% 7.49% 6.97% 67 7.30% 7.46% 6.32%

No 284 68.77% 69.37% 71.76% 182 76.79% 80.40% 78.13% 707 77.02% 76.80% 73.74%

Don’t Know 65 15.74% 13.64% 16.47% 29 12.24% 8.36% 13.22% 103 11.22% 10.77% 16.58%

HX ANY FAILED 

RELATIONSHIP 

(INTIMATE AND/OR 

OTHER)

Yes 239 57.87% 55.53% 50.08% 133 56.12% 56.20% 45.67% 431 46.95% 44.16% 39.88%

 Within 30 days 154 37.29% 34.39% 28.91% 64 27.00% 28.82% 22.84% 224 24.40% 20.55% 19.64%

 Within 90 days (inclusive)* 184 44.55% 41.90% 37.82% 99 41.77% 43.80% 32.45% 298 32.46% 29.33% 28.53%

No 142 34.38% 36.17% 40.00% 85 35.86% 37.18% 45.91% 434 47.28% 48.47% 48.27%

Don’t Know 32 7.75% 8.30% 9.92% 19 8.02% 6.63% 8.41% 53 5.77% 7.37% 11.85%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Table 5.54 summarizes other family and relationship factors. The most frequent family-related stressor was family behavioral health problems (n = 

110 suicide attempt DoDSERs, 26.63%; n = 64 self-harm DoDSERs, 27.00%; n = 265 suicidal ideation DoDSERs, 28.87%).

TABLE 5.54. CY 2010 AND 2008-2009 ARMY DoDSER FAMILY HISTORY FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.20% 0.34% 0 0.00% 0.29% 0.24% 1 0.11% 0.08% 0.20%

No 387 93.70% 91.90% 89.41% 223 94.09% 94.52% 92.31% 875 95.32% 93.37% 87.86%

Don’t Know 26 6.30% 7.91% 10.25% 14 5.91% 5.19% 7.45% 42 4.58% 6.55% 11.94%
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Administrative and Legal History

Table 5.55 summarizes administrative and legal problems reported by Army DoDSER POCs for non-fatal suicide events in 2010. One hundred 

seventy-six DoDSERs for Soldiers who attempted suicide (42.62%) included at least one administrative or legal issue and 67 (16.22%) included 

more than one. The most frequent administrative or legal problems were Article 15 proceedings (n = 80, 19.37%), administrative separation (n = 

53, 12.83%), and civil legal issues (n = 43, 10.41%). Similar patterns were evident in DoDSERs for Soldiers with self-harm without intent to die and 

suicidal ideation.

HX FAMILY MEMBER SUICIDE Yes 26 6.30% 6.13% 6.39% 10 4.22% 3.75% 4.09% 65 7.08% 4.47% 4.24%

No 338 81.84% 82.61% 80.34% 207 87.34% 89.34% 85.82% 789 85.95% 86.50% 81.24%

Don’t Know 49 11.86% 11.26% 13.28% 20 8.44% 6.92% 10.10% 64 6.97% 9.03% 14.51%

HX FRIEND SUICIDE Yes 32 7.75% 7.51% 6.05% 12 5.06% 4.03% 5.53% 55 5.99% 6.63% 4.54%

No 325 78.69% 80.43% 79.33% 202 85.23% 89.05% 83.41% 789 85.95% 83.68% 79.96%

Don’t Know 56 13.56% 12.06% 14.62% 23 9.70% 6.92% 11.06% 74 8.06% 9.69% 15.50%

HX DEATH OF FAMILY 

MEMBER

Yes 63 15.25% 13.24% 15.46% 36 15.19% 8.93% 10.34% 135 14.71% 10.69% 13.03%

No 301 72.88% 75.69% 71.09% 180 75.95% 84.44% 78.61% 713 77.67% 80.28% 72.16%

Don’t Know 49 11.86% 11.07% 13.45% 21 8.86% 6.63% 11.06% 70 7.63% 9.03% 14.81%

HX DEATH OF FRIEND Yes 40 9.69% 9.88% 11.76% 27 11.39% 5.48% 6.97% 111 12.09% 9.20% 9.58%

No 317 76.76% 77.08% 73.61% 187 78.90% 88.18% 81.25% 721 78.54% 81.11% 74.23%

Don’t Know 56 13.56% 13.04% 14.62% 23 9.70% 6.34% 11.78% 86 9.37% 9.69% 16.19%

HX FAMILY ILLNESS Yes 33 7.99% 8.30% 11.26% 21 8.86% 9.80% 8.65% 77 8.39% 6.79% 10.66%

No 328 79.42% 79.45% 74.79% 195 82.28% 83.57% 77.88% 757 82.46% 83.18% 72.75%

Don’t Know 52 12.59% 12.25% 13.95% 21 8.86% 6.63% 13.46% 84 9.15% 10.02% 16.58%

HX FAMILY BEHAVIORAL 

HEALTH PROBLEMS

Yes 110 26.63% 32.02% 35.97% 64 27.00% 32.28% 32.45% 265 28.87% 29.25% 30.21%

No 221 53.51% 51.38% 42.35% 135 56.96% 54.47% 48.08% 522 56.86% 53.11% 47.68%

Don’t Know 82 19.85% 16.60% 21.68% 38 16.03% 13.26% 19.47% 131 14.27% 17.65% 22.11%

TABLE 5.54. CY 2010 AND 2008-2009 ARMY DoDSER FAMILY HISTORY FOR NON-FATAL SUICIDE EVENTS (CONT.)
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Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

HX COURTS MARTIAL Yes 11 2.66% 4.15% 2.02% 2 0.84% 3.75% 2.40% 26 2.83% 3.07% 2.96%

No 357 86.44% 84.58% 84.37% 214 90.30% 88.76% 87.98% 805 87.69% 86.83% 83.22%

Don’t Know 45 10.90% 11.26% 13.61% 21 8.86% 7.49% 9.62% 87 9.48% 10.11% 13.82%

HX ARTICLE 15 Yes 80 19.37% 19.76% 19.16% 37 15.61% 20.46% 19.23% 137 14.92% 17.07% 16.09%

No 277 67.07% 68.18% 68.24% 176 74.26% 70.32% 70.19% 686 74.73% 71.33% 68.21%

Don’t Know 56 13.56% 12.06% 12.61% 24 10.13% 9.22% 10.58% 95 10.35% 11.60% 15.70%

HX ADMIN SEPARATION Yes 53 12.83% 10.67% 10.59% 23 9.70% 9.51% 10.82% 82 8.93% 10.44% 9.48%

No 306 74.09% 78.46% 75.13% 190 80.17% 82.13% 78.61% 735 80.07% 79.54% 74.53%

Don’t Know 54 13.08% 10.87% 14.29% 24 10.13% 8.36% 10.58% 101 11.00% 10.02% 15.99%

HX AWOL Yes 30 7.26% 6.13% 6.05% 14 5.91% 9.22% 6.49% 58 6.32% 9.11% 9.08%

No 342 82.81% 83.79% 83.19% 201 84.81% 85.59% 84.86% 777 84.64% 82.10% 78.68%

Don’t Know 41 9.93% 10.08% 10.76% 22 9.28% 5.19% 8.65% 83 9.04% 8.78% 12.24%

HX MEDICAL BOARD Yes 35 8.47% 7.71% 8.40% 24 10.13% 8.07% 8.17% 101 11.00% 6.46% 5.73%

No 330 79.90% 81.62% 80.17% 186 78.48% 86.17% 83.65% 719 78.32% 84.18% 80.85%

Don’t Know 48 11.62% 10.67% 11.43% 27 11.39% 5.76% 8.17% 98 10.68% 9.36% 13.43%

HX CIVIL LEGAL PROBLEMS Yes 43 10.41% 9.29% 7.90% 15 6.33% 6.63% 7.93% 76 8.28% 6.46% 6.81%

No 309 74.82% 79.05% 78.32% 198 83.54% 85.01% 77.88% 749 81.59% 83.43% 75.62%

Don’t Know 61 14.77% 11.66% 13.78% 24 10.13% 8.36% 14.18% 93 10.13% 10.11% 17.57%

HX NON-SELECTION FOR 

PROMOTION

Yes 23 5.57% 2.96% 1.18% 5 2.11% 3.46% 2.40% 35 3.81% 1.66% 1.78%

No 320 77.48% 83.79% 84.87% 209 88.19% 87.32% 82.45% 765 83.33% 86.25% 79.76%

Don’t Know 70 16.95% 13.24% 13.95% 23 9.70% 9.22% 15.14% 118 12.85% 12.10% 18.46%

HAD ANY ADMIN/LEGAL ISSUEYes 176 42.62% 38.14% 38.15% 81 34.18% 37.75% 36.30% 350 38.13% 33.72% 32.58%

No 190 46.00% 52.96% 51.76% 136 57.38% 57.35% 53.13% 495 53.92% 57.91% 52.91%

Don’t Know 47 11.38% 8.89% 10.08% 20 8.44% 4.90% 10.58% 73 7.95% 8.37% 14.51%

HAD MULTIPLE ADMIN/LEGAL 

ISSUES

Yes 67 16.22% 14.03% 12.10% 23 9.70% 15.56% 15.38% 112 12.20% 13.42% 12.34%

No 176 42.62% 49.01% 48.57% 126 53.16% 53.31% 49.76% 470 51.20% 54.27% 50.35%

Don’t Know 170 41.16% 36.96% 39.33% 88 37.13% 31.12% 34.86% 336 36.60% 32.31% 37.31%

TABLE 5.55. CY 2010 AND 2008-2009 ARMY DoDSER ADMINISTRATIVE AND LEGAL HISTORY FOR NON-FATAL SUICIDE EVENTS
164

Chapter 5: Army DoDSER

Abuse History

Table 5.56 provides non-fatal Army DoDSER data about both abuse victimization and abuse perpetration. DoDSERs for Soldiers who attempted 

suicide included a history of reported physical abuse (n = 90, 21.79%), sexual abuse (n = 71, 17.19%), emotional abuse (n = 94, 22.76%), and 

sexual harassment (n = 22, 5.33%). Army suicide attempt DoDSERs included less frequent alleged history of perpetrating physical abuse (n = 23, 

5.57%), sexual abuse (n = 10, 2.42%), emotional abuse (n = 15, 3.63%), and sexual harassment (n = 3, 0.73%). DoDSERs for self-harm without 

intent to die and suicidal ideation included similar proportions.

TABLE 5.56. CY 2010 AND 2008-2009 ARMY DoDSER ABUSE HISTORY FOR NON-FATAL SUICIDE EVENTS

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 90 21.79% 22.13% 18.66% 44 18.57% 20.46% 18.03% 181 19.72% 20.30% 18.07%

No 268 64.89% 65.02% 64.37% 139 58.65% 63.69% 66.59% 638 69.50% 65.70% 63.28%

Don’t Know 55 13.32% 12.85% 16.97% 54 22.78% 15.85% 15.38% 99 10.78% 14.00% 18.66%

HX VICTIM SEXUAL ABUSE Yes 71 17.19% 16.40% 11.93% 37 15.61% 14.41% 11.30% 154 16.78% 12.84% 12.34%

No 289 69.98% 70.16% 70.25% 153 64.56% 69.16% 72.36% 671 73.09% 71.75% 69.50%

Don’t Know 53 12.83% 13.44% 17.82% 47 19.83% 16.43% 16.35% 93 10.13% 15.41% 18.16%

HX VICTIM EMOTIONAL 

ABUSE

Yes 94 22.76% 24.51% 20.50% 46 19.41% 18.44% 17.07% 175 19.06% 20.96% 18.26%

No 263 63.68% 61.26% 61.18% 139 58.65% 63.69% 65.63% 638 69.50% 64.04% 63.57%

Don’t Know 56 13.56% 14.23% 18.32% 52 21.94% 17.87% 17.31% 105 11.44% 15.00% 18.16%

HX VICTIM SEXUAL 

HARASSMENT

Yes 22 5.33% 3.75% 4.54% 11 4.64% 2.02% 1.20% 23 2.51% 3.31% 2.86%

No 332 80.39% 81.03% 76.13% 170 71.73% 81.27% 80.53% 790 86.06% 80.86% 76.11%

Don’t Know 59 14.29% 15.22% 19.33% 56 23.63% 16.71% 18.27% 105 11.44% 15.82% 21.03%

HX PERPETRATOR PHYSICAL 

ABUSE

Yes 23 5.57% 5.53% 4.54% 8 3.38% 5.19% 4.57% 34 3.70% 4.56% 4.15%

No 328 79.42% 80.63% 78.66% 174 73.42% 78.96% 79.09% 774 84.31% 82.35% 76.41%

Don’t Know 62 15.01% 13.83% 16.81% 55 23.21% 15.85% 16.35% 110 11.98% 13.09% 19.45%

HX PERPETRATOR SEXUAL 

ABUSE

Yes 10 2.42% 1.58% 0.84% 3 1.27% 0.86% 0.96% 5 0.54% 0.99% 1.18%

No 342 82.81% 84.39% 81.51% 180 75.95% 83.00% 82.45% 801 87.25% 85.50% 79.57%

Don’t Know 61 14.77% 14.03% 17.65% 54 22.78% 16.14% 16.59% 112 12.20% 13.50% 19.25%
165

Chapter 5: Army DoDSER

Calendar Year 2010 Annual Report

Financial and Workplace Difficulties

Table 5.57 provides Army DoDSER data on economic hardship and problems in the workplace. One third of DoDSERs for Soldiers who attempted 

suicide in 2010 included experience of job loss or instability (n = 140, 33.90%). One hundred three (24.94%) included problems with either 

supervisors or coworkers, and 72 (17.43%) included prior poor work evaluations. Data were similar in Army DoDSERs for other non-fatal suicide 

events.

TABLE 5.57. CY 2010 AND 2008-2009 ARMY DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES FOR NON-FATAL SUICIDE EVENTS

HX PERPETRATOR EMOTIONAL 

ABUSE

Yes 15 3.63% 2.96% 2.35% 5 2.11% 0.86% 2.40% 13 1.42% 2.32% 1.28%

No 334 80.87% 82.21% 79.16% 178 75.11% 82.13% 81.01% 788 85.84% 84.18% 78.38%

Don’t Know 64 15.50% 14.82% 18.49% 54 22.78% 17.00% 16.59% 117 12.75% 13.50% 20.34%

HX PERPETRATOR SEXUAL 

HARASSMENT

Yes 3 0.73% 0.20% 0.34% 1 0.42% 0.29% 0.72% 2 0.22% 1.08% 0.39%

No 347 84.02% 85.18% 82.02% 181 76.37% 83.00% 82.21% 803 87.47% 85.58% 79.76%

Don’t Know 63 15.25% 14.62% 17.65% 55 23.21% 16.71% 17.07% 113 12.31% 13.34% 19.84%

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCYYes 50 12.11% 9.68% 11.09% 29 12.24% 10.37% 12.50% 107 11.66% 10.44% 11.15%

No 281 68.04% 75.69% 69.58% 183 77.22% 78.96% 69.71% 711 77.45% 78.96% 69.30%

Don’t Know 82 19.85% 14.62% 19.33% 25 10.55% 10.66% 17.79% 100 10.89% 10.60% 19.55%

HX JOB LOSS/INSTABILITY Yes 140 33.90% 27.87% 26.39% 66 27.85% 30.26% 32.45% 254 27.67% 29.83% 30.21%

No 223 54.00% 60.28% 58.32% 153 64.56% 63.98% 54.81% 599 65.25% 61.81% 55.58%

Don’t Know 50 12.11% 11.86% 15.29% 18 7.59% 5.76% 12.74% 65 7.08% 8.37% 14.22%

HX SUPERVISOR/COWORKER 

ISSUES

Yes 103 24.94% 24.70% 23.87% 57 24.05% 28.24% 31.01% 218 23.75% 26.68% 27.74%

No 242 58.60% 60.87% 57.98% 151 63.71% 63.98% 54.81% 616 67.10% 63.13% 56.27%

Don’t Know 68 16.46% 14.43% 18.15% 29 12.24% 7.78% 14.18% 84 9.15% 10.19% 15.99%

HX POOR WORK EVALUATION Yes 72 17.43% 13.04% 15.13% 40 16.88% 22.77% 23.56% 132 14.38% 16.49% 19.35%

No 252 61.02% 72.33% 64.87% 170 71.73% 67.72% 59.38% 673 73.31% 71.58% 62.19%

Don’t Know 89 21.55% 14.62% 20.00% 27 11.39% 9.51% 17.07% 113 12.31% 11.93% 18.46%

TABLE 5.56. CY 2010 AND 2008-2009 ARMY DoDSER ALLEGED ABUSE HISTORY FOR NON-FATAL SUICIDE EVENTS (CONT.)
166

Chapter 5: Army DoDSER

Deployment Factors

DoDSER captures detailed information about Soldiers’ three most recent deployments. Data include deployment location information as well as 

history of direct combat operations. 

Deployment and Combat History

As summarized in Table 5.58, DoDSERs for Army suicide attempts included 25 suicide attempts in Iraq (6.05%) and 14 in Afghanistan (3.39%). Two 

hundred eighteen Army suicide attempt DoDSERs (52.78%) included at least one OEF, OIF or OND deployment (Table 5.59), and 81 DoDSERs for 

Army suicide attempts (19.61%) included direct combat history (Table 5.60). DoDSER POCs provided similar data for other non-fatal suicide events.

TABLE 5.58. CY 2010 AND 2008-2009 ARMY DoDSER NON-FATAL SUICIDE EVENTS IN THEATER

TABLE 5.59. CY 2010 AND 2008-2009 ARMY DoDSER OEF/OIF/OND DEPLOYMENT HISTORY 

HX UNIT/WORKPLACE HAZINGYes 23 5.57% 5.73% 3.87% 8 3.38% 3.75% 3.37% 41 4.47% 2.90% 2.57%

No 306 74.09% 78.85% 75.80% 195 82.28% 88.47% 77.64% 752 81.92% 85.42% 77.10%

Don’t Know 84 20.34% 15.42% 20.34% 34 14.35% 7.78% 18.99% 125 13.62% 11.68% 20.34%

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

THEATER Afghanistan 14 3.39% 1.58% 1.68% 6 2.53% 1.73% 0.72% 7 0.76% 0.75% 0.59%

Iraq 25 6.05% 8.70% 13.95% 10 4.22% 5.19% 8.41% 18 1.96% 4.14% 5.73%

Kuwait 0 0.00% 0.59% 0.34% 0 0.00% 0.58% 0.48% 3 0.33% 0.25% 0.20%

Not OEF/OIF/OND 374 90.56% 89.13% 84.03% 221 93.25% 92.51% 90.38% 890 96.95% 94.86% 93.48%

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 41 9.93% 2.17% 0.67% 27 11.39% 3.75% 0.00% 138 15.03% 2.98% 0.20%

Iraq 142 34.38% 41.50% 39.16% 71 29.96% 31.12% 36.78% 246 26.80% 31.81% 31.98%

TABLE 5.57. CY 2010 AND 2008-2009 ARMY DoDSER FINANCIAL AND WORKPLACE DIFFICULTIES FOR NON-FATAL SUICIDE EVENTS (CONT.)
167

Chapter 5: Army DoDSER

Calendar Year 2010 Annual Report

TABLE 5.60. CY 2010 AND 2008-2009 ARMY DoDSER COMBAT HISTORY FOR NON-FATAL SUICIDE EVENTS

Kuwait 4 0.97% 2.37% 4.03% 2 0.84% 2.02% 3.61% 11 1.20% 1.74% 5.13%

Multiple OEF/OIF/OND 

locations

31 7.51% 2.57% 2.35% 15 6.33% 3.46% 1.44% 61 6.64% 3.15% 2.37%

No history of OEF/OIF/

OND deployment

195 47.22% 51.38% 53.78% 122 51.48% 59.65% 58.17% 462 50.33% 60.31% 60.32%

Suicide Attempt Self-Harm (no intent to die) Ideation Only

2010 2009 2008 2010 2009 2008 2010 2009 2008

Count Percent Percent Percent Count Percent Percent Percent Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 81 19.61% 24.11% 23.03% 38 16.03% 18.16% 17.07% 184 20.04% 15.66% 17.87%

Resulted in injuries/casualties 51 12.35% 17.59% 14.79% 28 11.81% 10.37% 11.06% 133 14.49% 10.69% 12.54%

 Injured in combat 22 5.33% 4.94% 5.71% 13 5.49% 4.03% 3.13% 44 4.79% 4.56% 4.54%

 Witnessed killing in combat 56 13.56% 16.80% 13.95% 28 11.81% 9.80% 10.58% 132 14.38% 10.52% 12.44%

 Saw dead bodies 59 14.29% 18.18% 13.95% 29 12.24% 10.37% 12.26% 136 14.81% 10.44% 12.83%

 Killed others in combat 37 8.96% 8.30% 8.07% 11 4.64% 4.61% 5.53% 78 8.50% 4.97% 6.12%

NO DIRECT COMBAT HISTORY 332 80.39% 75.89% 76.97% 199 83.97% 81.84% 82.93% 734 79.96% 84.34% 82.13%

TABLE 5.59. CY 2010 AND 2008-2009 ARMY DoDSER OEF/OIF/OND DEPLOYMENT HISTORY (CONT.)
168

Chapter 5: Army DoDSER

Summary

This chapter provides data on Army suicides and non-fatal suicide events that occurred in 2010. Data are 

presented for 147 Soldiers who died by suicide and for 400 Soldiers who attempted suicide in 413 separate 

incidents. Decedents and those with non-fatal suicide events were primarily male, Caucasian, under age 25, 

junior enlisted, Regular component Soldiers, and without a college degree. 

Most suicide events took place in the United States in the Soldiers’ own residences. The most frequent 

methods for Soldiers who died by suicide were non-military issue firearm use and hanging. Suicide attempt 

methods were most often drug overdose, harming oneself with a sharp or blunt object, and hanging. Drug and 

alcohol use was much more frequent among non-fatal Army suicide events. The majority of Soldiers who died 

by suicide or had attempted suicide were not known to have communicated with others about their likelihood of 

harming themselves.

Soldiers with non-fatal suicide events had more reported behavioral health disorders than did decedents, but 

similar behavioral health treatment use prior to the event. Additionally, those who attempted suicide had higher 

prevalence of prior abuse victimization. Failed intimate relationships were frequent among Soldiers with suicide 

events. The most frequent administrative or legal issue was Article 15 proceedings. 

Army DoDSER data were largely consistent across all types of non-fatal suicide events.
169

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

CHAPTER 6:

MARINE CORPS DoDSER

MARINE CORPS RESULTS FOR COMPLETED SUICIDES

Marine Corps DoDSER Submissions & Point of Contact (POC) Compliance

2010 Reported Suicides

Thirty-seven Marine Corps suicides were confirmed by the Armed Forces Medical Examiner System (AFMES) 

for calendar year (CY) 2010 (Table 6.1). Marine Corps Department of Defense Suicide Event Reports 

(DoDSERs) were submitted and analyzed for all 37, for a submission compliance rate of 100%. The tables 

in this section include data for all decedents. In addition, the tables provide percentages for 2009 and 2008 

DoDSER data for comparison. Specific counts for prior years are available in the previous DoDSER annual 

reports and are available for download at http://t2health.org.

TABLE 6.1. MARINE CORPS AFMES CONFIRMED AND PENDING SUICIDES AND DODSERS SUBMITTED

2010 2009 2008

Total DoDSERs Included in Annual Report 37 51 42

Total AFMES Confirmed and Pending Suicides 37 52 42

AFMES Confirmed Suicides (By 31 January) 37 51 41

DoDSER Submission Compliance 100% 100% 100%

Data from 1/1/2008 through 12/31/2010 as of 4/1/2011

As summarized in Table 6.2, fifteen DoDSERs for 2010 Marine Corps suicides (40.54%) had one or fewer 

“Unknown” or missing primary data points. DoDSERs for five Marines (13.51%) had five or more missing data 

points. 

TABLE 6.2. CY 2010 AND 2008-2009 MARINE CORPS DODSER MISSING AND UNKNOWN DATA 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 10 27.03% 23.08% 24.39%

1 5 13.51% 9.62% 19.51%

2 6 16.22% 23.08% 26.83%

3 7 18.92% 19.23% 7.32%

4 4 10.81% 3.85% 7.32%

5 or More 5 13.51% 21.15% 14.63%

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors of decedents that may have 

been associated with the suicide events. These factors include decedents’ demographic characteristics, event 
170

Chapter 6: Marine Corps DoDSER

setting, suicide method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 6.3 contains demographic data provided by the Defense Manpower Data Center (DMDC). All but one of 

the 37 Marine Corps 2010 suicides were completed by males (97.30%). Decedents were primarily Caucasian 

(n = 32, 86.49%), under age 25 (n = 22, 59.46%), enlisted (n = 34, 91.89%), Regular component (n = 36, 

97.30%) and without a college degree (n = 32, 87.20%).

TABLE 6.3. CY 2010 AFMES AND DMDC DEMOGRAPHIC DATA AND RATES FOR MARINE CORPS SUICIDES 

2010 2009 2008

Count Percent Service

Total %

Rate/

100K

(N = 52) 

Percent

(N = 42) 

Percent

TOTAL 37 100.00% 100.00% 17.21 100.00% 100.00%

GENDER Male 36 97.30% 93.42% 17.92 100.00% 95.24%

Female 1 2.70% 6.58% * 0.00% 4.76%

RACE American Indian or Alaskan Native 0 0.00% 1.08% * 0.00% 0.00%

Asian or Pacific Islander 2 5.41% 3.14% * 1.92% 0.00%

Black/African American 3 8.11% 10.24% * 5.77% 4.76%

White/Caucasian 32 86.49% 78.48% 18.96 92.31% 88.10%

Other/Don’t Know 0 0.00% 7.05% * 0.00% 7.14%

AGE RANGE Under 25 22 59.46% 57.19% 17.89 76.92% 73.81%

25-29 8 21.62% 21.46% * 9.62% 14.29%

30-34 5 13.51% 9.78% * 5.77%

7.14%

35-39 1 2.70% 6.63% * 5.77%

40-44 0 0.00% 3.34% * 0.00%

4.76%

45+ 1 2.70% 1.59% * 1.92%

RANK Cadet 0 0.00% 0.00% * 0.00% 0.00%

E1-E4 22 59.46% 58.93% 17.36 75.00% 64.29%

E5-E9 12 32.43% 30.23% * 21.15% 30.95%

Officer 3 8.11% 9.84% * 1.92% 4.76%

Warrant Officer 0 0.00% 1.00% * 1.92% 0.00%

COMPONENT Regular 36 97.30% 94.23% 17.77 100.00% 95.24%

Reserve 1 2.70% 5.77% * 0.00% 4.76%

National Guard 0 0.00% 0.00% * 0.00% 0.00%

EDUCATION Some high school, did not graduate 0 0.00% 0.12% * 0.00% 7.14%

GED 1 2.70% 3.45% * 13.46% 2.38%

High school graduate 30 81.08% 82.18% 16.98 80.77% 78.57%

Some college or technical school 1 2.70% 0.87% * 3.85% 0.00%

Degree/certificate less than four years 1 2.70% 1.79% * 0.00% 4.76%

Four-year college degree 2 5.41% 8.72% * 1.92% 4.76%

Master’s degree or greater 2 5.41% 2.44% * 0.00% 2.38%

Don’t Know 0 0.00% 0.43% * 0.00% 0.00%
171

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

Event Setting

In 2010, as in the previous two years, Marine Corps suicides most frequently took place in the United States 

(n = 30, 81.08%), with four suicides occurring during deployment to Afghanistan (10.81%) and one in Djibouti 

(2.70%, Table 6.4). As summarized in Table 6.5, suicides primarily occurred in the Marines’ own residences 

(n = 19, 51.35%), followed by worksites (n = 5, 13.51%) and residences of friends or family (n = 3, 8.11%). 

“Other” (write-in) responses included public parks (n = 2, 5.41%), a hotel (n = 1, 2.70%), and a correctional 

facility (n = 1, 2.70%). 

TABLE 6.4. CY 2010 AND 2008-2009 MARINE CORPS DODSER EVENT GEOGRAPHIC LOCATION 

2010 2009 2008

Count Percent Percent Percent

GEOGRAPHIC LOCATION United States 30 81.08% 75.00% 80.49%

Iraq 0 0.00% 15.38% 14.63%

Afghanistan 4 10.81% 5.77% 0.00%

Djibouti 1 2.70% 0.00% 0.00%

Asia 2 5.41% 0.00% 0.00%

Other 0 0.00% 3.85% 0.00%

Don’t Know 0 0.00% 0.00% 4.88%

TABLE 6.3. CY 2010 AFMES AND DMDC DEMOGRAPHIC DATA AND RATES FOR MARINE CORPS SUICIDES (CONT.)

TABLE 6.5. CY 2010 AND 2008-2009 MARINE CORPS DODSER EVENT SETTING 

2010 2009 2008

Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 19 51.35% 61.54% 56.10%

Residence of friend or family 3 8.11% 11.54% 12.20%

Work/jobsite 5 13.51% 5.77% 12.20%

Automobile (away from residence) 2 5.41% 7.69% 9.76%

Inpatient medical facility 0 0.00% 0.00% 0.00%

Other 8 21.62% 13.46% 9.76%

Don’t Know 0 0.00% 0.00% 0.00%

Event Method

As indicated in Table 6.6, the primary methods for suicide included use of non-military issue firearms (n = 17, 

MARITAL STATUS Never Married 18 48.65% 47.39% * 48.08% 45.24%

Married 17 45.95% 48.49% * 42.31% 42.86%

Legally Separated 1 2.70% 0.16% * 0.00% 0.00%

Divorced 1 2.70% 3.92% * 9.62% 7.14%

Widowed 0 0.00% 0.04% * 0.00% 0.00%

Don’t Know 0 0.00% 0.00% * 0.00% 4.76%

Note: Rates calculated only for cells with at least 20 individuals.
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Chapter 6: Marine Corps DoDSER

Substance Use during the Event

Comprehensive information about substance use during suicide is unavailable for most Marine Corps suicides 

in 2010 (n = 27, 72.97%; Table 6.7). Of those for whom information was available, almost one third used 

alcohol during the suicide event (n = 7, 35.00% of DoDSERs with alcohol use data, 18.92% of total). Fewer 

were known to have used drugs (n = 2, 12.50% of DoDSERs with drug use data, 5.41% of total). These 

frequencies include one Marine who used drugs as a suicide method (2.70%), as described above.

TABLE 6.7. CY 2010 AND 2008-2009 MARINE CORPS DODSER SUBSTANCE(S) USED DURING SUICIDE

45.95%), hanging (n = 8, 21.62%), and use of military issue firearms (n = 7, 18.92%). 

TABLE 6.6. CY 2010 AND 2008-2009 MARINE CORPS DODSER EVENT METHOD 

2010 2009 2008

Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 17 45.95% 30.77% 39.02%

Firearm, military issue 7 18.92% 28.85% 29.27%

Hanging 8 21.62% 30.77% 29.27%

Drugs 1 2.70% 0.00% 0.00%

Gas, vehicle exhaust 0 0.00% 1.92% 0.00%

Gas, utility (or other) 2 5.41% 0.00% 0.00%

Fire, steam, etc. 1 2.70% 0.00% 0.00%

Sharp or blunt object 0 0.00% 3.85% 0.00%

Lying in front of moving object 1 2.70% 0.00% 0.00%

Crashing a motor vehicle 0 0.00% 0.00% 2.44%

Other 0 0.00% 1.92% 0.00%

Don’t Know 0 0.00% 1.92% 0.00%

2010 2009 2008

Count Percent Percent Percent

ALCOHOL USED Yes 7 18.92% 13.46% 24.39%

No 13 35.14% 42.31% 36.59%

Don’t Know 17 45.95% 44.23% 39.02%

ANY DRUGS USED Yes 2 5.41% 5.77% 2.44%

No 14 37.84% 36.54% 53.66%

Don’t Know 21 56.76% 57.69% 43.90%

 Illegal drugs Overdose 0 0.00% 0.00% 0.00%

Used, no overdose 0 0.00% 1.92% 0.00%

Were not used 16 43.24% 40.38% 53.66%

Don’t know 21 56.76% 57.69% 46.34%

 Prescription drugs Overdose 1 2.70% 0.00% 0.00%

Used, no overdose 1 2.70% 3.85% 2.44%

Were not used 14 37.84% 38.46% 53.66%

Don’t know 21 56.76% 57.69% 43.90%
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Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

 Over the counter drugs Overdose 0 0.00% 0.00% 0.00%

Used, no overdose 0 0.00% 0.00% 0.00%

Were not used 16 43.24% 42.31% 53.66%

Don’t know 21 56.76% 57.69% 46.34%

BOTH ALCOHOL AND DRUGS USED Yes 0 0.00% 1.92% 0.00%

No 15 40.54% 38.46% 53.66%

Don’t Know 22 59.46% 59.62% 46.34%

TABLE 6.7. CY 2010 AND 2008-2009 MARINE CORPS DODSER SUBSTANCE(S) USED DURING SUICIDE (CONT.)

Communication of Intent

Consistent with the prior two years, most Marine Corps decedents had no known history of communicating with 

others about intent to harm themselves (n = 25, 67.57%; Table 6.8). Approximately one third of Marines who 

died by suicide were known to have communicated with at least one individual regarding their potential to die 

by suicide (n = 12, 32.43%). These communications were most frequently verbal (n = 4, 10.81%; Table 6.9). 

Three DoDSERs included text messages as an “Other” (write-in) response (8.10%). As indicated in Table 6.10, 

decedents most frequently communicated with friends (n = 3, 8.11%). “Other” (write-in) responses included 

other Marines (n = 4, 10.81%) and family (n = 1, 2.70%)

TABLE 6.8. CY 2010 AND 2008-2009 MARINE CORPS DODSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED 

INTENT 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 25 67.57% 73.08% 68.29%

1 9 24.32% 15.38% 26.83%

2 2 5.41% 9.62% 4.88%

4 0 0.00% 1.92% 0.00%

5 1 2.70% 0.00% 0.00%

TABLE 6.9. CY 2010 AND 2008-2009 MARINE CORPS DODSER MODE OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

MODE OF COMMUNICATED INTENT Verbal 4 10.81% 17.31% 19.51%

Written 2 5.41% 0.00% 2.44%

Other or Unknown 5 13.51% 3.85% 7.32%

Multiple Modes 1 2.70% 5.77% 2.44%

No Known Communication 25 67.57% 73.08% 68.29%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

2010 2009 2008

Count Percent Percent Percent

COMMUNICATION Spouse 0 0.00% 5.77% 9.76%

Friend 3 8.11% 3.85% 0.00%

TABLE 6.10. CY 2010 AND 2008-2009 MARINE CORPS DODSER RECIPIENTS OF COMMUNICATED INTENT 
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Chapter 6: Marine Corps DoDSER

Additional Event Information

Table 6.11 provides information about other details of 2010 Marine Corps suicides. For the majority (n = 24, 

64.86%), there were data to indicate that the decedents intended to die. One Marine (2.70%) was known 

to have died while engaging in death risk gambling (e.g., “Russian roulette”). Fifteen suicides appeared 

premeditated (n = 15, 40.54%). Six Marine Corps decedents (16.22%) died in a location where the suicide was 

potentially observable by others. Over one third left suicide notes (n = 14, 37.84%).

TABLE 6.11. CY 2010 AND 2008-2009 MARINE CORPS DODSER ADDITIONAL EVENT INFORMATION 

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Behavioral Health Provider 0 0.00% 0.00% 2.44%

Chaplain 0 0.00% 0.00% 0.00%

Supervisor 1 2.70% 0.00% 0.00%

Other or Unidentified 5 13.51% 5.77% 14.63%

Made Multiple Communications 3 8.11% 11.54% 4.88%

No Known Communication 25 67.57% 73.08% 68.29%

TABLE 6.10. CY 2010 AND 2008-2009 MARINE CORPS DODSER RECIPIENTS OF COMMUNICATED INTENT (CONT.)

2010 2009 2008

Count Percent Percent Percent

INTENDED TO DIE Yes 24 64.86% 73.08% 73.17%

No 2 5.41% 5.77% 7.32%

Don’t Know 11 29.73% 21.15% 19.51%

DEATH RISK GAMBLING Yes 1 2.70% 0.00% 2.44%

No 30 81.08% 84.62% 82.93%

Don’t Know 6 16.22% 15.38% 14.63%

PLANNED/PREMEDITATED Yes 15 40.54% 34.62% 34.15%

No 10 27.03% 30.77% 43.90%

Don’t Know 12 32.43% 34.62% 21.95%

OBSERVABLE Yes 6 16.22% 11.54% 21.95%

No 26 70.27% 75.00% 78.05%

Don’t Know 5 13.51% 13.46% 0.00%

SUICIDE NOTE LEFT Yes 14 37.84% 17.31% 31.71%

No 17 45.95% 59.62% 56.10%

Don’t Know 6 16.22% 23.08% 12.20%
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Chapter 6: Marine Corps DoDSER

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Situational Factors

Table 6.12 provides details about the living situations for Marines who died by suicide in 2010. Decedents 

most frequently lived in shared military housing on their installations (n = 14, 37.84%) or private homes and 

apartments outside of their installations (n = 12, 32.43%). Of those who were married (n = 17), less than half 

lived with their spouses (n = 6, 30.00% of married, 16.22% of total), and four were separated (20.00% of 

married, 10.81% of total). Most decedents lived with others (n = 26, 70.27%). Eleven Marine Corps decedents 

(29.73%) had minor children, and six (16.22%) lived with their children at the time of death. Half of decedents 

had access to firearms either in their homes, at work, or other accessible locations (n = 20, 54.05%).

TABLE 6.12. CY 2010 AND 2008-2009 MARINE CORPS DODSER HOME ENVIRONMENT 

2010 2009 2008

Count Percent Percent Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 14 37.84% 36.54% 24.39%

Bachelor quarters 6 16.22% 19.23% 19.51%

On-base family housing 3 8.11% 3.85% 4.88%

Owned or leased apartment or house 12 32.43% 28.85% 41.46%

Ship 0 0.00% 0.00% 2.44%

Other 2 5.41% 5.77% 7.32%

Don’t Know 0 0.00% 5.77% 0.00%

MARRIED SERVICE MEMBER RESIDENCE Resided with spouse 6 16.22% 15.38% 17.07%

Separated due to relationship issues 4 10.81% 5.77% 17.07%

Apart for other reasons/deployed 7 18.92% 19.23% 9.76%

Don’t Know 0 0.00% 5.77% 2.44%

Unmarried at time of event 20 54.05% 53.85% 53.66%

RESIDED ALONE Yes 9 24.32% 25.00% 21.95%

No 26 70.27% 71.15% 73.17%

Don’t Know 2 5.41% 3.85% 4.88%

HAD MINOR CHILDREN Yes 11 29.73% 21.15% 24.39%

No 26 70.27% 78.85% 75.61%

Don’t Know 0 0.00% 0.00% 0.00%

CHILDREN RESIDED WITH Yes 6 16.22% 7.69% 12.20%

No 5 13.51% 11.54% 12.20%

Don’t Know 0 0.00% 1.92% 0.00%

No Children 26 70.27% 78.85% 75.61%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 20 54.05% 50.00% 56.10%

No 11 29.73% 28.85% 31.71%

Don’t Know 6 16.22% 21.15% 12.20%

Duty Environment

The primary duty environment for Marine Corps suicides was with their permanent duty station (n = 23, 

62.16%; Table 6.13). Five Marines died by suicide while deployed to OEF, OIF or OND (13.51%).
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Chapter 6: Marine Corps DoDSER

TABLE 6.13. CY 2010 AND 2008-2009 MARINE CORPS DODSER DUTY ENVIRONMENT 

Suicide Completions by Month

As in the prior two years, no clear pattern existed for Marine Corps suicides by month (Table 6.14).

TABLE 6.14. CY 2010 AND 2008-2009 MARINE CORPS DODSER SUICIDES BY MONTH

2010 2009 2008

Count Percent Percent Percent

DUTY ENVIRONMENT Permanent Duty Station 23 62.16% 42.31% 41.46%

Psychiatric Hospitalization 1 2.70% 7.69% 9.76%

Medical Hold 0 0.00% 0.00% 4.88%

TDY 2 5.41% 5.77% 4.88%

AWOL 1 2.70% 7.69% 7.32%

Deployed 5 13.51% 13.46% 9.76%

Training 1 2.70% 5.77% 2.44%

Other 1 2.70% 1.92% 4.88%

Multiple Duty Environments 1 2.70% 15.38% 14.63%

Duty Environment Unknown 2 5.41% 0.00% 0.00%

2010 2009 2008

Count Percent Percent Percent

MONTH January 7 18.92% 5.77% 17.07%

February 2 5.41% 1.92% 2.44%

March 3 8.11% 7.69% 9.76%

April 2 5.41% 9.62% 2.44%

May 7 18.92% 7.69% 14.63%

June 1 2.70% 17.31% 7.32%

July 6 16.22% 17.31% 7.32%

August 2 5.41% 3.85% 14.63%

September 2 5.41% 1.92% 4.88%

October 3 8.11% 7.69% 4.88%

November 0 0.00% 7.69% 2.44%

December 2 5.41% 11.54% 12.20%

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 
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Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

Prior Self-Injury 

Six Marines who died by suicide in 2010 (16.22%) had a known history of self-harm (Table 6.15), and two 

decedents (5.41%) were known to have at least two prior incidents of self-harm.

TABLE 6.15. CY 2010 AND 2008-2009 MARINE CORPS DODSER PRIOR SELF-INJURY 

2010 2009 2008

Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 6 16.22% 13.46% 14.63%

 Within 30 days 0 0.00% 5.77% 4.88%

 Within 90 days (inclusive)* 1 2.70% 9.62% 7.32%

No 27 72.97% 65.38% 58.54%

Don’t Know 4 10.81% 21.15% 26.83%

 Number prior self-injuries One prior event 4 10.81% 5.77% 0.00%

More than one prior event 2 5.41% 7.69% 14.63%

N/A or Unknown 31 83.78% 86.54% 85.37%

 Event similar to prior self-injury Yes 1 2.70% 3.85% 2.44%

No 5 13.51% 9.62% 9.76%

Don’t Know 0 0.00% 0.00% 2.44%

N/A 31 83.78% 86.54% 85.37%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Behavioral Health Disorders 

DoDSER POCs collect information about decedents’ history of behavioral health diagnoses. The data below 

reflect any known history of behavioral health disorders and are not limited to diagnoses at the time of death. 

Fourteen Marines who died by suicide in 2010 (37.84%) had a history of at least one documented behavioral 

health disorder (Table 6.16). Seven (18.92%) had at least two co-occurring diagnoses. As indicated in Tables 

6.17 and 6.18, eight decedents (21.62%) had a mood disorder, and four (10.81%) had an anxiety disorder. 

Three Marines were previously diagnosed with personality disorders (8.11%), and one decedent (2.70%) had 

sustained a traumatic brain injury (Table 6.19). Ten decedents (27.03%) had a known history of substance 

abuse.

TABLE 6.16. CY 2010 AND 2008-2009 MARINE CORPS DODSER COMORBIDITY RATES 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 23 62.16% 53.85% 73.17%

1 DX 7 18.92% 28.85% 24.39%

2 DX 3 8.11% 7.69% 2.44%

3 DX 1 2.70% 3.85% 0.00%

4 or more DX 3 8.11% 5.77% 0.00%
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Chapter 6: Marine Corps DoDSER

TABLE 6.17. CY 2010 AND 2008-2009 MARINE CORPS DODSER MOOD DISORDERS 

TABLE 6.18. CY 2010 AND 2008-2009 MARINE CORPS DODSER ANXIETY DISORDERS 

2010 2009 2008

Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 8 21.62% 21.15% 14.63%

No 27 72.97% 63.46% 78.05%

Don’t Know 2 5.41% 15.38% 7.32%

 Bipolar disorder Yes 1 2.70% 0.00% 0.00%

No 34 91.89% 75.00% 85.37%

Don’t Know 2 5.41% 25.00% 14.63%

 Major depression Yes 3 8.11% 9.62% 4.88%

No 32 86.49% 69.23% 82.93%

Don’t Know 2 5.41% 21.15% 12.20%

 Dysthymic disorder Yes 0 0.00% 0.00% 2.44%

No 35 94.59% 75.00% 82.93%

Don’t Know 2 5.41% 25.00% 14.63%

 Other mood disorder Yes 1 2.70% 3.85% 2.44%

No 33 89.19% 73.08% 82.93%

Don’t Know 3 8.11% 23.08% 14.63%

 Unspecified mood disorder Yes 1 2.70% 3.85% 4.88%

No 34 91.89% 80.77% 87.80%

Don’t Know 2 5.41% 15.38% 7.32%

 Multiple mood DX Yes 2 5.41% 3.85% 0.00%

No 33 89.19% 80.77% 92.68%

Don’t Know 2 5.41% 15.38% 7.32%

2010 2009 2008

Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 4 10.81% 13.46% 4.88%

No 31 83.78% 67.31% 87.80%

Don’t Know 2 5.41% 19.23% 7.32%

 PTSD Yes 2 5.41% 1.92% 0.00%

No 33 89.19% 76.92% 90.24%

Don’t Know 2 5.41% 21.15% 9.76%

 Panic disorder Yes 0 0.00% 0.00% 0.00%

No 35 94.59% 78.85% 90.24%

Don’t Know 2 5.41% 21.15% 9.76%

 Generalized anxiety disorder Yes 0 0.00% 1.92% 2.44%

No 35 94.59% 76.92% 87.80%

Don’t Know 2 5.41% 21.15% 9.76%

 Acute stress disorder Yes 0 0.00% 0.00% 2.44%

No 35 94.59% 78.85% 90.24%

Don’t Know 2 5.41% 21.15% 7.32%
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TABLE 6.19. CY 2010 AND 2008-2009 MARINE CORPS DODSER OTHER BEHAVIORAL HEALTH DISORDERS

 Other anxiety disorder Yes 1 2.70% 0.00% 0.00%

No 34 91.89% 80.77% 90.24%

Don’t Know 2 5.41% 19.23% 9.76%

 Unspecified anxiety DX Yes 0 0.00% 0.00% 0.00%

No 35 94.59% 80.77% 92.68%

Don’t Know 2 5.41% 19.23% 7.32%

 Multiple anxiety DX Yes 1 2.70% 9.62% 0.00%

No 34 91.89% 71.15% 92.68%

Don’t Know 2 5.41% 19.23% 7.32%

2010 2009 2008

Count Percent Percent Percent

DX W/PERSONALITY DISORDER Yes 3 8.11% 7.69% 4.88%

No 31 83.78% 75.00% 90.24%

Don’t Know 3 8.11% 17.31% 4.88%

DX W/PSYCHOTIC DISORDER Yes 0 0.00% 1.92% 0.00%

No 34 91.89% 82.69% 92.68%

Don’t Know 3 8.11% 15.38% 7.32%

HX SUBSTANCE ABUSE Yes 10 27.03% 28.85% 14.63%

No 24 64.86% 55.77% 70.73%

Don’t Know 3 8.11% 15.38% 14.63%

DX W/ TRAUMATIC BRAIN INJURY Yes 1 2.70%

No 30 81.08%

Don’t Know 6 16.22%

Note: Traumatic Brain Injury data unavailable prior to 2010.

Treatment History

Table 6.20 provides data on Marine Corps suicide decedents’ use of medical and behavioral health treatment 

prior to death. Seventeen (45.95%) had received some form of treatment at a Military Treatment Facility (MTF). 

Twelve decedents (32.43%) were treated at a MTF within the month prior to suicide. Nine Marines (24.32%) 

had a known history of a physical health problem and five decedents (13.51%) had received physical health 

diagnoses within the month prior to suicide.

Seven Marine Corps decedents (18.92%) received substance abuse treatment services, and five (13.51%) 

were involved in family advocacy programs. Eight Marines (21.62%) were known to have utilized chaplain 

services. Nearly one third of decedents (n = 12, 32.43%) had received outpatient behavioral health treatment, 

with six (16.22%) receiving treatment within the month prior to suicide. Five Marines (13.51%) received 

inpatient behavioral health treatment, one of whom (2.70%) was treated within the month prior to suicide.

TABLE 6.18. CY 2010 AND 2008-2009 MARINE CORPS DODSER ANXIETY DISORDERS (CONT.) 
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Chapter 6: Marine Corps DoDSER

Table 6.21 summarizes psychotropic medications known to have been used by decedents prior to suicide. Six 

decedents (16.22%) had known prescriptions for psychotropic medications, most frequently antidepressants 

(n = 4, 10.81%) and antipsychotics (n = 4, 10.81%).

TABLE 6.20. CY 2010 AND 2008-2009 MARINE CORPS DODSER TREATMENT HISTORY 

2010 2009 2008

Count Percent Percent Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 17 45.95% 59.62% 53.66%

 Within 30 days 12 32.43% 36.54% 24.39%

 Within 90 days (inclusive)* 15 40.54% 46.15% 39.02%

No 17 45.95% 28.85% 39.02%

Don’t Know 3 8.11% 11.54% 7.32%

HX PHYSICAL HEALTH PROBLEM Yes 9 24.32% 7.69% 21.95%

 Within 30 days 5 13.51% 5.77% 12.20%

 Within 90 days (inclusive)* 6 16.22% 7.69% 14.63%

No 25 67.57% 75.00% 73.17%

Don’t Know 3 8.11% 17.31% 4.88%

SUBSTANCE ABUSE SERVICES Yes 7 18.92% 17.31% 4.88%

 Within 30 days 4 10.81% 11.54% 0.00%

 Within 90 days (inclusive)* 4 10.81% 11.54% 0.00%

No 25 67.57% 65.38% 78.05%

Don’t Know 5 13.51% 17.31% 17.07%

FAMILY ADVOCACY PROGRAMS Yes 5 13.51% 5.77% 7.32%

 Within 30 days 1 2.70% 1.92% 4.88%

 Within 90 days (inclusive)* 2 5.41% 5.77% 4.88%

No 24 64.86% 65.38% 73.17%

Don’t Know 8 21.62% 28.85% 19.51%

CHAPLAIN SERVICES Yes 8 21.62% 21.15% 12.20%

 Within 30 days 6 16.22% 11.54% 7.32%

 Within 90 days (inclusive)* 6 16.22% 15.38% 9.76%

No 20 54.05% 55.77% 60.98%

Don’t Know 9 24.32% 23.08% 26.83%

OUTPATIENT BEHAVIORAL HEALTH Yes 12 32.43% 34.62% 29.27%

 Within 30 days 6 16.22% 15.38% 12.20%

 Within 90 days (inclusive)* 10 27.03% 21.15% 14.63%

No 20 54.05% 50.00% 65.85%

Don’t Know 5 13.51% 15.38% 4.88%

INPATIENT BEHAVIORAL HEALTH Yes 5 13.51% 7.69% 4.88%

 Within 30 days 1 2.70% 1.92% 4.88%

 Within 90 days (inclusive)* 2 5.41% 3.85% 7.32%

No 29 78.38% 73.08% 78.05%

Don’t Know 3 8.11% 19.23% 17.07%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”
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Chapter 6: Marine Corps DoDSER

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2010 2009 2008

Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 6 16.22% 9.62% 9.76%

No 24 64.86% 65.38% 75.61%

Don’t Know 7 18.92% 25.00% 14.63%

 Antidepressants Yes 4 10.81% 7.69% 9.76%

No 26 70.27% 65.38% 75.61%

Don’t Know 7 18.92% 26.92% 14.63%

 Antianxiety Yes 1 2.70% 3.85% 0.00%

No 29 78.38% 69.23% 85.37%

Don’t Know 7 18.92% 26.92% 14.63%

 Antimanics Yes 1 2.70% 1.92% 2.44%

No 29 78.38% 71.15% 82.93%

Don’t Know 7 18.92% 26.92% 14.63%

 Anticonvulsants Yes 1 2.70% 3.85% 2.44%

No 29 78.38% 69.23% 82.93%

Don’t Know 7 18.92% 26.92% 14.63%

 Antipsychotics Yes 4 10.81% 1.92% 2.44%

No 26 70.27% 71.15% 82.93%

Don’t Know 7 18.92% 26.92% 14.63%

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

Thirteen 2010 Marine Corps suicide decedents (35.14%) had a known failure in a spousal or intimate 

relationship, with seven (18.92%) experiencing the failure within the month prior to suicide (Table 6.22). Three 

decedents (8.11%) had a failure in another important relationship, two of these (5.41%) occurring a month prior 

to suicide. 

TABLE 6.22. CY 2010 AND 2008-2009 MARINE CORPS DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE

2010 2009 2008

Count Percent Percent Percent

HX FAILED INTIMATE RELATIONSHIP Yes 13 35.14% 42.31% 56.10%

 Within 30 days 7 18.92% 26.92% 34.15%

 Within 90 days (inclusive)* 11 29.73% 28.85% 43.90%

No 18 48.65% 32.69% 29.27%

Don’t Know 6 16.22% 25.00% 14.63%

TABLE 6.21. CY 2010 AND 2008-2009 MARINE CORPS DODSER PSYCHOTROPIC MEDICATION USE 
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Chapter 6: Marine Corps DoDSER

HX FAILED OTHER RELATIONSHIP Yes 3 8.11% 9.62% 9.76%

 Within 30 days 2 5.41% 5.77% 9.76%

 Within 90 days (inclusive)* 2 5.41% 5.77% 9.76%

No 23 62.16% 44.23% 58.54%

Don’t Know 11 29.73% 46.15% 31.71%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 15 40.54% 42.31% 58.54%

 Within 30 days 8 21.62% 26.92% 41.46%

 Within 90 days (inclusive)* 12 32.43% 28.85% 48.78%

No 16 43.24% 32.69% 26.83%

Don’t Know 6 16.22% 25.00% 14.63%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 6.22. CY 2010 AND 2008-2009 MARINE CORPS DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE (CONT.)

Table 6.23 summarizes other family and relationship factors that may be associated with the suicide. Four 

Marine Corps decedents (10.81%) were known to have a family member who had died by suicide, and three 

(8.11%) had experienced a non-suicide death of a family member. Two decedents (5.41%) were known to have 

family members with behavioral health problems, and one Marine (2.70%) had a family member with significant 

physical health problems.

TABLE 6.23. CY 2010 AND 2008-2009 MARINE CORPS DODSER FAMILY HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.00% 0.00%

No 35 94.59% 92.31% 95.12%

Don’t Know 2 5.41% 7.69% 4.88%

HX FAMILY MEMBER SUICIDE Yes 4 10.81% 3.85% 7.32%

No 26 70.27% 65.38% 70.73%

Don’t Know 7 18.92% 30.77% 21.95%

HX FRIEND SUICIDE Yes 0 0.00% 1.92% 2.44%

No 27 72.97% 63.46% 70.73%

Don’t Know 10 27.03% 34.62% 26.83%

HX DEATH OF FAMILY MEMBER Yes 3 8.11% 1.92% 7.32%

No 26 70.27% 67.31% 73.17%

Don’t Know 8 21.62% 30.77% 19.51%

HX DEATH OF FRIEND Yes 0 0.00% 1.92% 4.88%

No 25 67.57% 53.85% 58.54%

Don’t Know 12 32.43% 44.23% 36.59%

HX FAMILY ILLNESS Yes 1 2.70% 3.85% 7.32%

No 25 67.57% 63.46% 68.29%

Don’t Know 11 29.73% 32.69% 24.39%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 2 5.41% 7.69% 4.88%

No 15 40.54% 21.15% 14.63%

Don’t Know 20 54.05% 71.15% 80.49%
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Administrative and Legal History

Over half of Marines who died by suicide in 2010 (n = 20, 54.05%) had at least one known administrative or 

legal issue, and nine (24.32%) had more than one (Table 6.24). The most frequent administrative or legal issue 

was non-judicial punishment (n = 13, 35.14%), followed by absence without leave (n = 7, 18.92%), courts 

martial (n = 5, 13.51%) and non-selection for promotion (n = 5, 13.51%).

TABLE 6.24. CY 2010 AND 2008-2009 MARINE CORPS DODSER ADMINISTRATIVE AND LEGAL HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX COURTS MARTIAL Yes 5 13.51% 7.69% 2.44%

No 31 83.78% 86.54% 97.56%

Don’t Know 1 2.70% 5.77% 0.00%

HX NON-JUDICIAL PUNISHMENT Yes 13 35.14% 38.46% 12.20%

No 23 62.16% 59.62% 87.80%

Don’t Know 1 2.70% 1.92% 0.00%

HX ADMIN SEPARATION Yes 2 5.41% 11.54% 9.76%

No 33 89.19% 84.62% 87.80%

Don’t Know 2 5.41% 3.85% 2.44%

HX AWOL Yes 7 18.92% 15.38% 12.20%

No 29 78.38% 82.69% 87.80%

Don’t Know 1 2.70% 1.92% 0.00%

HX MEDICAL BOARD Yes 2 5.41% 1.92% 9.76%

No 34 91.89% 90.38% 90.24%

Don’t Know 1 2.70% 7.69% 0.00%

HX CIVIL LEGAL PROBLEMS Yes 4 10.81% 5.77% 4.88%

No 28 75.68% 78.85% 85.37%

Don’t Know 5 13.51% 15.38% 9.76%

HX NON-SELECTION FOR PROMOTION Yes 5 13.51% 9.62% 12.20%

No 31 83.78% 84.62% 85.37%

Don’t Know 1 2.70% 5.77% 2.44%

HAD ANY ADMIN/LEGAL ISSUE Yes 20 54.05% 50.00% 29.27%

No 15 40.54% 46.15% 68.29%

Don’t Know 2 5.41% 3.85% 2.44%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 9 24.32% 19.23% 17.07%

No 15 40.54% 46.15% 68.29%

Don’t Know 13 35.14% 34.62% 14.63%

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 6.25). 

Two Marine Corps suicide decedents (5.41%) had reportedly experienced physical abuse, two (5.41%) had 

reportedly experienced sexual abuse, and two (5.41%) had reportedly been victims of emotional abuse. Five 

decedents (13.51%) had allegedly physically abused others, one (2.70%) had allegedly sexually abused 
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Chapter 6: Marine Corps DoDSER

2010 2009 2008

Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 2 5.41% 15.38% 9.76%

No 26 70.27% 48.08% 58.54%

Don’t Know 9 24.32% 36.54% 31.71%

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 6.26). One fourth of 

Marines who died by suicide in 2010 (n = 9, 24.32%) had received a poor work evaluation. Six decedents 

(16.22%) had experienced job loss or instability and six (16.22%) were known to have had interpersonal issues 

with their supervisors or coworkers. Excessive debt or bankruptcy was reported for two decedents (5.41%).

TABLE 6.26. CY 2010 AND 2008-2009 MARINE CORPS DODSER FINANCIAL AND WORKPLACE DIFFICULTIES 

2010 2009 2008

Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 2 5.41% 5.77% 4.88%

No 27 72.97% 59.62% 70.73%

Don’t Know 8 21.62% 34.62% 24.39%

HX VICTIM SEXUAL ABUSE Yes 2 5.41% 9.62% 0.00%

No 27 72.97% 55.77% 75.61%

Don’t Know 8 21.62% 34.62% 24.39%

HX VICTIM EMOTIONAL ABUSE Yes 2 5.41% 7.69% 4.88%

No 25 67.57% 57.69% 68.29%

Don’t Know 10 27.03% 34.62% 26.83%

HX VICTIM SEXUAL HARASSMENT Yes 0 0.00% 0.00% 0.00%

No 28 75.68% 61.54% 78.05%

Don’t Know 9 24.32% 38.46% 21.95%

HX PERPETRATOR PHYSICAL ABUSE Yes 5 13.51% 7.69% 9.76%

No 26 70.27% 65.38% 73.17%

Don’t Know 6 16.22% 26.92% 17.07%

HX PERPETRATOR SEXUAL ABUSE Yes 1 2.70% 0.00% 0.00%

No 26 70.27% 73.08% 82.93%

Don’t Know 10 27.03% 26.92% 17.07%

HX PERPETRATOR EMOTIONAL ABUSE Yes 2 5.41% 1.92% 0.00%

No 27 72.97% 71.15% 82.93%

Don’t Know 8 21.62% 26.92% 17.07%

HX PERPETRATOR SEXUAL HARASSMENT Yes 0 0.00% 0.00% 2.44%

No 27 72.97% 73.08% 80.49%

Don’t Know 10 27.03% 26.92% 17.07%

others, and two (5.41%) were alleged to have perpetrated emotional abuse.

TABLE 6.25. CY 2010 AND 2008-2009 MARINE CORPS DODSER ABUSE HISTORY 
185

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

Four Marine Corps suicides in 2010 (10.81%) took place while deployed as part of Operation Enduring 

Freedom (OEF) in Afghanistan (Table 6.27). Twenty-one of the Marines (56.76%) had previously served in 

Afghanistan, Iraq, or Kuwait (Table 6.28), and four (10.81%) had been deployed to more than one location. 

Three decedents (8.11%) had known direct combat experiences, including participating in combat that resulted 

in injuries for others (n = 2, 5.41%), injuries for themselves (n = 2, 5.41%), witnessing killing (n = 2, 5.41%), 

seeing dead bodies (n = 2, 5.41%), and killing others (n = 2, 5.41%; Table 6.29).

TABLE 6.27. CY 2010 AND 2008-2009 MARINE CORPS DODSER SUICIDES IN THEATER 

2010 2009 2008

Count Percent Percent Percent

THEATER Afghanistan 4 10.81% 5.77% 0.00%

Djibouti 1 2.70% 0.00% 0.00%

Iraq 0 0.00% 15.38% 14.63%

Kuwait 0 0.00% 0.00% 0.00%

Not OEF/OIF/OND 32 86.49% 78.85% 85.37%

HX JOB LOSS/INSTABILITY Yes 6 16.22% 28.85% 17.07%

No 27 72.97% 55.77% 80.49%

Don’t Know 4 10.81% 15.38% 2.44%

HX SUPERVISOR/COWORKER ISSUES Yes 6 16.22% 23.08% 12.20%

No 27 72.97% 63.46% 82.93%

Don’t Know 4 10.81% 13.46% 4.88%

HX POOR WORK EVALUATION Yes 9 24.32% 28.85% 14.63%

No 25 67.57% 61.54% 85.37%

Don’t Know 3 8.11% 9.62% 0.00%

HX UNIT/WORKPLACE HAZING Yes 0 0.00% 1.92% 0.00%

No 35 94.59% 82.69% 97.56%

Don’t Know 2 5.41% 15.38% 100.00%

TABLE 6.26. CY 2010 AND 2008-2009 MARINE CORPS DODSER FINANCIAL AND WORKPLACE DIFFICULTIES (CONT.)

TABLE 6.28. CY 2010 AND 2008-2009 MARINE CORPS DODSER OEF/OIF/OND DEPLOYMENT HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 5 13.51% 5.77% 0.00%

Iraq 11 29.73% 48.08% 56.10%

Kuwait 1 2.70% 1.92% 0.00%
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Chapter 6: Marine Corps DoDSER

TABLE 6.29. CY 2010 AND 2008-2009 MARINE CORPS DODSER COMBAT HISTORY 

2010 2009 2008

Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 3 8.11% 17.31% 36.59%

Combat resulted in injuries/casualties for others 2 5.41% 1.92% 24.39%

 Injured in combat 2 5.41% 0.00% 9.76%

 Witnessed killing in combat 2 5.41% 3.85% 29.27%

 Saw dead bodies in combat 2 5.41% 3.85% 19.51%

 Killed others in combat 2 5.41% 0.00% 17.07%

NO DIRECT COMBAT HISTORY 34 91.89% 82.69% 63.41%

Multiple OEF/OIF/OND locations 4 10.81% 11.54% 0.00%

No history of OEF/OIF/OND deployment 16 43.24% 32.69% 43.90%

TABLE 6.28. CY 2010 AND 2008-2009 MARINE CORPS DODSER OEF/OIF/OND DEPLOYMENT HISTORY (CONT.) 
187

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

DoDSER POCs submitted 151 DoDSERs for 2010 Marine Corps suicide attempts. As indicated in Table 6.30, 

these DoDSERs provide data on suicide attempts for 150 individuals. Two attempts were reported (DoDSERs 

submitted) for one individual. Additionally, one Marine with a 2010 suicide attempt DoDSER subsequently died 

by suicide in 2010 and was included in the preceding section. The tables in this section use a denominator of 

151.

TABLE 6.30. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSERS

MARINE CORPS DoDSERS SUBMITTED FOR SUICIDE ATTEMPTS

Count Percent

TOTAL SUICIDE ATTEMPT DoDSERs 151 100.00%

TOTAL INDIVIDUALS INCLUDED 150 100.00%

SUICIDE ATTEMPT DoDSERs SUBMITTED PER INDIVIDUAL 1 149 99.33%

2 1 0.67%

3 0 0.00%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDE ATTEMPT AND SUICIDE 1 0.67%

As summarized in Table 6.31, nearly half of DoDSERs for 2010 Marine Corps suicide attempts had one or 

fewer missing or “Unknown” primary data points (n = 72, 47.68%). Primary data points include any variables 

that are accessible using standard DoDSER methods (including accessing medical and military records). 

DoDSER POCs often interview Service Members after non-fatal suicide events, sometimes leading to more 

thorough data.

TABLE 6.31. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER MISSING AND UNKNOWN DATA 

Count Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 46 30.46%

1 26 17.22%

2 12 7.95%

3 10 6.62%

4 4 2.65%

5 or More 53 35.10%

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors that may have been associated 

with the suicide attempts. These factors include demographic characteristics, event setting, suicide attempt 

method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 6.32 contains DoDSER demographic data for Marines who attempted suicide in 2010. Marines who 

attempted suicide were most often male (n = 128, 84.77%), Caucasian (n = 107, 70.86%), under age 25 (n = 
188

Chapter 6: Marine Corps DoDSER

Count Percent

TOTAL 151 100.00%

GENDER Male 128 84.77%

Female 23 15.23%

RACE American Indian or Alaskan Native 2 1.32%

Asian or Pacific Islander 7 4.64%

Black/African American 15 9.93%

White/Caucasian 107 70.86%

Other 14 9.27%

Don’t Know 6 3.97%

AGE RANGE Under 25 126 83.44%

25-29 18 11.92%

30-39 6 3.97%

40 + 1 0.66%

RANK E1-E4 130 86.09%

E5-E9 19 12.58%

Officer 2 1.32%

COMPONENT Regular 146 96.69%

Reserve 5 3.31%

EDUCATION Some high school, did not graduate 2 1.32%

GED 2 1.32%

High school graduate 114 75.50%

Some college or technical school 15 9.93%

Degree/tech certificate less than 4 years 1 0.66%

Four-year college degree 2 1.32%

Don’t Know 15 9.93%

MARITAL STATUS Never Married 71 47.02%

Married 70 46.36%

Legally Separated 3 1.99%

Divorced 6 3.97%

Don’t Know 1 0.66%

Event Setting

In 2010, Marine Corps suicide attempts most frequently took place in the United States (n = 136, 90.07%), 

followed by Asian countries other than Iraq and Afghanistan (n = 7, 4.64%; Table 6.33), and Afghanistan (n = 

4, 2.65%). As indicated in Table 6.34, suicide attempts primarily occurred in the Marines’ residences (n = 121, 

80.13%), followed by automobiles (n = 10, 6.62%). The most frequent “Other” (write-in response) setting was in 

hotels (n = 2, 1.32%).

126, 83.44%), junior enlisted (n = 130, 86.09%), Regular component (n = 146, 96.69%), and without a college 

degree (n = 133, 88.08%).

TABLE 6.32. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER DEMOGRAPHICS 
189

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

Count Percent

GEOGRAPHIC LOCATION United States 136 90.07%

Afghanistan 4 2.65%

Asia 7 4.64%

Europe 1 0.66%

Canada or Mexico 1 0.66%

Other 2 1.32%

TABLE 6.34. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER EVENT SETTING 

Event Method

As indicated in Table 6.35, drugs were the most frequent method for suicide attempt (n = 84, 55.63%), followed 

by injury with a sharp or blunt object (n = 23, 15.23%) and hanging (n = 17, 11.26%). 

TABLE 6.35. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER EVENT METHOD 

Count Percent

EVENT SETTING Residence (own) or barracks 121 80.13%

Residence of friend or family 6 3.97%

Work/jobsite 5 3.31%

Automobile (away from residence) 10 6.62%

Other 9 5.96%

TABLE 6.33. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER EVENT GEOGRAPHIC LOCATION 

Count Percent

EVENT METHOD Firearm, military issue 2 1.32%

Firearm, non-military issue 3 1.99%

Hanging 17 11.26%

Drugs 84 55.63%

Alcohol 7 4.64%

Gas, vehicle exhaust 1 0.66%

Chemicals 1 0.66%

Sharp or blunt object 23 15.23%

Jumping from high place 5 3.31%

Lying in front of moving object 1 0.66%

Crashing a motor vehicle 4 2.65%

Other 3 1.99%

Substance Use during the Event

DoDSER POCs collected data on alcohol and drug use during Marine Corps suicide attempts (Table 6.36). 

Forty-seven DoDSERs (31.13%) included alcohol use during the suicide attempt, and 88 (58.28%) included 

drug use. Twenty-eight DoDSERs (18.54%) included both drugs and alcohol. These frequencies include 

Marines who used drugs as a suicide attempt method (n = 84, 55.63%), as described above.
190

Chapter 6: Marine Corps DoDSER

Count Percent

ALCOHOL USED Yes 47 31.13%

No 72 47.68%

Don’t Know 32 21.19%

ANY DRUGS USED Yes 88 58.28%

No 48 31.79%

Don’t Know 15 9.93%

 Illegal drugs Overdose 6 3.97%

Used, no overdose 5 3.31%

Were not used 125 82.78%

Don’t know 15 9.93%

 Prescription drugs Overdose 51 33.77%

Used, no overdose 11 7.28%

Were not used 74 49.01%

Don’t know 15 9.93%

 Over the counter drugs Overdose 29 19.21%

Used, no overdose 5 3.31%

Were not used 102 67.55%

Don’t know 15 9.93%

BOTH ALCOHOL AND DRUGS USED Yes 28 18.54%

No 86 56.95%

Don’t Know 37 24.50%

Communication of Intent

Most DoDSERs for Marines who attempted suicide included no history of communication with others about 

intent to self-harm (n = 129, 85.43%; Table 6.37). Twenty-two DoDSERs (14.57%) indicated that Marines were 

known to have communicated their intent to hurt themselves to at least one individual. These communications 

were most frequently verbal (n = 16, 10.60%; Table 6.38). Two DoDSERs included text messages as an 

“Other” (write-in) response (1.32%). As indicated in Table 6.39, Marines most frequently communicated their 

potential for self-harm to their spouses (n = 7, 4.64%) and friends (n = 5, 3.31%).

TABLE 6.37. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED 

INTENT 

TABLE 6.38. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER MODE OF COMMUNICATED INTENT 

Count Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 129 85.43%

1 17 11.26%

2 5 3.31%

Count Percent

MODE OF COMMUNICATED INTENT Verbal 16 10.60%

TABLE 6.36. CY 2010 MARINE CORPS DODSER SUBSTANCE(S) USED DURING SUICIDE ATTEMPTS
191

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

TABLE 6.39. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER RECIPIENTS OF COMMUNICATED INTENT 

Additional Event Information

Table 6.40 provides information about other details of 2010 Marine Corps suicide attempts. For the majority 

(n = 105, 69.54%), there were data to indicate that the decedents intended to die. One fourth of suicide 

attempts (n = 37, 24.50%) appeared planned or premeditated. Nearly half of the suicide attempts (n = 70, 

46.36%) took place in a location potentially observable by others. Thirteen (8.61%) left suicide notes.

TABLE 6.40. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER ADDITIONAL EVENT INFORMATION 

Count Percent

COMMUNICATION Spouse 7 4.64%

Friend 5 3.31%

Behavioral Health Provider 2 1.32%

Other or Unidentified 3 1.99%

Made Multiple Communications 5 3.31%

No Known Communication 129 85.43%

Written 1 0.66%

Other or Unknown 5 3.31%

No Known Communication 129 85.43%

TABLE 6.38. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER MODE OF COMMUNICATED INTENT (CONT.) 

Count Percent

INTENDED TO DIE Yes 105 69.54%

No 23 15.23%

Don’t Know 23 15.23%

DEATH RISK GAMBLING Yes 2 1.32%

No 136 90.07%

Don’t Know 13 8.61%

PLANNED/PREMEDITATED Yes 37 24.50%

No 76 50.33%

Don’t Know 38 25.17%

OBSERVABLE Yes 70 46.36%

No 49 32.45%

Don’t Know 32 21.19%

SUICIDE NOTE LEFT Yes 13 8.61%

No 110 72.85%

Don’t Know 28 18.54%
192

Chapter 6: Marine Corps DoDSER

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Situational Factors

Table 6.41 provides details about the living situations for Marines who attempted suicide in 2010. DoDSERs 

most frequently reported that Marines lived in shared military housing on their installations (n = 67, 44.37%). 

One fourth lived in private homes outside of the installation (n = 37, 24.50%). Of the 65 married Marines, 25 

(38.46% of married Marines, 16.56% of total) resided with their spouses at the time of attempted suicide, 

and 25 (38.46% of married Marines, 16.56% of total) were separated due to relationship issues. Thirty-two 

DoDSERs indicated that Marines had minor children (21.19%), half of whom resided with their children at 

the time of the suicide attempt (n = 16, 50.00% of Marines with children, 10.60% of total). Twelve DoDSERs 

for suicide attempts (7.95%) indicated that the Marines were known to have access to firearms either in their 

homes, at work, or in other accessible locations.

TABLE 6.41. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER HOME ENVIRONMENT 

Count Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 67 44.37%

Bachelor quarters 11 7.28%

On-base family housing 7 4.64%

Owned or leased apartment or house 37 24.50%

Other 8 5.30%

Don’t Know 21 13.91%

MARRIED SERVICE MEMBER RESIDENCE Resides with spouse 25 16.56%

Separated due to relationship issues 25 16.56%

Apart for other reasons/deployed 10 6.62%

Don’t Know 10 6.62%

Unmarried at time of event 81 53.64%

RESIDED ALONE Yes 24 15.89%

No 93 61.59%

Don’t Know 34 22.52%

HAD MINOR CHILDREN Yes 32 21.19%

No 119 78.81%

Don’t Know 0 0.00%

CHILDREN RESIDED WITH Yes 16 10.60%

No 13 8.61%

Don’t Know 3 1.99%

No Children 119 78.81%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 12 7.95%

No 81 53.64%

Don’t Know 58 38.41%
193

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

Duty Environment

The primary duty environment for Marine Corps suicide attempts was with permanent duty station (n = 109, 

72.19%; Table 6.42). 

TABLE 6.42. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER DUTY ENVIRONMENT 

Suicide Attempts by Month

No clear pattern was evident for Marine Corps suicide attempts by month (Table 6.43).

TABLE 6.43. CY 2010 MARINE CORPS DODSER SUICIDE ATTEMPTS BY MONTH

Count Percent

DUTY ENVIRONMENT Permanent Duty Station 109 72.19%

Psychiatric Hospitalization 4 2.65%

TDY 2 1.32%

AWOL 1 0.66%

Deployed 3 1.99%

Training 9 5.96%

Other 7 4.64%

Multiple Duty Environments 7 4.64%

Duty Environment Unknown 9 5.96%

Count Percent

MONTH January 17 11.26%

February 18 11.92%

March 14 9.27%

April 17 11.26%

May 19 12.58%

June 12 7.95%

July 9 5.96%

August 12 7.95%

September 6 3.97%

October 9 5.96%

November 14 9.27%

December 4 2.65%

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 
194

Chapter 6: Marine Corps DoDSER

Count Percent

HX PRIOR SELF-INJURY Yes 31 20.53%

 Within 30 days 4 2.65%

 Within 90 days (inclusive)* 7 4.64%

No 85 56.29%

Don’t Know 35 23.18%

 Number prior self-injuries One prior event 15 9.93%

More than one prior event 16 10.60%

N/A or Unknown 120 79.47%

 Event similar to prior self-injury Yes 17 11.26%

No 8 5.30%

Don’t Know 6 3.97%

N/A 120 79.47%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Behavioral Health Disorders 

DoDSER POCs collect information about history of behavioral health diagnoses. The data below reflect any 

known history of behavioral health disorders and are not limited to diagnoses at the time of the suicide attempt. 

Eighty-five DoDSERs for Marines in 2010 (56.29%) included a history of at least one documented behavioral 

health disorder (Table 6.45). Forty-nine (32.45%) included at least two co-occurring diagnoses. As indicated in 

Table 6.46, nearly one third of Marine DoDSERs for suicide attempts (n = 48, 31.79%) included a diagnosis of 

mood disorder, most frequently major depressive disorder (n = 20, 13.25%). Twenty-five DoDSERs (16.56%) 

included a diagnosis of an anxiety disorder, most frequently PTSD (n = 8, 5.30%; Table 6.47). Thirty-six 

(23.84%) indicated a known history of substance abuse and 14 (9.27%) indicated a known personality disorder 

(Table 6.48). Five DoDSERs for Marines (3.31%) indicated history of sustaining a traumatic brain injury, and 

three (1.99%) included history of a psychotic disorder. 

TABLE 6.45. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER COMORBIDITY RATES 

Count Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 66 43.71%

1 DX 36 23.84%

2 DX 26 17.22%

3 DX 15 9.93%

4 or more DX 8 5.30%

Prior Self-Injury 

Approximately one fourth of DoDSERs for Marines who attempted suicide included history of prior self-harm 

(n = 31, 20.53%), and four (2.65%) indicated the Marines had harmed themselves within the month prior to 

attempting suicide (Table 6.44). Of those with prior history of self-harm, 16 DoDSERs (51.61%, 10.60% of 

total) included more than one prior event. 

TABLE 6.44. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER PRIOR SELF-INJURY 
195

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

TABLE 6.46. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER MOOD DISORDERS 

Count Percent

DX W/ MOOD DISORDER Yes 48 31.79%

No 80 52.98%

Don’t Know 23 15.23%

 Bipolar disorder Yes 5 3.31%

No 114 75.50%

Don’t Know 32 21.19%

 Major depression Yes 20 13.25%

No 99 65.56%

Don’t Know 32 21.19%

 Dysthymic disorder Yes 5 3.31%

No 113 74.83%

Don’t Know 33 21.85%

 Other mood disorder Yes 7 4.64%

No 111 73.51%

Don’t Know 33 21.85%

 Unspecified mood disorder Yes 5 3.31%

No 123 81.46%

Don’t Know 23 15.23%

 Multiple mood DX Yes 6 3.97%

No 122 80.79%

Don’t Know 23 15.23%

TABLE 6.47. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER ANXIETY DISORDERS 

Count Percent

DX W/ ANXIETY DISORDER Yes 25 16.56%

No 101 66.89%

Don’t Know 25 16.56%

 PTSD Yes 8 5.30%

No 116 76.82%

Don’t Know 27 17.88%

 Panic disorder Yes 1 0.66%

No 121 80.13%

Don’t Know 29 19.21%

 Generalized anxiety disorder Yes 3 1.99%

No 117 77.48%

Don’t Know 31 20.53%

 Acute stress disorder Yes 0 0.00%

No 120 79.47%

Don’t Know 31 20.53%

 Other anxiety disorder Yes 7 4.64%

No 115 76.16%
196

Chapter 6: Marine Corps DoDSER

TABLE 6.48. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER OTHER BEHAVIORAL HEALTH DISORDERS 

Count Percent

DX W/PERSONALITY DISORDER Yes 14 9.27%

No 105 69.54%

Don’t Know 32 21.19%

DX W/PSYCHOTIC DISORDER Yes 3 1.99%

No 120 79.47%

Don’t Know 28 18.54%

HX SUBSTANCE ABUSE Yes 36 23.84%

No 85 56.29%

Don’t Know 30 19.87%

DX W/ TRAUMATIC BRAIN INJURY Yes 5 3.31%

No 117 77.48%

Don’t Know 29 19.21%

Treatment History

Table 6.49 provides data on Marines’ use of medical and behavioral health treatment prior to attempting 

suicide. Sixty-eight DoDSERs (45.03%) included history of treatment at a Military Treatment Facility (MTF), 

45 (29.80%) within the month prior to attempting suicide. Twenty-six DoDSERs (17.22%) included a known 

physical health problem. Half of the DoDSERs included treatment from outpatient behavioral health services 

(n = 76, 50.33%), many within the month prior to attempting suicide (n = 49, 32.45%). Fifteen DoDSERs 

(9.93%) included history of hospitalization in an inpatient psychiatry unit, one (0.66%) within the month prior to 

the suicide attempt. Twenty-six DoDSERs (17.22%) included prior treatment for substance abuse.

TABLE 6.49. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER TREATMENT HISTORY 

Count Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 68 45.03%

 Within 30 days 45 29.80%

 Within 90 days (inclusive)* 58 38.41%

No 63 41.72%

Don’t Know 20 13.25%

SUBSTANCE ABUSE SERVICES Yes 26 17.22%

 Within 30 days 8 5.30%

Don’t Know 29 19.21%

 Unspecified anxiety disorder Yes 0 0.00%

No 126 83.44%

Don’t Know 25 16.56%

 Multiple anxiety DX Yes 6 3.97%

No 120 79.47%

Don’t Know 25 16.56%

TABLE 6.47. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER ANXIETY DISORDERS (CONT.) 
197

Chapter 6: Marine Corps DoDSER

Calendar Year 2010 Annual Report

 Within 90 days (inclusive)* 13 8.61%

No 96 63.58%

Don’t Know 29 19.21%

FAMILY ADVOCACY PROGRAMS Yes 7 4.64%

 Within 30 days 2 1.32%

 Within 90 days (inclusive)* 3 1.99%

No 100 66.23%

Don’t Know 44 29.14%

CHAPLAIN SERVICES Yes 13 8.61%

 Within 30 days 4 2.65%

 Within 90 days (inclusive)* 8 5.30%

No 76 50.33%

Don’t Know 62 41.06%

OUTPATIENT BEHAVIORAL HEALTH Yes 76 50.33%

 Within 30 days 49 32.45%

 Within 90 days (inclusive)* 64 42.38%

No 59 39.07%

Don’t Know 16 10.60%

INPATIENT BEHAVIORAL HEALTH Yes 15 9.93%

 Within 30 days 1 0.66%

 Within 90 days (inclusive)* 7 4.64%

No 114 75.50%

Don’t Know 22 14.57%

HX PHYSICAL HEALTH PROBLEM Yes 26 17.22%

 Within 30 days 14 9.27%

 Within 90 days (inclusive)* 19 12.58%

No 97 64.24%

Don’t Know 28 18.54%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 6.49. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER TREATMENT HISTORY (CONT.)

As indicated in Table 6.50, one third of DoDSERs for Marines who attempted suicide (n = 52, 34.44%) included 

known prescriptions for psychotropic medication prior to the suicide attempt. The most frequently prescribed 

psychotropics included antidepressants (n = 44, 84.62% of those with known prescriptions, 29.14% of total), 

antianxiety medication (n = 14, 26.92% of those with known prescriptions, 9.27% of total), and antipsychotics 

(n = 13, 25.00% of those with known prescriptions, 8.61% of total).

TABLE 6.50. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER PSYCHOTROPIC MEDICATION USE 

Count Percent

TAKEN PSYCHOTROPIC MEDS Yes 52 34.44%

No 75 49.67%

Don’t Know 24 15.89%

 Antidepressants Yes 44 29.14%
198

Chapter 6: Marine Corps DoDSER

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

Half of DoDSERs for Marines who attempted suicide (n = 76, 50.33%) indicated a known failure in a spousal 

or intimate relationship, with 36 (23.84%) experiencing the failure within the month prior to suicide (Table 6.51). 

Twenty-one (13.91%) indicated a failure in another important relationship, with almost half of these (n = 9, 

5.96%) occurring within the month prior to the suicide attempt. 

TABLE 6.51. CY 2010 MARINE CORPS DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

Count Percent

HX FAILED INTIMATE RELATIONSHIP Yes 76 50.33%

 Within 30 days 36 23.84%

 Within 90 days (inclusive)* 51 33.77%

No 55 36.42%

Don’t Know 20 13.25%

HX FAILED OTHER RELATIONSHIP Yes 21 13.91%

 Within 30 days 9 5.96%

 Within 90 days (inclusive)* 13 8.61%

No 91 60.26%

Don’t Know 39 25.83%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 76 50.33%

 Within 30 days 39 25.83%

No 80 52.98%

Don’t Know 27 17.88%

 Antianxiety Yes 14 9.27%

No 106 70.20%

Don’t Know 31 20.53%

 Antimanics Yes 4 2.65%

No 115 76.16%

Don’t Know 32 21.19%

 Anticonvulsants Yes 1 0.66%

No 118 78.15%

Don’t Know 32 21.19%

 Antipsychotics Yes 13 8.61%

No 108 71.52%

Don’t Know 30 19.87%

TABLE 6.50. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER PSYCHOTROPIC MEDICATION USE (CONT.)
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Table 6.52 summarizes other family and relationship factors. Forty-four DoDSERs for Marines who attempted 

suicide (29.14%) included known history of a family member with a behavioral health problem. Seven 

DoDSERs (4.64%) included the experience of a suicide of a family member and 13 (8.61%) included the 

experience of a non-suicide death of a family member. Nine DoDSERs (5.96%) included the history of a 

friend’s death by suicide, and 10 (6.62%) included the death of a friend by other means.

TABLE 6.52. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER FAMILY HISTORY 

Count Percent

HX SPOUSE SUICIDE Yes 0 0.00%

No 133 88.08%

Don’t Know 18 11.92%

HX FAMILY MEMBER SUICIDE Yes 7 4.64%

No 116 76.82%

Don’t Know 28 18.54%

HX FRIEND SUICIDE Yes 9 5.96%

No 111 73.51%

Don’t Know 31 20.53%

HX DEATH OF FAMILY MEMBER Yes 13 8.61%

No 104 68.87%

Don’t Know 34 22.52%

HX DEATH OF FRIEND Yes 10 6.62%

No 105 69.54%

Don’t Know 36 23.84%

HX FAMILY ILLNESS Yes 11 7.28%

No 109 72.19%

Don’t Know 31 20.53%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 44 29.14%

No 69 45.70%

Don’t Know 38 25.17%

 Within 90 days (inclusive)* 54 35.76%

No 55 36.42%

Don’t Know 20 13.25%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 6.51. CY 2010 MARINE CORPS DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE ATTEMPT (CONT.)

Administrative and Legal History

Fifty-nine DoDSERs for Marines who attempted suicide included at least one administrative or legal issue 

(39.07%) and 18 (11.92%) included more than one (Table 6.53. The most frequent administrative or legal 

problems were non-judicial punishment (n = 25, 16.56%), administrative separation (n = 17, 11.26%) and civil 

legal problems (n = 14, 9.27%).
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Chapter 6: Marine Corps DoDSER

Count Percent

HX COURTS MARTIAL Yes 8 5.30%

No 106 70.20%

Don’t Know 37 24.50%

NON-JUDICIAL PUNISHMENT Yes 25 16.56%

No 91 60.26%

Don’t Know 35 23.18%

HX ADMIN SEPARATION Yes 17 11.26%

No 104 68.87%

Don’t Know 30 19.87%

HX AWOL Yes 10 6.62%

No 110 72.85%

Don’t Know 31 20.53%

HX MEDICAL BOARD Yes 7 4.64%

No 116 76.82%

Don’t Know 28 18.54%

HX CIVIL LEGAL PROBLEMS Yes 14 9.27%

No 99 65.56%

Don’t Know 38 25.17%

HX NON-SELECTION FOR PROMOTION Yes 6 3.97%

No 99 65.56%

Don’t Know 46 30.46%

HAD ANY ADMIN/LEGAL ISSUE Yes 59 39.07%

No 64 42.38%

Don’t Know 28 18.54%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 18 11.92%

No 54 35.76%

Don’t Know 79 52.32%

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 6.54). 

DoDSERs for Marines who attempted suicide in 2010 included a history of reported emotional abuse (n = 

27, 17.88%), physical abuse (n =24, 15.89%), and sexual abuse (n = 16, 10.60%). Three (1.99%) included 

a history of allegedly physically abusing others and two included an alleged history of perpetrating emotional 

abuse (1.32%). One DoDSER included a history of allegedly perpetrating sexual abuse (0.66%).

TABLE 6.54. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER ABUSE HISTORY 

Count Percent

HX VICTIM PHYSICAL ABUSE Yes 24 15.89%

No 93 61.59%

Don’t Know 34 22.52%

TABLE 6.53. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER ADMINISTRATIVE AND LEGAL HISTORY 
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Chapter 6: Marine Corps DoDSER

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Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 6.55). Ten DoDSERs 

for Marines who attempted suicide in 2010 (6.62%) included a known history of excessive debt. Thirty-three 

DoDSERs included job loss or instability (21.85%), 31 (20.53%) included problems with either supervisors or 

coworkers, and 22 (14.57%) included poor work evaluations. Seven DoDSERs (4.64%) indicated victimization 

of hazing in the workplace.

TABLE 6.55. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER FINANCIAL AND WORKPLACE DIFFICULTIES 

HX VICTIM SEXUAL ABUSE Yes 16 10.60%

No 98 64.90%

Don’t Know 37 24.50%

HX VICTIM EMOTIONAL ABUSE Yes 27 17.88%

No 87 57.62%

Don’t Know 37 24.50%

HX VICTIM SEXUAL HARASSMENT Yes 1 0.66%

No 107 70.86%

Don’t Know 43 28.48%

HX PERPETRATOR PHYSICAL ABUSE Yes 3 1.99%

No 108 71.52%

Don’t Know 40 26.49%

HX PERPETRATOR SEXUAL ABUSE Yes 1 0.66%

No 110 72.85%

Don’t Know 40 26.49%

HX PERPETRATOR EMOTIONAL ABUSE Yes 2 1.32%

No 110 72.85%

Don’t Know 39 25.83%

HX PERPETRATOR SEXUAL HARASSMENT Yes 0 0.00%

No 111 73.51%

Don’t Know 40 26.49%

TABLE 6.54. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER ABUSE HISTORY (CONT.) 

Count Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 10 6.62%

No 103 68.21%

Don’t Know 38 25.17%

HX JOB LOSS/INSTABILITY Yes 33 21.85%

No 77 50.99%

Don’t Know 41 27.15%

HX SUPERVISOR/COWORKER ISSUES Yes 31 20.53%

No 72 47.68%

Don’t Know 48 31.79%

HX POOR WORK EVALUATION Yes 22 14.57%
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Chapter 6: Marine Corps DoDSER

Deployment Factors

DoDSER captures detailed information about Service Members’ three most recent deployments. Data include 

deployment location information as well as history of direct combat operations. 

Deployment and Combat History

Four suicide attempts (2.65%) occurred in Afghanistan during OEF deployment (Table 6.56). Fifty-eight 

DoDSERs (38.41%) included information about prior OEF, OIF or OND deployments (Table 6.57). Nineteen 

DoDSERs (12.58%) included experiences of direct combat (Table 6.58).

TABLE 6.56. CY 2010 MARINE CORPS DODSER SUICIDE ATTEMPTS IN THEATER

Count Percent

THEATER Afghanistan 4 2.65%

Iraq 0 0.00%

Not OEF/OIF/OND 147 97.35%

TABLE 6.57. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER OEF/OIF/OND DEPLOYMENT HISTORY 

TABLE 6.58. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER COMBAT HISTORY 

Count Percent

HX DEPLOYMENT OEF/OIF Afghanistan 12 7.95%

Iraq 41 27.15%

Kuwait 1 0.66%

Multiple OEF/OIF/OND locations 4 2.65%

No history of OEF/OIF/OND deployment 93 61.59%

Count Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 19 12.58%

Combat resulted in injuries/casualties for others 10 6.62%

 Injured in combat 8 5.30%

 Witnessed killing in combat 7 4.64%

 Saw dead bodies in combat 7 4.64%

 Killed others in combat 3 1.99%

NO DIRECT COMBAT HISTORY 132 87.42%

No 82 54.30%

Don’t Know 47 31.13%

HX UNIT/WORKPLACE HAZING Yes 7 4.64%

No 96 63.58%

Don’t Know 48 31.79%

TABLE 6.55. CY 2010 MARINE CORPS SUICIDE ATTEMPT DODSER FINANCIAL AND WORKPLACE DIFFICULTIES (CONT.)
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Chapter 6: Marine Corps DoDSER

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Summary

This chapter provides data on Marine Corps suicides and suicide attempts that occurred in 2010. Data are 

presented for 37 Marines who died by suicide and for 152 Marines who attempted suicide in 153 separate 

incidents. Decedents and those who attempted suicide were primarily male, Caucasian, under age 25, 

enlisted, Regular component Marines, and without a college degree. 

Most suicide events took place in the United States in the Service Members’ own residences. The most 

frequent methods for Marines who died by suicide were non-military issue firearm use. Suicide attempt 

methods were most often drug overdose, harming oneself with a sharp or blunt object, and hanging. Drug and 

alcohol use was more frequent among non-fatal Marine Corps suicide events. The majority of Marines who 

died by suicide or had attempted suicide were not known to have communicated to others their likelihood of 

harming themselves.

Marines with non-fatal suicide events had more reported behavioral health disorders than did decedents, but 

similar behavioral health treatment use prior to the event. Failed intimate relationships were frequent among 

Marines with suicide events. The most frequent administrative or legal issue was non-judicial punishment. 
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Chapter 7: Navy DoDSER

CHAPTER 7:

NAVY DoDSER

NAVY RESULTS FOR COMPLETED SUICIDES

Navy DoDSER Submissions and Point of Contact (POC) Compliance

2010 Reported Suicides

Thirty-eight Navy suicides were confirmed by the Armed Forces Medical Examiner System (AFMES) for 

calendar year (CY) 2010 (Table 7.1). Navy Department of Defense Suicide Event Reports (DoDSERs) were 

submitted and analyzed for all 38, for a submission compliance rate of 100%. The tables in this section include 

data for all decedents. In addition, the tables provide percentages for 2009 and 2008 DoDSER data for 

comparison. Specific data counts for prior years are available in the previous DoDSER annual reports and are 

available for download at http://t2health.org.

TABLE 7.1. NAVY AFMES CONFIRMED AND PENDING SUICIDES AND DODSERS SUBMITTED

2010 2009 2008

Total DoDSERs Included in Annual Report 38 46 41

Total AFMES Confirmed and Pending Suicides 38 47 41

AFMES Confirmed Suicides (By 31 January) 38 45 39

DoDSER Submission Compliance 100% 100% 100%

Data from 1/1/2008 through 12/31/2010 as of 4/1/2011

As summarized in Table 7.2, a majority of DoDSERs for 2010 Navy suicides had one or fewer “Unknown” or 

missing primary data points. DoDSERs for nine Sailors (23.68%) had five or more missing data points. Primary 

data points include any variables that are accessible using standard DoDSER methods (including accessing 

medical and military records). Since 2008, the amount of missing data in Navy DoDSERs has decreased. 

TABLE 7.2. CY 2010 AND 2008-2009 NAVY DODSER MISSING AND UNKNOWN DATA 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 14 36.84% 30.43% 21.95%

1 6 15.79% 10.87% 7.32%

2 6 15.79% 6.52% 12.20%

3 2 5.26% 13.04% 12.20%

4 1 2.63% 2.17% 2.44%

5 or More 9 23.68% 36.96% 43.90%

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors of decedents that may have 
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Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

been associated with the suicide events. These factors include decedents’ demographic characteristics, event 

setting, suicide method, substance use during the event, possible motive and intent to die, and communication 

of intent with others.

Demographics

Table 7.3 contains demographic data provided by the Defense Manpower Data Center (DMDC). All but two of 

the 39 Navy 2010 suicides were completed by males (n = 37, 97.30%). Decedents were primarily Caucasian 

(n = 30, 76.92%), under age 25 (n = 22, 56. 41%), junior enlisted (n = 22, 56.41%), Regular component (n = 

38, 97.44%), and without a college degree (n = 35, 89.74%).

TABLE 7.3. CY 2010 AFMES AND DMDC DEMOGRAPHIC DATA AND RATES FOR NAVY SUICIDES (N = 39)

2010 2009 2008

Count Percent Service

Total %

Rate/

100K

(N = 48) 

Percent

(N = 41) 

Percent

TOTAL 39 100.00% 100.00% 11.08 100.00% 100.00%

GENDER Male 37 94.87% 83.78% 19.57 95.83% 97.56%

Female 2 5.13% 16.22% * 4.17% 2.44%

RACE American Indian or Alaskan Native 1 2.56% 4.41% * 6.25% 2.44%

Asian or Pacific Islander 2 5.13% 6.47% * 4.17% 7.32%

Black/African American 5 12.82% 17.83% 12.86 12.50% 17.07%

White/Caucasian 30 76.92% 61.51% 19.80 72.92% 68.29%

Other/Don’t Know 1 2.56% 9.77% * 4.17% 2.44%

AGE RANGE Under 25 22 56.41% 36.36% 23.03 28.26% 51.22%

25-29 6 15.38% 23.60% 19.25 17.39% 14.63%

30-34 3 7.69% 15.34% 12.09 28.26%

21.95%

35-39 7 17.95% 12.66% 16.53 15.22%

40-44 1 2.56% 7.35% * 4.35%

12.20%

45+ 0 0.00% 4.69% * 6.52%

RANK Cadet 0 0.00% 1.37% * 0.00% 0.00%

E1-E4 22 56.41% 38.52% 22.91 29.17% 43.90%

E5-E9 14 35.90% 43.86% 17.15 64.58% 48.78%

Officer 3 7.69% 15.77% * 4.17% 7.32%

Warrant Officer 0 0.00% 0.47% * 2.08% 0.00%

COMPONENT Regular 38 97.44% 93.18% 17.52 95.83% 97.56%

Reserve 1 2.56% 6.82% * 4.17% 2.44%

National Guard 0 0.00% 0.00% * 0.00% 0.00%

EDUCATION Some high school, did not graduate 0 0.00% 0.88% * 0.00% 4.88%

GED 4 10.26% 3.13% 29.91 6.25% 2.44%

High school graduate 30 76.92% 67.93% 19.77 72.92% 70.73%

Some college or technical school 1 2.56% 1.76% * 4.17% 9.76%

Degree/certificate less than four years 1 2.56% 5.06% * 4.17% 0.00%

Four-year college degree 0 0.00% 8.27% * 8.33% 7.32%
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Chapter 7: Navy DoDSER

TABLE 7.3. CY 2010 AFMES AND DMDC DEMOGRAPHIC DATA AND RATES FOR NAVY SUICIDES (N = 39) (CONT.)

Event Setting

In 2010, as in the previous two years, Navy suicides most frequently took place in the United States (n = 34, 

89.47%; Table 7.4). Suicides primarily occurred in the Sailors’ own residences (n = 20, 52.63%; Table 7.5). 

“Other” (write-in response) settings included hotel rooms (n = 5, 13.16%) and parks or other outdoor settings 

(n = 4, 10.53%). 

TABLE 7.4. CY 2010 AND 2008-2009 NAVY DODSER EVENT GEOGRAPHIC LOCATION 

2010 2009 2008

Count Percent Percent Percent

GEOGRAPHIC LOCATION United States 34 89.47% 91.30% 90.24%

Asia 1 2.63% 2.17% 0.00%

Other 2 5.26% 6.52% 0.00%

Don’t Know 1 2.63% 0.00% 9.76%

TABLE 7.5. CY 2010 AND 2008-2009 NAVY DODSER EVENT SETTING 

2010 2009 2008

Count Percent Percent Percent

EVENT SETTING Residence (own) or barracks 20 52.63% 58.70% 51.22%

Residence of friend or family 3 7.89% 4.35% 7.32%

Work/jobsite 4 10.53% 15.22% 9.76%

Automobile (away from residence) 0 0.00% 0.00% 12.20%

Inpatient medical facility 0 0.00% 0.00% 0.00%

Other 11 28.95% 21.74% 19.51%

Don’t Know 0 0.00% 0.00% 0.00%

Event Method

As indicated in Table 7.6, death by non-military issue firearm was the primary suicide method employed by 

Sailors (n = 17, 44.74%), followed by hanging (n = 10, 26.32%). No Sailors died using military issue firearms. 

Methods used for the remaining suicides included drugs (n = 4, 10.53%), utility gas (n = 3, 7.89%), self-injury 

with a sharp or blunt object (n = 2, 5.26%) and jumping from a high place (n = 2, 5.26%). 

Master’s degree or greater 1 2.56% 6.18% * 0.00% 4.88%

Don’t Know 2 5.13% 6.78% * 4.17% 0.00%

MARITAL STATUS Never Married 22 56.41% 45.84% 18.99 16.67% 36.59%

Married 15 38.46% 53.96% 15.64 60.42% 56.10%

Legally Separated 0 0.00% 0.00% * 0.00% 0.00%

Divorced 2 5.13% 0.16% 24.20 8.33% 7.32%

Widowed 0 0.00% 0.00% * 0.00% 0.00%

Don’t Know 0 0.00% 0.04% * 14.58% 0.00%

Note: Data include 1 suicide still pending determination by AFMES as of 1 MAR 2011. Rates calculated only for cells with at least 20 individuals.
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Calendar Year 2010 Annual Report

TABLE 7.6. CY 2010 AND 2008-2009 NAVY DODSER EVENT METHOD 

Substance Use during the Event

Comprehensive information about substance use during suicide is unavailable for many Navy suicides in 

2010. Of those for whom information was available, over one third used alcohol during the suicide event (n = 

8, 34.78% of DoDSERs with alcohol use data, 21.05% of total; Table 7.7). One fourth of Sailors with relevant 

information were known to have used drugs (n = 7, 25.93% of DoDSERs with drug use data, 18.42% of total). 

These frequencies include Sailors who used drugs as a suicide method (n = 4, 10.53%), as described above.

TABLE 7.7. CY 2010 AND 2008-2009 NAVY DODSER SUBSTANCE(S) USED DURING SUICIDE

2010 2009 2008

Count Percent Percent Percent

EVENT METHOD Firearm, non-military issue 17 44.74% 39.13% 43.90%

Firearm, military issue 0 0.00% 6.52% 7.32%

Hanging 10 26.32% 23.91% 26.83%

Drugs 4 10.53% 2.17% 2.44%

Gas, vehicle exhaust 0 0.00% 6.52% 4.88%

Gas, utility (or other) 3 7.89% 4.35% 0.00%

Drowning 0 0.00% 0.00% 2.44%

Sharp or blunt object 2 5.26% 6.52% 4.88%

Jumping from high place 2 5.26% 4.35% 0.00%

Lying in front of moving object 0 0.00% 0.00% 4.88%

Other 0 0.00% 6.52% 2.44%

2010 2009 2008

Count Percent Percent Percent

ALCOHOL USED Yes 8 21.05% 19.57% 24.39%

No 15 39.47% 54.35% 41.46%

Don’t Know 15 39.47% 26.09% 34.15%

ANY DRUGS USED Yes 7 18.42% 2.17% 4.88%

No 20 52.63% 67.39% 58.54%

Don’t Know 11 28.95% 30.43% 36.59%

 Illegal drugs Overdose 1 2.63% 0.00% 0.00%

Used, no overdose 0 0.00% 0.00% 0.00%

Were not used 26 68.42% 69.57% 58.54%

Don’t know 11 28.95% 30.43% 41.46%

 Prescription drugs Overdose 3 7.89% 2.17% 0.00%

Used, no overdose 2 5.26% 0.00% 2.44%

Were not used 22 57.89% 67.39% 58.54%

Don’t know 11 28.95% 30.43% 39.02%

 Over the counter drugs Overdose 3 7.89% 0.00% 2.44%

Used, no overdose 0 0.00% 2.17% 0.00%

Were not used 24 63.16% 67.39% 58.54%

Don’t know 11 28.95% 30.43% 39.02%
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Chapter 7: Navy DoDSER

Communication of Intent

Consistent with the prior two years, most Navy decedents had no known history of communicating with others 

about intent to harm themselves (n = 25, 65.79%; Table 7.8). Thirteen Sailors who died by suicide were known 

to have communicated with at least one individual regarding their potential to die by suicide (34.21%). These 

communications were most frequently verbal (n = 11, 28.95%; Table 7.9). As indicated in Table 7.10, decedents 

most frequently communicated with their spouses (n = 5, 13.16%). 

TABLE 7.8. CY 2010 AND 2008-2009 NAVY DODSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT 

TABLE 7.9. CY 2010 AND 2008-2009 NAVY DODSER MODE OF COMMUNICATED INTENT 

BOTH ALCOHOL AND DRUGS USED Yes 1 2.63% 0.00% 2.44%

No 20 52.63% 67.39% 56.10%

Don’t Know 17 44.74% 32.61% 41.46%

TABLE 7.7. CY 2010 AND 2008-2009 NAVY DODSER SUBSTANCE(S) USED DURING SUICIDE (CONT.)

2010 2009 2008

Count Percent Percent Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 25 65.79% 73.91% 58.54%

1 10 26.32% 21.74% 31.71%

2 3 7.89% 4.35% 9.76%

2010 2009 2008

Count Percent Percent Percent

MODE OF COMMUNICATED INTENT Verbal 11 28.95% 13.04% 26.83%

Written 2 5.26% 0.00% 2.44%

Other or Unknown 0 0.00% 6.52% 7.32%

Multiple Modes 0 0.00% 4.35% 4.88%

No Known Communication 25 65.79% 76.09% 58.54%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

TABLE 7.10. CY 2010 AND 2008-2009 NAVY DODSER RECIPIENTS OF COMMUNICATED INTENT 

2010 2009 2008

Count Percent Percent Percent

COMMUNICATION Spouse 5 13.16% 10.87% 7.32%

Friend 1 2.63% 4.35% 12.20%

Behavioral Health Provider 1 2.63% 0.00% 0.00%

Chaplain 0 0.00% 0.00% 2.44%

Supervisor 0 0.00% 0.00% 0.00%

Other or Unidentified 3 7.89% 4.35% 9.76%

Made Multiple Communications 3 7.89% 4.35% 9.76%

No Known Communication 25 65.79% 76.09% 58.54%
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Additional Event Information

Table 7.11 provides information about other details of 2010 Navy suicides. For the majority (n = 29, 76.32%), 

there were data to indicate that the decedents intended to die. No Sailors were known to have died 

while engaging in death risk gambling (e.g., “Russian roulette”). Over one third of the suicides appeared 

premeditated (n = 14, 36.84%). Five Navy decedents (13.16%) died in a location where the suicide was 

potentially observable by others. One fourth (n = 10, 26.32%) left suicide notes.

TABLE 7.11. CY 2010 AND 2008-2009 NAVY DODSER ADDITIONAL EVENT INFORMATION 

2010 2009 2008

Count Percent Percent Percent

INTENDED TO DIE Yes 29 76.32% 82.61% 56.10%

No 2 5.26% 2.17% 12.20%

Don’t Know 7 18.42% 15.22% 31.71%

DEATH RISK GAMBLING Yes 0 0.00% 2.17% 4.88%

No 37 97.37% 91.30% 85.37%

Don’t Know 1 2.63% 6.52% 9.76%

PLANNED/PREMEDITATED Yes 14 36.84% 43.48% 43.90%

No 15 39.47% 28.26% 17.07%

Don’t Know 9 23.68% 28.26% 39.02%

OBSERVABLE Yes 5 13.16% 23.91% 21.95%

No 28 73.68% 73.91% 65.85%

Don’t Know 5 13.16% 2.17% 12.20%

SUICIDE NOTE LEFT Yes 10 26.32% 34.78% 19.51%

No 25 65.79% 54.35% 65.85%

Don’t Know 3 7.89% 10.87% 14.63%

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Situational Factors

Table 7.12 provides details about the living situations for Sailors who died by suicide in 2010. Decedents 

most frequently lived in homes or apartments outside of their installations (n = 17, 44.74%). “Other” (write-in) 

responses consisted of temporary living situations such as hotels and friends’ homes. Of decedents who were 

married (n = 14), over half lived with their spouses (n = 8, 57.14% of married, 21.05% of total), and six were 

separated due to relationship issues (42.86% of married, 15.79% of total). Most decedents lived with others (n

= 28, 73.68%). Nine Navy decedents (23.68%) had minor children, and five (13.16%) lived with their children 

at the time of death. One half of decedents had access to firearms either in their homes, at work, or other 

accessible locations (n = 20, 52.63%).
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Chapter 7: Navy DoDSER

TABLE 7.12. CY 2010 AND 2008-2009 NAVY DODSER HOME ENVIRONMENT 

2010 2009 2008

Count Percent Percent Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 8 21.05% 2.17% 2.44%

Bachelor quarters 4 10.53% 8.70% 12.20%

On-base family housing 3 7.89% 4.35% 4.88%

Owned or leased apartment or house 17 44.74% 73.91% 51.22%

Ship 2 5.26% 6.52% 9.76%

Other 4 10.53% 2.17% 9.76%

Don’t Know 0 0.00% 2.17% 9.76%

MARRIED SERVICE MEMBER RESIDENCE Resided with spouse 8 21.05% 32.61% 17.07%

Separated due to relationship issues 6 15.79% 13.04% 14.63%

Apart for other reasons/deployed 0 0.00% 10.87% 7.32%

Don’t Know 2 5.26% 2.17% 12.20%

Unmarried at time of event 22 57.89% 41.30% 48.78%

RESIDED ALONE Yes 10 26.32% 41.30% 21.95%

No 28 73.68% 58.70% 68.29%

Don’t Know 0 0.00% 0.00% 9.76%

HAD MINOR CHILDREN Yes 9 23.68% 45.65% 36.59%

No 29 76.32% 54.35% 63.41%

Don’t Know 0 0.00% 0.00% 0.00%

CHILDREN RESIDED WITH Yes 5 13.16% 30.43% 7.32%

No 4 10.53% 15.22% 26.83%

Don’t Know 0 0.00% 0.00% 2.44%

No Children 29 76.32% 54.35% 63.41%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 20 52.63% 43.48% 43.90%

No 12 31.58% 30.43% 24.39%

Don’t Know 6 15.79% 26.09% 31.71%

Duty Environment

The primary duty environment for Navy suicides was with their permanent duty station (n = 24, 63.16%; Table 

7.13). 

TABLE 7.13. CY 2010 AND 2008-2009 NAVY DODSER DUTY ENVIRONMENT 

2010 2009 2008

Count Percent Percent Percent

DUTY ENVIRONMENT Permanent Duty Station 24 63.16% 63.04% 70.73%

Psychiatric Hospitalization 2 5.26% 10.87% 17.07%

Medical Hold 0 0.00% 2.17% 0.00%

TDY 0 0.00% 2.17% 0.00%

AWOL 1 2.63% 6.52% 0.00%

Deployed 0 0.00% 0.00% 4.88%

Training 3 7.89% 4.35% 4.88%
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Other 3 7.89% 6.52% 0.00%

Multiple Duty Environments 5 13.16% 0.00% 2.44%

Duty Environment Unknown 0 0.00% 4.35% 0.00%

Suicide Completions by Month

As in the prior two years, no clear pattern existed for Navy suicides by month (Table 7.14).

TABLE 7.14. CY 2010 AND 2008-2009 NAVY DODSER SUICIDES BY MONTH

2010 2009 2008

Count Percent Percent Percent

MONTH January 0 0.00% 4.35% 14.63%

February 3 7.89% 13.04% 2.44%

March 2 5.26% 8.70% 7.32%

April 3 7.89% 6.52% 9.76%

May 4 10.53% 10.87% 12.20%

June 2 5.26% 6.52% 4.88%

July 5 13.16% 8.70% 9.76%

August 3 7.89% 13.04% 0.00%

September 2 5.26% 6.52% 4.88%

October 4 10.53% 6.52% 4.88%

November 5 13.16% 6.52% 19.51%

December 5 13.16% 8.70% 9.76%

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

Prior Self-Injury 

One Sailor who died by suicide in 2010 (2.63%) had a known history of self-harm (Table 7.15).

TABLE 7.15. CY 2010 AND 2008-2009 NAVY DODSER PRIOR SELF-INJURY 

2010 2009 2008

Count Percent Percent Percent

HX PRIOR SELF-INJURY Yes 1 2.63% 10.87% 9.76%

 Within 30 days 0 0.00% 2.17% 4.88%

 Within 90 days (inclusive)* 0 0.00% 8.70% 7.32%

No 28 73.68% 65.22% 53.66%

TABLE 7.13. CY 2010 AND 2008-2009 NAVY DODSER DUTY ENVIRONMENT (CONT.) 
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Chapter 7: Navy DoDSER

Don’t Know 9 23.68% 23.91% 36.59%

 Number prior self-injuries One prior event 0 0.00% 8.70% 0.00%

More than one prior event 1 2.63% 2.17% 9.76%

N/A or Unknown 37 97.37% 89.13% 90.24%

 Event similar to prior self-injury Yes 1 2.63% 4.35% 7.32%

No 0 0.00% 2.17% 2.44%

Don’t Know 0 0.00% 4.35% 0.00%

N/A 37 97.37% 89.13% 90.24%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

Behavioral Health Disorders 

DoDSER POCs collect information about decedents’ history of behavioral health diagnoses. The data below 

reflect any known history of behavioral health disorders and are not limited to diagnoses at the time of death. 

Fourteen Sailors who died by suicide in 2010 (36.84%) had a history of at least one documented behavioral 

health disorder (Table 7.16). Seven (18.42%) had at least two co-occurring diagnoses. As indicated in Tables 

7.17 and 7.18, five decedents (13.16%) were known to have had a mood disorder and five (13.16%) were 

known to have had an anxiety disorder. Ten decedents (26.32%) had a known history of substance abuse 

(Table 7.19).

TABLE 7.16. CY 2010 AND 2008-2009 NAVY DODSER COMORBIDITY RATES 

TABLE 7.17. CY 2010 AND 2008-2009 NAVY DODSER MOOD DISORDERS 

2010 2009 2008

Count Percent Percent Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 24 63.16% 69.57% 78.05%

1 DX 7 18.42% 17.39% 12.20%

2 DX 4 10.53% 10.87% 2.44%

3 DX 2 5.26% 2.17% 4.88%

4 or more DX 1 2.63% 0.00% 2.44%

2010 2009 2008

Count Percent Percent Percent

DX W/ MOOD DISORDER Yes 5 13.16% 17.39% 7.32%

No 28 73.68% 56.52% 60.98%

Don’t Know 5 13.16% 26.09% 31.71%

 Bipolar disorder Yes 0 0.00% 0.00% 0.00%

No 33 86.84% 69.57% 68.29%

Don’t Know 5 13.16% 30.43% 31.71%

 Major depression Yes 2 5.26% 8.70% 2.44%

No 31 81.58% 63.04% 65.85%

Don’t Know 5 13.16% 28.26% 31.71%

 Dysthymic disorder Yes 1 2.63% 4.35% 0.00%

No 32 84.21% 65.22% 68.29%

TABLE 7.15. CY 2010 AND 2008-2009 NAVY DODSER PRIOR SELF-INJURY (CONT.) 
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TABLE 7.18. CY 2010 AND 2008-2009 NAVY DODSER ANXIETY DISORDERS 

Don’t Know 5 13.16% 30.43% 31.71%

 Other mood disorder Yes 2 5.26% 2.17% 4.88%

No 31 81.58% 67.39% 60.98%

Don’t Know 5 13.16% 30.43% 34.15%

 Unspecified mood disorder Yes 0 0.00% 2.17% 0.00%

No 33 86.84% 71.74% 68.29%

Don’t Know 5 13.16% 26.09% 31.71%

 Multiple mood DX Yes 0 0.00% 0.00% 0.00%

No 33 86.84% 73.91% 68.29%

Don’t Know 5 13.16% 26.09% 31.71%

2010 2009 2008

Count Percent Percent Percent

DX W/ ANXIETY DISORDER Yes 5 13.16% 13.04% 9.76%

No 28 73.68% 65.22% 63.41%

Don’t Know 5 13.16% 21.74% 26.83%

 PTSD Yes 1 2.63% 4.35% 0.00%

No 32 84.21% 71.74% 68.29%

Don’t Know 5 13.16% 23.91% 31.71%

 Panic disorder Yes 1 2.63% 0.00% 0.00%

No 32 84.21% 76.09% 68.29%

Don’t Know 5 13.16% 23.91% 31.71%

 Generalized anxiety disorder Yes 0 0.00% 0.00% 0.00%

No 32 84.21% 76.09% 73.17%

Don’t Know 6 15.79% 23.91% 26.83%

 Acute stress disorder Yes 0 0.00% 0.00% 0.00%

No 33 86.84% 76.09% 73.17%

Don’t Know 5 13.16% 23.91% 26.83%

 Other anxiety disorder Yes 1 2.63% 4.35% 2.44%

No 32 84.21% 71.74% 68.29%

Don’t Know 5 13.16% 23.91% 29.27%

 Unspecified anxiety DX Yes 1 2.63% 2.17% 0.00%

No 32 84.21% 76.09% 73.17%

Don’t Know 5 13.16% 21.74% 26.83%

 Multiple anxiety DX Yes 1 2.63% 2.17% 7.32%

No 32 84.21% 76.09% 65.85%

Don’t Know 5 13.16% 21.74% 26.83%

TABLE 7.17. CY 2010 AND 2008-2009 NAVY DODSER MOOD DISORDERS (CONT.)
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Treatment History

Table 7.20 provides data on Navy suicide decedents’ use of medical and behavioral health treatment prior 

to death. The majority (n = 21, 55.26%) had received some form of treatment at a Military Treatment Facility 

(MTF). Fifteen decedents (39.47%) were treated at a MTF within a month of their suicides. These percentages 

are higher than in previous years, but are likely due to improved reporting as indicated by the decrease in 

“Don’t Know” responses. Four Sailors (10.53%) had a known history of a physical health problem and two 

decedents (5.26%) had received physical health diagnoses within the month prior to suicide.

Four Navy decedents (10.53%) received substance abuse treatment services, and three (7.89%) were involved 

in family advocacy programs. Two Sailors (5.26%) utilized chaplain services. Over one fourth of decedents (n

= 11, 28.95%) had received outpatient behavioral health treatment, with seven (18.42%) receiving treatment 

within the month prior to suicide. One Sailor (2.63%) received inpatient behavioral health treatment, which 

occurred within the month prior to suicide.

TABLE 7.20. CY 2010 AND 2008-2009 NAVY DODSER TREATMENT HISTORY 

TABLE 7.19. CY 2010 AND 2008-2009 NAVY DODSER OTHER BEHAVIORAL HEALTH DISORDERS 

2010 2009 2008

Count Percent Percent Percent

DX W/PERSONALITY DISORDER Yes 0 0.00% 4.35% 0.00%

No 32 84.21% 69.57% 73.17%

Don’t Know 6 15.79% 26.09% 26.83%

DX W/PSYCHOTIC DISORDER Yes 0 0.00% 0.00% 0.00%

No 32 84.21% 71.74% 73.17%

Don’t Know 6 15.79% 28.26% 26.83%

HX SUBSTANCE ABUSE Yes 10 26.32% 17.39% 14.63%

No 22 57.89% 52.17% 56.10%

Don’t Know 6 15.79% 30.43% 29.27%

DX W/ TRAUMATIC BRAIN INJURY Yes 0 0.00%

No 32 84.21%

Don’t Know 6 15.79%

Note: Traumatic Brain Injury data unavailable prior to 2010.

2010 2009 2008

Count Percent Percent Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 21 55.26% 45.65% 29.27%

 Within 30 days 15 39.47% 26.09% 21.95%

 Within 90 days (inclusive)* 20 52.63% 39.13% 24.39%

No 16 42.11% 32.61% 39.02%

Don’t Know 1 2.63% 21.74% 31.71%

HX PHYSICAL HEALTH PROBLEM Yes 4 10.53% 19.57% 7.32%

 Within 30 days 2 5.26% 6.52% 4.88%

 Within 90 days (inclusive)* 3 7.89% 8.70% 7.32%

No 30 78.95% 65.22% 58.54%
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Don’t Know 4 10.53% 15.22% 34.15%

SUBSTANCE ABUSE SERVICES Yes 4 10.53% 17.39% 9.76%

 Within 30 days 1 2.63% 4.35% 2.44%

 Within 90 days (inclusive)* 2 5.26% 6.52% 4.88%

No 30 78.95% 60.87% 73.17%

Don’t Know 4 10.53% 21.74% 17.07%

FAMILY ADVOCACY PROGRAMS Yes 3 7.89% 6.52% 2.44%

 Within 30 days 2 5.26% 0.00% 2.44%

 Within 90 days (inclusive)* 3 7.89% 0.00% 2.44%

No 26 68.42% 63.04% 68.29%

Don’t Know 9 23.68% 30.43% 29.27%

CHAPLAIN SERVICES Yes 2 5.26% 13.04% 14.63%

 Within 30 days 2 5.26% 4.35% 2.44%

 Within 90 days (inclusive)* 2 5.26% 10.87% 7.32%

No 26 68.42% 47.83% 39.02%

Don’t Know 10 26.32% 39.13% 46.34%

OUTPATIENT BEHAVIORAL HEALTH Yes 11 28.95% 19.57% 12.20%

 Within 30 days 7 18.42% 6.52% 4.88%

 Within 90 days (inclusive)* 9 23.68% 6.52% 7.32%

No 23 60.53% 56.52% 65.85%

Don’t Know 4 10.53% 23.91% 21.95%

INPATIENT BEHAVIORAL HEALTH Yes 1 2.63% 8.70% 7.32%

 Within 30 days 1 2.63% 2.17% 0.00%

 Within 90 days (inclusive)* 1 2.63% 2.17% 0.00%

No 31 81.58% 71.74% 75.61%

Don’t Know 6 15.79% 19.57% 17.07%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 7.20. CY 2010 AND 2008-2009 NAVY DODSER TREATMENT HISTORY (CONT.) 

Table 7.21 summarizes psychotropic medications known to have been used by decedents prior to suicide. Six 

decedents (15.79%) had known prescriptions for psychotropic medications, most frequently antidepressants (n

= 5, 13.16%).

TABLE 7.21. CY 2010 AND 2008-2009 NAVY DODSER PSYCHOTROPIC MEDICATION USE 

2010 2009 2008

Count Percent Percent Percent

TAKEN PSYCHOTROPIC MEDS Yes 6 15.79% 4.35% 9.76%

No 24 63.16% 58.70% 63.41%

Don’t Know 8 21.05% 36.96% 26.83%

 Antidepressants Yes 5 13.16% 4.35% 7.32%

No 25 65.79% 58.70% 63.41%

Don’t Know 8 21.05% 36.96% 29.27%

 Antianxiety Yes 4 10.53% 2.17% 7.32%
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No 25 65.79% 60.87% 65.85%

Don’t Know 9 23.68% 36.96% 26.83%

 Antimanics Yes 0 0.00% 0.00% 0.00%

No 29 76.32% 63.04% 70.73%

Don’t Know 9 23.68% 36.96% 29.27%

 Anticonvulsants Yes 0 0.00% 0.00% 0.00%

No 29 76.32% 63.04% 70.73%

Don’t Know 9 23.68% 36.96% 29.27%

 Antipsychotics Yes 0 0.00% 0.00% 0.00%

No 29 76.32% 63.04% 70.73%

Don’t Know 9 23.68% 36.96% 29.27%

TABLE 7.21. CY 2010 AND 2008-2009 NAVY DODSER PSYCHOTROPIC MEDICATION USE (CONT.) 

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

The majority of 2010 Navy decedents (n = 22, 57.89%) had a known failure in a spousal or intimate 

relationship, with 14 (36.84%) experiencing the failure within the month prior to suicide (Table 7.22). Four 

decedents (10.53%) had a failure in another important relationship, most of these (n = 3, 7.89%) occurring 

within the month prior to suicide. Most Sailors who died by suicide in 2010 had some form of failed relationship 

(n = 23, 60.53%), with fifteen (39.47%) occurring within the month prior to suicide.

TABLE 7.22. CY 2010 AND 2008-2009 NAVY DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE

2010 2009 2008

Count Percent Percent Percent

HX FAILED INTIMATE RELATIONSHIP Yes 22 57.89% 56.52% 51.22%

 Within 30 days 14 36.84% 32.61% 31.71%

 Within 90 days (inclusive)* 18 47.37% 41.30% 39.02%

No 11 28.95% 30.43% 24.39%

Don’t Know 5 13.16% 13.04% 24.39%

HX FAILED OTHER RELATIONSHIP Yes 4 10.53% 19.57% 14.63%

 Within 30 days 3 7.89% 6.52% 12.20%

 Within 90 days (inclusive)* 4 10.53% 8.70% 12.20%

No 23 60.53% 56.52% 43.90%

Don’t Know 11 28.95% 23.91% 41.46%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 23 60.53% 58.70% 58.54%

 Within 30 days 15 39.47% 32.61% 36.59%

 Within 90 days (inclusive)* 19 50.00% 41.30% 43.90%
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Calendar Year 2010 Annual Report

No 10 26.32% 30.43% 19.51%

Don’t Know 5 13.16% 10.87% 21.95%

*Data presented for “Within 90 days” includes all individuals with history “Within 30 days.”

TABLE 7.22. CY 2010 AND 2008-2009 NAVY DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE (CONT.)

Table 7.23 summarizes other family and relationship factors that may be associated with the suicide. Four 

Navy decedents (10.53%) were known to have lost a family member to suicide, and two (5.26%) were 

known to have experienced a clinically significant death of a family member by other means. Two Sailors had 

experienced the death of a friend (5.26%). Four decedents (10.53%) were known to have family members with 

a significant illness, and four (10.53%) were known to have family members with behavioral health problems.

TABLE 7.23. CY 2010 AND 2008-2009 NAVY DODSER FAMILY HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX SPOUSE SUICIDE Yes 0 0.00% 0.00% 0.00%

No 35 92.11% 91.30% 85.37%

Don’t Know 3 7.89% 8.70% 14.63%

HX FAMILY MEMBER SUICIDE Yes 4 10.53% 0.00% 4.88%

No 25 65.79% 78.26% 51.22%

Don’t Know 9 23.68% 21.74% 43.90%

HX FRIEND SUICIDE Yes 0 0.00% 2.17% 0.00%

No 28 73.68% 63.04% 51.22%

Don’t Know 10 26.32% 34.78% 48.78%

HX DEATH OF FAMILY MEMBER Yes 2 5.26% 15.22% 2.44%

No 24 63.16% 63.04% 53.66%

Don’t Know 12 31.58% 21.74% 43.90%

HX DEATH OF FRIEND Yes 2 5.26% 4.35% 4.88%

No 22 57.89% 60.87% 46.34%

Don’t Know 14 36.84% 34.78% 48.78%

HX FAMILY ILLNESS Yes 4 10.53% 6.52% 4.88%

No 25 65.79% 73.91% 51.22%

Don’t Know 9 23.68% 19.57% 43.90%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 4 10.53% 4.35% 9.76%

No 18 47.37% 39.13% 21.95%

Don’t Know 16 42.11% 56.52% 68.29%

Administrative and Legal History

Over one third of Sailors who died by suicide in 2010 (n = 15, 39.47%) had at least one known administrative 

or legal issue, and five (13.16%) had more than one (Table 7.24). The most frequent administrative or legal 

issue was non-judicial punishment (n = 7, 18.42%), followed by absence without leave (n = 4, 10.53%), civil 

legal problems (n = 4, 10.53%), and history of non-selection for promotion (n =4, 10.53%).
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Chapter 7: Navy DoDSER

TABLE 7.24. CY 2010 AND 2008-2009 NAVY DODSER ADMINISTRATIVE AND LEGAL HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX COURTS MARTIAL Yes 2 5.26% 4.35% 0.00%

No 35 92.11% 93.48% 100.00%

Don’t Know 1 2.63% 2.17% 0.00%

NON-JUDICIAL PUNISHMENT Yes 7 18.42% 15.22% 12.20%

No 30 78.95% 78.26% 85.37%

Don’t Know 1 2.63% 6.52% 2.44%

HX ADMIN SEPARATION Yes 1 2.63% 8.70% 2.44%

No 36 94.74% 91.30% 97.56%

Don’t Know 1 2.63% 0.00% 0.00%

HX AWOL Yes 4 10.53% 15.22% 0.00%

No 32 84.21% 82.61% 100.00%

Don’t Know 2 5.26% 2.17% 0.00%

HX MEDICAL BOARD Yes 0 0.00% 6.52% 0.00%

No 36 94.74% 91.30% 97.56%

Don’t Know 2 5.26% 2.17% 2.44%

HX CIVIL LEGAL PROBLEMS Yes 4 10.53% 19.57% 9.76%

No 30 78.95% 69.57% 75.61%

Don’t Know 4 10.53% 10.87% 14.63%

HX NON-SELECTION FOR PROMOTION Yes 4 10.53% 8.70% 4.88%

No 32 84.21% 86.96% 85.37%

Don’t Know 2 5.26% 4.35% 9.76%

HAD ANY ADMIN/LEGAL ISSUE Yes 15 39.47% 43.48% 24.39%

No 20 52.63% 47.83% 63.41%

Don’t Know 3 7.89% 8.70% 12.20%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 5 13.16% 23.91% 4.88%

No 19 50.00% 43.48% 63.41%

Don’t Know 14 36.84% 32.61% 31.71%

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 7.25). Two 

Navy suicide decedents (5.26%) had reportedly experienced sexual abuse, and one (2.63%) had reportedly 

experienced emotional abuse. One decedent (2.63%) had an alleged record of perpetrating physical abuse.

TABLE 7.25. CY 2010 AND 2008-2009 NAVY DODSER ABUSE HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX VICTIM PHYSICAL ABUSE Yes 0 0.00% 10.87% 2.44%

No 26 68.42% 71.74% 53.66%

Don’t Know 12 31.58% 17.39% 43.90%
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Calendar Year 2010 Annual Report

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 7.26). Three Sailors 

(7.89%) who died by suicide in 2010 had experienced significant debt. Seven decedents (18.42%) either had 

lost a position or experienced job instability. Three Sailors (7.89%) were known to have had interpersonal 

issues with their supervisors or coworkers. History of prior poor work evaluations were reported for four 

decedents (10.53%).

TABLE 7.26. CY 2010 AND 2008-2009 NAVY DODSER FINANCIAL AND WORKPLACE DIFFICULTIES 

2010 2009 2008

Count Percent Percent Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 3 7.89% 17.39% 7.32%

No 27 71.05% 58.70% 68.29%

Don’t Know 8 21.05% 23.91% 24.39%

HX JOB LOSS/INSTABILITY Yes 7 18.42% 28.26% 9.76%

No 28 73.68% 69.57% 78.05%

Don’t Know 3 7.89% 2.17% 12.20%

HX SUPERVISOR/COWORKER ISSUES Yes 3 7.89% 13.04% 7.32%

No 31 81.58% 80.43% 73.17%

Don’t Know 4 10.53% 6.52% 19.51%

HX VICTIM SEXUAL ABUSE Yes 2 5.26% 2.17% 0.00%

No 25 65.79% 78.26% 60.98%

Don’t Know 11 28.95% 19.57% 39.02%

HX VICTIM EMOTIONAL ABUSE Yes 1 2.63% 8.70% 2.44%

No 23 60.53% 69.57% 56.10%

Don’t Know 14 36.84% 21.74% 41.46%

HX VICTIM SEXUAL HARASSMENT Yes 0 0.00% 0.00% 0.00%

No 25 65.79% 80.43% 60.98%

Don’t Know 13 34.21% 19.57% 39.02%

HX PERPETRATOR PHYSICAL ABUSE Yes 1 2.63% 6.52% 2.44%

No 32 84.21% 78.26% 60.98%

Don’t Know 5 13.16% 15.22% 36.59%

HX PERPETRATOR SEXUAL ABUSE Yes 0 0.00% 4.35% 4.88%

No 33 86.84% 78.26% 60.98%

Don’t Know 5 13.16% 17.39% 34.15%

HX PERPETRATOR EMOTIONAL ABUSE Yes 0 0.00% 4.35% 0.00%

No 31 81.58% 73.91% 63.41%

Don’t Know 7 18.42% 21.74% 36.59%

HX PERPETRATOR SEXUAL HARASSMENT Yes 0 0.00% 0.00% 2.44%

No 32 84.21% 82.61% 68.29%

Don’t Know 6 15.79% 17.39% 29.27%

TABLE 7.25. CY 2010 AND 2008-2009 NAVY DODSER ALLEGED ABUSE HISTORY (CONT.) 
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Chapter 7: Navy DoDSER

HX POOR WORK EVALUATION Yes 4 10.53% 8.70% 4.88%

No 33 86.84% 84.78% 82.93%

Don’t Know 1 2.63% 6.52% 12.20%

HX UNIT/WORKPLACE HAZING Yes 0 0.00% 0.00% 0.00%

No 35 92.11% 91.30% 82.93%

Don’t Know 3 7.89% 8.70% 17.07%

TABLE 7.26. CY 2010 AND 2008-2009 NAVY DODSER FINANCIAL AND WORKPLACE DIFFICULTIES (CONT.) 

Deployment Factors

DoDSER captures detailed information about Sailors’ three most recent deployments. Data include deployment 

location information as well as history of direct combat operations. 

Deployment and Combat History

Two of the Sailors who died by suicide in 2010 (5.26%) had previously served in Iraq and one (2.63%) had 

served in Afghanistan (Table 7.27). Three decedents (7.89%) had known direct combat experiences, including 

participating in combat that resulted in injuries (n = 2, 5.26%), sustaining injuries in combat (n = 1, 2.63%), 

witnessing killing (n = 1, 2.63%), and seeing dead bodies (n = 1, 2.63%; Table 7.28).

TABLE 7.27. CY 2010 AND 2008-2009 NAVY DODSER OEF/OIF/OND DEPLOYMENT HISTORY 

2010 2009 2008

Count Percent Percent Percent

HX DEPLOYMENT OEF/OIF Afghanistan 1 2.63% 2.17% 0.00%

Iraq 2 5.26% 4.35% 4.88%

Kuwait 0 0.00% 2.17% 0.00%

Multiple OEF/OIF/OND locations 0 0.00% 2.17% 0.00%

No history of OEF/OIF/OND deployment 35 92.11% 89.13% 95.12%

TABLE 7.28. CY 2010 AND 2008-2009 NAVY DODSER COMBAT HISTORY 

2010 2009 2008

Count Percent Percent Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 3 7.89% 2.17% 0.00%

Combat resulted in injuries/casualties for 

others

2 5.26% 0.00% 0.00%

 Injured in combat 1 2.63% 0.00% 0.00%

 Witnessed killing in combat 1 2.63% 2.17% 0.00%

 Saw dead bodies in combat 1 2.63% 2.17% 0.00%

NO DIRECT COMBAT HISTORY 35 92.11% 97.83% 100.00%
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Calendar Year 2010 Annual Report

DoDSER POCs submitted 58 DoDSERs for 2010 Navy suicide attempts As indicated in Table 7.29, these 

DoDSERs provide data on suicide attempts for 57 individuals. Two attempts were reported (DoDSERs 

submitted) for one individual. The tables in this section use a denominator of 58.

TABLE 7.29. CY 2010 NAVY SUICIDE ATTEMPT DODSERS

NAVY DoDSERS SUBMITTED FOR SUICIDE ATTEMPTS

Count Percent

TOTAL SUICIDE ATTEMPT DoDSERs 58 100.00%

TOTAL INDIVIDUALS INCLUDED 57 100.00%

SUICIDE ATTEMPT DoDSERs SUBMITTED PER INDIVIDUAL 1 56 98.25%

2 1 1.75%

3 0 0.00%

INDIVIDUALS WITH 2010 DoDSERs FOR BOTH SUICIDE ATTEMPT AND SUICIDE 0 0.00%

As summarized in Table 7.30, the majority of DoDSERs for 2010 Navy suicide attempts had no missing or 

“Unknown” primary data points (n = 32, 55.17%). Primary data points include any variables that are accessible 

using standard DoDSER methods (including accessing medical and military records). DoDSER POCs often 

interview Service Members after non-fatal suicide events, sometimes leading to more thorough data.

TABLE 7.30. CY 2010 NAVY SUICIDE ATTEMPT DODSER MISSING AND UNKNOWN DATA 

Dispositional/Personal Factors

This section reports data that describe individual characteristics and behaviors that may have been associated 

with the suicide attempts. These factors include demographic characteristics, event setting, suicide attempt 

method, substance use during the event, intent to die, and communication of intent with others.

Demographics

Table 7.31 contains DoDSER demographic data for Sailors who attempted suicide in 2010. Males represented 

the majority (n = 44, 75.86%). Sailors who attempted suicide were most often Caucasian (n = 36, 62.07%), 

under age 25 (n = 33, 56.90%), junior enlisted (n = 33, 56.90%), Regular component (n = 51, 87. 93%) and 

without a college degree (n = 45, 77.59%).

Count Percent

NUMBER OF PRIMARY DATA FIELDS MISSING OR 

UNKNOWN

0 32 55.17%

1 8 13.79%

2 3 5.17%

3 4 6.90%

4 2 3.45%

5 or More 9 15.52%
222

Chapter 7: Navy DoDSER

TABLE 7.31. CY 2010 NAVY SUICIDE ATTEMPT DODSER DEMOGRAPHICS 

Event Setting

In 2010, Navy suicide attempts most frequently took place in the United States (n = 43, 74.14%), followed by 

Asian countries other than Iraq and Afghanistan (n = 6, 10.34%; Table 7.32). As indicated in Table 7.33, suicide 

attempts primarily occurred in the Sailors’ residences (n = 41, 70.69%). 

Count Percent

TOTAL 58 100.00%

GENDER Male 44 75.86%

Female 14 24.14%

RACE American Indian or Alaskan Native 1 1.72%

Asian or Pacific Islander 2 3.45%

Black/African American 10 17.24%

White/Caucasian 36 62.07%

Other 7 12.07%

Don’t Know 2 3.45%

AGE RANGE Under 25 33 56.90%

25-29 11 18.97%

30-39 12 20.69%

40 + 2 3.45%

RANK E1-E4 33 56.90%

E5-E9 21 36.21%

Officer 3 5.17%

Cadet/Midshipman 1 1.72%

COMPONENT Regular 51 87.93%

Reserve 6 10.34%

Other 1 1.72%

EDUCATION GED 3 5.17%

High school graduate 28 48.28%

Some college or technical school 14 24.14%

Degree/certificate less than four years 2 3.45%

Four-year college degree 5 8.62%

Master’s degree or greater 1 1.72%

Don’t Know 5 8.62%

MARITAL STATUS Never Married 33 56.90%

Married 20 34.48%

Legally Separated 1 1.72%

Divorced 2 3.45%

Don’t Know 2 3.45%
223

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

TABLE 7.32. CY 2010 NAVY SUICIDE ATTEMPT DODSER EVENT GEOGRAPHIC LOCATION 

TABLE 7.33. CY 2010 NAVY SUICIDE ATTEMPT DODSER EVENT SETTING 

Event Method

As indicated in Table 7.34, drugs were the most frequent method for suicide attempt (n = 29, 50.00%), followed 

by injury with a sharp or blunt object (n = 11, 18.97%). 

TABLE 7.34. CY 2010 NAVY SUICIDE ATTEMPT DODSER EVENT METHOD 

Count Percent

GEOGRAPHIC LOCATION United States 43 74.14%

Asia 6 10.34%

Europe 3 5.17%

Other 5 8.62%

Don’t Know 1 1.72%

Count Percent

EVENT SETTING Residence (own) or barracks 41 70.69%

Residence of friend or family 5 8.62%

Work/jobsite 5 8.62%

Automobile (away from residence) 2 3.45%

Other 5 8.62%

Substance Use during the Event

DoDSER POCs collected data on alcohol and drug use during Navy suicide attempts (Table 7.35). Eighteen 

DoDSERs (31.03%) included alcohol use during suicide attempts and thirty (51.72%) included drug use, most 

frequently misuse of prescription medication. These frequencies include Sailors who used drugs as a suicide 

attempt method (n = 29, 50.00%), as described above.

Count Percent

EVENT METHOD Drugs 29 50.00%

Alcohol 1 1.72%

Gas, vehicle exhaust 1 1.72%

Gas, utility (or other) 2 3.45%

Chemicals 1 1.72%

Hanging 3 5.17%

Drowning 1 1.72%

Firearm, non-military issue 2 3.45%

Sharp or blunt object 11 18.97%

Jumping from high place 2 3.45%

Other 5 8.62%
224

Chapter 7: Navy DoDSER

TABLE 7.35. CY 2010 NAVY SUICIDE ATTEMPT DODSER SUBSTANCE(S) USED DURING SUICIDE ATTEMPTS

Communication of Intent

Most Sailors who attempted suicide had no known history of communicating with others about intending 

to harm themselves (n = 50, 86.21%; Table 7.36). Of those who did communicate with others, these 

communications were most frequently verbal (n = 5, 8.62%; Table 7.37). As indicated in Table 7.38, Sailors 

most frequently communicated with their friends (n = 2, 3.45%) and behavioral healthcare providers (n = 2, 

3.45%). 

TABLE 7.36. CY 2010 NAVY SUICIDE ATTEMPT DODSER NUMBER OF TYPES OF RECIPIENTS OF COMMUNICATED INTENT 

Count Percent

ALCOHOL USED Yes 18 31.03%

No 34 58.62%

Don’t Know 6 10.34%

ANY DRUGS USED Yes 30 51.72%

No 25 43.10%

Don’t Know 3 5.17%

 Illegal drugs Overdose 1 1.72%

Were not used 54 93.10%

Don’t know 3 5.17%

 Prescription drugs Overdose 17 29.31%

Used, no overdose 4 6.90%

Were not used 34 58.62%

Don’t know 3 5.17%

 Over the counter drugs Overdose 8 13.79%

Used, no overdose 4 6.90%

Were not used 43 74.14%

Don’t know 3 5.17%

BOTH ALCOHOL AND DRUGS USED Yes 10 17.24%

No 42 72.41%

Don’t Know 6 10.34%

Count Percent

NUMBER OF TYPES OF RECIPIENTS OF 

COMMUNICATED INTENT

0 50 86.21%

1 7 12.07%

2 0 0.00%

3 1 1.72%

TABLE 7.37. CY 2010 NAVY SUICIDE ATTEMPT DODSER MODE OF COMMUNICATED INTENT 

Count Percent

MODE OF COMMUNICATED INTENT Verbal 5 8.62%

Written 1 1.72%

Other or Unknown 1 1.72%
225

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

TABLE 7.38. CY 2010 NAVY SUICIDE ATTEMPT DODSER RECIPIENTS OF COMMUNICATED INTENT 

Additional Event Information

Table 7.39 provides information about other details of 2010 Navy suicide attempts. For the majority (n = 49, 

84.48%), there were data to indicate that the Sailors intended to die. Two Sailors (3.45%) were known to have 

engaged in death risk gambling (e.g., “Russian roulette”). Over one third of suicide attempts (n = 22, 37.93%) 

appeared planned or premeditated. Nineteen suicide attempts (32.76%) took place in a location potentially 

observable by others. Seven Sailors (12.07%) left suicide notes.

TABLE 7.39. CY 2010 NAVY SUICIDE ATTEMPT DODSER ADDITIONAL EVENT INFORMATION 

Multiple Modes 1 1.72%

No Known Communication 50 86.21%

Note: Multiple modes include a combination of verbal, written, or other mode of communicating intent to suicide (e.g., text).

TABLE 7.37. CY 2010 NAVY SUICIDE ATTEMPT DODSER MODE OF COMMUNICATED INTENT (CONT.) 

Count Percent

COMMUNICATION Friend 2 3.45%

Behavioral Health Provider 2 3.45%

Supervisor 1 1.72%

Other or Unidentified 2 3.45%

Made Multiple Communications 1 1.72%

No Known Communication 50 86.21%

Count Percent

INTENDED TO DIE Yes 49 84.48%

No 7 12.07%

Don’t Know 2 3.45%

DEATH RISK GAMBLING Yes 2 3.45%

No 55 94.83%

Don’t Know 1 1.72%

PLANNED/PREMEDITATED Yes 22 37.93%

No 28 48.28%

Don’t Know 8 13.79%

OBSERVABLE Yes 19 32.76%

No 36 62.07%

Don’t Know 3 5.17%

SUICIDE NOTE LEFT Yes 7 12.07%

No 40 68.97%

Don’t Know 11 18.97%
226

Chapter 7: Navy DoDSER

Contextual Factors

This section describes DoDSER data that pertain to situational and contextual factors such as place of 

residence, general living situation and duty environment.

Situational Factors

Table 7.40 provides details about the living situations for Sailors who attempted suicide in 2010. DoDSERs 

most frequently reported private homes outside of installations (n = 31, 53.45%) and shared living 

environments on installations (n = 17, 29.31%). Half of married Sailors (n = 10, 50.00% of married Sailors, 

17.24% of total) lived with their spouses at the time of their suicide attempts and five were separated because 

of relationship issues (25.00% of married Sailors, 8.62% of total). Seventeen DoDSERs indicated that the 

Sailors had minor children (29.31%), and most resided with their children at the time of the suicide attempt (n = 

11, 64.71% of Sailors with children, 18.97% of total). Three DoDSERs (5.17%) indicated that the Sailors were 

known to have access to firearms either in their homes, at work, or in other accessible locations.

TABLE 7.40. CY 2010 NAVY SUICIDE ATTEMPT DODSER HOME ENVIRONMENT 

Count Percent

RESIDENCE AT TIME OF EVENT Shared military living environment 17 29.31%

Bachelor quarters 3 5.17%

On-base family housing 2 3.45%

Owned or leased apartment or house 31 53.45%

Ship 3 5.17%

Other 1 1.72%

Don’t Know 1 1.72%

MARRIED SERVICE MEMBER RESIDENCE Resides with spouse 10 17.24%

Separated due to relationship issues 5 8.62%

Apart for other reasons/deployed 5 8.62%

Unmarried at time of event 38 65.52%

RESIDED ALONE Yes 21 36.21%

No 32 55.17%

Don’t Know 5 8.62%

HAD MINOR CHILDREN Yes 17 29.31%

No 41 70.69%

Don’t Know 0 0.00%

CHILDREN RESIDED WITH Yes 11 18.97%

No 6 10.34%

No Children 41 70.69%

FIREARM IN IMMEDIATE/LIVING ENVIRONMENT Yes 3 5.17%

No 36 62.07%

Don’t Know 19 32.76%
227

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

Duty Environment

The primary duty environment for Sailors who attempted suicide was their permanent duty station (n = 32, 

55.17%; Table 7.41). 

TABLE 7.41. CY 2010 NAVY SUICIDE ATTEMPT DODSER DUTY ENVIRONMENT 

Count Percent

DUTY ENVIRONMENT Permanent Duty Station 32 55.17%

Psychiatric Hospitalization 1 1.72%

Medical Hold 2 3.45%

TDY 3 5.17%

AWOL 1 1.72%

Deployed 2 3.45%

Training 2 3.45%

Other 6 10.34%

Multiple Duty Environments 3 5.17%

Duty Environment Unknown 6 10.34%

Suicide Attempts by Month

No clear pattern was evident for Navy suicide attempts by month (Table 7.42).

TABLE 7.42. CY 2010 NAVY DODSER SUICIDE ATTEMPTS BY MONTH

Clinical Health Factors 

The DoDSER items capture detailed information on behavioral and symptom factors that may be associated 

with subsequent suicidal behavior. These factors include data on prior self-harm, previous diagnoses of 

behavioral health disorders and behavioral health issues, and relevant treatment histories, including prescribed 

medication. 

Count Percent

MONTH January 4 6.90%

February 3 5.17%

March 5 8.62%

April 5 8.62%

May 6 10.34%

June 7 12.07%

July 6 10.34%

August 1 1.72%

September 5 8.62%

October 10 17.24%

November 1 1.72%

December 5 8.62%
228

Chapter 7: Navy DoDSER

Prior Self-Injury 

Prior self-harm was known for over one fourth of suicide attempts (n = 16, 27.59%), and five (8.62%) self-harm 

incidents were known to have occurred within the month prior to attempting suicide (Table 7.43). Of those with 

prior history of self-harm, ten (62.50%, 17.24% of total) had more than one prior event. Five suicide attempts 

(8.62%) were similar to the Sailors’ prior self-harm events.

TABLE 7.43. CY 2010 NAVY SUICIDE ATTEMPT DODSER PRIOR SELF-INJURY 

Count Percent

HX PRIOR SELF-INJURY Yes 16 27.59%

 Within 30 days 5 8.62%

 Within 90 days (inclusive)* 9 15.52%

No 33 56.90%

Don’t Know 9 15.52%

 Number prior self-injuries One prior event 6 10.34%

More than one prior event 10 17.24%

N/A or Unknown 42 72.41%

 Event similar to prior self-injury Yes 5 8.62%

No 10 17.24%

Don’t Know 1 1.72%

N/A 42 72.41%

Behavioral Health Disorders 

DoDSER POCs collect information about history of behavioral health diagnoses. The data below reflect any 

known history of behavioral health disorders and are not limited to diagnoses at the time of the suicide event. 

The majority of Navy DoDSERs for attempted suicide included a history of at least one documented behavioral 

health disorder (n = 36, 62.07%; Table 7.44). Twenty (34.48%) had at least two co-occurring diagnoses. As 

indicated in Table 7.45, 25 DoDSERs (43.10%) indicated that Sailors had a diagnosis of a mood disorder, most 

frequently major depressive disorder (n = 16, 27.59%). Thirteen DoDSERs for suicide attempts (22.41%) 

included Sailors’ diagnoses of anxiety disorders, most frequently PTSD (n = 5, 8.62%; Table 7.46). Four 

DoDSERs (6.90%) included documentation of personality disorders, and 13 (22.41%) included a known history 

of substance abuse (Table 7.47). Two DoDSERs (3.45%) indicated that Sailors had sustained a traumatic brain 

injury.

TABLE 7.44. CY 2010 NAVY SUICIDE ATTEMPT DODSER COMORBIDITY RATES 

Count Percent

NUMBER OF BEHAVIORAL HEALTH DIAGNOSES No DX 22 37.93%

1 DX 16 27.59%

2 DX 7 12.07%

3 DX 9 15.52%

4 or more DX 4 6.90%
229

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

TABLE 7.45. CY 2010 NAVY SUICIDE ATTEMPT DODSER MOOD DISORDERS 

TABLE 7.46. CY 2010 NAVY SUICIDE ATTEMPT DODSER ANXIETY DISORDERS 

Count Percent

DX W/ MOOD DISORDER Yes 25 43.10%

No 31 53.45%

Don’t Know 2 3.45%

 Bipolar disorder Yes 0 0.00%

No 55 94.83%

Don’t Know 3 5.17%

 Major depression Yes 16 27.59%

No 40 68.97%

Don’t Know 2 3.45%

 Dysthymic disorder Yes 1 1.72%

No 52 89.66%

Don’t Know 5 8.62%

 Other mood disorder Yes 2 3.45%

No 50 86.21%

Don’t Know 6 10.34%

 Unspecified mood disorder Yes 1 1.72%

No 55 94.83%

Don’t Know 2 3.45%

 Multiple mood DX Yes 5 8.62%

No 51 87.93%

Don’t Know 2 3.45%

Count Percent

DX W/ ANXIETY DISORDER Yes 13 22.41%

No 41 70.69%

Don’t Know 4 6.90%

 PTSD Yes 5 8.62%

No 49 84.48%

Don’t Know 4 6.90%

 Panic disorder Yes 1 1.72%

No 52 89.66%

Don’t Know 5 8.62%

 Generalized anxiety disorder Yes 2 3.45%

No 50 86.21%

Don’t Know 6 10.34%

 Acute stress disorder Yes 0 0.00%

No 52 89.66%

Don’t Know 6 10.34%

 Other anxiety disorder Yes 1 1.72%
230

Chapter 7: Navy DoDSER

TABLE 7.47. CY 2010 NAVY SUICIDE ATTEMPT DODSER OTHER BEHAVIORAL HEALTH DISORDERS 

Treatment History

Table 7.48 provides data on Sailors’ use of medical and behavioral health treatment prior to attempting suicide. 

Over one third of Navy DoDSERs (n = 21, 36.21%) indicated that Sailors had received some form of treatment 

at a MTF, 12 (20.69%) within the month prior to attempting suicide. Seven Navy DoDSERs (12.07%) included 

evidence of a known physical health problem. Twenty-six Navy DoDSERs (44.83%) indicated that Sailors 

had received outpatient behavioral health services, many within the month prior to attempting suicide (n = 

16, 27.59%). Ten Navy DoDSERs (17.24%) indicated that the Sailors had previously been hospitalized in 

an inpatient psychiatry unit, three (5.17%) within the month prior to the suicide attempt. Seven Navy suicide 

attempt DoDSERs (12.07%) included prior substance abuse treatment.

TABLE 7.48. CY 2010 NAVY SUICIDE ATTEMPT DODSER TREATMENT HISTORY 

No 51 87.93%

Don’t Know 6 10.34%

 Unspecified anxiety DX Yes 1 1.72%

No 53 91.38%

Don’t Know 4 6.90%

 Multiple anxiety DX Yes 3 5.17%

No 51 87.93%

Don’t Know 4 6.90%

Count Percent

DX W/PERSONALITY DISORDER Yes 4 6.90%

No 50 86.21%

Don’t Know 4 6.90%

DX W/PSYCHOTIC DISORDER Yes 0 0.00%

No 54 93.10%

Don’t Know 4 6.90%

HX SUBSTANCE ABUSE Yes 13 22.41%

No 41 70.69%

Don’t Know 4 6.90%

DX W/ TRAUMATIC BRAIN INJURY Yes 2 3.45%

No 53 91.38%

Don’t Know 3 5.17%

Count Percent

SEEN AT MILITARY TREATMENT FACILITY Yes 21 36.21%

 Within 30 days 12 20.69%

 Within 90 days (inclusive)* 19 32.76%

No 32 55.17%

Don’t Know 5 8.62%

TABLE 7.46. CY 2010 NAVY SUICIDE ATTEMPT DODSER ANXIETY DISORDERS (CONT.) 
231

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

HX PHYSICAL HEALTH PROBLEM Yes 7 12.07%

 Within 30 days 2 3.45%

 Within 90 days (inclusive)* 3 5.17%

No 46 79.31%

Don’t Know 5 8.62%

SUBSTANCE ABUSE SERVICES Yes 7 12.07%

 Within 30 days 1 1.72%

 Within 90 days (inclusive)* 3 5.17%

No 47 81.03%

Don’t Know 4 6.90%

FAMILY ADVOCACY PROGRAMS Yes 4 6.90%

 Within 30 days 3 5.17%

 Within 90 days (inclusive)* 4 6.90%

No 46 79.31%

Don’t Know 8 13.79%

CHAPLAIN SERVICES Yes 9 15.52%

 Within 30 days 4 6.90%

 Within 90 days (inclusive)* 7 12.07%

No 36 62.07%

Don’t Know 13 22.41%

OUTPATIENT BEHAVIORAL HEALTH Yes 26 44.83%

 Within 30 days 16 27.59%

 Within 90 days (inclusive)* 19 32.76%

No 29 50.00%

Don’t Know 3 5.17%

INPATIENT BEHAVIORAL HEALTH Yes 10 17.24%

 Within 30 days 3 5.17%

 Within 90 days (inclusive)* 6 10.34%

No 46 79.31%

Don’t Know 2 3.45%

As indicated in Table 7.49, DoDSERs for twenty-three Navy suicide attempts (39.66%) included psychotropic 

medication use prior to the suicide attempt. Antidepressants (n = 20, 86.96% of DoDSERs with known 

prescriptions, 34.48% of total DoDSERs) and antianxiety medication (n = 9, 39.13% of DoDSERs with known 

prescriptions, 15.52% of total DoDSERs) were the most frequently prescribed psychotropics. 

TABLE 7.49. CY 2010 NAVY SUICIDE ATTEMPT DODSER PSYCHOTROPIC MEDICATION USE 

Count Percent

TAKEN PSYCHOTROPIC MEDS Yes 23 39.66%

No 32 55.17%

Don’t Know 3 5.17%

 Antidepressants Yes 20 34.48%

TABLE 7.48. CY 2010 NAVY SUICIDE ATTEMPT DODSER TREATMENT HISTORY (CONT.) 
232

Chapter 7: Navy DoDSER

Historical/Developmental Factors

DoDSER data are collected on historical and developmental factors that precede a suicide event. These 

data include information about family histories, interpersonal relationships, legal, financial and administrative 

difficulties, and reports of prior abuse.

Family and Relationship History

Over half of DoDSERs for Sailors who attempted suicide (n = 34, 58.62%) included a known failure in a 

spousal or intimate relationship, with 19 (32.76%) experiencing the failure within the month prior to suicide 

(Table 7.50). Six Navy DoDSERs (10.34%) included a failure in another important relationship, with three 

(5.17%) occurring within the month prior to the suicide attempt. 

TABLE 7.50. CY 2010 NAVY SUICIDE ATTEMPT DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE ATTEMPT

No 34 58.62%

Don’t Know 4 6.90%

 Antianxiety Yes 9 15.52%

No 44 75.86%

Don’t Know 5 8.62%

 Antimanics Yes 0 0.00%

No 53 91.38%

Don’t Know 5 8.62%

 Anticonvulsants Yes 2 3.45%

No 51 87.93%

Don’t Know 5 8.62%

 Antipsychotics Yes 4 6.90%

No 49 84.48%

Don’t Know 5 8.62%

Count Percent

HX FAILED INTIMATE RELATIONSHIP Yes 34 58.62%

 Within 30 days 19 32.76%

 Within 90 days (inclusive)* 23 39.66%

No 21 36.21%

Don’t Know 3 5.17%

HX FAILED OTHER RELATIONSHIP Yes 6 10.34%

 Within 30 days 3 5.17%

 Within 90 days (inclusive)* 3 5.17%

No 42 72.41%

Don’t Know 10 17.24%

HX ANY FAILED RELATIONSHIP (INTIMATE AND/

OR OTHER)

Yes 36 62.07%

 Within 30 days 20 34.48%

TABLE 7.49. CY 2010 NAVY SUICIDE ATTEMPT DODSER PSYCHOTROPIC MEDICATION USE (CONT.) 
233

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

Table 7.51 summarizes other family and relationship factors. Two DoDSERs for Sailors (3.45%) included the 

loss of a spouse to suicide, three (5.17%) included the loss of a family member to suicide and four (6.90%) 

included the loss of friend to suicide. Several had experienced the death of a family member (n = 11, 18.97%) 

or friend (n = 6, 10.34%) by other means. Over one third of DoDSERs indicated that Sailors had a family 

member with behavioral health problems (n = 22, 37.93%) and six Navy DoDSERs (10.34%) included history 

of clinically significant family illness.

TABLE 7.51. CY 2010 NAVY SUICIDE ATTEMPT DODSER FAMILY HISTORY 

Administrative and Legal History

Over one third of DoDSERs for Sailors who attempted suicide included at least one administrative or legal 

issue (n = 20, 34.48%), and seven (12.07%) included more than one (Table 7.52). The most frequent 

administrative or legal problem was non-judicial punishment (n = 12, 20.69%).

 Within 90 days (inclusive)* 24 41.38%

No 20 34.48%

Don’t Know 2 3.45%

Count Percent

HX SPOUSE SUICIDE Yes 2 3.45%

No 55 94.83%

Don’t Know 1 1.72%

HX FAMILY MEMBER SUICIDE Yes 3 5.17%

No 48 82.76%

Don’t Know 7 12.07%

HX FRIEND SUICIDE Yes 4 6.90%

No 47 81.03%

Don’t Know 7 12.07%

HX DEATH OF FAMILY MEMBER Yes 11 18.97%

No 42 72.41%

Don’t Know 5 8.62%

HX DEATH OF FRIEND Yes 6 10.34%

No 43 74.14%

Don’t Know 9 15.52%

HX FAMILY ILLNESS Yes 6 10.34%

No 47 81.03%

Don’t Know 5 8.62%

HX FAMILY BEHAVIORAL HEALTH PROBLEMS Yes 22 37.93%

No 27 46.55%

Don’t Know 9 15.52%

TABLE 7.50. CY 2010 NAVY SUICIDE ATTEMPT DODSER FAILED RELATIONSHIPS PRIOR TO SUICIDE ATTEMPT (CONT.)
234

Chapter 7: Navy DoDSER

Abuse History

The DoDSER includes information about both abuse victimization and abuse perpetration (Table 7.53). 

DoDSERs for Sailors who attempted suicide in 2010 included a history of reported physical abuse (n = 6, 

10.34%), sexual abuse (n = 3, 5.17%), and emotional abuse (n = 8, 13.79%). Three (5.17%) included a history 

of allegedly physically abusing others and two DoDSERs (3.45%) included a history of allegedly perpetrating 

emotional abuse.

TABLE 7.53. CY 2010 NAVY SUICIDE ATTEMPT DODSER ABUSE HISTORY 

TABLE 7.52. CY 2010 NAVY SUICIDE ATTEMPT DODSER ADMINISTRATIVE AND LEGAL HISTORY 

Count Percent

HX COURTS MARTIAL Yes 2 3.45%

No 51 87.93%

Don’t Know 5 8.62%

NON-JUDICIAL PUNISHMENT Yes 12 20.69%

No 37 63.79%

Don’t Know 9 15.52%

HX ADMIN SEPARATION Yes 4 6.90%

No 47 81.03%

Don’t Know 7 12.07%

HX AWOL Yes 4 6.90%

No 49 84.48%

Don’t Know 5 8.62%

HX MEDICAL BOARD Yes 3 5.17%

No 52 89.66%

Don’t Know 3 5.17%

HX CIVIL LEGAL PROBLEMS Yes 4 6.90%

No 46 79.31%

Don’t Know 8 13.79%

HX NON-SELECTION FOR PROMOTION Yes 1 1.72%

No 45 77.59%

Don’t Know 12 20.69%

HAD ANY ADMIN/LEGAL ISSUE Yes 20 34.48%

No 32 55.17%

Don’t Know 6 10.34%

HAD MULTIPLE ADMIN/LEGAL ISSUES Yes 7 12.07%

No 30 51.72%

Don’t Know 21 36.21%

Count Percent

HX VICTIM PHYSICAL ABUSE Yes 6 10.34%

No 43 74.14%

Don’t Know 9 15.52%
235

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

Financial and Workplace Difficulties

DoDSER collects data on economic hardship and problems in the workplace (Table 7.54). Sixteen DoDSERs 

for Sailors who attempted suicide in 2010 (27.59%) included experience of job loss or instability. Eight 

(13.79%) included problems with either supervisors or coworkers, and six (10.34%) included prior poor work 

evaluations.

TABLE 7.54. CY 2010 NAVY SUICIDE ATTEMPT DODSER FINANCIAL AND WORKPLACE DIFFICULTIES 

HX VICTIM SEXUAL ABUSE Yes 3 5.17%

No 45 77.59%

Don’t Know 10 17.24%

HX VICTIM EMOTIONAL ABUSE Yes 8 13.79%

No 38 65.52%

Don’t Know 12 20.69%

HX VICTIM SEXUAL HARASSMENT Yes 0 0.00%

No 44 75.86%

Don’t Know 14 24.14%

HX PERPETRATOR PHYSICAL ABUSE Yes 3 5.17%

No 45 77.59%

Don’t Know 10 17.24%

HX PERPETRATOR SEXUAL ABUSE Yes 0 0.00%

No 46 79.31%

Don’t Know 12 20.69%

HX PERPETRATOR EMOTIONAL ABUSE Yes 2 3.45%

No 44 75.86%

Don’t Know 12 20.69%

HX PERPETRATOR SEXUAL HARASSMENT Yes 0 0.00%

No 48 82.76%

Don’t Know 10 17.24%

Count Percent

EXCESSIVE DEBT/BANKRUPTCY Yes 4 6.90%

No 46 79.31%

Don’t Know 8 13.79%

HX JOB LOSS/INSTABILITY Yes 16 27.59%

No 37 63.79%

Don’t Know 5 8.62%

HX SUPERVISOR/COWORKER ISSUES Yes 8 13.79%

No 40 68.97%

Don’t Know 10 17.24%

HX POOR WORK EVALUATION Yes 6 10.34%

No 45 77.59%

Don’t Know 7 12.07%

TABLE 7.53. CY 2010 NAVY SUICIDE ATTEMPT DODSER ABUSE HISTORY(CONT.) 
236

Chapter 7: Navy DoDSER

TABLE 7.56. CY 2010 NAVY SUICIDE ATTEMPT DODSER COMBAT HISTORY

Deployment Factors

DoDSER captures detailed information about Sailors’ three most recent deployments. Data include deployment 

location information as well as history of direct combat operations. 

Deployment and Combat History

Fifteen DoDSERs (25.86%) included information about prior OEF, OIF or OND deployments (Table 7.55). Five 

DoDSERs (8.62%) included experiences of direct combat, as summarized in Table 7.56.

TABLE 7.55. CY 2010 NAVY SUICIDE ATTEMPT DODSER OEF/OIF/OND DEPLOYMENT HISTORY 

HX UNIT/WORKPLACE HAZING Yes 2 3.45%

No 46 79.31%

Don’t Know 10 17.24%

Count Percent

HX DEPLOYMENT OEF/OIF Afghanistan 1 1.72%

Iraq 13 22.41%

Kuwait 1 1.72%

No history of OEF/OIF/OND deployment 43 74.14%

Count Percent

COMBAT HISTORY HISTORY OF DIRECT COMBAT 5 8.62%

Combat resulted in injuries/casualties for others 4 6.90%

 Injured in combat 3 5.17%

 Witnessed killing in combat 4 6.90%

 Saw dead bodies in combat 4 6.90%

 Killed others in combat 2 3.45%

NO DIRECT COMBAT HISTORY 53 91.38%

TABLE 7.54. CY 2010 NAVY SUICIDE ATTEMPT DODSER FINANCIAL AND WORKPLACE DIFFICULTIES (CONT.) 
237

Chapter 7: Navy DoDSER

Calendar Year 2010 Annual Report

Summary

This chapter provides data on Navy suicides and suicide attempts that occurred in 2010. Data are presented 

for 38 Sailors who died by suicide and for 57 Sailors who attempted suicide in 58 separate incidents. 

Decedents and those who attempted suicide were primarily male, Caucasian, under age 25, enlisted, Regular 

component Sailors, and without a college degree. 

Most suicide events took place in the United States in the Sailors’ own residences. The most frequent methods 

for Sailors who died by suicide were non-military issue firearm use and hanging. Suicide attempt methods 

were most often drug overdose and harming oneself with a sharp or blunt object. Drug and alcohol use was 

much more frequent among non-fatal Navy suicide events. The majority of Sailors who died by suicide or 

had attempted suicide were not known to have communicated with others about their likelihood of harming 

themselves.

Compared to decedents, Sailors with non-fatal suicide events had more reported behavioral health disorders 

and more behavioral health treatment useuse prior to the event. Additionally, those who attempted suicide had 

higher prevalence of prior abuse victimization. Failed intimate relationships were frequent among Sailors with 

suicide events. The most frequent administrative or legal issue was non-judicial punishment. 

No Sailors were deployed at the time of their suicide events.
238

Glossary

APPENDIX A:

Glossary

A provision under the Uniform Code of Military Justice (UCMJ) which 

gives commanding officers ability to impose nonjudicial punishment upon 

soldiers who commit minor offenses within their units.

Any game of chance with death or serious injury as a potential outcome

Deployment ashore (boots on the ground) with duties involving outside 

the continental United States operations without a fixed US Military 

Treatment Facility (MTF). Examples include OIF and OEF deployments

A self-inflicted, potentially injurious behavior for which there is evidence 

(either implicit or explicit) that the person did not intend to kill himself/

herself (i.e., had no intent to die). 

Informal proceeding evaluating the medical history of a Service Member 

to determine how the injury/disease will respond to treatment protocols. 

This is used to determine if the medical condition and/or physical defect 

will render the Service Member unfit for duty.

Evidence the event was planned and/or premeditated includes verbal 

discussion of plan, written notes, email/chat-room discussion, or other 

evidence of plan such as preparatory behaviors (e.g., giving possessions 

away, purchase of materials to facilitate suicide, etc.).

Self-inflicted death with evidence (either explicit or implicit) of intent to die

A self-inflicted potentially injurious behavior with a non-fatal outcome for 

which there is evidence (either explicit or implicit) of intent to die.

Any self-reported thoughts of engaging in suicide-related behaviors

a) A traumatically induced structural injury and/or physiological disruption 

of brain function as a result of an external force that is indicated by 

new onset or worsening of at least one of the following clinical signs, 

immediately following the event:

Death-risk gambling

Deployed

Self harm (without intent to die)

Medical Evaluation Board

Planned and/or premeditated

Suicide

Suicide attempt

Suicidal ideation

Traumatic Brain Injury

Article 15
239

Glossary

Calendar Year 2010 Annual Report

b) Any period of loss of or a decreased level of consciousness

c) Any loss of memory for events immediately before or after the injury

d) Any alteration in mental state at the time of the injury (confusion, 

disorientation, slowed thinking, etc.) Neurological deficits (weakness, 

loss of balance, change in vision, praxis, paresis/plegia, sensory loss, 

aphasia, etc.) that may or may not be transient Intracranial lesion

Traumatic Brain Injury (cont.)
240

Acronyms

APPENDIX B:

Acronyms

Air Force

Armed Forces Medical Examiner System

Armed Forces Institute of Pathology

Absent without leave

Common access card

Centers for Disease Control and Prevention

Calendar year

Defense Manpower Data Center

Department of Defense

Department of Defense Suicide Event Report

Diagnosis

General equivalency diploma

History

Medical treatment facility

Operation Enduring Freedom

Operation Iraqi Freedom

Operation New Dawn

Office of Special Investigations

Over the counter

Point of contact

Posttraumatic Stress Disorder

Rate ratio

Suicide Prevention Program Manager

National Center for Telehealth & Technology

Temporary duty

Uniform Code of Military Justice

AF

AFMES

AFIP

AWOL

CAC

CDC

CY

DMDC

DoD

DoDSER

DX

GED

HX

MTF

OEF

OIF

OND

OSI

OTC

POC

PTSD

RR

SPPM

T2

TDY

UCMJ
241

References

Calendar Year 2010 Annual Report

APPENDIX C:

References

[1] Silverman M. M., Berman A.L., Sanddal N.D., O’Carroll P.W., & Joiner T.E. (2007). Rebuilding the tower 

of Babel: a revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related 

ideations, communications, and behaviors. Suicide and Life-Threatening Behavior, 37(3):264-77.

[2] Under Secretary of Defense for Personnel and Readiness Memorandum, “Standardized DoD Suicide Data 

and Reporting,” June 18, 2006.

[3] DoD Instruction 1300.18 “Department of Defense Personnel Casualty Matters, Policies, and Procedures.” 

January 8, 2009.

[4] Department of Defense Task Force on the Prevention of Suicide by Members of the Armed Forces. (2010). 

“The Challenge and the Promise: Strengthening the Force, Preventing Suicide and Saving Lives.” 
242

Feedback & Suggestions

APPENDIX D:

Feedback & Suggestions

In a continuing effort to provide an annual DoDSER that is useful to the DoD community it serves, we solicit 

your feedback on the information we’ve provided and your suggestions for ways we could make the DoDSER 

annual report more useful.

National Center for Telehealth & Technology (T2)

OMAMC, BLDG 9933C West Hayes, Tacoma WA 98431

Fax: 253.968.4192

suicide.reporting@us.army.mil

Please return your completed survey by mail, fax, or email to:

Strongly 

Agree Agree Neutral Disagree Strongly 

Disagree

I found the information in the 2010 DoDSER 

Annual Report helpful.

What other statistics or comparisons would you like to have in future annual DoDSER reports?

How did/will you use this report?

Do you have any other feedback or suggestions?

Name: Title:

Organization:

Email: Phone:

Optional