“There is a perception that we have a veterans’ suicide epidemic on our hands. I don’t think that is true,” said Robert Bossarte, an epidemiologist with the VA who did the study. “The rate is going up in the country, and veterans are a part of it.” The number of suicides overall in the United States increased by nearly 11 percent between 2007 and 2010, the study says.
As a result, the percentage of veterans who die by suicide has decreased slightly since 1999, even though the total number of veterans who kill themselves has gone up, the study says.
VA Secretary Eric K. Shinseki said his agency would continue to strengthen suicide prevention efforts. “The mental health and well-being of our courageous men and women who have served the nation is the highest priority for VA, and even one suicide is one too many,” he said in a statement.
The study follows long-standing criticism that the agency has moved far too slowly even to figure out how many veterans kill themselves. “If the VA wants to get its arms around this problem, why does it have such a small number of people working on it?” asked retired Col. Elspeth Cameron Ritchie, a former Army psychiatrist. “This is a start, but it is a faint start. It is not enough.”
Bossarte said much work remains to be done to understand the data, especially concerning the suicide risk among Iraq and Afghanistan war veterans. They constitute a minority of an overall veteran population that skews older, but recent studies have suggested that those who served in recent conflicts are 30 percent to 200 percent more likely to commit suicide than their non-veteran peers.
An earlier VA estimate of 18 veterans’ suicides a day, which was disclosed during a 2008 lawsuit, has long been cited by lawmakers and the department’s critics as evidence of the agency’s failings. A federal appeals court pointed to it as evidence of the VA’s “unchecked incompetence.” The VA countered that the number, based on old and incomplete data, was not reliable.
To calculate the veterans’ suicide rate, Bossarte and his sole assistant spent more than two years, starting in October 2010, cajoling state governments to turn over death certificates for the more than 400,000 Americans who have killed themselves since 1999. Forty-two states have provided data or agreed to do so; the study is based on information from 21 that has been assembled into a database.
Bossarte said that men in their 50s — a group that includes a large percentage of the veteran population— have been especially hard-hit by the national increase in suicide. The veterans’ suicide rate is about three times the overall national rate, but about the same percentage of male veterans in their 50s kill themselves as do non-veteran men of that age, according to the VA data.