HEALTH

Veterans in the Pacific: Unseen Struggles with Suicidal Thoughts

Pacific Island Territories, USAThu Jun 19 2025
The Pacific Islands are home to many U. S. Veterans, and sadly, these regions see high suicide rates. A recent study looked into the prevalence of suicidal ideation and non-fatal self-directed violence among Veterans living in Guam, the Northern Mariana Islands, and American Samoa. The study also looked at the feasibility of conducting such surveys in these areas. The survey reached out to 3, 000 Veterans in 2022, with only 566 responding. This low response rate could be due to several factors, such as stigma, lack of trust, or simply not wanting to participate. However, the data collected still provides valuable insights. The findings showed that a significant number of Veterans in these territories have experienced suicidal thoughts. About 36% have had these thoughts at some point in their lives, and 16% have had them in the past year. Younger Veterans, aged 18-34, reported higher rates of suicidal ideation both in their lifetime and in the past year. This could be due to various factors, such as the challenges of transitioning from military to civilian life, or the unique stresses faced by younger Veterans. It's crucial to dig deeper into these issues to better understand and support this age group. The study also found differences in suicidal ideation among Veterans of different ethnic backgrounds. American Indian/Alaska Native Veterans reported higher rates, while Samoan Veterans reported lower rates. These differences could be due to cultural factors, community support, or other influences. It's important to consider these cultural nuances when developing prevention strategies. When it comes to methods, Veterans in these territories considered various ways to harm themselves. The most common methods involved motor vehicle crashes, overdoses, and guns. These methods are concerning as they are often impulsive and lethal. It's essential to raise awareness about these methods and promote safer alternatives. The study also looked at behaviors related to suicide attempts. About 12% of Veterans reported preparatory behaviors, 12% reported interrupted attempts, and 10% reported actual attempts. These behaviors are serious and warrant immediate attention and support. Including Veterans from Pacific Island Territories in suicide prevention efforts is not only possible but also necessary. These Veterans face unique challenges and need tailored support. Prevention efforts should focus on younger Veterans and consider cultural factors. It's time to shine a light on these unseen struggles and provide the help that Veterans need.

questions

    How do the methods considered during past-year suicidal ideation among Veterans in these territories compare to those in the mainland U.S.?
    Could there be a hidden agenda behind the high prevalence of suicidal ideation among Veterans in these territories?
    If Veterans in these territories are considering motor vehicle crashes as a method, should we start a 'Defensive Driving for Suicide Prevention' course?

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