comprehensive rehabilitation. ARCs are for active-duty
Navy and Marine Corps personnel who are suffering
from alcoholism. These centers are naval activities
under a commanding officer. Depending on their
location, the centers range in capacity from about 75 to
over 200 beds.
The Navy is very aware that at times our shipmates
may be unable to deal with the stress and pressure of
Navy life. Some of our shipmates or family may turn to
abusive relief, such as drugs and/or alcohol. However,
that behavior contributes to the problem; it does not
solve the problem. When there seems to be no relief
from stress and pressures, they may succumb to the
idea of suicide to end their pain.
The Navy has a very aggressive program to
identify potential suicide patients. Sailors are provided
training periodically, especially around holidays, on
what to look for when evaluating someone suspected
of having suicidal thoughts. Supervisors and
instructors who deal with young Sailors are especially
trained in the observance of this behavior.
Additionally, specific information for Medical Corps
personnel on suicide evaluation can be found in
NAVMEDCOMINST 6520.1. Some common
behaviors or symptoms of suicide and the intensity of
risk associated with each are shown in table 3-1.
Here is a list of conditions that may help you make
a positive evaluation of a potential suicide. They are in
no special order and are not of equal weight, but the
more of these symptoms the individual exhibits the
more likely he or she is suicidal.
1. Means. Is a suitable suicidal tool available to
the person? This factor carries double weight if the
person frequently mentions that he or she has the means.
2. Previous attempt. Recent studies corroborate
that approximately 75 percent of accomplished suicides
have made a previous attempt.
3. Family history. Statistically, persons who have
had a suicide in the family (especially one or both
parents) are more likely to commit or attempt suicide
than those who have not had a suicide in the family.
4. Lack of roots. Very few persons commit
suicide in the town or region of their birth. The farther
away from home, family connections, and close friends
a person gets, the more likely suicide becomes.
5. Withdrawal. The potential suicide victim often
systematically eliminates social contacts. He or she will
drop out of clubs, church, and job, and will avoid old
friends. The person then can reasonably say, Im not
6. Confusion. The potential suicide victim is
unable to separate and evaluate problems. He may say in
the same breath, My wife has left me and Im two
payments past due on the TV set. The person cannot
deal effectively with a problem because his or her mind
is not clear of other problems.
7. Vague illness. The person often will complain
about an indefinite physical illness or an ache-all-over
type of feeling. Chronic psychosomatic signs are
important because they reflect a high degree of
8. Urge to kill. The potential suicide victim may
be seeking revenge; thinking, You may be sorry when
Im gone. This is a dangerous attitude because it may
lead to homicide.
9. Fear of the future. Although it sounds
incongruous, many people commit suicide because they
fear death. I know its cowardly to think of suicide,
they say, but actually they are thinking that if they can
accomplish suicide they wont have to fear the things
that really worry them.
10. Financial reverse. This situation may cause the
loss of status as much as the loss of money.
11. Rationalization. Occasionally the potential
suicide victim will attempt an aggressive defense of
suicide. This especially is true when the person is
following in the footsteps of a relative.
12. Negative protest. This is a tricky factor. If a
person tells you in an overemphatic way that he or she is
not contemplating suicide, be careful.
13. Feeling of failure. Despite any past successes,
the potential suicide will harp on his or her failures, even
small ones. They will say they are inefficient, forgetful,
and make mistakes that others notice.
Which location offers intense and
comprehensive drug and alcohol rehabilitation
for active duty members?
All of the above