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. SUICIDE PREVENTION 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,  “I’m  not needed.” 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  I’m  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 disorganization. 8.   Urge to kill. The potential suicide victim may be seeking revenge; thinking, “You may be sorry when I’m 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  it’s  cowardly  to  think  of  suicide,” they say, but actually they are thinking that if they can accomplish  suicide  they  won’t  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. 3-13 Q10. Which location offers intense and comprehensive drug and alcohol rehabilitation for active duty members? 1. Sick bay 2. ATF 3. ARC 4. All of the above REVIEW QUESTION