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Strain in the ranks is leading directly to a tragic suicide epidemic in our military. A Senate hearing is slated for today on the subject. It’s an epidemic and a disturbing problem that this nation must solve. It has the attention of the top civilian in the US Army. We hope the Army’s plan to help our troops cope with the stresses of war works — but we’re sure that reducing the continuous load of deployments on our troops would be very helpful.  War-related trauma doesn’t just plague our veterans — it also haunts our military children, too. Is there a technique for weakening traumatic memories? The fact is, our troops are also dying at home. Add Nevada to the list of states considering special courts for our veterans suffering PTSD — as war has injured them, not that criminality has overcome them. Add Texas to the list of states looking to boost the mental health of military families. Because the most pervasive combat injury is invisible. Sexual assaults in the military are on the rise — but a glimmer of a silver lining is that such assaults are now being more readily reported than swept under the rug. Even a Navy Chaplain stands accused of sex-related crimes.

I was in Iraq in 2004. From the day we had arrived home to the day we were scheduled to return to Iraq was exactly nine months. The pressure to prepare ourselves quickly was intense. When the first Marine came to my office and asked to see the psychiatrist about some troubling issues from our time in Iraq, I was sympathetic. I said, "No problem." When another half dozen or so Marines approached me with the same request, I was only somewhat concerned.But when all of them and several more returned from their appointments with recommendations for discharge, I'll admit I was alarmed. Suddenly I was not as concerned about their mental health as I was about my company's troop strength.

As all those Marines in my company began filtering out, some from essential positions, I started to worry about the welfare of those remaining. I worried, quite naturally, that if the exodus continued, we might not have enough to accomplish our mission or to survive on the battlefield. My sympathies for those individuals claiming post-traumatic stress began to wane. A commander cannot serve in earnest both the mission and the psychologically wounded. When the two come in conflict, as they routinely do as a result of repeated deployments, the commander will feel an internal and institutional pressure to maintain the integrity of his unit. I did. And there begins a grassroots, albeit subconscious, resistance to Mullen's plan to destigmatize the people who seek help. Because as much as I cared about my Marines, it was difficult to look upon those who sought to leave without suspicion or even mild contempt.

Where psychological and traumatic brain injuries can still, to some extent, be doubted and debated, and when their treatment stands in opposition to troop strength and to mission accomplishment, the needs of those wounded service members will be subordinated.The result by necessity, which we are already witnessing today, will be dubious treatment protocols within the military aimed at retention, diagnosed soldiers returning to the battlefield, and a slowly diminished emphasis on screening. It will happen. It has begun already. There will be no policy shift. There will be no change in the language we hear from our leaders. But we will know all too well that our soldiers are still not being properly treated by the ever-increasing number of suicides that occur.

In light of the review announced today, Susan Kelleher, a reporter for the Seattle Times, contacted Ms. Silicio, now living in Everett, Washington, to get her reaction. Ms. Kelleher writes: The news came as a salve for Tami Silicio, an Everett woman who was working as a military contractor when she took the first published photo of fallen U.S. soldiers’ coffins in 2004. Silicio’s photo, published in The Seattle Times, fueled a political firestorm over whether the U.S. was manipulating public opinion or protecting family privacy by blacking out images of the Iraqi War dead. It was a debate Silicio said she neither welcomed nor intended when she initially shared the photo with family and friends. “It was a passionate picture that they turned political,” she said on Tuesday. “They should be honored coming home. They should be addressed. What parent doesn’t want their child honored when they come home?” Allowing coffins to be photographed more widely, she said, would put the focus back on the soldiers.