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There are inherent risks of injury and death associated with military service, particularly during times of war. The risks to life and limb associated with combat—from enemy fire, accidents, or other war-related events—are widely understood, expected, and even accepted. Less understood and, perhaps, less expected and accepted are self-inflicted injuries and deaths. Institutional and public concern over suicides and suicidal behavior among U.S. military service members and veterans dates back to at least the Civil War (Lande 2011). Over the course of the conflicts in Iraq and Afghanistan, the rate of suicide in the military surpassed that of the general public for the first time in decades. As a result, there has been widespread attention paid to the mental health issues of service members and veterans and increased scrutiny of the mental health care provided to them as well as intensified efforts aimed at suicide prevention (Kuehn 2009).
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