ADMINISTRATIVE MESSAGE ROUTINE R 021127Z SEP 03 ZYB MIN PSN 635628J30 FM CNO WASHINGTON DC//N1// TO NAVADMIN UNCLAS //N05000// NAVADMIN 242/03 MSGID/GENADMIN/CNO WASHINGTON DC/-/SEP// SUBJ/SUICIDE PREVENTION// RMKS/1. WE ALL CAN BE PLEASED THAT THE RATE OF SUICIDE IN THE NAVY IS WELL BELOW THE NATIONAL AVERAGE, AND WE SHOULD WORK TO REDUCE THAT RATE FURTHER. EFFECTIVE PREVENTION PROGRAMS REQUIRE AN ALL HANDS UNDERSTANDING OF POSSIBLE PRECURSORS TO SUICIDAL BEHAVIOR, TWO-WAY COMMUNICATION, ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES, AND A WILLINGNESS TO INTERVENE ON A SHIPMATE'S BEHALF. 2. SUICIDE IS NOT LIMITED TO ANY GENDER, AGE, RACE OR ETHNIC CATEGORY, AND, ALTHOUGH THERE IS NO SINGLE INDICATOR, A REVIEW OF PAST CASES DOES PROVIDE SOME INSIGHT INTO THOSE SAILORS MOST AT RISK. THOSE WITH RELATIONSHIP PROBLEMS, HISTORY OF DEPRESSION, PAST SUICIDAL THREATS OR BEHAVIORS, PENDING MILITARY OR CIVIL LEGAL PROCEEDINGS, AND ABUSE OF ALCOHOL OR DRUGS MERIT OUR SPECIAL ATTENTION. 3. FRIENDS AND CLOSE ASSOCIATES ARE IN THE BEST POSITION TO RECOGNIZE A SHIPMATE'S VULNERABILITY. THE EARLIEST SIGNS OF TROUBLE MOST OFTEN OCCUR AWAY FROM WORK, WHILE ON LEAVE OR LIBERTY, IN BARRACKS, BERTHING AREAS, OR AT HOME. JOKES, THREATS, OR EXPRESSED DESIRES ABOUT COMMITTING SUICIDE SHOULD BE TAKEN SERIOUSLY -- FAR BETTER TO INTERVENE NOW THAN TO SECOND-GUESS YOURSELF AT A MEMORIAL SERVICE LATER. 4. NONE OF US ARE IMMUNE. THE "AID LIFE" SEVEN-STEP GUIDELINE PROVIDES PRACTICAL RESPONSES TO A POSSIBLE SUICIDE THREAT: A - ASK THE PERSON IF THEY'RE THINKING ABOUT SUICIDE I - INTERVENE IMMEDIATELY D - DON'T KEEP IT A SECRET L - LOCATE HELP I - INFORM YOUR CHAIN OF COMMAND F - FIND SOMEONE TO ASSIST; DON'T LEAVE THE PERSON ALONE E - EXPEDITE, GET HELP RIGHT AWAY 5. ALL HANDS SHOULD BE AWARE OF LOCAL ASSISTANCE RESOURCES, AND THE CHAIN OF COMMAND MUST ENSURE THIS INFORMATION IS READILY AVAILABLE. MEDICAL TREATMENT FACILITIES, FLEET AND FAMILY SUPPORT CENTERS, CHAPLAINS, DRUG AND ALCOHOL ADVISORS, SUBSTANCE ABUSE REHABILITATION PROGRAMS, MENTAL HEALTH CLINICS, AND EMERGENCY CARE CENTERS ARE ALL POISED AND TRAINED TO HELP. 6. THE VIDEO, "SUICIDE AWARENESS: MAKING THE CRITICAL DECISION" (PIN: 806677), IS INCLUDED IN THE GMT PROGRAM. LESSON TOPIC 2-2, SUICIDE AWARENESS, WAS SHIPPED TO COMMAND TRAINING OFFICERS 1 MAY 2003. ADDITIONAL COPIES OF THE VIDEO CAN BE ORDERED FREE OF CHARGE THROUGH THE DEFENSE VISUAL INFORMATION WEBSITE AT HTTP:/DODIMAGERY.AFIS.OSD.MIL. ORDERS MAY BE PLACED AT THE SITE THROUGH THE DAVIS/DITIS SEARCH OPTION. CHOOSE THE PIN/ICN SEARCH OPTION AND ENTER PIN NUMBER 806677. CHECK WITH YOUR COMMAND TRAINING OFFICER, GMT PROGRAM COORDINATOR, OR CMC TO OBTAIN THE LATEST SUICIDE PREVENTION TRAINING MATERIALS RELEASED THIS PAST SPRING. 7. POC IS CDR KEVIN KENNEDY, PERS-661, AT (901) 874-4256/DSN 882 OR E-MAIL: KEVIN.KENNEDY1 NAVY.MIL. 8. RELEASED BY VADM G. L. HOEWING, N1.// BT NNNN