UNCLASSIFIED// ROUTINE R 231556Z APR 09 BT UNCLAS PASS TO ALL OFFICE CODES: FM CNO WASHINGTON DC//N1// TO NAVADMIN INFO CNO WASHINGTON DC//N1// NAVADMIN 122/09 MSGID/GENADMIN/CNO WASHINGTON DC/N1/APR// SUBJ/SUICIDE AND SUICIDE ATTEMPT REPORTING// REF/A/DOC/OPNAVINST 1720.4/28DEC2005// REF/B/DOC/OPNAVINST 3100.6H/3FEB2006// REF/C/DOC/MILPERSMAN 1770-010,080,090,120-CH-8/4OCT2004// REF/D/DOC/OPNAVINST 5215.17/13JUN2005// NARR/REF A ESTABLISHES THE NAVY SUICIDE PREVENTION PROGRAM AND DIRECTS COLLECTION OF DATA ON NAVY SUICIDES. REF B DIRECTS THE REPORTING OF SUICIDES AND SUICIDE ATTEMPTS IN PERSONNEL CASUALTY REPORTS AND PROVIDES DEFINITIONS. REF C DIRECTS THE REPORTING OF SUICIDES, SUICIDE ATTEMPTS, AND SUICIDE GESTURES VIA THE OPREP-3 REPORTING SYSTEM. REF D IS THE NAVY DIRECTIVES ISSUANCE SYSTEM.// RMKS/1. THIS NAVADMIN ANNOUNCES THE REQUIREMENT FOR THE COMPLETION OF THE DEPARTMENT OF DEFENSE SUICIDE EVENT REPORT (DODSER) FOR ALL SUICIDES AND SUICIDE ATTEMPTS BY ACTIVE COMPONENT AND RESERVE COMPONENT SERVICE MEMBERS. THIS CHANGE ALLOWS DEPARTMENT OF DEFENSE TO GATHER STANDARDIZED RESEARCH DATA TO BETTER UNDERSTAND THE FACTORS RELATED TO SUICIDES AND ATTEMPTED SUICIDES, AND ENABLES EVIDENCE-BASED IMPROVEMENTS TO OUR ONGOING PREVENTION EFFORTS. 2. ALL SUICIDES, OR UNDETERMINED DEATHS IN WHICH SUICIDE HAD NOT BEEN RULED OUT AS A CAUSE OF DEATH, REQUIRE COMPLETION OF THE DODSER BY THE DECEDENT SAILOR'S COMMAND DESIGNATED REPRESENTATIVE WITHIN 60 DAYS OF NOTIFICATION BY OPNAV N135F. EFFECTIVE THE DATE OF THIS MESSAGE, IN ADDITION TO REPORTING REQUIREMENTS FOR DEATHS BY SUICIDE, ALL SUICIDE ATTEMPTS, AS DETERMINED BY COMPETENT MEDICAL AUTHORITY, SHALL BE REPORTED VIA DODSER WITHIN 30 DAYS OF MEDICAL EVALUATION. SUICIDE ATTEMPT DODSERS SHALL BE COMPLETED BY A MILITARY MEDICAL PROVIDER AT THE FACILITY RESPONSIBLE FOR THE SERVICE MEMBER'S PSYCHOLOGICAL ASSESSMENT OR (IF ASSESSMENT OCCURS AT A CIVILIAN FACILITY) BY THE MILITARY TREATMENT FACILITY RESPONSIBLE FOR THE TRICARE REFERRAL OR BY THE RESERVE COMPONENT COMMAND MEDICAL REPRESENTATIVE (FOR RESERVE COMPONENT NOT ON ACTIVE DUTY). THE DODSER REPORT REPLACES THE DEPARTMENT OF THE NAVY SUICIDE INCIDENT REPORT AS OUTLINED IN REF A. 3. FOR THE PURPOSES OF CATEGORIZING SUICIDE-RELATED BEHAVIORS, THE FOLLOWING DEFINITIONS APPLY AND SUPERCEDE DEFINITIONS IN REFS A THROUGH C: A. SUICIDE - SELF-INFLICTED DEATH WITH EVIDENCE (EITHER IMPLICIT OR EXPLICIT) OF INTENT TO DIE. B. SUICIDE ATTEMPT - A SELF-INFLICTED, POTENTIALLY INJURIOUS BEHAVIOR WITH A NON-FATAL OUTCOME FOR WHICH THERE IS EVIDENCE (EITHER IMPLICIT OR EXPLICIT) OF INTENT TO DIE. C. OTHER SUICIDE-RELATED BEHAVIOR - EXPRESSED SUICIDE-RELATED THOUGHTS, SUICIDE-RELATED COMMUNICATIONS, AND NON-FATAL SELF-INJURIOUS BEHAVIOR WITHOUT EVIDENCE OF INTENT TO DIE. 4. PERSONNEL CASUALTY REPORTS, PER REF C, ARE REQUIRED FOR SUICIDES AND SUICIDE RELATED BEHAVIORS WHICH RESULT IN VERY SERIOUS INJURY, SERIOUS INJURY, OR EVACUATION. OPREP-3 REPORTING, PER REF B, IS REQUIRED FOR ALL SUICIDE RELATED BEHAVIORS REGARDLESS OF OUTCOME. THE OPREP-3 REPORT SHOULD SPECIFY ONLY "SUICIDE RELATED BEHAVIOR" WITHOUT DISTINCTION BETWEEN ATTEMPTS AND OTHER BEHAVIORS. 5. WITHIN 30 DAYS OF THE DATE OF THIS MESSAGE, ALL NAVY MILITARY TREATMENT FACILITIES WILL PROVIDE A DODSER POINT OF CONTACT (FULL NAME, UNIT, CONTACT PHONE, EMAIL ADDRESS) TO THE OPNAV N135F POC LISTED BELOW. COMMANDER, NAVAL RESERVE FORCE COMMAND AND RESERVE COMPONENT COMMANDS WILL PROVIDE A DODSER POINT OF CONTACT, VIA THE DIRECTOR NAVY RESERVE PSYCHOLOGICAL HEALTH AT THE BUREAU OF MEDICINE AND SURGERY, WITHIN 30 DAYS OF THE DATE OF THIS MESSAGE TO THE OPNAV N135F POINT OF CONTACT LISTED BELOW. 6. PER REF D, RETAIN THIS MESSAGE WITH ORIGINAL INSTRUCTION UNTIL CHANGES HAVE BEEN INCORPORATED INTO REFS A AND B BY A FORMAL CHANGE TRANSMITTAL. 7. POINT OF CONTACT IS LCDR BONNIE CHAVEZ, OPNAV N135F, BEHAVIORAL HEALTH PROGRAM MANAGER, AT (901) 874-6613/DSN 882, OR EMAIL AT BONNIE.CHAVEZ(AT)NAVY.MIL. 8. RELEASED BY VADM MARK FERGUSON, N1.// BT #0001 NNNN