What are the Wounds of War?
July 29, 2009
Lloyd I. Sederer MD
Our country has been at war in Afghanistan and Iraq for over eight years. Opinions vary powerfully about our entry into these wars and our exit strategies. But we are learning to separate our feelings about recent wars from its warriors. Support for American soldiers is strong, though I have heard from military personnel that there are still moments when war returnees are vilified as soldiers, their being mistaken for war itself.
War is hard on those who serve -- marines, soldiers, air force and
navy -- and their families -- ask them and they will say it is "hard".
While Post-Traumatic Stress Disorder (PTSD) is seen in 3-4% of the
general population, Vietnam veterans have rates of 15%. The near to
300,000 men and women who have served in Afghanistan and Iraq on whom
the Veteran's Administration has records from 2002-2006 are
experiencing rates of 37%. Suicide among veterans is at the highest it
has been in the almost three decades since this data has been kept;
deaths from suicide among Afghan and Iraqi veterans are, remarkably,
expected to exceed the combat death toll. PTSD is only the tip of
problems that include depression, alcohol and drug abuse, domestic
violence, separation and divorce, especially prominent among National
Guard and Reserve who are over 50% of those deployed today.
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