Heed Warning Signs in Soldiers
Clinicians treating soldiers at risk for violence should look for warning signs that might include an angry appearance, agitated or loud behavior, obtaining or carrying a weapon when not authorized to do so, suicidal acts, discussions of violence, obsession with death, or preoccupation with religion, which may be a symptom of a psychosis or delusional disorder, Dr. Ritchie said.
Other risk factors clinicians should look for are emotional withdrawal, substance abuse, hopelessness and despair, lingering resentment, humiliation by a coworker or superior, feelings of persecution, and recent break-up of a romantic relationship.
She recommended that clinicians ask about history of head trauma and screen for impulsivity, brain trauma, alcohol and drug use, weapons access, marital/relationship issues, financial concerns, and recent humiliating events.
She also advised creation of a safety plan, use of a panic button to call for specialized help, and training of clinic personnel in safety procedures.
Dr. Ritchie presented her findings at a symposium supported by the Home Base Program, a joint project of the Red Sox Foundation and Massachusetts General. She had no relevant conflict of interest disclosures.