Program to Prevent Suicide by Veterans Earns Bipartisan Support

The New York Times

Published Sept. 20, 2019 Updated Sept. 24, 2019

PHOENIX — Gloribel Ramos sunk slightly under the weight of her 32-pound body armor and gingerly gripped a plastic facsimile of an M4 rifle as she prepared to watch a video of a roadside bomb detonated in Iraq, all so she could better understand the experience of war and its impact on people who have fought in one.

Along with about three dozen other people gathered here, she had joined an effort to stem veteran suicide, one heavily reliant on civilians in the community willing to take the time to learn the warning signs rather than depend only on the Department of Veterans Affairs, which has for years failed on its own to turn the tide of veteran suicides.

The program, called Be Connected, represents a rare — and quiet — spot of bipartisan cooperation between congressional Democrats, who are highly critical of so much of the president’s policy, and the Trump administration, which has moved aggressively to try to turn around the intransigent veteran suicide rate.

“We are working well with them,” said Representative Mark Takano, Democrat of California and the chairman of the Committee On Veterans’ Affairs, referring to the department. He specifically cited the Be Connected program, which focuses on reaching veterans at risk for suicide, whether they live on a Native American reservation at the bottom of the Grand Canyon or in this bustling city.

Veterans died by suicide at roughly one and a half times the rate of the rest of the American population in 2017, according to data released Friday by the Department of Veterans Affairs. More than 6,000 veterans took their own lives each year between 2008 and 2017, and roughly 20 a day since 2014, according to the statistics.

There has been increasing awareness that suicidal veterans often are best reached through members of their own community, and not the federal government. Some of those veterans who may need help do not seek Department of Veterans Affairs services, and some suicides stem from issues not related to military service at all.

In March, President Trump issued an executive order to reduce the suicide rate by assigning other federal agencies — like the Agriculture Department in rural areas — to get involved, and enlisted local governments, veterans groups and social service organizations to pitch in.

The approach is a shift for an agency that for years attacked the problem alone, and it has impressed even the Democratic chairman of the House Committee on Veteran Affairs, who has been relentlessly critical of the department, especially over the issue of veteran suicide.

The program, called Be Connected, is based on one that worked with Arizona National Guard members who were dying by suicide at increasingly high rates over the last decade, and supported by a 2015 law designed to improve veteran’s mental health. It is operated by the Arizona Coalition for Military Families, a statewide public-private partnership that includes the Arizona governors office, the Arizona Department of Veterans Services, the federal veterans department and other partners. It is funded by a combination of federal, state, foundation and corporate sources.

There were roughly a dozen National Guard deaths in 2010 in Arizona; that fell to zero a year after the program began, said Thomas Winkel, director of the Arizona Coalition for Military Families, the backbone of the consortium.

The philosophy, he said, is to intervene on “the myriad issues that service members and their families struggle with” before they “lead to crisis.” Two years ago, the veterans department became an official partner in the consortium, which has since received 10,000 calls.

Members of the Arizona National Guard in Phoenix last year. There were roughly a dozen National Guard deaths in 2010 in Arizona; that fell to zero a year after the program began.

By identifying veterans who have the kinds of struggles that often lead to suicide, the program can connect them with the services they need while they still can be helped, like therapy, health care or a pet sitter to take care of their animals as they seek substance abuse treatment.

 “It’s not just about health issues,” said Wanda Wright, the director of the Arizona Department of Veterans’ Services. “It’s about all the determinants in your life that are barriers to services.”

The person to identify them comes from the community, like Ms. Ramos. They could be a doctor or nurse, or a civilian “navigator” such as a homeowner who spent the last few days chatting with his house painter, one who might happen to be a deeply troubled veteran. Those who sign up for navigator training might work for a state social service agency or a health care provider. But they might be just a family member of a veteran, or anyone else interested in helping veterans.

Sporty teens with concussions are three times more likely to be depressed

Brisbane Times

By Stuart Layt

September 2, 2019

Medical researchers are calling for an urgent investigation into whether there is a link between concussions suffered by teenagers playing sports and depression they develop later in life.

In a perspective paper published in the Medical Journal of Australia, the researchers said a review of relevant cases found adolescents with a history of concussions were up to 3.3 times more likely to experience depression in their lifetime than their uninjured counterparts.

Australian researchers are warning there needs to be an investigation into the link between teenage concussions sustained playing sport and the onset of depression. But the researchers, led by Amanda Clacy of the University of the Sunshine Coast, said the data did not give enough information to make a definitive link.

“A longitudinal understanding of the neurobiological mechanisms associated with concussion recovery in adolescents is urgently needed,” Dr Clacy and her colleagues wrote.

“The same structures in the frontal cortices and hippocampus that are known to undergo rapid development throughout adolescence are also implicated following concussion and in young people experiencing depression and suicidal behaviours.”

The most recent data from the Australian Bureau of Statistics show young Australians are now more likely to take their own life than to die in a car crash, with suicide accounting for more than one-third of deaths (36 per cent) among Australians aged 15 to 24.

The matter was complicated, the team said, because there was significant evidence showing playing a team sport was beneficial to young people, both for physical health and social development. “Given the overlap in the regions of the brain significantly associated with depression and concussion and those most sensitive during development, two main concerns are raised,” the researchers wrote.

“First, whether these developmental neurophysiological changes render adolescents more susceptible to emotional disturbances following concussion; and second, what can be done to make these mechanisms more resilient to adverse and ongoing consequences of concussion.” In particular the team identified a contradiction in how teens were advised to recover from a concussion.

Current orthodoxy stresses the need to temporarily withdraw from usual activities, including school, work, physical activity and training, and screen time. But the researchers said this could exacerbate feelings of social isolation and lead to the onset of depression. They said the physical cost-benefit of playing sports where concussion was a possibility needed to be explored more thoroughly.

“An improved understanding of the neurological and developmental benefits ofphysical activity for the treatment of mood disorders in adolescents would offer the opportunity to concurrently promote neurological development and recovery, while also mitigating many of the known risks of depression and suicidality,

A Melbourne-based start-up is using high-tech mouthguards to give doctors objective data to help diagnose and rehabilitate athletes from brain injury. HitIQ is monitoring players at four AFL and four NRL clubs to collect data which, if proven to be reliable, may help explain what separates a heavy hit from a. potentially damaging one.

The research is being led by University of Newcastle neuroscientist Dr Andrew Gardner, a leading authority on concussion in sport.


Just one season of playing football—even without a concussion—can cause brain damage

A region on the brain stem could serve as the “canary in the coal mine” to identify brain damage caused by repetitive head trauma from sports.

Science AAAC

Posted in: Brain & Behavior

By Eva Frederick

Aug. 7, 2019.

The familiar thudding soundtrack of football means nothing more to many fans than a well-executed game. But for neuroscience researchers, those sounds can signal something much darker: brain damage. Now, a new study shows playing just one season of college football can harm a player’s brain.

Doctors and players should take note of the findings, says Stephen Casper, a medical historian at Clarkson University in Potsdam, New York, who studies concussions but was not involved with the work. “It just adds to the mountains of evidence that people should be given very clear and 

They typically check for slurred speech and impaired coordination, and they conduct a physical examination for symptoms such as dilated or uneven pupils. Injuries that fall short of concussions are often overlooked, but if they happen frequently, they could be just as damaging to the brain.New York followed 38 of the school’s football players.

The athletes wore helmets outfitted with accelerometers to track the number and force of hits during practices and games. Before and after each season, the scientists took MRI scans of the players’ brains.

The researchers looked specifically at the midbrain, a region on the brain stem that governs primitive, thoughtless functions such as hearing and temperature regulation. When a player’s head is hit from any angle, the brain ripples like the surface of a pond after a rock is thrown, explains study author Adnan Hirad, a medical 

The results were striking. Although only two of the 38 players received a concussion, more than two-thirds of them showed changes to the integrity of the white matter of their midbrains. Rotational hits—when a player’s helmet is struck by a glancing blow—were particularly bad for the 

The researchers also found the same MRI signature of injury in the midbrain in a separate cohort with diagnosed concussions. In this second cohort, the changes in the midbrain were correlated with increased levels of tau protein in those individuals’ bloodstreams. The protein, which indicates brain cell damage, is linked to chronic traumatic encephalopathy, a condition that can cause memory loss, depression, and emotional instability, and can eventually lead to dementia.

The midbrain is like the “canary in the coal mine for the whole brain,” says study author Bradford Mahon, a neuroscientist at Carnegie Mellon University in Pittsburgh, Pennsylvania. Mahon and Hirad hope the region will prove useful to doctors and researchers in the future, and show a more. nuanced picture of how football’s repetitive hits can harm players’ brains,even when they are not concussed.

The scientists plan to use their research to develop algorithms that could glean data from helmet accelerometers and signal when a player has sustained dangerous levels of damage. As a first step, the team hascreated the Open Brain Project, where players can upload their helmet data.

Still, although Casper applauds the study, he says the real question is whether college students should play football at all, given the risks. “I fear the answer is no.”

*Correction, 9 August, 5:35 p.m.: This story has been updated to reflectthat higher levels of tau protein were found in a separate cohort of people 

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  2. 'His personality changed': Michael Hutchence's sister on his traumatic brain injury
  3. Toddler suffers 'catastrophic brain injury' in alleged beating
  4. Cyclist, 70, left with head and spinal injuries after being hit by car
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  7. Savage attack in Melbourne's north leaves tourist with bleeding to the brain, broken jaw
  8. Link between concussion and brain damage to ensure AFL debate rages
  9. Sports commentator Billy J Smith dies after a fall
  10. Surgeon killer could be first to get10-year term under one-punch laws
  11. Liam Neeson's nephew Ronan Sexton dies, years after serious fall
  12. Toddler burnt with lighter and hit every day in lead-up to her death, court told
  13. Patron filmed unconscious, held around neck as guard evicts him from hotel
  14. FA Cup set to introduce concussion substitute trial this season
  15. Teen fighting for life after Healesville car park brawl
  16. Police discover critically injured man at Logan Village address
  17. 'Don't ask me for compassion': Angry Anderson has not forgiven his son's killer
  18. Brain Injuries Remain Undiagnosed in Thousands of Soldiers
  19. Man dies in hospital after falling to punch in Fortitude Valley
  20. Maradona to be discharged within days, says doctor
  21. Cricket bat bashing victim fights for life after Ballajura pub brawl
  22. Diego Maradona, World Cup-winning football superstar, set to undergo brain surgery
  23. 'Country footy is way behind': The missing concussion discussion in local level Aussie Rules
  24. Autistic girls going undiagnosed due to ‘camouflaging’ behaviour, study says
  25. Lisa Montgomery to be first female federal inmate executed in 67 years
  26. Man dies after being shoved to the ground in New York mask altercatio
  27. Thomas had a rare brain cancer and no good options. Then he joined a clinical trial
  28. Nearly One-Third of Covid Patients in Study Had Altered Mental State
  29. Shaun Smith supportive of daughter Amy, signed by AFLW club North Melbourne
  30. Texas residents warned of tap water tainted with brain-eating microbe
  31. 'It's been a big day for me': Smith wants change after $1.4m concussion payout
  32. Damage Assessment
  33. What are CTE and concussion and how do they affect athletes?
  34. Danny Frawley was suffering from chronic brain disease when he died
  35. Elon Musk unveils brain computer implanted in pigs
  36. Portland truck driver apparently kicked unconscious as unrest continues
  37. Treatment for aggressive brain cancer shows promise in early trial
  38. Four-year-old injured after motorbike crashes through barriers at Sydney race
  39. 'Dangerous behaviour': Horror crash in sprint to finish leaves rider fighting for life
  40. Father charged with murder over death of six-month-old baby Beau
  41. Sickening Michael Chee Kam concussion overshadows gritty Eels win
  42. We asked veterans to respond to The Post’s reporting on Clint Lorance and his platoon. Here’s what they said.
  43. Doctors find brain issues linked to Covid-19 patients – study
  44. Widow of heart surgeon killed in one-punch attack sues Melbourne hospital
  45. Crowdfunding raises £30,000 for veteran's brain tumour surgery
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  49. Brain wiring could be behind learning difficulties, say experts
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  51. CTE discovered in Polly Farmer's brain in AFL-first
  52. Six-week-old baby nearly killed in ice-fuelled attack, court told
  53. Former hard man Ron Gibbs' chilling admission as head knocks take toll
  54. An Olympic Hockey Hero, a Violent Crime and the Specter of Brain Trauma
  55. Traumatic brain injury is a signature wound of the wars in Iraq and Afghanistan. But the military still has no objective way of diagnosing it in the field.
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  70. Footballers focus on concussion, but there are many other risk factors
  71. Ex-AFL player sues club after retiring because of concussion
  72. When will we stop butting heads over sporting concussion?
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  74. Christchurch mosque shooting victim, 4, suffering brain damage
  75. Link between concussion and brain damage to ensure AFL debate rages

Page 7 of 32

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