Post-Traumatic Stress Disorder (PTSD) and veteran suicide is becoming an epidemic in the military veteran community with reported numbers as high as 22 a day. Considerable debate exists about the reason for the heightened risk of suicide in trauma survivors. Whereas some studies suggest that suicide risk is higher among those who experienced trauma due to the symptoms of PTSD others claim that suicide risk is higher in these individuals because of related psychiatric conditions. Though considerable research has examined the relation between combat or war trauma and suicide, the relationship is not entirely clear. Some studies have shown a relationship while others have not. There is strong evidence, though, that among Veterans who experienced combat trauma, the highest relative suicide risk is observed in those who were wounded multiple times and/or hospitalized for a wound. Where do we go from here, how do we get Americas veterans the help they need and the treatment they need. Is it better crisis centers or a more streamlined VA medical system? We need to stop treating this like it is non-existent not all wounds are visible.

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