Practical pointers for preventing "suicide by inches"

Force Science News #101

In this issue:


Part 2 of a 2-part series

[Editor's note: In our last transmission (Read Force Science News
#100), we reported on a new documentary film, "The Pain Behind the
Badge," which features 3 officers who experienced emotional melt-downs
from the cumulative stress of life on the street. Two contemplated
suicide and the third saw the near-dissolution of his marriage before
they sought help. Today we explore measures you can take to keep a
career-related stress buildup from overwhelming you or another officer.]

"There's no doubt that law enforcement is a tough profession," says
Dr. Bill Lewinski, the behavioral scientist who heads the Force
Science Research Center at Minnesota State University-Mankato, "The
stuff you run into can emotionally bury you unless you take care of
yourself."

Suicide, the most emphatic form of self-destruction, is one potential
outcome, as "The Pain Behind the Badge" makes clear. In a typical
year, an estimated 400 of the 870,000 LEOs in the U.S. take their own
lives. But many more are committing what the legendary psychiatrist
Karl Menninger called "suicide by inches," Lewinski points out.

"This refers to more gradual behaviors of self-destruction, like
excessive spending in an effort to buy happiness, excessive drinking
or compulsive adultery as means of escape, addictively overworking at
the cost of relationships with spouse and kids.

"For a relatively few officers, these patterns may eventually
culminate in suicide, but for a great many more such behavior
dramatically erodes the quality of life as it's being lived. They
experience a kind of suicide of the soul that long-range can be as
devastating as pulling the trigger."

Police recruits are selected in part "for their good mental health,
and most officers maintain that status by and large throughout their
careers, despite the ravages of the profession," Lewinski says. "But
for some, their innate personality traits and professional
circumstances conspire to push them toward a breaking point."

Adds Dr. Beverly Anderson, a police psychologist who heads the
Washington (D.C.) Metropolitan Police Employee Assistance Program: "No
human being, no matter how healthy, well trained or well adjusted, is
immune to the long-term effects of cumulative stress or sudden
critical incidents. A police officer's 20-plus years of 'peacetime
combat' can wreak a heavy toll personally and professionally. "

What can you do to strengthen your defenses against the emotional
risks of the job...or to pull a fellow officer back from an abyss of
self-destruction? Lewinski and other experts offer these practical
suggestions and observations:

1. Open up to a "talk buddy".

"The way to have a long and successful career [in policing] is to
realize very early that you are going to see and experience things
that are not normal," says Sgt. Tom Harmon, director of the Las Vegas
Police Employee Assistance Program, a 22-year veteran who appears in
the documentary. "The way to survive that is to deal with your
emotions and reactions as they come along. Don't let them build up."

"That means genuinely opening up--recognizing and unloading what's
troubling you emotionally to someone who's a good listener and
supportive, in a non-choir practice atmosphere," says Lewinski.

That can be a tough assignment for cops, who often tend to be heavily
invested in maintaining an impermeable, "rub dirt on it and get back
in the game" facade. Yet hiding behind a thick emotional wall, which
may seem to be self-protective, usually proves to be "the greatest
stressor over the years," Harmon explains.

A spouse, a civilian friend, a fellow officer, a pastor--"anyone who
cares about you and is warm, trusted, nurturing and insightful could
fill the role" of a talk buddy, Lewinski says. In turn, you can help
them by providing a sounding board for any issues they may want to
share. Officers with this kind of give-and-take communication in
place, he says, "tend to survive tough times much better."

2. Develop a purpose outside of police work.

"Officers can become so addicted to the unique excitement of the job
that they over-invest themselves in the cop lifestyle. They live for
working," Lewinski says. "Then they find out later that they've
sacrificed everything that's truly meaningful in life--family
relationships, for instance--for a profession that too often is not
very supportive or nurturing, and they end up bitterly disappointed
and disillusioned.

"The police world can be so seductive that your life can get really
out of balance unless you find something outside the job that gives
you purpose and helps replenish you emotionally. Maybe it's coaching
Little League or riding your motorcycle in charity runs or hunting or
running marathons. I knew one really tough SWAT commander who built
dollhouses as a hobby and won prizes in competition. The key is
getting a self-fulfilling mix in your life that's emotionally
nourishing rather than draining like the job can be at times.

"An important part of that needs to involve tending to loving
relationships. Have lunch with your spouse without other cops present.
Devote time on a regular basis to being alone as a couple, doing fun
things you both enjoy. Look for creative ways to say 'I love you.'
Nurture what's important to you.

"An officer who develops a life that's balanced does so because he
makes that a priority. He controls his life to make it happen."

3. Be alert for troublesome symptoms. "In today's relentlessly
plugged-in world of cell phones, iPods, computers and other sources of
constant mental racket, it's important to take time periodically to
calmly and candidly assess your emotional state," Lewinski notes.
"That can help prevent an unconscious drift into dangerous waters."

These are among the symptoms that Washington's Beverly Anderson and
Dr. Kevin Jablonski, a psychologist with the Los Angeles Police Dept.,
recommend checking for. Unacknowledged and untended, they can lead to
crippling depression, even suicide.

″ Withdrawal from friends and family
″ Loss of interest in activities you usually find enjoyable
″ Thoughts/feelings of hopelessness
″ An increase in the use of alcohol or "deadening" medication
″ Obsession with "unsolvable" personal or financial problems
″ Mood swings
″ Longing for a relationship that has broken up
″ Persistent feelings of gloom, sadness, lethargy
″ Poor sleeping patterns
″ A dread of going to work
″ An increase in sick days
″ Chronic irritability, impatience, lashing out and criticism of
others
″ Emotional numbing, where you "just don't feel anything."

Officers who are contemplating suicide may talk about "getting their
things in order quickly," such as writing a will, or state that "their
problems will soon be completely resolved, says Jablonski.

"The everyday stress of being a police officer can lead to serious
difficulties when you add personal problems, too," warns Anderson.
"When such stressors are prolonged and overwhelming, your ability to
cope becomes difficult."

In "The Pain Behind the Badge," Dr. David Joseph, a police
psychologist in Oakland, Calif., observes that the self-sufficient
"can do" attitude toward problem-solving that serves officers so well
on the street can sometimes be a detriment in facing emotional warning
signs. The belief that you "can fix any problems that come up" may
cause you to delay or avoid seeking outside help when it is critically
needed for the challenges you face.

In reality, Joseph says, if symptoms like those listed above persist
for more than 2 weeks, professional intervention may be in order.

4. Consider a yearly "psych check".

The police-run website, www.badgeoflife. com, devoted to psychological
survival for officers, recommends that cops "visit a mental health
professional once a year, with the same diligence they get their teeth
cleaned or go for an annual physical examination. "

Dr. John Violanti, a retired New York trooper who has written several
books on law enforcement stress and trauma, endorses this idea as "a
possible useful tool in preventing fully developed PTSD and possible
maladaptive coping," such as self-destructive behavior. "In a sense,"
he says, an annual mental health prescription "is 'inoculation'
against future psychological problems."

Lewinski agrees. Committing to the ritual of a yearly psych check
"forces you to focus on what's going on in your life, to take stock of
yourself and how you're doing," he explains. "Without that obligation,
when do we take time to evaluate our mental health and our relationships? "

Anderson points out, however, that before officers can overcome their
"inherent distrust of mental health services" and seek counseling, no
matter how distressed they may be, they usually need assurance of
"strict confidentiality. " Most will engage in a productive meeting
only if the counselor involved pledges not to report back to the
officer's department anything discussed in the session, or even that a
visit was made.

Generally, she says, the confidentiality of what's revealed to an
independent, licensed therapist is protected under the Supreme Court
decision of Jaffe v. Redmond (1996). But before discussing problems,
an officer should get in writing from the therapist a precise
clarification of the limits of confidentiality. Otherwise, what's said
may be subpoenaed. Normally, legal privilege is not extended to
fitness-for- duty evaluations or peer-counselor conversations.

5. Intervene supportively.

Often troubled officers won't--or can't--evaluate themselves
critically enough to confirm the need for help. In Anderson's words,
cops "are champions at the art of emotional cover-up." More likely
than not, it will take an astute friend, family member, supervisor or
fellow officer to spot that an officer is on the slippery slope of
deterioration.

"If you see warning signs in another officer, it can literally be a
life-saving show of friendship and concern for you to intervene,"
Lewinski says. "The primary resource for an officer in need has always
been fellow officers who step forward and throw him or her a lifeline.
Changing destructive behavior is always easier when you have someone
willing to work with you on it.

"You need to be direct, perhaps even harsh, in laying out the negative
behavior you're seeing and the consequences it's having on the officer
and other people around him. But your directness needs to be expressed
with some sensitivity in a way that is encouraging and supportive
rather than just blatant criticism. He needs to know that you're going
to be there for him and help him find the resources that can lead him
out of the woods.

"Of course, ultimately the affected officer has to make the decision
to do some things differently in his life. Once he moves out of denial
and accepts that he needs to change, then he opens up numerous
possibilities for creating positive change."

6. Lobby your department.

"The old attitude among agencies regarding any emotional problems
officers might have was 'If you can't stand the heat, get out of the
kitchen,' " Lewinski says. "Fortunately, that is changing."

Progressive departments are now instituting such services as:

″ police suicide prevention training for recruits, in-service
personnel and management at all levels
″ family seminars and support groups to discuss relationship
problems, communication skills and conflict resolution
″ stress awareness programs
″ methods for tracking high-risk officers and getting them
professional intervention when needed.

Still, Lewinski laments, "there remain many agencies that do not
understand that they have an obligation to help their officers who are
out there protecting people.

"Officers need more than cars and guns to do their job well and come
home safely at the end of shift. Agencies need to be lobbied
vigorously to proactively provide services that address their
officers' psychological well-being. It's an important way of saying,
'We appreciate who you are and we will help make the most of working
for us."

[For more information on the documentary "The Pain Behind the Badge"
and the 8-hour block of instruction that can be presented with it,
contact the producer, Sgt. Clarke Paris of the Las Vegas Metropolitan
Police Dept., at 702-573-4263. On Oct. 13-15, the National
P.O.L.I.C.E. Suicide Foundation will offer a train-the-trainer course
in Baltimore on law enforcement suicide prevention. For details, visit
www.psf.org or call 800-228-5250. ]