DA PAM 600-24 PDF

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This publication is a major Proponent and exception authority. The proponent of this pamphlet is the Management. This pamphlet explains the nent has the authority to approve excep- committee scoordinate draft publica-procedures for health promotion, risk re- tions or waivers to this pamphlet that are tions, and coordinate changes in commit-duction, and suicide prevention efforts to consistent with controlling law and regu- tee status with the U.

Army Resourcesmitigate high-risk behaviors. The proponent may delegate this and Programs Agency, Department of the approval authority, in writing, to a divi- Army Committee Management OfficeApplicability. Army Reserve, unless civilian equivalent.

DA Pam Pages 1 – 45 – Text Version | FlipHTML5

All waiver requests will be continuing the group as a committee. This pamphlet pzm available warded through their higher headquarters in electronic media only and is intended to the policy proponent. Suggested im- States, and the U. Behavioral Analysis Reviews, page 25C. Resources, page 34Table ListTable B—1: Lethality of suicide behavior rating scale, page 27Figure ListFigure C—1: PurposeThis pamphlet sets forth procedures for establishing health promotion, risk reduction, and suicide prevention efforts.

Itprovides holistic guidance to improve the physical, behavioral, spiritual, environmental, and social health of Soldiers,Army Civilians, and their Families. ReferencesRequired and related publications and prescribed and referenced forms are listed in appendix A.

Explanation of abbreviations and termsAbbreviations and special terms used in this pamphlet are listed in the glossary.

Chapter 2Key Roles, Functions, and Structure2—1. The Army Suicide Prevention Program a. The ASPP develops initiatives to tailor and target policies,programs, and training in order to mitigate risk and behavior associated with suicide. A function of the ASPP is totrack demographic data on suicidal behaviors to assist Army leaders in the identification of trends. The CHPC integrates multidisciplinary capabilitiesto assist commanders in implementing local suicide prevention programs, and establishes the importance of earlyidentification of, and intervention with, problems that detract from personal and unit readiness.

The ASPP has threeprincipal phases or categories of activities to mitigate the risk and impact of suicidal behaviors: Prevention focuses on preventing normal life stressors from turning into life crises. Prevention programmingfocuses on equipping the Soldiers, Army Civilians, and Family members with coping skills to handle overwhelminglife circumstances.

Prevention includes early screening to establish baseline behavioral health and to offer specificremedial programs before dysfunctional behavior occurs. Prevention is dependent upon caring and proactive unitleaders and managers who make the effort to know their personnel, including estimating their ability to handle stress,and who offer a positive, cohesive environment which nurtures, and develops positive life-coping skills. Preventionplays a crucial role in mitigating issues before intervention becomes necessary.

Intervention includes alteration of the conditions that produced the current crisis, treatment of underlying psychi-atric disorder s that contributed to suicidal thoughts, and follow-up care to assure problem resolution. This includesmeasures taken to ensure safe environments, to include the use of a buddy system or Unit Watch. Commanders play anintegral part during this phase, as it is their responsibility to ensure access to appropriate health care and ensure thesafety of assigned personnel.

Postvention is required when an individual has attempted or completed a suicide. After an attempt, commanders,noncommissioned officers NCOsand installation gatekeepers should take steps to secure and protect such individualsbefore they can cause additional harm to themselves or harm others.

Postvention activities also include unit-levelinterventions following completed suicidal acts, to minimize psychological reactions to the event, prevent or minimizepotential for suicide contagion, strengthen unit cohesion, and promote continued mission readiness. The SSART and SAT is not an inspection team, but an augmentation team to assist local commanders and staff toidentify gaps in policies and services and offer recommendations for improvement.


Guidance provides commanders with information on how to— 1 Track at risk medications when the health care provider HCP or pharmacy will not release their medicationinformation. Army Suicide Prevention Program strategy a. The strategy and supporting elements of the ASPP are based on the premise that suicide prevention is accom-plished by leaders through command policy and action.

The key to the prevention of suicide is positive leadership anddeep concern by supervisors of military personnel and Army Civilian employees who are at increased risk of suicide. However, in someinstances, suicidal intent is very difficult to identify or predict, even for a behavioral health professional.

DA Pam 600-24

Suicides maystill occur even in units with the best leadership climate and most efficient crisis intervention and suicide preventionprograms.

Therefore, it is important to redefine the goal of suicide prevention as being suicide risk reduction. Suiciderisk reduction consists of reasonable steps taken to lower the probability that an individual may engage in acts of self-destructive behavior. LeadershipThe success of a health promotion, risk reduction, and suicide prevention program depends on the concentrated focusof leadership on activities that encompass the physical, emotional, social, spiritual, and family dimensions in theirrespective communities.

The total effect of a solid program is an overall improvement in unit and organizationalperformance by enhancing individual well-being. Leaders need to know their subordinates and assure that timely assistance is provided when needed. Commanders and Army Civilian leaders establish standardized protocols so that individuals identified as pxm risk are referred to appropriate agencies to receive help.

CommandersCommanders play a vital role in establishing and enforcing policies and standards that are consistent with Army Valuesand supportive of mission accomplishment. See Army Regulation AR —63 for a listing of specific responsibilities. Live up to the Army Values in caring for a buddy. Seek out a buddy for advice, protection, and support. Recognize that seeking help is a sign of strength.

Report all concerns that a buddy may harm him or herself. Promote a climate of support, minimize stigma, and encourage help-seeking behavior.

Understand leader responsibilities regarding suicide prevention, intervention, and postvention. Teach suicide prevention to all Soldiers in chain of command. Implement the battle buddy system. Foster a sense of responsibility in Soldiers to provide watchful care and support to peers.

Chaplains collaborate with behavioral health professional in units, Combat Stress Control Teams, and withMilitary Family Life Consultants MFLCs to provide multidisciplinary support, normalize referrals, and reduce stigmaassociated with help-seeking behavior. Chaplains, chaplain assistants, and civilians who work in support of the Chaplain Corps provide comprehensivereligious support services that are designed to enhance resilience and readiness. Strong Bonds is one of the cornerstoneresilience programs that has evolved over time to strengthen Soldiers and Army Families.

Training programs are offered for single Soldiers, couples, and Familymembers; attendance is voluntary. During the training, Soldiers and Families participate in small group activities thatstrengthen relationship bonds, nurture resiliency, and support long-distance relationships. In addition, Soldiers andFamilies gain awareness of community resources that can assist with concerns about health and wellness, even crisisintervention.

They are professionals in privatepractice in the state in which they are licensed. Criminal Investigation Command commanders or special agents in charge of the supporting U. Investigate all suicides or suspected suicides of Soldiers see AR —2. Establish liaison with local civilian law enforcement agencies, coroners, and medical examiners, as appropriate, toobtain information regarding suicide-related events involving military personnel, their Families, or Army Civilians,which may have occurred off-post, and provide such information to the Suicide Prevention Task Force SPTF and AR15—6 investigating officer.

As allowed by appropriate regulations, provide the Senior Commander, SPTF and AR 15—6 investigating officerextracts from the USACIDC reports of investigation including psychological autopsywhich may be useful inunderstanding the reasons for a suicide and in formulating future prevention plans.

Line of duty investigating officers a. Line of duty investigating officers are appointed in accordance with AR —8—4.

Perform a line of duty determination for all deaths and injuries arising from suicide-related events equivocaldeaths, attempts, and acts of self-harm for Soldiers in an active duty or inactive duty training IDT status inaccordance with AR —8—4. The DA Form may aid in the determination and in future statistical analysis of Army suicides. Suicide Prevention Task Force a. The membership of this committee should betailored to meet local needs.


The SPTF should consist of the following personnel or their local equivalent: Suicide Prevention Task Force functions a. The health promotion officer— 1 Provides expertise and input for health promotion policy. The chaplain— 1 Advises commanders on moral and ethical issues and other stress factors that may result in an increased risk.

This training is conducted with the assistance oflocal behavioral health officers. Unitchaplains and chaplain assistants provide and assist in unit-level suicide prevention training for the Army Family leaders, supervisors, Soldiers, and Army Civilians. Chaplains advise and assist other staff members and task forcemembers in satisfying identified training needs. The Director of Health Services— 1 Assesses and advises the installation commander on stress factors that may result in increased numbers ofpersons at risk.

The command surgeon at other headquarters echelons— 1 Assures that HCPs are trained in crisis intervention techniques using periodic in-service education. The public affairs officer— 1 Provides advice and counsel in effective communication planning and execution. The Provost Marshal— 1 Ensures law enforcement forces respond to potential dz situations discretely and cautiously to avoidincreasing stress for the personnel in suicidal crisis that is, normally the use of emergency equipment lights or sirens would be inappropriate.

Army Military Police School concerning identification of persons atrisk for suicide, and emphasizes that actions taken by law xa in the line of duty may cause some people to beat increased risk of suicide. An example might be a teenager who has been arrested for shoplifting and is greatlyembarrassed about his or her behavior.

Awareness training, using the assistance and advice of chaplains and behavioralhealth professionals, ea be conducted at in-service training and professional development classes.

The Staff Judge Advocate— 1 Provides suicide prevention awareness training for personnel assigned to the Office of the Staff Judge Advocateand legal assistance attorneys with the advice and assistance of chaplains and behavioral health professionals.

In thecourse of performing their duties, legal assistance attorneys and victim witness liaisons may provide assistance toSoldiers, Family Members, and, in limited circumstances, Army Civilians, who are in crisis, not only from administra-tive and legal actions, but also from other causes.

Such crises may cause them to be at increased risk of sa. Gatekeepers are individuals who, in the performanceof their assigned duties and responsibilities, provide specific counseling to Soldiers in need. The roles of legalassistance attorneys and victim 600-24 liaisons are unique in that communications with clients are privileged and,therefore, confidential. Ensuring client confidentiality ;am at-riskSoldiers with legal problems is critical for their access to behavioral health assistance and suicide prevention.

Any Soldier identified by legal assistanceattorneys and victim witness liaisons as a potential suicide risk should be escorted immediately to behavioral health. For Soldiers with legal assistance attorneys and victim witness liaisons and pending UniformCode of Military Justice UCMJ or adverse administrative action, the servicing behavioral health provider may beappointed by the convening authority to the defense team as a consulting behavioral health expert upon request of thedefense in accordance with Rules for Court Martial d.

The Director, Human Resources— 1 Assures that local programs take into consideration the 060-24 of the Army Civilian work force. The Director, Family, Morale, Welfare, and Recreation— 1 Serves as the point of contact for program information and advice to the commander and to major subordinatecommands.

The Director, Plans and Training— 1 Informs the task force of the current training and operational requirements of the command and estimates theimpact of their requirements on the quality of life within the area served by the task force.