[HN Gopher] Pattern of Brain Damage Is Pervasive in Navy SEALs W...
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       Pattern of Brain Damage Is Pervasive in Navy SEALs Who Died by
       Suicide
        
       Author : thelastgallon
       Score  : 55 points
       Date   : 2024-06-30 13:09 UTC (9 hours ago)
        
 (HTM) web link (www.nytimes.com)
 (TXT) w3m dump (www.nytimes.com)
        
       | haltingproblem wrote:
       | https://archive.ph/MzZMw
        
       | ViktorRay wrote:
       | This is excellent journalism.
       | 
       | Digging into an issue that is affecting lives in such a drastic
       | way and bringing these issues to light.
       | 
       | Like this part of the article for example:
       | 
       |  _Until The Times told the Navy of the lab's findings about the
       | SEALs who died by suicide, the Navy had not been informed, the
       | service confirmed in a statement. A Navy officer close to the
       | SEAL leadership expressed audible shock, and then frustration,
       | when told about the findings by The Times. "That's the problem,"
       | said the officer, who asked not to be named in order to discuss a
       | sensitive topic. "We are trying to understand this issue, but so
       | often the information never reaches us."_
        
       | vunderba wrote:
       | This was a really well-written article. I think for years I had
       | naturally thought that traumatic brain injury as a result of
       | explosives basically caused the brain to rattle so hard that it
       | smashed against the skull causing contusions, but apparently this
       | is something different.
       | 
       | The way it's explained in the article is that this is actually a
       | result of the blast energy wave bouncing off of differently dense
       | brain tissue sections and causing cavitation.
       | 
       | I'm glad that these issues are finally being brought to light,
       | It's truly unfortunate that no matter how highly trained and
       | skilled some of these soldiers are, that blast waves from IEDs or
       | in this case from their own munitions can result in such
       | insidious physiological changes.
        
         | kjkjadksj wrote:
         | From what I've heard from people in artillery is that the brass
         | hardly cares about occupational safety. If they need to get
         | rounds down field they get rounds down field first and make
         | sure you have proper ppe for that second. And what ppe they do
         | have is seen as improper. Not much you can even do when the
         | issue is local blast damage and the gun design demands you to
         | be so close to it.
        
           | toomuchtodo wrote:
           | Yet another reason to not join the military. You're just fuel
           | for the machine.
           | 
           | https://www.military.com/daily-news/2024/06/14/armys-
           | recruit...
        
       | snakeyjake wrote:
       | I was an infantryman in the Army for ten years, from 1998 to
       | 2008, and deployed three times, twice to Iraq,
       | 
       | Encounters with IEDs were common, especially during the surge.
       | 
       | So many of my friends have died to suicide or have killed
       | themselves due to drugs and/or alcohol that it is hard to keep
       | track.
       | 
       | Now that primadonna seals are dying maybe someone will pay
       | attention.
       | 
       | Thankfully the only lasting effects of my deployments seem to be
       | a bad back and distaste for authority.
        
         | ein0p wrote:
         | Do you think it's because of whatever brain damage they may
         | have encountered, or because they could not find meaning in
         | their civilian lives? I've read it's often the latter in
         | military men, especially the ones that really believed in the
         | mission and were in highly stressful life or death situations.
         | They come back and they're taken aback by the mundane bullshit
         | that our lives are in comparison to what they've been through.
         | Intuitively that rings true, but having never served, I can't
         | fully relate.
        
           | snakeyjake wrote:
           | >Do you think it's because of whatever brain damage they may
           | have encountered, or because they could not find meaning in
           | their civilian lives?
           | 
           | I have no idea.
           | 
           | Strangely the most common thread seems to be the ones who off
           | themselves went back home after getting out.
           | 
           | Almost everyone I know who got out and stayed away from home
           | is doing ok. Almost everyone I know who got out and went back
           | home is a wreck.
           | 
           | Some had TBI exposures, some didn't.
        
       | yieldcrv wrote:
       | This is the kind of research I've been yearning to see on
       | suicide.
       | 
       | Just telling people not to, or to call a hotline, seemed like the
       | worst most patronizing advice as it never solved the underlying
       | thing.
       | 
       | I've since learned that there is a _subset_ of suicidal people
       | where that 's enough, where the suicidal tendency is a kneejerk
       | decision that can be disrupted, but it bugged me that its not
       | serving everyone that becomes suicidal with a recurring condition
       | that's not improved by merely being present.
       | 
       | It always feel like people are too uncomfortable to talk about it
       | enough, or to question the response measures. A "I'm Helping!"
       | sentiment by copy and pasting a suicide hotline memo, when
       | they're not helping at all, just offloading their discomfort into
       | a protective layer for their own psyche.
       | 
       | In contrast, I'm comfortable enough to wonder whether suicide was
       | the most rationale and objectively best choice, as someone with
       | strong self preservation circuits you can see how far apart I am
       | from everyone else. But this is opinion, a hunch, what I really
       | want is a data driven analysis of the conditions. As with real
       | science, I am accepting of any conclusion, instead of trying to
       | conform a conclusion to preventing it if prevention isn't what
       | winds up being on the table with our current infrastructure.
        
       | LorenPechtel wrote:
       | Of course it doesn't reach them. Same with any black project, the
       | dangers get swept under the rug.
        
       | bikenaga wrote:
       | From a couple of the sources referred to in the article:
       | 
       |  _Impact of repeated blast exposure on active-duty United States
       | Special Operations Forces_ -
       | https://www.pnas.org/doi/10.1073/pnas.2313568121
       | 
       | "We performed a multimodal study of active-duty United States
       | Special Operations Forces (SOF)--an elite group repeatedly
       | exposed to explosive blasts in training and combat--to identify
       | diagnostic biomarkers of brain injury associated with repeated
       | blast exposure (RBE). We found that higher blast exposure was
       | associated with alterations in brain structure, function, and
       | neuroimmune markers, as well as lower quality of life.
       | Neuroimaging findings converged on an association between
       | cumulative blast exposure and the rostral anterior cingulate
       | cortex (rACC), a widely connected brain region that modulates
       | cognition and emotion. This work supports the use of a network-
       | based approach, focusing on the rACC, in future studies
       | investigating the impact of RBE on SOF brain health."
       | 
       |  _Characterisation of interface astroglial scarring in the human
       | brain after blast exposure: a post-mortem case series_ -
       | https://pubmed.ncbi.nlm.nih.gov/27291520/
       | 
       | "The blast exposure cases showed a distinct and previously
       | undescribed pattern of interface astroglial scarring at
       | boundaries between brain parenchyma and fluids, and at junctions
       | between grey and white matter. This distinctive pattern of
       | scarring may indicate specific areas of damage from blast
       | exposure consistent with the general principles of blast
       | biophysics, and further, could account for aspects of the
       | neuropsychiatric clinical sequelae reported. The generalisability
       | of these findings needs to be explored in future studies, as the
       | number of cases, clinical data, and tissue availability were
       | limited."
        
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       (page generated 2024-06-30 23:03 UTC)