A study released by the Department of Veterans Affairs in 2013 estimates that 22 veterans die by suicide every day. That's about one veteran suicide every 65 minutes. 

Actually, the number is probably higher. One reason involves the limitations of the study. CNN reported that the 22-per-day figure is based on data submitted between 1999 and 2011 by 21 states. The states that participated in the study represent only about 40% of the U.S. population. The other states, including the two largest (California and Texas), did not make data available.

Another reason that the figure likely low-balls the true occurrence of suicide among veterans is because the factors for under-reporting suicide are complex. For example, the data doesn't capture homeless veterans. Also, it's not uncommon for families to persuade coroners not to document the cause of death as suicide in what they may perceive to be their last opportunity to honor their loved one's memory. Still, the suicides of 22 men and women daily who served our country is worth our attention.

It's important that we not assume that all service members will develop mental health issues, because the majority don't. That being said, a RAND Corporation study reported that at least 20% of Iraq and Afghanistan veterans have PTSD or depression, and between 10% and 31% of Vietnam veterans have lifelong struggles with PTSD. And only about half seek treatment. Experts on military culture tell us that expecting military members to tune into their own mental health needs and seek help when they experience symptoms of emotional distress can be a difficult ask because their extensive and intensive training gears their brains to focus on helping others before helping themselves.

There are some practical things that we all can do to be of service to veterans. First, raise our own awareness about the struggles that military families face with each deployment, and the challenges of transitioning back into their communities upon discharge. Muster the courage to start a conversation with anyone - veteran or civilian - who appears to be mentally or emotionally unwell. Make your outreach consistent to prevent them from isolating themselves because isolation can become deadly for someone experiencing prolonged emotional distress. Take a Mental Health First Aid for Veterans and Military class to learn about signs and symptoms of mental health conditions especially pertinent to service members. There are many behavioral health resources available throughout the metro Denver area. Take the time to identify those resources nearest you so that you can be that bridge to the care that someone needs to heal.

As Veteran's Day approaches next month, I encourage you to do whatever feels right to express your appreciation for the service and sacrifice of our veterans and active duty military members.