(Each item is marked present or absent by the evaluator) |
Combat Exposure: Severity of Experience |
Mortar and rocket-propelled grenade attacks |
Gunfire |
Indirect IED/VBED blast hits |
IED/VBED direct hits |
Witnessing injury or death of military personnel and near misses |
Witnessing civilian injury or death |
Combat duties: search and listen missions in field; medic duties |
Aircraft duty over warzone/crashes due to enemy fire or mechanical failure in enemy territory |
War-zone deployment exposure: severity of trauma |
Mortar/gunfire while on base |
Witnessing of dead bodies or morgue duty on base |
Treating battlefield injuries on base (witnessing the severely injured) |
Knowledge of death of fellow military personnel |
Warnings of incoming enemy mortar attacks |
Battlemind Conditioning in Combat Zone |
High alert-high adrenaline combat duty (night time raids, home raids/village raids for intelligence gathering or capture of enemy insurgents) |
Several documented instances of instant actions to perceived threat or threat (e.g., discharging weapon) |
Erratic driving to avoid IEDs |
Encounters with hostile civilians in combat zone |
Deployment to high-density urban areas where there are enemy insurgents |
Travel on routes known to be highly mined with IEDs |
Security duty at entry and exit points of base and base perimeter |
Flight crew hazardous flights over hostile territory |
Security duty at entry and exit points of base |
Postdeployment erratic behavior |
Reckless driving |
Explosive temper loss with family and friends |
Severe isolation, detachment, refusal to communicate with family and friends |
Heavy drinking; drug use |
Physical confrontations with others |
Irrational suspicion of others |
Severe rage leading to destruction of property (e.g. punching walls, breaking furniture) |
Physical violence towards family and spouse |
Self-harm (suicide attempts) |
Carries weapon at all times for safety |
Frustration and inability to cope with stress |
PTSD symptoms with potential links to aggression |
Hypervigilance |
Hyperarousal |
Severe insomnia impairing judgment |
Irritability |
Survivor guilt and remorse-related anxiety and depression |
Dissociative flashbacks |
TBI symptoms with potential links to aggression |
Sleep disturbance and headache leading to easy frustration/loss of temper |
Impairments in judgment (misinterpretation of others motives) |
Mood lability |
Impulsivity (spending sprees, terminating relationships) |
Angry outbursts that are out of proportion to precipitant |