Deaths by suicide in the US military continue to rise with 541 service members dying in 2018, according to a Pentagon report issued Thursday.
Military leaders are continuing to express concern and frustration about the rising number of deaths as they attempt to understand why the numbers are increasing.
"I wish I could tell you we have an answer to prevent further, future suicides in the armed services. We don't. We are caught up in what some call a national epidemic of suicide among our youth. And not just our youth, but it's something we continue to wrestle with," Defense Secretary Mark Esper told reporters Wednesday.
There were 511 deaths by suicide in 2017, and there was a particular increase in 2018 among active duty service members.
325 suicides were reported in the active duty ranks in 2018, up from 285 in 2017 and 280 in 2016. In the reserves, there were 81 suicides reported in 2018, down from 93 in 2017 with 80 in 2016. In the National Guard, there were 135 cases in 2018, compared to 133 in 2017 and 122 in 2016.
"Suicide is an adversary that is killing more of our airmen than any enemy on the planet," said Gen. David Goldfein, chief of staff of the Air Force, in a recent message to his troops.
Related: Here are resources the military has to prevent suicide
Pentagon officials indicate they don't see a direct correlation between suicides and combat deployments. Esper added that "we just can't let these great, young Americans take their lives because of financial pressure or relationship challenges, or whatever comes up. We need to help them. We need to start with prevention, but we need to work all the way through the system and really continue to get on top of this issue."
From 2013 to 2018, the suicide rate in active duty units increased from 18.5 to 24.8 per 100,000 service members. Rates of suicide are a key way of understanding the increase by accounting for any overall change in the size of the force.
Among reserve forces, there were 22.9 suicides per 100,000. For the National Guard, there were 30.6 suicides per 100,000.
A Pentagon statistical analysis showed 2018 suicide rates in the military were roughly equivalent to the US population rates in all military components, except the National Guard. Service members who died by suicide were primarily enlisted, less than 30 years of age, male, and died by firearm, regardless of what branch they served in.
Click here to read the full report.
If you or someone you love is struggling, military or civilian, there is free and confidential help available 24/7 through the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).