Suicide Prevention

Despite our very best efforts as a nation we are still losing 22 veterans a day to suicide. For the almost 10  years that TRR has operated it’s award-winning Warrior Camp® program, we have done so with the understanding that, more important than PTSD, it is the unrepaired damage to warriors’ hearts and souls – called Moral Injury – that is fueling the high rate of suicide.

TRR is convinced that Moral Injury is a central factor in Military Veteran Suicides. In an effort to stem this tide and address this serious existential threat to our nation’s warfighters, we need to build a wide and robust community of veterans, mental health professionals, veteran service organizations, and citizens who honor military service. Join with leaders, innovators, and activists as we address the issue of Moral Injury at our VIRTUAL 2023 Suicide Prevention Summit  with an esteemed keynote speaker followed by a panel discussion, and then a wider audience conversation. This dialogue will be followed by a presentation to show how a herd of horses can help repair Military Moral Injury.

Dr. Dayne Nix

Keynote Speaker

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Jason Loughran, DVS

Introductory Remarks

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Eva Usadi, MA, BCD, CGP 

Facilitator & Moderator

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Alejandra Lara, ES, ESMHL 


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Chaplian (Lt. Col.) Barron Westen


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Camillo Bica, Ph.D.


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Bruce Shapiro


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Rita Nakashima Brock, Ph.D.


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We are very pleased that the U.S. Army now formally recognizes the importance of Moral Injury. Its Department of the Army pamphlet 165-19, released in November 2020, states:

“Moral injury is a form of psychological, mental, or spiritual trauma, distinct from post-traumatic stress disorder (PTSD) but often accompanied by PTSD, whereby an individual’s observation of, or participation in certain acts run counter to deeply held moral beliefs. Those who witness or perpetrate acts (or failures to act) that violate deeply held moral beliefs (such as can occur in combat) may later associate those memories with feelings of deep conflict and consternation. Moral injury can also be related to mental stress or discomfort from hold-ing two or more opposing beliefs or values, performing actions contradictory to one or more beliefs or values, or confrontation with information that conflicts with existing beliefs or values. For example, a Soldier may strongly value the sanctity of human life but also hold a strong sense of duty and honor in participating in lethal combat and defeat of national enemies and may suffer ongoing intense feelings of conflict over taking a human life in combat. Moral injury can lead to severe emotional, psychological, behavioral, spiritual, and social impact if left untreated and unresolved. “Moral injury is often compounded by PTSD and may contribute to high suicide rates for military personnel who have deployed to combat.”  (DA PAM 165–19 (27 November 2020), Moral Leadership, Section 3–5, “Moral injury, the Chaplain Corps, and Moral Leadership.”)  


This reaffirms TRR’s philosophy and approach to treatment and training:

“Moral Injury is an existential or spiritual crisis that can be the consequence of having been trained to override the intrinsic aversion to the taking of human life. It can also be the result of having engaged in combat operations, however necessary at the time, during which one’s ethics and actions did not align. We think the internal conflict between moral codes and actions often leads to suicide.” TRR

The Columbia Protocol is one of the most utilized suicide prevention scales.

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The Columbia Lighthouse Project


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James Vanreusel is the founder and CEO of Vanreusel Ventures, with 22 years of global financial experience. His background includes helping new companies grow and scale, creating a framework for financial success, and acting as a CFO for emerging organizations as they build a solid business foundation.

He began consulting in 2008, specializing in private equity and asset management, where he raised capital, built portfolios, and operated company models. From there, he transitioned to corporate investing. As a CFA Charterholder, he became CFO for SPBD, a microfinance network in the South Pacific. He used his global experience in finance to launch and operate multiple banks in Samoa, Tonga, Fiji, the Solomon Islands, and a holding company in Singapore. The company in Singapore saw 600% growth under his guidance.

In 2014 he founded his current business, Vanreusel Ventures, in San Francisco. At Vanreusel Ventures, he leads a team of CFO consultants and financial analysts who work with companies worldwide in profit and non-profit sectors. He manages alongside his team to help businesses through the initial stages of growth, where his strategies and support guide businesses towards success and eventual independence.

His strategy focuses on creating a framework that supports companies in their early years to go from $1 to $100 million in revenue. This process involves building scalable teams and systems that will grow along with the business. Many of his clients are global organizations where he can leverage his international experience to offer customized strategies that are also culturally relevant. Ultimately, he prepares businesses to take on their first full-time CFO.

Alex Betke is an attorney and registered lobbyist focusing his practice on Government Relations and Municipal Law, a unique combination of legal concentrations allowing him to meet clients’ needs at all levels of government and to provide innovative resolutions to a variety of legal challenges.

Alex enjoys considerable experience working with the Governor’s Office, the Legislature, state agencies, the Attorney General and the State Comptroller, along with New York’s federal government representatives. His clients range from major industry associations and fortune 500 companies to small businesses and not-for-profit organizations, with work encompassing all aspects of government relations, including legislation, procurement, appropriations and regulatory matters.

Previously, Alex was elected for eight years as the Town Supervisor of the Town of Coxsackie and served several terms as a councilman before holding that post. Based on his experience and exposure to the workings of local government, he established and grew a municipal practice, and continues to serve as general and special counsel to various municipalities.

Alex has been involved in New York State politics throughout his career, serving as an elected state committeeman for the New York State Democratic Party and working on several statewide campaigns. This experience, in addition to his professional work, contributes to and informs his approach to legal matters and increases his effectiveness in advancing client objectives.