DESCRIPTORS *Acquired Immune Deficiency Syndrome; *Military

Research has shown that suicide risk is elevated in the patient who has tested positive for Human Immunodeficiency Virus (HIV). Studies within the Army'have found that the three most turbulent periods-for the soldier with HIV infection are: (1) at the time of notification of diagnosis; (2) when the family and peer group learn of the diagnosis; and (3) when there is concrete evidence of failing health. In response to the challenge of medical management of high risk patients, a multi-speciality ward program at Walter Reed Army Medical. Center was designed to meet and to prevent anticipated suicidal behavior. The ward program seeks to: (1) create a therapeutic and facilitating environment for HIV.sero-positive soldier; (2) screen the HIV positive soldier for- psychiatric conditions and facilitate treatment; (3) provide information about the infectious nature of the illness; (4) initiate twice-a-week support groups; and (5) transfer the acutely suicidal, depressed, or impulsive patients to psychiatric units. Self-destructive behaviors are quickly identified and addressed. The bionsychosocia:1 approach to the HIV patients addresses the multifaceted nature of the condition. By anticipating stressors at the three crucial phases, suicidal ideation and behavior can be quickly detected and psychiatric symptoms treated. Based on subjective staff appraisal, the program appears to have worked. (ABL) Reproductions supplied by EARS are the best that can be made from the original document. *********************************************r************************* mamma