Understanding Mental Health Crises on Submarines: Command Response and Precautions

Deployed submarines are a unique and isolated environment, often thousands of miles from home. Such isolation can sometimes result in crew members experiencing severe stress, leading to mental health crises. In this article, we explore what might happen if a sailor on a submarine had a mental breakdown and attempted to flee the ship, and how the XO (Executive Officer) and the command crew would respond.

Introduction to Isolation and Risk

On a submarine, the environment is highly solitary, with limited access to sunlight and natural landscapes. This setting, combined with the stress of deployment, can take a significant toll on the mental health of the crew. A mental breakdown, while rare, is a real possibility. The historical context provided suggests that such events do occur, with one notable incident involving junior enlisted crewmembers who “went soft” and were sedated until the end of the mission.

Precautions and Initial Response

Upon recognition of a mental health crisis, the XO and command crew would take immediate action to ensure the safety of both the individual and the submarine. The individual would be placed under continuous 24-hour supervision until the submarine reaches shore. This strict monitoring aims to prevent any potential harm to themselves or others aboard the submarine.

Upon reaching port, the crewmember would likely undergo psychological evaluation and treatment. This could include medical intervention, which might involve the use of sedatives or other therapeutic measures to stabilize the individual. The goal is to ensure the crewmember is safe and can be reintegrated into the larger naval community.

Isolation and Responsibilities

During the crisis, the individual would be isolated from the rest of the crew. This isolation helps to prevent any further complications and ensures the crew remains focused on their mission. The XO must balance the needs of the whole submarine crew with the immediate needs of the individual, a delicate task that requires both sensitivity and authority.

The consequences for the crewmember in such a situation are severe. They would be seen as a non-compliant and problematic member of the team. They might face additional responsibilities, such as unpleasant or solitary tasks, which further isolate them from the camaraderie of their peers. The overall morale of the crew can be affected, making the XO's role even more crucial in maintaining a cohesive and focused team.

Historical Instances and Lessons Learned

The historical accounts of mental health crises on submarines paint a picture of a rare but significant issue. An incident involving a shipmate on the USS GUARDFISH SSN-612 in the late 1960s provides a detailed example. During loading and storage, a first-class petty officer lost control of their mental state. The crew and base security intervened to restrain the individual, and an ambulance was called for medical assistance. It is unclear, however, if the individual ever returned to the submarine.

Such instances underscore the importance of psychological support and early intervention. The crew, the XO, and the medical staff must be prepared to respond to mental health crises in a way that ensures the safety and well-being of the submarine and its crew.

Conclusion

Mental health crises aboard submarines are rare, but they pose significant risks. The response of the XO and the command crew is critical in ensuring the safety and effectiveness of the submarine. Proactive measures, including psychological support and early intervention, can help prevent and manage such crises effectively. Understanding and addressing these issues is essential for maintaining the mental well-being of submarine crews and ensuring the success of their missions.