Many Don’t Seek Treatment

Unlike during the Vietnam War, the current military has made a concerted effort, through screenings and research, to gauge the mental health needs of returning veterans. But gauging and addressing needs are different, and a Pentagon task force last year described the military mental health system as overburdened, “woefully” understaffed, inadequately financed and undermined by the stigma attached to PTSD.

Although early treatment might help veterans retain their relationships and avoid developing related problems like depression, alcoholism and criminal behavior, many do not seek or get such help. And this group of homicide defendants seems to be a prime example.

Like Mr. Strasburg, many of these veterans learned that they had post-traumatic stress disorder only after their arrests. And their mental health issues often went unevaluated even after the killings if they were pleading not guilty, if they did not have aggressive lawyers and relatives — or if they killed themselves first.

Of the 13 combat veterans in The Times database who committed murder-suicides, only two, as best as it can be determined, had psychological problems diagnosed by the military health care system after returning from war.

“The real tragedy in these veterans’ case is that, where PTSD is a factor, it is highly treatable,” said Lawrence W. Sherman, director of the Jerry Lee Center of Criminology at the University of Pennsylvania. “And when people are exposed to serious trauma and don’t get it treated, it is a serious risk factor for violence.”

At various times, the question of whether the military shares some blame for these killings gets posed. This occurs especially where the military knew beforehand of a combat veteran’s psychological troubles, marital problems or history of substance abuse.

In some cases, the military sent service members with pre-existing problems — known histories of mental illness, drug abuse or domestic abuse — into combat only to find those problems exacerbated by the stresses of war. In other cases, they quickly discharged returning veterans with psychological or substance abuse problems, after which they committed homicides.

Perhaps no case has posed the question of military liability more bluntly than that of Lucas T. Borges, 25, a former private in the Marines whose victims are suing the United States government, maintaining that the military “had a duty to take reasonable steps to prevent Borges from harming others.” The government is trying to get the claim dismissed.

Mr. Borges immigrated from Brazil at 14 and joined the Marines four years later. After spending six months in Iraq at the beginning of the war, he “came back different, like he was out of his mind,” said his mother, Dina Borges, who runs a small cleaning business in Maryland.

Assigned on his return to a maintenance battalion at Camp Lejeune, N.C., Private Borges developed a taste for the ether used to start large internal combustion engines in winter.

Mr. Borges did have a history of marijuana use, which he disclosed to the Marines when he enlisted, said Jeffrey Weber, a lawyer who represented the victims until recently.

But inhaling ether, which produces both a dreamy high and impairment, was new to him, and his sister, Gabriela, a 20-year-old George Washington University student, believes that he developed the habit to relieve the anxiety that he brought home from war.

The Marines, aware of Mr. Borges’s past drug use, also knew that he had developed an ether problem, but they never removed him from the job where he had ready access to his drug of choice, according to the lawsuit. They never offered him drug treatment, either, Mr. Borges’s own lawyer said in court.

Four months after he returned from Iraq, military officials moved to discharge Private Borges when he was caught inhaling ether in his car. They impounded the car, which contained several canisters of the government’s ether, and sent Mr. Borges, who threatened to kill himself, to the mental health ward of the base hospital.

“He was finally under the care of a psychiatrist, but they pulled him from that because he was a problem and they wanted to get rid of him,” Mr. Weber said. “They processed him out, handed him the keys to his car, and his supervisor said, ‘If you’re not careful, you’re going to kill somebody.’ ”

When Mr. Borges retrieved his 1992 Camaro, he discovered that the Marines had left their ether canisters inside — they did not have anywhere to store them, officials said at trial — and immediately got high. He then drove east down the westbound lane of a state highway, slamming headfirst into the victims’ car, killing 19-year-old Jamie Marie Lumsden, the daughter of a marine who served in Iraq, and seriously injuring four others.

Convicted of second-degree murder, Mr. Borges was sentenced to 24 to 32 years in prison.