Dec. 4, 2012 at 9:04 AM ET
Four months after the NFL sought to curb domestic violence in its ranks by launching a crisis hotline, a bolstered mental-health program and fresh encouragement for troubled players to seek help, that fortified safety net could not prevent the murder-suicide Saturday involving Jovan Belcher. The Kansas City Chiefs linebacker, 25, shot his girlfriend Kasandra Perkins, 22, at their home, then drove to Arrowhead Stadium and killed himself in front of two coaches and the team's general manager.
After the high-profile suicide of retired NFL superstar Junior Seau, 43, last May — two years after Seau drove his car off a cliff following his assault on a girlfriend — NFL commissioner Roger Goodell installed the 24-hour hotline for players and a reinforced mental-health initiative on July 26. That same week, following a spate of NFL-related domestic attacks — at least six other family violence cases in the NFL have been reported since 2010 — Goodell met with the player’s union to discuss possible solutions.
Yet even as the league was taking steps to help mentally troubled players and their families, the Kansas City Chiefs were aware of Belcher's problems, Kansas City police spokeswoman Sgt. Marisa Barnes told NBC News.
And Police Sgt. Richard Sharp told the Kansas City Star that team officials "were bending over backwards" to help the couple.
The Belcher murder-suicide is the type of nightmarish incident the league has been working harder to prevent, said Robert Gulliver, the NFL’s executive vice president of human resources/chief diversity officer.
“One of the biggest things that we are trying to do here (in the NFL) is to change the culture, where people realize that it’s OK to seek out help for mental health issues,” Gulliver told NBC News. “We were very deliberate in ... making the point that mental health is part of total wellness, that it’s OK to seek out help for mental health issues because that’s part of your overall well-being."
In addition to help from the team's counselors, Belcher and his girlfriend Perkins, who was mother of his 3-month-old daughter and shared his home, would have had access to the hotline and the league's mental health program.
At the end of July, the NFL emailed information on its new crisis line and on the league's available mental-health help to the home of every NFL player, Aiello said, adding: "The information is sent with the idea that the player's wife also sees it. If a player's girlfriend sees it, it would be the same thing."
What's more, all 32 NFL teams employ a player development director to help encourage use of the programs, Aiello said.
In addition, the NFL Players Association — the labor union for players — staffs its own 24-hour, toll-free hotline for players to use "if they need any support whatsoever," said George Atallah, NFLPA spokesman. "If a player has an alcohol-addiction problem (for example), he calls in and we route that call to a facility near them, and (facility members) then come pick him up and give him the assistance he needs. That goes for any depression issues and mental health issues." The NFLPA also offers counseling services to players, and it employs a group of retired players "to get a pulse of what’s going on in the locker rooms, handle situations confidentially, and provide support when necessary."
As part of what the NFL calls its “new comprehensive health program” — formally dubbed NFL Total Wellness — Goodell and the league worked with former U.S. Surgeon General David Satcher last summer to strengthen its mental health tools and assistance. The new program encourages players and their families to seek support for behavioral issues, provides health and safety information and offers confidential, free advice via telephone and the Internet. That aid is available to all players and “all members of the NFL family” who find themselves “in times of need,” the NFL says. The same experts who operate the "NFL Life Line" run a similar emergency system for members of the U.S. military.
However, even with best intentions, the NFL remains essentially an elite club in which players have long been trained to hide physical pain — if not injuries — to keep their jobs. That environment could keep players from truly opening up about possible symptoms of depression, anxiety or other mental-health woes.
Gulliver declined to say how many players have phoned the hotline and tapped into the league’s enhanced mental-health program via the web since its launch.
"We don’t publicize the actual usage or percentage numbers," Gulliver said.
As the program has become more widely known by players, however, Satcher said: "The usage of it is increasing."
Gulliver wouldn't comment whether Belcher, his family, friends or any Chiefs players called the crisis line ahead of the murder- suicide, or tried to contact the league’s new mental health services professionals about Belcher.
“That, too, is information that we do not publicize. There are lots of privacy laws that we make sure we uphold. The program is actually administered by the third-party provider so it’s not information that comes into the NFL office. We wanted this to be independent and completely confidential for the members for the NFL family," Gulliver said.
He added: "Our hearts really hurt for the tragedy that has played out in Kansas City. And we absolutely want to make sure that we provide resources so that people realize there is another way that they can get the help that they need."
Seau’s suicide last May served as the ultimate spark for the new hotline and the league's extra mental-health measures.
“It really did prompt us to step back and say: What more could we be providing for our players and for the NFL family?” Gulliver said.
But even with a beefed-up program available to players and their spouses, it's difficult to predict this kind of tragedy, Satcher said, adding: "I don’t know that anybody could."
The American Foundation for Suicide Prevention lists warning signs that someone may be considering suicide due to depression:
Anyone can call the National Suicide Prevention Hotline at 1-800-273-8255 .
During the planning meetings for the NFL’s revamped mental-health platform, Satcher said he and league leaders discussed the hot-button issue of chronic concussions sustained by NFL players — and the behavioral instability those injuries are known to carry.
“The brain is a delicate organ and, therefore, head-to-head contact can no longer be viewed as acceptable. The hits start early - in junior high and high school," said Satcher, head of the Satcher Health Leadership Institute at the Morehouse School of Medicine in Atlanta.
Satcher called the NFL's around-the-clock telephone “lifeline” and the other added mental-health backstops “a major advance” for the league.
Since 2010, these high-profile domestic violence cases have involved NFL players:
The National Suicide Prevention Hotline number is 1-800-273-8255.
More health news from NBCNews.com: