Around August 2001, Meacham attempted suicide by drinking excessive amounts of cough syrup. The attempt was the reason for Avenged Sevenfold to join the Take Action Tour in 2003. During Meacham's hospitalization, he remained in poor condition and had to leave the band. In an interview, lead singer M. Shadows said of Meacham that "he perma-fried his brain and was in a mental institution for a long time, and when you have someone in your band who does that, it ruins everything that's going on all around you, and it makes you want to do something to prevent it from happening to other people." His replacement was Dameon Ash, who performed with the band for the following months, but does not appear on any releases.