February 11, 2009 4:53 PM

Report: Veterans Have Greater Suicide Risk

(AP)  Veterans returning from Iraq and Afghanistan are at increased risk of suicide because not all Veterans Affairs health clinics have 24-hour mental care available, an internal review says.

The report released Thursday by the department's inspector general is the first comprehensive look at VA mental health care, particularly suicide prevention.

It found that nearly three years into the VA's broad strategy for mental health care, services were inconsistent throughout the agency's 1,400 clinics.

Several facilities lacked 24-hour staff, adequate screening for mental problems or properly trained workers.

With about one-third of veterans reporting symptoms of post-traumatic stress disorder, it is "incumbent upon VHA (the Veterans Health Administration) to continue moving forward toward full deployment of suicide prevention strategies for our nation's veterans," the report stated.

In a written response, the VA's acting undersecretary for health agreed with many of the recommendations. Michael Kussman noted that the VA recently has placed suicide prevention coordinators in each medical center.

The report comes as already-strained troops and veterans say they are suffering more psychological problems due to repeated and extended deployments to Iraq and Afghanistan. In a study this month, a Pentagon task force issued an urgent warning for improved care.

In the inspector general report, investigators echoed some of those concerns in calling for additional staffing and better training in VA facilities. It said about 1,000 veterans who receive VA care commit suicide every year and as many as 5,000 a year among all living veterans.

The report, which was requested last year by Rep. Michael Michaud, D-Maine, said clinics should work harder so veterans can seek treatment with feeling stigmatized. It recommended additional screening for patients with traumatic brain injury.

Among the other recommendations:

  • VA clinics and Pentagon military hospitals must better share health information, particularly for patients who might return to active-duty status.

  • The department should ease criteria for inpatient post-traumatic stress disorder. Currently only veterans with "sustained sobriety" get treatment; this bars help for many who report increased drug and alcohol dependency as ways to alleviate stress.

  • The VA should create a database to help track patients at risk for suicide.

    The report follows high-profile suicide incidents in which families of veterans say the VA did not do enough to provide care. In one case, the family of Marine Jonathan Schulze said he told staff at a VA Medical Center in Minnesota twice that he was suicidal in the days before he hanged himself Jan. 16, but that he was turned away. The VA has said that was not the case.

    Paul Rieckhoff, executive director of Iraq and Afghanistan Veterans of America, said he hoped the VA would place a high priority on suicide prevention given the thousands of veterans suffering from psychological wounds.

    "We can not afford to nickel and dime our nations heroes," he said. "If we do, we'll be paying for it for a generation."

    Sen. Patty Murray, a member of the Senate Veterans' Affairs Committee, said the report pointed to a lack of planning by the department.

    "It is far past time for the administration to get its act together and treat invisible wounds with the same vigilance that is given to physical injuries," said Murray, D-Wash.

    Hawaii Sen. Daniel Akaka, who chairs the Senate commitee, said the review showed a greater need for accountability in VA care. "I will continue oversight and work to ensure that VAs mental health professionals have the resources they need," he said.
  • © 2009 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
    Add a Comment See all 34 Comments
    by retmilspouse May 11, 2007 5:00 PM EDT
    Yes there is Mental Health help 24/7 at the VA
    and families should not hesitate to bring a family/friend in need at any time. I can speak for the VA on the west coast. I know I work there
    Posted by JDUBS63 at 12:34 PM : May 11, 2007


    Thanks finally a voice of reason speaks in this sorted mess.
    Reply to this comment
    by jdubs63 May 11, 2007 3:34 PM EDT
    Yes there is Mental Health help 24/7 at the VA
    and families should not hesitate to bring a family/friend in need at any time. I can speak for the VA on the west coast. I know I work there
    Reply to this comment
    by retmilspouse May 11, 2007 11:15 AM EDT
    down-ndirty,
    Sorry about your personal experience with marriage. I know personaly that it's hard to hold the family together under the best of circumstances. But is that Reagan's fault that you married the wrong woman, made babies with her then she left you hanging out to dry? Maybe this mental health issue applies to her. Maybe all the personal struggles I spoke about during active duty for families, ie all centered around personal finances, was too much for her so she "ran" away from it all with the first person that came along. She may be one of the victims in all this herself.
    Reply to this comment
    by retmilspouse May 11, 2007 11:09 AM EDT
    Mental health services not available 24/7 is a problem everywhere....not just the VA. I am a retired nurse. Most suicide attempts happen following alcohol ingestion. When is that...either late at night or on a weekend. When is mental health care not available?? (Late at night and on weekends.) As far as the veterans...stop arguing about Bush and support the veterans and help them!! My new son in law is being deployed in 19 days. He might not like Bush either, however, your posts are often very insensitive to the true content of these articles. It is easy to criticize behind the anonymity of your keyboard...but how many of you are doers and actually go out into the world and try to fix all the problems you complain about!!??
    Posted by GrammaWhamma at 05:12 AM : May 11, 2007

    I want to assure you that I am one of those that talks the talk and walks the walk. I personally am involved with the very things that we have discussed on this board and that is why I speak so passionately about them. I personally want to thank your son in law for his military service. Don't mistake the banter in these comments as a put down to him in any way. Some of us that have lived this life and continue to experience this day to day just have differences in opinions on how we got to this stage and how to overcome it. Alot of us support the military but not exactly the folks that are in charge over them.
    Reply to this comment
    by cathaleen May 11, 2007 11:02 AM EDT
    These soldiers have been sent into the bowels of hell. They have seen things that no one should see and made to do things they should not have had to. We teach our children, do not fight or hurt anyone, be kind and gentle. Then we send them into hell.
    They deserve better when they come back. We have ordinary civilians who get coddled because they have "panic attacts" tending to everyday mudane chores and/or depressed.
    This is our history. Send our children into hell and when they come back shove them into an inept
    and underfunded medical system.

    Reply to this comment
    by torocaca May 11, 2007 8:59 AM EDT

    "Sounds to me if you disagree with that law that was passed you are a very uncaring kind of guy. So what kind of guy are you?" Posted by retmilspouse at 12:19 AM : May 11, 2007

    Because someone disagrees with a law that was passed means that they are an uncaring kind of person? What kind of person are you and what are your values? How did you get this warped personality? Have you been mistreated?



    Reply to this comment
    by nyteryder2 May 11, 2007 8:46 AM EDT
    "You might be one of the VETs that need some mental health services yourself." Posted by retmilspouse at 11:50 PM : May 10, 2007


    Wishful thinking on his/her part. This person (retired military spouse - woman?) sounds desparate and miserable and like it when other people are desparate and miserable.

    Get some help, lady! Get a life! Collect stamps, butterflies, tea cups, anything to take your mind off your misery.

    Reply to this comment
    by down-ndirty May 11, 2007 8:21 AM EDT
    "You might be one of the VETs that need some mental health services yourself." Posted by retmilspouse at 11:50 PM : May 10, 2007

    So what kind of guy are you? The kind that would dump the wife and kids after your military service then pick up a sweetie and take your retiree pay and live happily every after?" Posted by retmilspouse at 12:19 AM : May 11, 2007
    ----------------------------
    I might be, but I'm not. I think I came through the ordeal quite well. Thank you very much!!

    What kind of man am I? It really doesn't matter to you and you would rather believe something bad instead of the truth.

    My ex dumped me when I had 15 years service; hardly enough to earn retired pay. And yes, she got the kids and I paid child support. Divorced men didn't get custody very often back then.

    Did I pick up a sweetie? Yes, after her divorce from me was final I did re-marry and am still married to the same "sweetie" going on 29 years. And she's still a "sweetie." Totally different than my ex.

    Did I take my retired pay? No, I let the U.S. treasury keep it rather than share it [for life!] with my ex and the two-timing bozo she married. After taxes my share wasn't much anyway. LOL!!!

    Have I lived happily ever after? You bet your asss I have. Great wife; good job; good health; grandkids are close; ex & bozo live far far away; sunshine 360 days a year! What else could a real man want?

    Reply to this comment
    by grammawhamma May 11, 2007 8:12 AM EDT
    Mental health services not available 24/7 is a problem everywhere....not just the VA. I am a retired nurse. Most suicide attempts happen following alcohol ingestion. When is that...either late at night or on a weekend. When is mental health care not available?? (Late at night and on weekends.) As far as the veterans...stop arguing about Bush and support the veterans and help them!! My new son in law is being deployed in 19 days. He might not like Bush either, however, your posts are often very insensitive to the true content of these articles. It is easy to criticize behind the anonymity of your keyboard...but how many of you are doers and actually go out into the world and try to fix all the problems you complain about!!??
    Reply to this comment
    by down-ndirty May 11, 2007 7:57 AM EDT
    "down-ndirty, Speaking of shooting from the hip. Why don't you check your facts on the above statement [Uniformed Services Former Spousal Protection Act]. ..." Posted by retmilspouse at 12:19 AM : May 11, 2007

    You act pretty smug yourself. LOL!! Jumping to conclusions. LOL!! You must be on the rag! Or are you like that all the time?

    You don't need to lecture me on the Uniformed Services Former Spousal Protection Act; I lived it and know all about it and corresponded to/with over 300 congressmen regarding same. In fact, the law is illegal. Military retainer/retired is not community property. And I was not a citizen of a community property state; only happened to be in one on military orders. We are still fighting the USFSPA and have a U.S. Supreme Court appearance within the next few weeks.

    Another fact: My wife left me only to marry a guy whom she knew cheated on his first wife. Guess what? He's still cheating on her. LOL!! And to think I worked two part time jobs to support the bittch. As for the kids; they are adults now, and guess who they are closest to? Obviously not her; they can't stand her husband, since they know what he does as a "sport."

    Well, she doesn't get a dime of my retired pay. Nor do I. I walked after 22 years active followed by 6 years reserves waiting for the law to be overturned. By then my kids were adults. And I am better off having done that. Used my VA to get an engineering degree and now work in the aerospace industry.
    Reply to this comment
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