The Veterans Affairs crisis line failed to adequately respond to a veteran who texted the line and warned he was in a place with the materials to commit suicide.
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The incident was uncovered in a VA Office of Inspector General report, which detailed that the crisis line responder did not contact the veteran directly by phone or attempt to alert first responders of the possible suicide attempt, but instead directed the individual to enact a safety plan that had been formulated with a family member and terminating the exchange without verifying the plan had been enacted or receiving a response from the veteran.
The responder continued to try to text the veteran but did not receiver a response, terminating the exchange at 11:29 p.m. The veteran died by suicide at 11:40 p.m., according to the report.from lawmaker's last week at a Senate Veterans Affairs Committee hearing on suicide prevention at the VA, with Sen. Bill Cassidy, R-La., calling out the failures of the VA's executive director from the time.
"We've had so damn many hearings on mental health, and it doesn't seem like anything has changed," Sen. Jon Tester, D-Mont., said."We just got to do better.... It's ruining lives, it's ruining families.", including a lack of a policy on silent monitoring for quality control and an inability to save text messages.
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