Create national center to reduce veteran suicide
Joe Biden
"Create a national center of excellence for reducing veteran suicide, similar to the National Center on Homelessness among Veterans."
Biden Promise Tracker
Compromise
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President Joe Biden's administration increased efforts to reduce veteran suicide, but did not create a new national center focused on veteran suicide as Biden had promised during his 2020 presidential campaign.
The U.S. Department of Veterans Affairs already had a central office for suicide prevention and two research centers focused on suicide prevention: the Center of Excellence for Suicide Prevention and the Rocky Mountain Mental Illness Research Education & Clinical Center (MIRECC) for Suicide Prevention before Biden took office.
Although Biden increased research and grants in suicide prevention areas during his term, he neither created a new center of excellence nor consolidated the existing centers.
In 2021, the White House released a comprehensive plan to reduce veteran suicides that focused on reducing access to lethal means, such as firearms and medication, for people in suicide crisis, said Rajeev Ramchand, a veterans and behavioral health policy researcher at Rand Corp., a nonprofit policy think tank.
"The VA and other organizations have been really thinking creatively about different ways to do this, whether that's through public messaging, whether it's through distributing gun storage devices," Ramchand said.
That plan directed the VA and Health and Human Services, Defense and Energy departments to collaborate to improve suicide surveillance, research and program evaluation.
In 2022, the VA devoted $20 million to Mission Daybreak, which challenged community-based organizations, health companies and universities to develop new ways to reduce veteran suicide. The VA granted the second round of awards in February 2023. The VA also launched a national ad campaign in 2021 encouraging veterans with mental health challenges to access VA resources.
In 2022, the VA launched the Staff Sgt. Parker Gordon Fox Suicide Prevention Grant Program to give veterans and their families suicide prevention resources. (The grant program is named for Fox, a 25-year-old U.S. Army sniper who in 2020 died by suicide at his home in Columbus, Georgia.)
The VA has continued suicide prevention activities that preceded Biden's presidency, including a 10-year National Strategy for Preventing Veteran Suicides that began in 2018. The VA administers a challenge — along with the Substance Abuse and Mental Health Services Administration — for states and cities to conduct activities to prevent veteran suicides.
The most recent veteran suicide data available is from 2021, the first year of Biden's term; that year, according to a 2023 VA report, there were 6,392 veteran suicides, about 1.8% more than in 2020. Veteran suicides in 2021 and 2020 were both lower than any previous year since 2007.
Biden did not create a new center to address veteran suicide; But consistent with the goal of his promise, he added prevention programs administered by several federal agencies. So, we rate this Compromise.
Interview with Rajeev Ramchan, veterans and behavioral health policy researcher at Rand Corp.
Department of Veterans Affairs, VISN 2 Center of Excellence for Suicide Prevention, accessed Dec. 3, 2024
Department of Veterans Affairs, Rocky Mountain MIRECC (Mental Illness Research, Education, and Clinical Center) for Suicide Prevention
The White House, Reducing Military and Veteran Suicide, Nov. 2, 2022
Mission Daybreak, VA announces winners in Phase 2, awarding $11.5 million in prizes, Feb. 16, 2023
Department of Veterans Affairs, Find the right Veteran Resources Quickly and Easily | Don't Wait. Reach out. accessed Dec. 3, 2024
Department of Veterans Affairs, Preventing Veteran suicide in local communities, Aug. 30, 2024
Department of Veterans Affairs, National Strategy for Preventing Veteran Suicide, accessed Dec. 3, 2024
Substance Abuse and Mental Health Services Administration, Governor's and Mayor's Challenges to Prevent Suicide Among Service Members, Veterans, and their Families, accessed Dec. 3, 2024
Department of Veterans Affairs, 2023 National Veteran Suicide Prevention Annual Report
President Joe Biden's administration has taken steps toward reducing veterans' suicides, but has not created a national center, as Biden promised.
We found that the federal government already had a central office devoted to reducing veteran suicides before Biden took office.
The suicide prevention office serves as a centralized coordinating hub for all suicide prevention efforts across the Veterans Affairs department. These efforts include research, program evaluation, education and training.
The VA also has two research centers that predate Biden's presidency and focus on veteran suicide prevention: the Center of Excellence for Suicide Prevention and the Rocky Mountain Mental Illness Research Education & Clinical Center (MIRECC) for Suicide Prevention.
In 2020, there were 6,146 veteran suicide deaths, according to the VA's most recent annual report.
In June 2020, the VA announced its support for the 988 expansion initiative, a national three-digit emergency telephone number to access crisis call centers across the country for suicide prevention and mental health services. Anyone, including people who aren't veterans, can call the 988 line, but as of July, veterans press 1 to connect with qualified responders for 24/7 crisis support.
From July to mid-December, the Veterans Crisis Line responded to 400,000 veterans, a VA spokesperson told PolitiFact.
What has the Biden administration done to advance his promise?
The Biden administration in 2021 released a plan to offer firearms safety training and education and to expand access to mental health care. It's also reviewing how to reduce or eliminate co-payments for people seeking mental health care.
There are other efforts underway to integrate suicide prevention tools across departments beyond the VA, said Rajeev Ramchand, who studies veteran policy and veteran suicide at the Rand Corp., a consulting nonprofit research group.
That is important, because many veterans don't access services through the VA, Ramchand said. Some veterans use health insurance through their work, and others are not eligible for VA care or go to doctor's offices that are more convenient to them, Ramchand added.
Katie Purswell, director of veterans affairs and rehabilitation at the American Legion, a group supporting veterans, said that although the VA and other federal agencies provide resources and issue guidance and policy, it would be better if these offices combined their resources.
The Biden administration has taken steps toward reducing veteran suicide. We will revisit this promise later during his term, but for now, we rate it In the Works.
RELATED: Biden Promise Tracker
White House, Reducing military and veteran suicide: Advancing a comprehensive, cross-sector, evidence-informed public health strategy, 2021
Veterans Administration, National Veteran Suicide Prevention Annual report, September 2022
Email interview, Terrence L. Hayes, Department of Veterans Affairs spokesperson, Dec. 14, 2022
Email interview, Katie Purswell, director of veterans affairs and rehabilitation at the American Legion, Dec. 16, 2022
Telephone interview, Rajeev Ramchand, co-director, RAND Epstein Family Veterans Policy Research Institute, senior behavioral scientist, RAND Corporation, Jan. 11, 2023