Report Finds VA Clinics ‘Missed Opportunities’ To Prevent Vietnam Vet’s Suicide
Daily Caller
Tristyn Bloom
11/19/2014
A newly released government investigation has found that three Veterans Affairs health clinics “missed opportunities” to prevent a Vietnam veteran’s suicide, with failures ranging from “communication breakdowns” to completely ignoring his “multiple suicide risk factors.”
The unnamed sixty-something patient, who had previously attempted suicide in 1989, shot himself in the head in 2013. He’d been receiving treatment for chronic shoulder, neck and back pain; osteoarthritis, degenerative discs in his lower back, low bone density and a variety of nerve conditions exacerbating pain and weakness in his neck and back, and had had cervical spine surgery in the fall of 2012.
The patient bounced around from clinic to clinic beginning in 2011, when the VA reassigned him from his usual primary care clinic to one nearer his home. A year later he requested another transfer, and another six months after that.
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