South Texas Veterans Health Care System (STVHCS)
STX VA looks upstream for suicide prevention
September has been traditionally marked as suicide prevention month, but South Texas VA employees and community partners have been collaboratively looking for solutions to this problem the entire summer.
Erik Zielinski, the South Texas VA Fisher House program manager and Marine Corps Veteran saw a need after he experienced members of his unit committing suicide. He started the Suicide Prevention Resources meeting to combat the insidious public health crisis that takes the lives of 20 Veterans a day.
The Suicide Prevention Resource Meeting was gaining steam off another successful Mental health Summit in August, organized by Dr. Betsy Davis, South Texas VA Local Recovery Coordinator.She opened the August meeting with a recap of the summit. “One of the biggest takeaways we heard was more proactive information sharing,” Davis said. Davis and her team of volunteers got that feedback through a series of breakout sessions designed to stimulate interaction and collaboration between the VA and its community partners.
Davis also highlighted that the attendees thought some of the suicide prevention challenges was to decrease stigma of mental health and clear up misinformation about the VA.
The keynote speaker for the event, retired Army Veteran and Wounded Warrior wellness Team Lead Armando Franco, experienced some of that stigma and misinformation first-hand.
After finishing his career, he wanted to still be “around” the military, so he took a gig as a military contractor. He was gone for two years overseas. When he came back, he sifted through two years of mail, literally catching up with his life. “I came across this letter from the VA that it said I was permanently and completely disabled,” Franco said. He didn’t even know what that meant. His boss had to point out that he had changed. That observation didn’t come in time before Franco fell into his self-described dark places, filled with destructive behaviors. “All I could hear was all the noise and the pain and suffering,” Franco shared with the audience of Veterans and providers.
“I sat there with a loaded .45 ACP, I began drinking heavily and began doing my medication,” Franco said. He thought between the gun and the pills, he would get the job done…Thankfully for all that know him, it didn’t, although the reasons are ambiguous to this day. “I woke up the next morning with a round chambered with a magazine in my lap,” Franco uttered. “It didn’t happen, and to this day, I have no idea what happened.” He sought help.
But Franco’s example fed into Dr. Davis’ theme for the meeting. She used an analogy of swimming upstream and suicide. “The VA Whole Health program is a fantastic example of a service the VA is providing,” Davis explained. “It’s not necessarily for when you have a problem, but what is important to you, what your goals are, and what we can do to help you get there,” Davis said.
Davis went on to explain suicide prevention is a crisis and that is located downstream. The VA has those services in place for crises; suicide prevention coordinators, mental health staffing emergency rooms across the country and the Veterans Crisis Line.
With a room full of providers, she implored them to think more about the journey toward that end point. “So, the big picture point is what ever promotes mental health recovery and quality of life for Veterans and their families is suicide prevention,” Davis said.
“Finding a job is suicide prevention, connecting with social support is suicide prevention, restarting a hobby is suicide prevention,” Davis said, pointing out to those program managers in the room.
That led Davis to begin a collaboration exercise with the group, breaking them up by tables and challenging them to brainstorm how the services they represent and their personal experiences they’ve had could be parlayed into mental health recovery tactic.
The responses were diverse like the audience. Some of the senior Veteran Service Organization representatives suggested an old school approach with more boots on the ground and mentoring those transitioning service members that Davis said are most vulnerable. “Sometimes the Veteran is a year, or even two into their transition before they have lost a couple of jobs, or they are having problems in their relationship to figure out, hey, something is really going on here,” Davis said.
The antithesis of those “old hats’” suggestion was a young Marine Veteran, Ralph Hernandez, who very directly stood up in front of the crowd, introduced himself, then raising his phone, began live streaming. “Hello everyone, my name is Ralph Hernandez, I am a Marine Veteran and I am here at the suicide prevention meeting,” he said while looking at himself in his screen. “If you are having any thoughts about harming yourself, you can reach out to me at any time.” His message, short and succinct. He exclaimed that is one way you can do suicide prevention. You could hear the buzz in the room.
His demonstration echoed back to what Armando describes his first mental health encounters at the VA were about. “My doctor said there were three factors that lead a Veteran to suicide, the loss sense of belonging and being a perceived burden, mentioning the first two.” By reaching out, Hernandez might have eclipsed two of those reasons for a Veteran who was watching.
Davis collected the responses and will use the feedback to develop the modes and methods of collaboration in the future. She left the group with this.
“How do we do something differently and as a community, not focus all of our efforts at the end of the line,” Davis said.
“An ounce of prevention is worth a pound of cure.”