Ongoing Efforts to Reduce Veteran Suicide Rates

Over the past several years, engagement with the Veterans Health Administration (VHA) has proven to be a critical factor in mitigating suicide risk for Veterans compared to those not active in VHA care. This trend continued in the latest 2025 annual report on Veteran suicides, recently released by the U.S. Department of Veterans Affairs (VA), emphasizing the importance of continuous support and intervention for Veterans. The report is based on national death certificate data currently available through 2023. 

The Veteran population engaged with VHA tends to be more complex, high-risk, and in greater need of services than those seeking care in the community. Despite this higher risk profile, our concerted efforts have shown positive impacts.  

One key measure contributing to a decline in suicides is the implementation of a comprehensive suicide risk screening processes. VA introduced this new Suicide Risk Screening process in 2019, which marked the first substantial decrease in Veteran suicide deaths. This initiative was further strengthened by the rollout of a universal suicide screen in 2021, aiming to cast a wider net in identifying at-risk Veterans before a crisis occurs.  

“By addressing risk factors early, we can intervene more effectively and establish safety plans for those in need,” said David Holewinski, Minneapolis VA Suicide Prevention Program Manager. 

Another significant milestone was the introduction of the Compact Act in January 2023, which allows Veterans to seek emergency care for free during a suicidal crisis. This initiative has been particularly impactful for rural Veterans and those hesitant to visit VA emergency rooms, enabling them to receive necessary care covered by VA benefits. Moreover, the program has facilitated reconnections and enrollments of Veterans back into VHA care, further decreasing their suicide risk. 

Minneapolis VA continues to expand its outreach to rural Veterans through the Community Engagement and Partnership Coordinator (CEPC) program.  The program, initially piloted in Minnesota and four neighboring states, has now been rolled out nationwide, ensuring that every VA facility has at least one CEPC. These coordinators help build community coalitions and expand suicide awareness statewide, enhancing the support network for Veterans. 

“Minneapolis VA excels in providing access to care through a network of 13 Community-Based Outpatient Clinics (CBOCs) in rural areas, which is rare for any healthcare system. This outreach ensures that even the hardest-to-reach Veterans receive the support they need,” Holewinski stated.  

Additional efforts include a focus on lethal means safety, unique initiatives like medication lockboxes and expanded prescriptions of Naloxone to any Veteran. Training all staff about suicide is a priority, aiming to decrease stigma, increase staff comfort in asking about suicide, and promote the use of proper language when discussing this critical issue. 

The progress detailed in the VA's latest annual report is a testament to the ongoing dedication to reducing Veteran suicides through comprehensive care, early intervention, and community support. However, continued vigilance and innovation are necessary to sustain these positive trends and ensure that every Veteran receives the care and support they need. 

To view the national press release and the 2025 annual report visit: news.va.gov/press-room/va-releases-annual-veteran-suicide-prevention-report-updated-with-2023-data/