Va health care system leads the way in veteran suicide prevention with firearm lockbox program | va charleston health care | veterans affairs

In a proactive move to address Veteran suicide prevention, the Ralph H. Johnson VA Health Care System in Charleston, South Carolina, has implemented a firearm lockbox distribution program

months ahead of a proposed national initiative. This local effort, spearheaded by mental health professionals and prosthetics specialists, demonstrates the VA's commitment to innovative

approaches in safeguarding Veterans' lives. Dr. Jennifer Wray, the Suicide Prevention Coordinator at the Ralph H. Johnson VA Health Care System, provided insight into the

program's inception. The initiative commenced in March 2024 when the facility identified an opportunity to procure firearm lockboxes for at-risk Veterans through the prosthetics

department. "Our team collaborated to develop precise clinical criteria for the consults, while our prosthetics colleagues worked diligently to identify appropriate vendors," said

Wray. She also noted the program's rapid implementation, stating, "By June, we had successfully processed nine purchase orders, demonstrating the urgent need for this

intervention." The program rolled out in stages, starting with the suicide prevention team in April, followed by the inpatient mental health team, and finally extending to all mental

health staff. This careful approach ensured that the most critical cases were addressed first while allowing for a smooth expansion of the service.  The prosthetics team played a crucial

role in the program's success. Despite facing a setback in June when their initial lockbox model was discontinued, they quickly secured an alternative. The team is now using the Tracker

QAPS-01 Quick Access Pistol Safe, a device specifically chosen for its security features and ease of use for Veterans. Mr. Scott Isaacs, Director and CEO of the Ralph H. Johnson VA Health

Care System, expressed his support for the initiative: "This program exemplifies our commitment to innovative, proactive approaches in Veteran care. By providing these lockboxes,

we're not just distributing safety devices; we're offering our Veterans a tangible tool for crisis prevention. It's a small step that can make a world of difference in a

critical moment." The Charleston VA's initiative aligns with a broader national effort to combat Veteran suicide through improved firearm safety measures. A bipartisan bill,

introduced in the House on September 25, 2024, proposes to make lockboxes available to all Veterans nationwide, regardless of their VA enrollment status or risk assessment. While the

national program awaits legislative approval, the Ralph H. Johnson VA Health Care System's proactive approach serves as a model for other VA facilities across the country. By providing

these lockboxes to Veterans assessed as having intermediate or high risk for suicide, the Charleston VA is taking concrete steps to create a crucial time buffer during moments of crisis. Dr.

Wray emphasized the importance of this time buffer: "In moments of crisis, even a small delay in access to lethal means can save a life. These lockboxes provide that critical pause,

giving our Veterans a chance to reconsider and seek help." This local initiative not only demonstrates the VA's commitment to Veteran safety but also highlights the importance of

local action in addressing urgent health care needs. As the national conversation around Veteran suicide prevention continues, the Charleston VA's lockbox program stands as a testament

to the power of innovative, on-the-ground solutions in saving lives. Service members or Veterans experiencing a mental health crisis or their loved ones can call the Veterans Crisis Line

24/7 at 988, Press 1. Help also is available online at VeteransCrisisLine.net/Chat, or by texting 838255.