By Debbie Gregory.

An investigation conducted by the Government Accountability Office (GAO) has revealed that of the $6.2 million budget allocated to the Department of Veterans Affairs for suicide prevention outreach in fiscal year 2018, the agency only spent $1.5 million by the end of the fiscal year, leaving $4.7 million unused.

Suicide among veterans is disproportionately higher than the rest of the U.S. population, especially among veterans younger than 35. And in light of the VA leadership touting suicide prevention a top priority, this information begs the question, why?

The suicide prevention budget was meant to cover outreach via social media posts, public service announcements, billboards, and radio, bus, Facebook and print advertisements, which all declined in 2017 and 2018, as did the effort on suicide prevention month.

“VA has stated that preventing veteran suicide is its top clinical priority, yet [the Veterans Health Administration’s] lack of leadership attention to its suicide prevention media outreach campaign in recent years has resulted in less outreach to veterans,” the GAO report states.

The GAO investigation came at the request of Rep. Tim Walz (D-MN), the ranking Democrat on the House Committee on Veterans’ Affairs. He said that the findings conveyed “a deeply troubling level of incompetence” by President Donald Trump’s administration.

“At a time when 20 veterans a day still die by suicide, VA should be doing everything in its power to inform the public about the resources available to veterans in crisis,” Walz said in a statement. “Unfortunately, VA has failed to do that, despite claiming the elimination of veteran suicide as its highest clinical priority.”

The VA blamed leadership vacancies for the downturn, with the former national director for suicide prevention, Caitlin Thompson, resigning in July 2017, and not being replace until the new director, Keita Franklin, was appointed in April, 2018.

“Officials reported not having leadership available for a period of time to make decisions about the suicide prevention media outreach campaign,” the report states. “GAO found that [VA] did not assign key leadership responsibilities or establish clear lines of reporting, and as a result, its ability to oversee the outreach campaign was hindered. Consequently, [the VA] may not be maximizing its reach with suicide prevention media content to veterans, especially those who are at-risk.”

“This year, I’m making sure that we are spending the funding 100 percent,” said Dr. Steven Lieberman, who is in charge of the Veterans Health Administration. “I’m reviewing the budget monthly and making sure we have obligated all the dollars. We have to get it right.”