A new report by the Department of Veterans Affairs Inspector General has found that that the Hampton VA Medical Center in Virginia did not take proper care of a veteran, and he died six weeks after his last admission at the facility in 2012. The audit found that although all but one of the clinical staff members in the facility's Emergency Department and Mental Health clinics had completed suicide risk management training, they did not identify the veteran's suicide risk factors and did not report his recent suicidal behavior as required by VHA. The full report is found on the Department of Veterans Affairs (VA) Office of Inspector General website.
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