US veterans face severe mental health needs; there have been more than 6000 suicides annually from 2008 to 2016, a 25.9% jump in suicides from 2005 to 2016, a suicide rate 1.5-fold higher than nonveterans, and higher suicide rates for veterans accessing Department of Veterans Affairs (VA) facilities vs those not using VA services, veterans overall, and nonveterans.¹ On June 6, 2018, the Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act of 2018 came into law as S 2372.² The VA MISSION Act passed after former VA Secretary David Shulkin, MD, called suicide prevention his top clinical priority, stating that just 6 of 20 veterans who have committed suicide each day accessed VA care in the past year. In January 2018, President Donald Trump issued an executive order for the VA and the Departments of Defense and Homeland Security to coordinate seamless access to treatment for service members transitioning into veteran status to prevent suicides.

美国退伍军人面临着严重的心理健康需求；从2008年到2016年，每年有6000多次自杀事件，从2005年到2016年，自杀率上升了25.9％，自杀率比非退伍军人高1.5倍，而进入退伍军人事务部（VA）的退伍军人的自杀率更高不使用VA服务的人员，整体退伍军人和非退伍军人。¹ 2018年6月6日，《 2018年退伍军人事务维护内部系统和加强集成外部网络（VA MISSION）法案》以S 2372的形式生效^。2在弗吉尼亚州前弗吉尼亚州秘书戴维·舒尔金（David Shulkin，MD）将自杀预防列为首要临床任务之后，通过了《弗吉尼亚州维权法案》，该法案指出，在过去一年中每天自杀的20名退伍军人中只有6人获得了弗吉尼亚州的关怀。2018年1月，唐纳德·特朗普总统发布了一项关于弗吉尼亚州和国防部与国土安全部的行政命令，以协调无缝过渡的治疗方式，以使服役人员转变为退伍军人身份以防止自杀。