2024
Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis
Beydoun H, Szymkowiak D, Pietrzak R, Beydoun M, Treadwell R, Tsai J. Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis. Psychiatry Research 2024, 340: 116120. PMID: 39121758, DOI: 10.1016/j.psychres.2024.116120.Peer-Reviewed Original ResearchMental health disordersFour-way decomposition analysisSubstance useHealth disordersPsychiatric disordersMortality riskSuicide deathsHomeless veteransVeterans AffairsSubstance use disordersU.S. Department of Veterans AffairsDepartment of Veterans AffairsPredictors of suicide deathVA healthcare systemFully-adjusted modelsMental health characteristicsEffects of homelessnessProportion of suicide deathsSuicide riskUse disorderHealth characteristicsRetrospective cohort studySuicideHealthcare systemDisordersPatterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts
Tsai J, Christian N, Szymkowiak D. Patterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts. Journal Of Psychiatric Practice 2024, 30: 119-129. PMID: 38526399, DOI: 10.1097/pra.0000000000000769.Peer-Reviewed Original ResearchConceptsCriminal justice-involvedVeterans Treatment CourtsSubstance use disordersPsychiatric medicationsPrescribed psychiatric medicationsTreatment courtsPsychiatric medication prescriptionSpecialty courtsClasses of psychiatric medicationsService-connected disability ratingVA health care servicesBehavioral health issuesJustice-involvedPsychiatric diagnosisUse disorderCourtPsychiatric prescribingPsychiatric prescriptionsClasses of medicationsVeteransService engagementMedication prescriptionsDisordersMedicationHealth care services
2023
Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainmentFood Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans
Elbogen E, Graziano R, LaRue G, Cohen A, Hooshyar D, Wagner H, Tsai J. Food Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans. Archives Of Suicide Research 2023, 28: 644-659. PMID: 37165670, PMCID: PMC10636240, DOI: 10.1080/13811118.2023.2200795.Peer-Reviewed Original ResearchMental health disordersSubsequent suicidal ideationHealth disordersSuicidal ideationOne-yearMilitary veteransSuicide riskIndependent risk markerSubsequent suicide riskU.S. military service membersPost-9/11 veteransMilitary service membersFood insecurityMultivariable analysisOdds of suicideRisk markersClinical covariatesHigher oddsElevated riskMental disordersSocial determinantsRepresentative longitudinal surveyDisordersService membersNational Longitudinal Study
2022
Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans: An Exploration of Potential Mediating Factors
Orak U, Kelton K, Vaughn M, Tsai J, Pietrzak R. Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans: An Exploration of Potential Mediating Factors. Criminal Justice And Behavior 2022, 50: 392-409. DOI: 10.1177/00938548221140352.Peer-Reviewed Original ResearchCombat veteransUse disordersCLS involvementU.S. combat veteransDrug use disordersAlcohol use disorderPotential mediating factorsRisk factorsNational HealthModifiable mechanismsHistory of homelessnessVeterans StudyDescriptive studyPrevention effortsPotential mechanismsNotable proportionVeteransInvolvementDisordersAssociationMoral injuryMediating factorsIndirect associationsLarge proportionPerceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sampleIntroduction to the Special Section: Resilience for Physical and Behavioral Health
Tsai J, Freedland KE. Introduction to the Special Section: Resilience for Physical and Behavioral Health. Health Psychology 2022, 41: 243-245. PMID: 35324245, DOI: 10.1037/hea0001179.Peer-Reviewed Original Research
2021
Mental Health and Substance Use Patterns Associated With Lifetime Suicide Attempt, Incarceration, and Homelessness: A Latent Class Analysis of a Nationally Representative Sample of U.S. Veterans
Edwards ER, Barnes S, Govindarajulu U, Geraci J, Tsai J. Mental Health and Substance Use Patterns Associated With Lifetime Suicide Attempt, Incarceration, and Homelessness: A Latent Class Analysis of a Nationally Representative Sample of U.S. Veterans. Psychological Services 2021, 18: 619-631. PMID: 32852993, DOI: 10.1037/ser0000488.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersSuicide attemptsMental healthLatent class analysisBehavioral health disordersSubstance use patternsLifetime suicide attemptsHigh-risk eventsU.S. military veteransNationally Representative SampleNeeds of veteransDepressive disorderRepresentative sampleHealth disordersU.S. veteransClass analysisClinical resourcesBehavioral healthHealth patternsDisordersDisorder classesHealth careMilitary veteransSubstantial proportionIncidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias.
Jutkowitz E, DeVone F, Halladay C, Hooshyar D, Tsai J, Rudolph JL. Incidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias. Rhode Island Medical Journal 2021, 104: 20-25. PMID: 33926154, PMCID: PMC8514122.Peer-Reviewed Original ResearchConceptsADRD diagnosisUse disordersAlzheimer's diseaseAdjusted hazard ratioYears of ageSubstance use disordersAlcohol use disorderPost-traumatic stress disorderVeterans Affairs administrative recordsHazard ratioLiver diseaseLung diseaseIncidence rateRelated dementiaYounger ageGreater riskDiseaseStress disorderIncidenceVeteransDisordersDementiaDiagnosisADRDAgeAssociation of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Pietrzak RH, Tsai J, Southwick SM. Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e214972. PMID: 33830230, PMCID: PMC8033430, DOI: 10.1001/jamanetworkopen.2021.4972.Peer-Reviewed Original Research
2020
Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing.
Greig A, Tolin D, Tsai J. Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing. The Journal Of Nervous And Mental Disease 2020, 208: 822-827. PMID: 33002938, DOI: 10.1097/nmd.0000000000001205.Peer-Reviewed Original ResearchLongitudinal study of the housing and mental health outcomes of tenants appearing in eviction court
Tsai J, Jones N, Szymkowiak D, Rosenheck RA. Longitudinal study of the housing and mental health outcomes of tenants appearing in eviction court. Social Psychiatry And Psychiatric Epidemiology 2020, 56: 1679-1686. PMID: 32926182, DOI: 10.1007/s00127-020-01953-2.Peer-Reviewed Original ResearchConceptsMental health outcomesHealth outcomesMental healthMajor depressive disorderMental health treatmentMental health symptomsGeneralized anxiety disorderPosttraumatic stress disorderMental health issuesHousing instabilityResultsAt baselineMethodsOne hundredDepressive disorderPsychosocial statusInverse probability weightingHealth treatmentHealth symptomsSuicidal ideationSizable subgroupStress disorderAnxiety disordersHealth issuesLongitudinal studyDisordersBaseline
2019
Homelessness among immigrants in the United States: rates, correlates, and differences compared with native-born adults
Tsai J, Gu X. Homelessness among immigrants in the United States: rates, correlates, and differences compared with native-born adults. Public Health 2019, 168: 107-116. PMID: 30739834, DOI: 10.1016/j.puhe.2018.12.017.Peer-Reviewed Original ResearchConceptsForeign-born adultsSubstance use disordersNative-born adultsMental healthHealthy immigrant effectNational Epidemiologic SurveyRelated Conditions-IIIRepresentative US samplePsychosocial evaluationUS adultsEpidemiologic SurveySociodemographic characteristicsLifetime incarcerationCross-sectional dataImmigrant effectHealth insuranceUse of welfareAdultsSocial functioningSignificant differencesRates of homelessnessConditions-IIIUnited StatesDisordersHealth
2018
Mental Illness and Substance Use Disorders Among Homeless Veterans
Gabrielian S, Gores A, Gelberg L, Tsai J. Mental Illness and Substance Use Disorders Among Homeless Veterans. 2018, 35-60. DOI: 10.1093/oso/9780190695132.003.0003.Peer-Reviewed Original ResearchSubstance use disordersMental illnessHomeless veteransPsychiatric disordersInfluence of psychiatric disordersVeterans with mental illnessFactors associated with homelessnessAbstract Mental illnessMental health problemsHousing outcomesUse disorderVeteran statusVeteransHealth problemsUnited States Armed ForcesDisordersRisk factorsIllnessEpidemiological dataHomelessnessCo-occurrenceStates Armed ForcesQuantitative dataOutcomesArmed forcesLatent typologies of DSM-5 PTSD symptoms in U.S. military veterans
Byrne SP, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Latent typologies of DSM-5 PTSD symptoms in U.S. military veterans. Psychiatry Research 2018, 273: 266-273. PMID: 30658212, DOI: 10.1016/j.psychres.2018.12.094.Peer-Reviewed Original ResearchConceptsHigh symptom classPosttraumatic stress disorderSymptom classUse disordersLifetime historyDSM-5 PTSD symptomsPTSD symptomsLatent class analysisDrug use disordersNicotine use disorderDSM-5 posttraumatic stress disorderDSM-5 criteriaU.S. military veteransMajor depressiveCognitive impairmentU.S. veteransSymptomsPersonalized approachHigher symptomsStress disorderGeneralized anxietyMilitary veteransThree-class solutionDisordersVeteransPublic attitudes and literacy about posttraumatic stress disorder in U.S. adults
Tsai J, Shen J, Southwick SM, Greenberg S, Pluta A, Pietrzak RH. Public attitudes and literacy about posttraumatic stress disorder in U.S. adults. Journal Of Anxiety Disorders 2018, 55: 63-69. PMID: 29519724, DOI: 10.1016/j.janxdis.2018.02.002.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderStress disorderRates of PTSDEvidence-based treatmentsStrong public supportLittle public knowledgeMore federal fundingGood general knowledgePublic knowledgeClinical characteristicsPTSD knowledgeEffective treatmentPolitical affiliationPublic supportPublic attitudesNational online surveySociodemographic characteristicsTrauma exposureU.S. adultsAdditional varianceFederal fundingU.S. statesDisordersTreatmentAttitudes
2017
Exploring the Link Between Posttraumatic Stress Disorder and inflammation-Related Medical Conditions: An Epidemiological Examination
Tsai J, Shen J. Exploring the Link Between Posttraumatic Stress Disorder and inflammation-Related Medical Conditions: An Epidemiological Examination. Psychiatric Quarterly 2017, 88: 909-916. PMID: 28342139, DOI: 10.1007/s11126-017-9508-9.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderType 1 diabetesMedical conditionsLower oddsHeart attackStress disorderNew York City HealthCoronary heart diseaseNutrition Examination SurveyPopulation-based sampleMultivariable analysisExamination SurveyInsulin resistanceHeart diseaseEpidemiological studiesLifetime depressionGreater oddsEpidemiological examinationCity HealthDemographic characteristicsOddsDiabetesDisordersRepresentative sampleNew York City
2015
Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children
Tsai J, Rosenheck RA, Kasprow WJ, Kane V. Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children. Psychiatric Services 2015, 66: 1083-1090. PMID: 25975888, DOI: 10.1176/appi.ps.201400300.Peer-Reviewed Original ResearchConceptsHomeless veteransChronic general medical conditionsGeneral medical conditionsSevere mental illnessVeterans Affairs programsClinical characteristicsAdmission patternsUse of servicesMedical conditionsPsychiatric disordersPsychotic disordersFemale veteransMental illnessU.S. veteransPsychosocial characteristicsSubstantial proportionVeteransWomenChildrenMenMinor childrenDisordersVAReferralIllnessTechnology Use and Interest in Computerized Psychotherapy: A Survey of Veterans in Treatment for Substance Use Disorders
Hermes ED, Tsai J, Rosenheck R. Technology Use and Interest in Computerized Psychotherapy: A Survey of Veterans in Treatment for Substance Use Disorders. Telemedicine Journal And E-Health 2015, 21: 721-728. PMID: 25919453, DOI: 10.1089/tmj.2014.0215.Peer-Reviewed Original ResearchConceptsSubstance useUse disordersOutpatient substance use treatmentDisorders outpatient clinicDrug use disordersMental health disordersSubstance use disordersSubstance use treatmentOutpatient clinicOutpatient treatmentVeteran dataSelf-report questionnairesPsychiatric disordersHealth disordersSurvey of VeteransUse treatmentMajority of respondentsComputerized psychotherapyFunctional problemsDisordersVeteransTreatmentAfrican AmericansNational surveyPsychotherapy
2014
Homeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans
Tsai J, Rosenheck RA, Kane V. Homeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans. Psychological Services 2014, 11: 309-316. PMID: 24730678, DOI: 10.1037/a0036323.Peer-Reviewed Original ResearchConceptsFemale veteransHomeless female veteransMale veteransPosttraumatic stress disorderHUD-VASHGood working allianceSupported housing programsGender differencesNoncombat traumaU.S. veteransStress disorderCombat exposureSupportive housing programCase managersMore womenHomeless veteransFamily-oriented servicesVeteransIncarceration historyAdministrative dataOutcomesFamily membersDisordersProportion of femalesCurrent study