2024
Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system.
Silveira S, Beydoun H, Tsai J. Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system. CNS Spectrums 2024, 1-8. PMID: 39576134, DOI: 10.1017/s1092852924002165.Peer-Reviewed Original ResearchSubstance use disordersPsychiatric disordersUse disorderMental illnessDiagnosis of cannabis use disorderAssociated with diagnosisDiagnosis of alcohol use disorderCannabis use disorderPosttraumatic stress disorderStimulant use disorderAlcohol use disorderHealthcare systemService-connected disability ratingDepartment of Veterans Affairs healthcare systemSample of veteransPrevalence of mental illnessCharlson Comorbidity IndexGroup of veteransManagement of mental illnessVeterans Affairs Healthcare SystemVA healthcare systemMS diagnosisSchizophrenia/schizoaffective disorderCorporate Data WarehouseDepressive disorderApplying Concepts of Successful Aging in Measuring and Promoting Whole Person Health
Tsai J, Jones A. Applying Concepts of Successful Aging in Measuring and Promoting Whole Person Health. Medical Care 2024, 62: s21-s23. PMID: 39514489, PMCID: PMC11548807, DOI: 10.1097/mlr.0000000000002040.Peer-Reviewed Original ResearchConceptsWhole-person healthPersonal healthLife course perspectiveTransform healthcare systemsAdult populationWell-beingAging adult populationUS veteran populationAge-friendly practicesPopulation at-riskPublic health concernPoor healthAbsence of diseaseHealthcare systemVeteran populationSuccessful agingAging adultsAge-FriendlyHealthCourse perspectiveHealth concernReview studiesAgePopulationMultiple indicatorsDrug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Beydoun H. Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system. Addiction 2024 PMID: 39415621, DOI: 10.1111/add.16689.Peer-Reviewed Original ResearchNon-homeless veteransDrug overdose deathsOverdose deathsDepartment of Veterans Affairs (VA) healthcare systemVeterans Affairs (VA) healthcare systemHealthcare systemDepartment of Veterans Affairs healthcare systemNational Death Index dataHazard ratioVeterans Affairs Healthcare SystemConfidence intervalsDeath Index dataEstimate hazard ratiosMental health characteristicsAssociated with greater riskEpidemic of drug overdoseHealth characteristicsHomeless veteransUS veteransCox regression modelsVeteransGreater riskHomeless populationSubstance useMultivariate Cox regression modelRole 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 systemDisordersLifetime prevalence and correlates of colorectal cancer screening among low-income U.S. Veterans
Beydoun H, Tsai J. Lifetime prevalence and correlates of colorectal cancer screening among low-income U.S. Veterans. Cancer Causes & Control 2024, 35: 1215-1231. PMID: 38714606, DOI: 10.1007/s10552-024-01881-5.Peer-Reviewed Original ResearchVeterans Health AdministrationU.S. veteransCRC screening behaviorsLifetime prevalenceColorectal cancer screeningPreventive healthcare servicesMethodsCross-sectional dataIntegrated healthcare systemMultivariate logistic regression modelTargeted behavioral interventionsLogistic regression modelsCRC screeningAdverse life circumstancesVeteran characteristicsCancer screeningChronic conditionsHealthcare servicesVeteran homelessnessHealth AdministrationMilitary-specificPotential disparitiesHealthcare systemAlcohol-use disordersBehavioral interventionsHealth insurance
2023
Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health
Griesemer I, Carter S, Weir A, Tsai J. Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health. Psychological Injury And Law 2023, 16: 408-415. DOI: 10.1007/s12207-023-09484-2.Peer-Reviewed Original ResearchMedical-legal partnershipMental health diagnosesLegal issuesHealth diagnosisLegal needsMental health challengesPoisson regression modelsPosttraumatic stress disorderAlcohol use disorderVeterans Affairs Connecticut Healthcare SystemCivil legal needsComplex legal issuesNeeds screeningClient intakeMental healthHealthcare systemHealthcare facilitiesAdministrative dataStress disorderHealth challengesUse disorderMedical-legalLegal clinicsLegal centerRegression models
2021
Twenty-year trends in use of electroconvulsive therapy among homeless and domiciled veterans with mental illness
Tsai J, Szymkowiak D, Wilkinson ST, Holtzheimer PE. Twenty-year trends in use of electroconvulsive therapy among homeless and domiciled veterans with mental illness. CNS Spectrums 2021, 28: 183-189. PMID: 34895380, DOI: 10.1017/s1092852921001061.Peer-Reviewed Original ResearchElectroconvulsive therapyMental illnessECT utilizationECT useSessions of ECTVeterans Affairs Healthcare SystemHealthcare systemTwenty-year trendsMedical recordsHigher overall rateVA facilitiesSocioeconomic disparitiesIllnessComprehensive healthcare systemHomeless veteransVeteransOverall rateNational dataTherapyRegional differencesLocal factorsYear 2000Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Iheanacho T. Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system. Human Psychopharmacology Clinical And Experimental 2021, 37: e2829. PMID: 34799872, DOI: 10.1002/hup.2829.Peer-Reviewed Original ResearchConceptsCare settingsOutpatient mental health visitsVA service-connected disabilityVeterans AffairsVeterans Affairs Healthcare SystemAntidepressant prescription patternsMental health visitsEmergency department visitsNorepinephrine reuptake inhibitorsMental health care settingsPrimary care settingHealthcare systemService-connected disabilityHealth care settingsAntidepressant medicationAntidepressant prescriptionsPrescription patternsDepartment visitsHealth visitsReuptake inhibitorsMultivariable analysisFemale sexTricyclic antidepressantsClinical challengePsychiatric diagnosisClinical and functional effects of the COVID-19 pandemic and social distancing on vulnerable veterans with psychosis or recent homelessness
Wynn JK, McCleery A, Novacek D, Reavis EA, Tsai J, Green MF. Clinical and functional effects of the COVID-19 pandemic and social distancing on vulnerable veterans with psychosis or recent homelessness. Journal Of Psychiatric Research 2021, 138: 42-49. PMID: 33819876, PMCID: PMC9750189, DOI: 10.1016/j.jpsychires.2021.03.051.Peer-Reviewed Original ResearchConceptsPsychotic disordersVulnerable veteransVeterans Affairs Healthcare SystemWorse clinical outcomesCOVID-19 pandemicMental health problemsCommunity Integration MeasureMental health issuesClinical factorsClinical outcomesMental health resilienceVA servicesHealth problemsRecent homelessnessHealth issuesElevated levelsPhone interviewsHealthcare systemFunctional effectsCOVID-19Health resilienceRHVVeteransVulnerable individualsVulnerable groups
2012
Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally
Tsai J, Rosenheck RA. Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally. Journal Of The American Medical Informatics Association 2012, 19: 1089-1094. PMID: 22847305, PMCID: PMC3534469, DOI: 10.1136/amiajnl-2012-000971.Peer-Reviewed Original ResearchConceptsMental health service usersHealth service usersHealth record systemsVeterans AffairsPersonal health record systemVA service usersHealth informationRecord systemNationwide healthcare systemService usersMajority of veteransVA patientsUS veteransHealtheVetOnline health informationMost veteransLogistic regressionBackground characteristicsHealthcare systemVeteransMore educationNational surveyRepresentative sampleVA informationHigher income