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 disorder
2022
Mental Health Burden in Enlisted and Commissioned U.S. Military Veterans: Importance of Indirect Trauma Exposure in Commissioned Veterans
Merians AN, Na PJ, Tsai J, Harpaz-Rotem I, Pietrzak RH. Mental Health Burden in Enlisted and Commissioned U.S. Military Veterans: Importance of Indirect Trauma Exposure in Commissioned Veterans. Psychiatry 2022, 85: 418-432. PMID: 35532217, DOI: 10.1080/00332747.2022.2068301.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMajor depressive disorderU.S. military veteransSuicidal ideationMilitary veteransTrauma exposureMost mental health outcomesMental health burdenPast-year suicidal ideationDrug use disordersU.S. veteran populationMental health historyHigh exposureMental health outcomesMultivariable analysisDepressive disorderNational HealthHealth burdenPost-stratification weightsUse disordersVeteran populationHealth historyHealth outcomesIndirect trauma exposureVeterans StudyDispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans
McGuire AP, Fagan JG, Tsai J, Merians AN, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Dispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans. Journal Of Psychiatric Research 2022, 149: 168-176. PMID: 35278781, PMCID: PMC9017955, DOI: 10.1016/j.jpsychires.2022.02.028.Peer-Reviewed Original ResearchConceptsMajor depressive disorderPosttraumatic stress disorderU.S. military veteransSuicidal ideationMental health outcomesSuicide attemptsSuicidal behaviorDevelopment of psychopathologyHealth outcomesMilitary veteransAdverse mental health outcomesPopulation-based studyPopulation-based samplePrimary prevention effortsMultivariable analysisDepressive disorderHigh riskBaseline levelsU.S. veteransStress disorderAnxiety disordersPrevention effortsIncident outcomesService membersVeterans
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 proportionUtilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare
Wilkinson ST, Rhee TG, Tsai J. Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare. Psychiatric Quarterly 2021, 92: 1825-1837. PMID: 34468909, DOI: 10.1007/s11126-021-09946-3.Peer-Reviewed Original ResearchConceptsElectroconvulsive therapyOlder Medicare beneficiariesECT useMedicare beneficiariesOutpatient electroconvulsive therapyMajor depressive disorderLower odds ratioHomeless individualsOlder homeless adultsECT coursePsychiatric comorbidityUnadjusted ratesOutpatient settingDepressive disorderOdds ratioNon-homeless individualsHomeless patientsPsychosocial supportSociodemographic characteristicsSignificant covariatesOlder homeless individualsHomeless adultsTherapyLower ratesHomeless groupPsychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U.S. adults
Tsai J, Elbogen EB, Huang M, North CS, Pietrzak RH. Psychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U.S. adults. Journal Of Affective Disorders 2021, 288: 41-49. PMID: 33839557, PMCID: PMC9754659, DOI: 10.1016/j.jad.2021.03.085.Peer-Reviewed Original ResearchConceptsMajor depressive disorderAlcohol use disorderCOVID-19 infectionSuicidal ideationUse disordersPatient Health Questionnaire-2Generalized Anxiety Disorder-2Anxiety disordersHistory of AUDPopulation-based preventionPsychological distressCurrent alcohol use disorderCOVID-19 statusLow-income U.S. adultsMultivariable analysisU.S adultsDepressive disorderDisorder-2Psychiatric problemsYounger ageU.S. adultsPTSD ChecklistQuestionnaire-2Alcohol useTreatment effortsTop 10 presenting diagnoses of homeless veterans seeking care at emergency departments
Tsai J, Szymkowiak D, Kertesz SG. Top 10 presenting diagnoses of homeless veterans seeking care at emergency departments. The American Journal Of Emergency Medicine 2021, 45: 17-22. PMID: 33647757, DOI: 10.1016/j.ajem.2021.02.038.Peer-Reviewed Original ResearchConceptsNon-homeless veteransEmergency departmentAlcohol-related disordersED useRace/ethnicityDiagnostic categoriesDepressive disorderHomeless veteransNational VA administrative dataSuicidal behaviorCommon diagnostic categoriesLow back painVA administrative dataED service useVA homeless programsED visitsMusculoskeletal painPain conditionsRespiratory infectionsBack painED careDiagnostic codesObservational studyHispanic veteransService use
2020
Longitudinal 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
2018
Protective correlates of suicidality among veterans with histories of posttraumatic stress disorder and major depressive disorder: Results from the National Health and Resilience in Veterans Study
Kachadourian LK, Tsai J, Harpaz-Rotem I, Southwick SM, Pietrzak RH. Protective correlates of suicidality among veterans with histories of posttraumatic stress disorder and major depressive disorder: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2018, 246: 731-737. PMID: 30616162, DOI: 10.1016/j.jad.2018.12.058.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesDepressive Disorder, MajorFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOptimismPrevalenceProtective FactorsResilience, PsychologicalRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicideSuicide, AttemptedSurveys and QuestionnairesUnited StatesVeteransYoung AdultConceptsMajor depressive disorderPosttraumatic stress disorderProtective correlatesSuicidal ideationSuicide attemptsProtective factorsDepressive disorderNational HealthVeterans StudyMultivariable logistic regression analysisSuicidal behaviorStress disorderHistory of PTSDLogistic regression analysisSample of veteransAssessment of suicidalityLifetime suicide attemptsRisk factorsHigh-risk sampleTreatment approachesU.S. veteransWeb-based surveyCross-sectional natureSuicide riskSelf-report items
2013
Psychiatric comorbidity among adults with schizophrenia: A latent class analysis
Tsai J, Rosenheck RA. Psychiatric comorbidity among adults with schizophrenia: A latent class analysis. Psychiatry Research 2013, 210: 16-20. PMID: 23726869, PMCID: PMC3800495, DOI: 10.1016/j.psychres.2013.05.013.Peer-Reviewed Original ResearchConceptsPsychiatric comorbidityDepressive disorderComorbid anxietyLatent class analysisSevere mental illnessBetter mental healthClusters of diagnosesPoorer illnessComorbid classesMental illnessPsychiatric conditionsClass analysisComorbid addictionComorbiditiesSchizophreniaMental healthBaseline dataTreatment insightsAdultsIllnessAnxietyDisordersDepressionNational sampleMore research