2023
Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio
Choi B, Grace A, Tsai J. Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio. PLOS ONE 2023, 18: e0295418. PMID: 38064447, PMCID: PMC10707584, DOI: 10.1371/journal.pone.0295418.Peer-Reviewed Original ResearchConceptsLaboratory-confirmed COVID-19 casesCOVID-19 symptomsCOVID-19 infectionRisk factorsCOVID-19 casesPsychiatric conditionsPotential risk factorsCategories of symptomsTypes of symptomsDifferent medical conditionsMiscellaneous symptomsAssociated FactorsFemale genderHigher oddsHispanic ethnicityMedical conditionsSociodemographic characteristicsSymptomsCoronavirus diseaseOutcome variablesGEE modelSan AntonioLongitudinal analysisInfectionLogit linkPurpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study
Fischer I, Nichter B, Feldman D, Na P, Tsai J, Harpaz-Rotem I, Schulenberg S, Pietrzak R. Purpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study. Journal Of Affective Disorders 2023, 340: 551-554. PMID: 37557988, DOI: 10.1016/j.jad.2023.08.040.Peer-Reviewed Original ResearchConceptsIncident suicidal ideationAlcohol use disorderIncident suicide attemptsCurrent alcohol use disorderHistory of STBSuicidal ideationSuicide attemptsBaseline predictorsDaily livingPopulation-based prospective cohort studySuicidal thoughtsLow purposeCurrent posttraumatic stress disorderProspective cohort studyTraditional risk factorsLower annual household incomeMultivariable regression analysisEvidence-based interventionsUS military veteransPosttraumatic stress disorderAnnual household incomeCohort studyTrauma burdenRisk factorsNational HealthSex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeation
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 proportionCriminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study
Elbogen EB, Amuan M, Kennedy E, Blakey SM, Graziano RC, Hooshyar D, Tsai J, Nelson RE, Vanneman ME, Jones AL, Pugh MJ. Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study. Law And Human Behavior 2022, 46: 385-394. PMID: 36227321, DOI: 10.1037/lhb0000497.Peer-Reviewed Original ResearchConceptsSerious mental illnessSubstance use disordersMilitary dischargeRisk factorsPersonality disorderUse disordersTransition Assistance ProgramMental illnessCo-occurring mental disordersCo-occurring substance use disordersVeterans Affairs (VA) health careLongitudinal cohort studyTraumatic brain injuryNeighborhood-level risk factorsPhysical health conditionsDisadvantaged neighborhoodsLegal involvementLarger longitudinal studyCohort studyMultivariable analysisBrain injuryNeighborhood of residenceHigh riskLarge effect sizesMental disordersDemographic and socioeconomic correlates of suicide deaths and nonfatal self-injury related hospital visits: An analysis of counties in New York State
Edwards ER, Gromatsky M, Dichiara A, Goodman M, Tsai J, Geraci A, Geraci J. Demographic and socioeconomic correlates of suicide deaths and nonfatal self-injury related hospital visits: An analysis of counties in New York State. Psychiatry Research 2022, 309: 114407. PMID: 35091159, DOI: 10.1016/j.psychres.2022.114407.Peer-Reviewed Original ResearchConceptsSuicide deathsSocioeconomic disadvantageVeteran suicide ratesLower household incomeGeneral population suicidesCommunity risk factorsHigher disabilityHospital visitsRisk factorsSocial disintegrationOutpatient servicesVeteran populationBivariate analysisCommunity correlatesHospitalizationNew York StateSocioeconomic correlatesRegression analysisSuicideAnalysis of countiesSuicide ratesDeathCorrelatesHousehold income
2021
Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample
Edwards E, Dichiara A, Gromatsky M, Tsai J, Goodman M, Pietrzak R. Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample. Military Psychology 2021, 34: 175-186. PMID: 38536330, PMCID: PMC10013446, DOI: 10.1080/08995605.2021.1982632.Peer-Reviewed Original ResearchOlder veteransYounger veteransProtective factorsPrior suicidal behaviorMental health servicesUS military veteransHistory of suicideAdverse eventsRisk factorsCriminal justice involvementProtective correlationHealth servicesSuicide attemptsSuicidal behaviorSuicide riskMilitary veteransVeteran sampleVeteransOlder cohortHomelessnessRiskCohortSocial supportAge cohortsRepresentative sampleRisk Factors Associated With Nonfatal Opioid Overdose Leading to Intensive Care Unit Admission: A Cross-sectional Study
Mitra A, Ahsan H, Li W, Liu W, Kerns RD, Tsai J, Becker W, Smelson DA, Yu H. Risk Factors Associated With Nonfatal Opioid Overdose Leading to Intensive Care Unit Admission: A Cross-sectional Study. JMIR Medical Informatics 2021, 9: e32851. PMID: 34747714, PMCID: PMC8663596, DOI: 10.2196/32851.Peer-Reviewed Original ResearchNonfatal opioid overdoseIntensive care unit admissionCare unit admissionRisk factorsOpioid overdoseElectronic health recordsIllicit drug useUse disordersUnit admissionClinical variablesICU settingEHR notesEHRs of patientsICD codesDrug useAdmission dataMultivariable logistic regression analysisCovariate-adjusted odds ratioBeth Israel Deaconess Medical CenterNinth Revision diagnosisNoncritical care settingsClinical risk factorsImportant risk factorDrug use disordersRelevant clinical variablesBehavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study
Straus E, Norman SB, Tripp JC, Tsai J, Sippel LM, Jeste DV, Southwick SM, Pietrzak RH. Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2021, 30: 297-310. PMID: 34417085, DOI: 10.1016/j.jagp.2021.07.006.Peer-Reviewed Original ResearchConceptsU.S. military veteransNational HealthPhysical healthMilitary veteransSuicidal ideationVeterans StudyFunctional measuresPsychiatric risk factorsLoneliness severityCross-sectional studyU.S. veteran populationPhysical health conditionsReliable self-report assessmentsCurrent suicidal ideationRisk factorsSelf-report assessmentsTransdiagnostic preventionCurrent prevalenceVeteran populationU.S. veteransFunctional difficultiesMental healthHealth conditionsIntervention targetsReporting feelingThe impact of sleep quality on the incidence of PTSD: Results from a 7-Year, Nationally Representative, Prospective Cohort of U.S. Military Veterans
DeViva JC, McCarthy E, Southwick SM, Tsai J, Pietrzak RH. The impact of sleep quality on the incidence of PTSD: Results from a 7-Year, Nationally Representative, Prospective Cohort of U.S. Military Veterans. Journal Of Anxiety Disorders 2021, 81: 102413. PMID: 33991819, PMCID: PMC10693322, DOI: 10.1016/j.janxdis.2021.102413.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSleep qualityNew-onset posttraumatic stress disorderIncidence of PTSDSelf-reported sleep qualityProspective cohort studyProbable posttraumatic stress disorderPoor sleep qualityPotential risk factorsDevelopment of PTSDU.S. veteran populationFair sleep qualityWave 1U.S. military veteransCohort studyProspective cohortIndependent determinantsClinical variablesRisk factorsNational HealthLifetime depressionVeteran populationMultivariate analysisU.S. veteransGreater traumaFinancial Strain, Mental Illness, and Homelessness: Results From a National Longitudinal Study.
Elbogen EB, Lanier M, Wagner HR, Tsai J. Financial Strain, Mental Illness, and Homelessness: Results From a National Longitudinal Study. Medical Care 2021, 59: s132-s138. PMID: 33710085, DOI: 10.1097/mlr.0000000000001453.Peer-Reviewed Original ResearchConceptsSevere mental illnessMental illnessFinancial strainWave 1Subsequent homelessnessNational Epidemiologic SurveyLow incomeContext of treatmentMultivariable analysisRisk factorsEpidemiologic SurveyIllnessPast homelessnessRelated conditionsGreater financial strainNational Longitudinal StudyLongitudinal studyFuture homelessnessDirect effect
2020
Frequent Episodic Utilizers of Veterans Health Administration Homeless Programs Use: Background Characteristics and Health Services Use
Szymkowiak D, Montgomery AE, Tsai J, O'Toole TP. Frequent Episodic Utilizers of Veterans Health Administration Homeless Programs Use: Background Characteristics and Health Services Use. Journal Of Public Health Management And Practice 2020, 28: e211-e218. PMID: 33208718, DOI: 10.1097/phh.0000000000001252.Peer-Reviewed Original ResearchConceptsEpisodic useVHA Homeless ProgramsHomeless ProgramStepwise multivariate logistic regressionRetrospective cohort studyHealth service useMultivariate logistic regressionSubstance use disordersDiagnosis of psychosisHistory of incarcerationMilitary sexual traumaCohort studyAcute careEmergency departmentVHA servicesRisk factorsMore episodesMAIN OUTCOMEInpatient unitProgram useService useUse disordersVeterans Health Administration Homeless ProgramsLogistic regressionObservation periodDissociative symptoms predict risk for the development of PTSD: Results from the National Health and Resilience in Veterans Study (NHRVS)
Herzog S, Fogle BM, Harpaz-Rotem I, Tsai J, DePierro J, Pietrzak RH. Dissociative symptoms predict risk for the development of PTSD: Results from the National Health and Resilience in Veterans Study (NHRVS). Journal Of Psychiatric Research 2020, 131: 215-219. PMID: 32998083, DOI: 10.1016/j.jpsychires.2020.09.018.Peer-Reviewed Original ResearchConceptsDevelopment of PTSDPosttraumatic stress disorderU.S. military veteransDissociative symptomsRisk factorsDerealization symptomsIncident posttraumatic stress disorderTrauma exposureImmutable risk factorsProspective cohort studyPopulation-based risk factorsMilitary veteransPrediction of PTSDPotential clinical utilityTrauma-related factorsTrauma-exposed veteransCohort studyNational HealthRelative riskClinical utilityU.S. veteransVeterans StudySymptomsTrauma characteristicsStress disorderDissociative Symptoms in a Nationally Representative Sample of Trauma-Exposed U.S. Military Veterans: Prevalence, Comorbidities, and Suicidality
Herzog S, Fogle BM, Harpaz-Rotem I, Tsai J, Pietrzak RH. Dissociative Symptoms in a Nationally Representative Sample of Trauma-Exposed U.S. Military Veterans: Prevalence, Comorbidities, and Suicidality. Journal Of Affective Disorders 2020, 272: 138-145. PMID: 32379605, DOI: 10.1016/j.jad.2020.03.177.Peer-Reviewed Original ResearchConceptsQuality of lifeU.S. veteransDissociative symptomsPsychiatric comorbidityGreater likelihoodPoor mental health outcomesCurrent suicidal ideationNon-veteran populationsMental health outcomesPTSD diagnostic statusDirectionality of findingsLevel of functioningU.S. military veteransNationally Representative SampleClinical correlatesTrauma-exposed populationsRepresentative sampleRisk factorsSevere dissociative symptomsLifetime suicide attempt historySuicide attempt historyPsychiatric characteristicsComorbiditiesHealth outcomesSuicidal ideation
2019
Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans
Tsai J, Cao X. Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans. Journal Of Epidemiology & Community Health 2019, 73: 346. PMID: 30602531, DOI: 10.1136/jech-2018-211065.Peer-Reviewed Original ResearchConceptsUS veteransSuicide attemptsVeterans Health AdministrationHigh-risk individualsLifetime homelessnessSame risk factorsPopulation-based sampleNational Epidemiological SurveySuicide prevention servicesRelated Conditions-IIILifetime suicide attemptsRepresentative US sampleRisk factorsUS adultsPrevention servicesEpidemiological surveyHealth AdministrationHomeless historiesVeteransConditions-IIISuicideAssociationUS sample
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 itemsMental 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 forcesRisk Factors, Service Delivery, and Prevention of Veteran Homelessness
Tsai J, Rosenheck R. Risk Factors, Service Delivery, and Prevention of Veteran Homelessness. 2018, 183-195. DOI: 10.1007/978-1-4939-7438-2_13.Peer-Reviewed Original ResearchVeteran homelessnessRapid Rehousing ProgramTransitional housingCriminal historyHomelessnessService deliveryRisk factorsCommunity-based programsEducation benefitsNational effortsPublic concernCase studyHousingSocial supportHomeless ProgramResearch literatureLow incomeSpecial accessSubstance abuse problemsStrong risk factorPotential risk factorsResidential programsVeterans Affairs (VA) healthcareFuture researchHomeless veterans
2016
Linking Typologies of Childhood Adversity to Adult Incarceration: Findings From a Nationally Representative Sample
Roos LE, Afifi TO, Martin CG, Pietrzak RH, Tsai J, Sareen J. Linking Typologies of Childhood Adversity to Adult Incarceration: Findings From a Nationally Representative Sample. American Journal Of Orthopsychiatry 2016, 86: 584-593. PMID: 27078049, DOI: 10.1037/ort0000144.Peer-Reviewed Original ResearchConceptsAdverse child experiencesLatent class analysisChildhood maltreatmentLogistic regression analysisSubstance use problemsNationally Representative SampleRisk factorsRepresentative sampleChildhood adversityPreventative effortsIncarceration riskLow adversityUse problemsRegression analysisRiskMaltreatment experiencesClass analysisMaltreatmentIncarceration
2015
Risk Factors for Homelessness Among US Veterans
Tsai J, Rosenheck RA. Risk Factors for Homelessness Among US Veterans. Epidemiologic Reviews 2015, 37: 177-195. PMID: 25595171, PMCID: PMC4521393, DOI: 10.1093/epirev/mxu004.Peer-Reviewed Original ResearchConceptsRisk factorsUS veteransMental illnessSystematic reviewImportant risk factorHomeless veteransConsistent risk factorMeta-Analyses (PRISMA) guidelinesSubstance use disordersPreferred Reporting ItemsAdverse childhood experiencesLow incomeHealth insurance coverageFirst systematic reviewUse disordersReporting ItemsRigorous studiesGreater riskHomeless nonveteransInsurance coverageHomeless adultsPast incarcerationVeteransMore studiesSocial isolation