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 disorderDrug 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 model
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
2020
The National Health and Resilience in Veterans Study: A Narrative Review and Future Directions
Fogle BM, Tsai J, Mota N, Harpaz-Rotem I, Krystal JH, Southwick SM, Pietrzak RH. The National Health and Resilience in Veterans Study: A Narrative Review and Future Directions. Frontiers In Psychiatry 2020, 11: 538218. PMID: 33362593, PMCID: PMC7755975, DOI: 10.3389/fpsyt.2020.538218.Peer-Reviewed Original ResearchNational HealthVeterans StudyMental disordersNarrative reviewVeterans Affairs Healthcare SystemPopulation-based dataUnique health needsUnited States veteransPost-traumatic stress disorderNon-veteran counterpartsPost-traumatic growthProtective psychosocial characteristicsProspective studyStates veteransIndependent cohortHealth outcomesHealth needsU.S. veteransCare deliveryClinical implicationsLongitudinal changesPsychosocial characteristicsProtective factorsStress disorderTreatment efforts
2017
Mental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study.
Thomas MM, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Mental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study. The Primary Care Companion For CNS Disorders 2017, 19 PMID: 28657698, DOI: 10.4088/pcc.17m02118.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsCardiovascular DiseasesCross-Sectional StudiesFemaleHealth StatusHumansMaleMental DisordersMental HealthMiddle AgedMigraine DisordersResilience, PsychologicalSex FactorsSocioeconomic FactorsSubstance-Related DisordersSuicideUnited StatesVeteransWar ExposureYoung AdultConceptsPhysical health conditionsPosttraumatic stress disorderOlder combat veteransCurrent posttraumatic stress disorderGreater oddsHealth conditionsChronic painHeart diseaseUS veteransNational HealthMigraine headacheCombat veteransSuicidal ideationVeterans StudyCurrent generalized anxiety disorderHeart attackVeterans Affairs Healthcare SystemLifetime posttraumatic stress disorderUS veteran populationElevated ratesPopulation-based burdenCurrent psychiatric disorderDrug use disordersMental health factorsGeneralized anxiety disorder
2016
Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System
Tsai J, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System. Psychiatry Research 2016, 240: 157-162. PMID: 27107669, DOI: 10.1016/j.psychres.2016.04.036.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransPTSD diagnosisU.S. Veterans Affairs healthcare systemSpecialty mental health clinicsVeterans Affairs Healthcare SystemElectronic medical record dataOptimal screening criteriaMedical record dataStructured Clinical InterviewMental health clinicsPositive PTSD screenCharacteristic curve analysisPosttraumatic stress disorderUseful screening toolPCL-M scoresVersion criteriaPTSD screenSpecialty clinicHealth clinicsMale veteransClinical InterviewFemale veteransVeteran subgroupsYouden indexProbable PTSD
2013
Risk factors for ED use among homeless veterans
Tsai J, Rosenheck RA. Risk factors for ED use among homeless veterans. The American Journal Of Emergency Medicine 2013, 31: 855-858. PMID: 23566404, DOI: 10.1016/j.ajem.2013.02.046.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCase-Control StudiesCross-Sectional StudiesDrug UtilizationEmergency Service, HospitalFemaleHumansIll-Housed PersonsLogistic ModelsMaleMiddle AgedMultivariate AnalysisPsychotropic DrugsRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsFrequent ED usersVA patientsED useED usersNon-ED usersAmbulatory careMedical conditionsED servicesHomeless veteransNational VA administrative dataVeterans Affairs Healthcare SystemMore service visitsPsychotropic medication prescriptionsVA administrative dataEmergency department servicesUnmet psychosocial needsCase-control designSignificant morbidityMedication prescriptionsPsychotropic medicationsClinical correlatesRisk factorsPsychosocial needsMultivariate analysisPatients