2023
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study
Stefanovics E, Potenza M, Tsai J. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study. Journal Of Gambling Studies 2023, 40: 915-935. PMID: 37751035, DOI: 10.1007/s10899-023-10257-4.Peer-Reviewed Original ResearchU.S. veteransSubstance useMental illnessDrug use disordersPoor physical functioningLogistic regression analysisNon-white veteransChi-square testU.S. military veteransClinical characteristicsDevelopment of interventionsAdjusted associationsPhysical functioningRoutine screeningClinical measuresCurrent prevalenceUse disordersRecreational gamblingLifetime historyGreater symptomsVulnerable subpopulationsPrevalence
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 proportionPrevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementMental 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 StudyPrevalence, correlates, and mental health burden associated with homelessness in U.S. military veterans
Nichter B, Tsai J, Pietrzak RH. Prevalence, correlates, and mental health burden associated with homelessness in U.S. military veterans. Psychological Medicine 2022, 53: 3952-3962. PMID: 35301973, PMCID: PMC10317824, DOI: 10.1017/s0033291722000617.Peer-Reviewed Original ResearchConceptsMental health burdenAdverse childhood experiencesDrug use disordersU.S. military veteransHealth burdenUse disordersMajor public health problemPopulation-based dataProbable posttraumatic stress disorderMilitary veteransPublic health problemLifetime suicide attemptsPoor mental healthEarly childhood adversityPosttraumatic stress disorderMental health consequencesTrauma burdenIndependent associationNational HealthFirst episodeLifetime prevalenceMajor depressiveHealth problemsHistory of homelessnessPsychiatric conditions
2021
Risk 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 variables
2018
Latent 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 solutionDisordersVeterans
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 disorderOne-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care
Tsai J, Hoff RA, Harpaz-Rotem I. One-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care. Psychological Services 2017, 14: 203-207. PMID: 28481605, DOI: 10.1037/ser0000083.Peer-Reviewed Original ResearchConceptsSpecialty mental health clinicsMental health clinicsHealth clinicsRetrospective cohort study designVeterans AffairsSpecialty mental health careCohort study designVA medical recordsDrug use disordersMental health careVA homeless servicesClinical predictorsProspective studyMedical recordsDisorders ClinicInternational ClassificationUse disordersVA facilitiesU.S. veteransEarly signsStudy designVA effortsClinicHealth careIncidence
2015
Technology 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 surveyPsychotherapyBarriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States
Blais RK, Tsai J, Southwick SM, Pietrzak RH. Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States. Psychiatric Services 2015, 66: 500-506. PMID: 25639990, DOI: 10.1176/appi.ps.201300469.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationOlder veteransPsychiatric disordersCare utilizationHealth careLifetime drug use disordersMental health care useMental health service utilizationNon-Hispanic veteransVeterans ages 60Lifetime posttraumatic stress disorderHealth service utilizationHealth care useCurrent psychiatric symptomsCurrent psychiatric disorderDrug use disordersMinority of veteransMental health servicesCurrent suicidal ideationPosttraumatic stress disorderOlder U.S. veteransCare useNational Health
2013
When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments.
Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments. American Journal Of Public Health 2013, 103 Suppl 2: s225-31. PMID: 24148061, PMCID: PMC3969129, DOI: 10.2105/ajph.2013.301307.Peer-Reviewed Original ResearchConceptsVeterans Affairs emergency departmentEmergency departmentED usersClinical characteristicsUse disordersNational integrated health care systemNational VA administrative dataIntegrated health care systemEmergency department usersDrug use disordersHealth insuranceVA administrative dataCross-sectional studyHomeless veteransSubstance abuse diagnosisAlcohol use disorderHealth care systemUS veteransMedical conditionsAbuse diagnosisPsychiatric diagnosisMultivariate analysisFiscal year 2010Outreach servicesMental healthAlcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes
Tsai J, Kasprow WJ, Rosenheck RA. Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes. Addictive Behaviors 2013, 39: 455-460. PMID: 23490136, DOI: 10.1016/j.addbeh.2013.02.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersComorbidityFemaleHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedOutcome Assessment, Health CarePublic HousingQuality of LifeResidential TreatmentSelf ReportSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsDrug use disordersSubstance use disordersUse disordersHomeless veteransOutcomes 6 monthsHUD-VASHPrevalence of alcoholAlcohol use disorderClinical outcomesClinical statusDrug disordersBaseline differencesSubstance abuseSubstance useDisordersStrong associationPrevious monthMore nightsResidential treatmentVeteransMonthsProgram entryUrban Development-Veterans AffairsOutcomesPrevalence