2024
A systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders
Hird R, Radhakrishnan R, Tsai J. A systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders. Frontiers In Psychiatry 2024, 14: 1339801. PMID: 38260790, PMCID: PMC10800888, DOI: 10.3389/fpsyt.2023.1339801.Peer-Reviewed Original ResearchMedication adherenceAssertive community treatmentLong-Acting Injectable MedicationsPsychiatric disordersInjectable medicationsAdherence enhancementCommunity treatmentHomeless adultsSystematic reviewPsychiatric medication adherenceSubstance use disordersFull-text reviewModified therapeutic communityPeer-reviewed journalsInpatient interventionLarge RCTsSelf-designed scaleHomeless individualsOutpatient interventionInpatient carePharmacy clinicObservational studyInclusion criteriaUse disordersPeer-reviewed studies
2023
Risk of dementia among veterans experiencing homelessness and housing instability
Roncarati J, DeVone F, Halladay C, Tsai J, Jutkowitz E. Risk of dementia among veterans experiencing homelessness and housing instability. Journal Of The American Geriatrics Society 2023, 72: 382-389. PMID: 38053404, PMCID: PMC10922215, DOI: 10.1111/jgs.18680.Peer-Reviewed Original ResearchADRD diagnosisCox proportional hazards modelHousing instabilityRisk of dementiaProportional hazards modelSubstance use disordersAge-related disordersHigh riskHazards modelUse disordersAlzheimer's diseaseGreater riskOlder ageHealth systemCohortSupportive housing programPermanent supportive housing programNine-year periodVeteransWraparound servicesHigher hazardDementiaSignificant proportionDiseaseDiagnosisPrevalence 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 subpopulationsPrevalenceFirearm Ownership Among a Nationally Representative Sample of U.S. Veterans
Fischer I, Aunon F, Nichter B, Hill M, Panza K, Kline A, Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Firearm Ownership Among a Nationally Representative Sample of U.S. Veterans. American Journal Of Preventive Medicine 2023, 65: 1129-1133. PMID: 37354925, DOI: 10.1016/j.amepre.2023.06.013.Peer-Reviewed Original ResearchConceptsU.S. veteransMultivariable logistic regression analysisLogistic regression analysisAlcohol use disorderSuicide prevention effortsU.S. military veteransNationally Representative SampleMale sexTrauma burdenNational HealthRepresentative sampleFirearm ownershipChi-square analysisUse disordersFirearm safetyIndependent sample t-testLifetime historyVeterans StudyPrevention effortsPsychiatric variablesMilitary veteransVeteransRegression analysisT-testSignificant main effectCo-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans
Han B, Bronson J, Washington L, Yu M, Kelton K, Tsai J, Finlay A. Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans. Medical Care 2023, 61: 477-483. PMID: 37204150, PMCID: PMC10330246, DOI: 10.1097/mlr.0000000000001864.Peer-Reviewed Original ResearchConceptsMedical multimorbidityMental illnessOlder veteransCLS involvementCo-occurring mental illnessVeterans Health Administration facilitiesMultivariable logistic regression modelConcurrent mental illnessPatterns of multimorbidityDisease-specific carePoor health outcomesSubstance use disordersLogistic regression modelsHigh prevalenceHigh riskLow prevalenceMultimorbidityAppropriate careUse disordersHealth outcomesIllnessAdministration facilitiesPrevalenceHealth recordsVeteransEpidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system
Tsai J, Szymkowiak D, Zullig L. Epidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system. Cancer Epidemiology Biomarkers & Prevention 2023, 32: 617-624. PMID: 36791363, DOI: 10.1158/1055-9965.epi-22-1154.Peer-Reviewed Original ResearchConceptsSuicidal ideation/behaviorSubstance use disordersUse disordersVA health care systemVeterans Affairs administrative dataCommon primary siteCancer diagnosisIntrahepatic bile ductsRisk of cancerVA healthcare systemAlcohol use disorderCorrelates of cancerTypes of cancerHealth care systemIncident cancerTreatment of cancerBile ductIncidence rateHigh prevalenceLower riskPsychiatric correlatesPsychiatric characteristicsPsychiatric disordersPrimary sitePsychiatric conditionsSex-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 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 involvementCriminal 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 disordersPerceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sampleDisentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population
Tsai J, Edwards E, Cao X, Finlay AK. Disentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population. Psychological Services 2022, 19: 431-442. PMID: 35878068, DOI: 10.1037/ser0000537.Peer-Reviewed Original ResearchConceptsLifetime incarcerationPsychosocial characteristicsSubstance abuse factorsSubstance use disordersU.S. adult populationVeteran statusBorderline personality disorderRisk adultsMale genderUse disordersHistory of homelessnessAdult populationU.S. adultsBehavioral healthMental healthCivilian settingsPersonality disorderU.S. populationSociodemographic backgroundAdultsIncarceration historyAbuse factorsVeteransPrevalence of incarcerationStructured interviewsMental 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 conditionsEvictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US
Tsai J, Huang M, Blosnich JR, Elbogen EB. Evictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US. American Journal Of Community Psychology 2022, 70: 117-126. PMID: 35030643, DOI: 10.1002/ajcp.12581.Peer-Reviewed Original Research
2021
Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Kline AC, Panza KE, Nichter B, Tsai J, Harpaz-Rotem I, Norman SB, Pietrzak RH. Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. Psychiatric Services 2021, 73: 628-635. PMID: 34775790, DOI: 10.1176/appi.ps.202100112.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationSubstance use disordersCare utilizationU.S. military veteransMental dysfunctionNational HealthUse disordersHealth careVeterans StudyMental health care usePrimary health care providersHealth care useMilitary veteransHealth care providersUse of careHierarchical logistic regressionCare usePosttraumatic stress disorder (PTSD) symptom severitySleep disordersCare providersDisorder symptom severityU.S. veteransNeed factorsRisk 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 variablesMental 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 proportionProspective association between receipt of the economic impact payment and mental health outcomes
Tsai J, Huang M, Rajan SS, Elbogen EB. Prospective association between receipt of the economic impact payment and mental health outcomes. Journal Of Epidemiology & Community Health 2021, 76: 285-292. PMID: 34389662, PMCID: PMC8366281, DOI: 10.1136/jech-2021-216661.Peer-Reviewed Original ResearchConceptsMental health outcomesHealth outcomesUS adultsProspective associationsSuicidal ideationLow-income US adultsPositive COVID-19 testAlcohol use disorderPost-traumatic stress disorderIllicit drug useRecent suicidal ideationCOVID-19 testAlcohol use problemsAnnual personal incomePositive mental health outcomesHigher oddsMedical conditionsUse disordersBaseline assessmentDrug useSociodemographic characteristicsPast monthStress disorderAnxiety disordersMental healthDisentangling the association between PTSD symptom heterogeneity and alcohol use disorder: Results from the 2019–2020 National Health and Resilience in Veterans Study
Palmisano AN, Fogle BM, Tsai J, Petrakis IL, Pietrzak RH. Disentangling the association between PTSD symptom heterogeneity and alcohol use disorder: Results from the 2019–2020 National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2021, 142: 179-187. PMID: 34359013, DOI: 10.1016/j.jpsychires.2021.07.046.Peer-Reviewed Original Research