2024
Drug 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 modelBarriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCareValidation of the Multi-Component Gratitude Measure (MCGM) with samples in the United States
Tsai J. Validation of the Multi-Component Gratitude Measure (MCGM) with samples in the United States. International Journal Of Applied Positive Psychology 2024, 9: 1027-1038. DOI: 10.1007/s41042-024-00169-y.Peer-Reviewed Original ResearchGratitude measuresExamination of construct validityInternal consistencyVeteran sampleWorded itemsAmazon Mechanical TurkPsychometric evaluationConstruct validityFactor analysisMechanical TurkNationally representative sampleVeteransPopulation sampleLow-income veteransEmotionsUS population sampleUS veteransGeneral populationRepresentative sampleItemsUnited StatesScaleContent reviewFindingsGratitudeGeographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest
Umucu E, Lee B, Chang C, Szymkowiak D, Tsai J. Geographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest. American Journal Of Community Psychology 2024, 74: 142-151. PMID: 38747475, DOI: 10.1002/ajcp.12751.Peer-Reviewed Original ResearchVeterans Integrated Service NetworkUnstable housingMental health conditionsStably housed veteransAssociated with increased riskMultivariate logistic regression analysisLogistic regression analysisIntegrated services networksPsychosocial correlatesUS veteransHealth conditionsCorrelates of homelessnessRural locationsVeteransLocation scoreStudy cohortIncarceration experienceMidwestern stateRegression analysisRisky behaviorsHomelessnessService networkGeographical characteristicsCareHousingThe mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Bulanchuk N, Edwards E, Pietrzak R, Tsai J. The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans. Journal Of Community Psychology 2024, 52: 399-414. PMID: 38289875, DOI: 10.1002/jcop.23105.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaAdverse childhood experiencesLifetime homelessnessSocial supportSexual traumaNationally representative sampleHistory of military sexual traumaCorrelates of homelessnessAvailability of social supportPerceived social supportInterpersonal social supportLow social supportRepresentative sampleChildhood adversityHomelessnessFemale veteransChildhood experiencesCommunity integrationMale counterpartsPath analysisVeteransUS veteransTrauma ratesNationalCorrelation analysis
2023
Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans
Nelson R, Montgomery A, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Byrne T. Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans. Journal Of General Internal Medicine 2023, 39: 587-595. PMID: 37884831, PMCID: PMC10973310, DOI: 10.1007/s11606-023-08337-7.Peer-Reviewed Original ResearchCause mortalityHealth outcomesSuicidal ideationSuicide attemptsCox proportional hazards regression approachVeterans AffairsRetrospective national cohort studyNational cohort studyRisk of deathImportant health outcomesImproved health outcomesUnique veteransAnalysis cohortOverall cohortCohort studyMean durationUS veteransTreatment weightingSuicide morbidityPrevention componentsMortalityInverse probabilitySuicide outcomesOutcomesSupportive servicesIntentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017
Rawat B, Reisman J, Pogoda T, Liu W, Rongali S, Aseltine R, Chen K, Tsai J, Berlowitz D, Yu H, Carlson K. Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017. JMIR Public Health And Surveillance 2023, 9: e42803. PMID: 37486751, PMCID: PMC10407646, DOI: 10.2196/42803.Peer-Reviewed Original ResearchConceptsTraumatic brain injurySelf-harm diagnosisVeterans Health AdministrationPrior traumatic brain injuryPosttraumatic stress disorderVHA health careIndex dateVHA utilizationHealth care encountersPTSD diagnosisUS veteransBrain injuryPrevalence of TBICharlson Comorbidity Index scoreUS Veterans Health AdministrationStress disorderComorbidity Index scoreRetrospective cohort studyAdjusted odds ratioHealth careSuicide prevention effortsVHA visitCohort studyPotential confoundersInjury codesAssociations Between Natural Language Processing–Enriched Social Determinants of Health and Suicide Death Among US Veterans
Mitra A, Pradhan R, Melamed R, Chen K, Hoaglin D, Tucker K, Reisman J, Yang Z, Liu W, Tsai J, Yu H. Associations Between Natural Language Processing–Enriched Social Determinants of Health and Suicide Death Among US Veterans. JAMA Network Open 2023, 6: e233079. PMID: 36920391, PMCID: PMC10018322, DOI: 10.1001/jamanetworkopen.2023.3079.Peer-Reviewed Original ResearchConceptsAdjusted odds ratioRisk of suicideSocial determinantsUS Veterans Health AdministrationSuicide deathsCohort entry dateStudy end dateNational Death IndexVeterans Health AdministrationCase-control studyConditional logistic regressionElectronic health record notesUnstructured clinical notesCohort entryDeath IndexMean ageUS veteransOdds ratioSDOHsVeteran deathsMAIN OUTCOMEHealth StudySDOHLarge effect sizesHealth AdministrationIdentifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study.
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, Lucas K, Schulenberg S, Pietrzak R. Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study. International Psychogeriatrics 2023, 35: 560-565. PMID: 36715004, DOI: 10.1017/s1041610222001223.Peer-Reviewed Original ResearchConceptsUS military veteransNational HealthMilitary veteransSignificant correlatesOlder US veteransAdverse health outcomesModifiable psychosocial factorsAdverse outcomesElastic net analysisUS veteransDepressive symptomsPsychosocial factorsHealth outcomesVeterans StudyPsychosocial variablesTreatment effortsCognitive outcomesCross-sectional dataVeteransOutcomesSocial supportCommunity integrationImportant correlatesHealthCorrelates
2022
Provision of social support and mental health in U.S. military veterans
Na P, Tsai J, Southwick S, Pietrzak R. Provision of social support and mental health in U.S. military veterans. Npj Mental Health Research 2022, 1: 4. PMID: 38609471, PMCID: PMC10938859, DOI: 10.1038/s44184-022-00004-9.Peer-Reviewed Original ResearchMental healthAdverse mental health outcomesSocial supportMental health outcomesMajority of veteransU.S. military veteransUS veteransLower oddsPsychiatric disordersRepresentative cohortHealth outcomesSuicidal ideationGood healthMilitary veteransStandard deviation increaseVeteransProvision of supportHealthOddsOutcomesDeviation increaseCohortLoneliness in U.S. military veterans during the COVID-19 pandemic: A nationally representative, prospective cohort study
Na PJ, Straus E, Tsai J, Norman SB, Southwick SM, Pietrzak RH. Loneliness in U.S. military veterans during the COVID-19 pandemic: A nationally representative, prospective cohort study. Journal Of Psychiatric Research 2022, 151: 546-553. PMID: 35636030, PMCID: PMC9126310, DOI: 10.1016/j.jpsychires.2022.05.042.Peer-Reviewed Original ResearchConceptsPrevalence of lonelinessPersistent lonelinessPandemic-related social restrictionsMultivariable logistic regression modelProtective factorsCOVID-19 pandemicPre-existing psychiatric conditionsProspective cohort studyMilitary veteransPre-pandemic measuresLogistic regression modelsProtective psychosocial factorsU.S. military veteransProspective cohortCohort studyUS veteransNational HealthHigh riskPsychiatric disordersPsychosocial factorsCOVID-related stressorsPsychiatric conditionsVeterans StudyLongitudinal changesVulnerable populationsPredicting Uptake of the COVID Coach App Among US Military Veterans: Funnel Analysis Using a Probability-Based Panel
Jaworski BK, Taylor K, Ramsey KM, Heinz AJ, Steinmetz S, Owen JE, Tsai J, Pietrzak RH. Predicting Uptake of the COVID Coach App Among US Military Veterans: Funnel Analysis Using a Probability-Based Panel. JMIR Mental Health 2022, 9: e36217. PMID: 35245204, PMCID: PMC8985691, DOI: 10.2196/36217.Peer-Reviewed Original ResearchUS military veteransOlder veteransMental health toolsDigital mental health toolsHealth toolsOlder adultsOlder veteran populationMilitary veteransMental health conditionsMobile mental health appsCOVID-19 pandemicPandemic-related stressorsPandemic-related stressMental health difficultiesMental health concernsAdverse childhood experiencesPosttraumatic stress disorder (PTSD) symptomsProspective cohortDays of useMedian timeUS veteransNational HealthVeteran characteristicsMental health appsVeteran population
2021
Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection
Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection. BMJ Military Health 2021, 168: 15-19. PMID: 34035155, PMCID: PMC8154290, DOI: 10.1136/bmjmilitary-2021-001846.Peer-Reviewed Original ResearchConceptsStrong independent predictorUS military veteransSuicidal ideationIndependent predictorsCOVID-19COVID-related stressorsInternalising disordersPsychiatric conditionsProtective factorsMilitary veteransCOVID-19 infectionLogistic regression analysisPsychiatric symptom severityLower household incomeCurrent suicidal ideationSubstance use problemsProspective cohortMultivariable analysisTrauma burdenPositive screenUS veteransNational HealthPsychiatric symptomsPsychiatric disordersVeterans StudyAssociation of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Pietrzak RH, Tsai J, Southwick SM. Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e214972. PMID: 33830230, PMCID: PMC8033430, DOI: 10.1001/jamanetworkopen.2021.4972.Peer-Reviewed Original Research
2020
Successful Aging in Older US Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Pietrzak RH, Levy BR, Tsai J, Southwick SM. Successful Aging in Older US Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2020, 29: 251-256. PMID: 32917477, PMCID: PMC10697787, DOI: 10.1016/j.jagp.2020.08.006.Peer-Reviewed Original ResearchConceptsOlder US veteransUS veteransMental health difficultiesNational HealthPsychosocial factorsVeterans StudyHealth difficultiesSuccessful agingProtective psychosocial factorsOlder veteransCurrent prevalenceTreatment effortsPsychosocial correlatesSuccessful agersVeteransStrongest correlateHealthRepresentative sampleCorrelatesAging
2019
Experiences and Knowledge of US Department of Veterans Affairs Clinical Services, Research, and Education: Results From a National Survey of Veterans
Tsai J, Mehta K, Hunt-Johnson N, Pietrzak RH. Experiences and Knowledge of US Department of Veterans Affairs Clinical Services, Research, and Education: Results From a National Survey of Veterans. Journal Of Public Health Management And Practice 2019, 27: 173-185. PMID: 31592984, DOI: 10.1097/phh.0000000000001053.Peer-Reviewed Original ResearchConceptsPrimary health care providersOpioid use disorderVA health careHealth care providersClinical servicesChronic painCare providersUse disordersVA servicesVeterans Affairs Health Care SystemHealth careHealth care systemOverall high satisfactionMajority of veteransOne-quarterUS veteransComprehensive careVeteran characteristicsEligibility criteriaPsychosocial characteristicsCare systemVeteransComprehensive managementCareActive dutyAssociation 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
2017
Trajectories of posttraumatic growth among US military veterans: a 4‐year nationally representative, prospective cohort study
Tsai J, Pietrzak RH. Trajectories of posttraumatic growth among US military veterans: a 4‐year nationally representative, prospective cohort study. Acta Psychiatrica Scandinavica 2017, 136: 483-492. PMID: 28846800, DOI: 10.1111/acps.12800.Peer-Reviewed Original ResearchConceptsProspective cohort studyPTG trajectoriesUS military veteransCertain psychosocial factorsPosttraumatic stress disorder (PTSD) symptomsCohort studyUS veteransPsychosocial factorsGreater severityPosttraumatic growthPsychosocial variablesPredominant trajectoriesBaseline measuresDisorder symptomsMilitary veteransModerate posttraumatic growthAvoidance symptomsSymptomsSocial supportLatent growth mixtureVeteransRepresentative surveyGrowth mixtureMental 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
US Veterans’ Use Of VA Mental Health Services And Disability Compensation Increased From 2001 To 2010
Tsai J, Rosenheck RA. US Veterans’ Use Of VA Mental Health Services And Disability Compensation Increased From 2001 To 2010. Health Affairs 2016, 35: 966-973. PMID: 27269011, DOI: 10.1377/hlthaff.2015.1555.Peer-Reviewed Original ResearchConceptsVA mental health servicesMental health servicesDisability compensationHealth servicesVA disability compensationUS veteransVeteran populationVeterans Affairs Health Care SystemGulf War eraHealth care servicesVA health servicesCombat-related traumaHealth care systemVeterans' useVA servicesCare servicesCare systemService eraVeteransRepresentative surveyPopulationTraumaCare