2024
Multi-modal risk factors differentiate suicide attempters from ideators in military veterans with major depressive disorder
Goldstein K, Pietrzak R, Challman K, Chu K, Beck K, Brenner L, Interian A, Myers C, Shafritz K, Szeszko P, Goodman M, Haznedar M, Hazlett E. Multi-modal risk factors differentiate suicide attempters from ideators in military veterans with major depressive disorder. Journal Of Affective Disorders 2024, 369: 588-598. PMID: 39341292, DOI: 10.1016/j.jad.2024.09.149.Peer-Reviewed Original ResearchSuicide attemptsDepressive disorderGo/No-GoMilitary veteransSeverity of suicidal behaviorFractional anisotropyDecreased attentional controlUnited States military veteransDiagnosis of MDDDSM-5 diagnosisMagnetic-resonance-imagingSuicide prevention effortsDifferentiate veteransDSM-5Attentional controlSuicide attempt/sSuicidal behaviorSuicidal ideationMDDNeurocognitive assessmentHealthy control groupNeuroimaging variablesPrevention effortsIdeationSuicidePosttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden
Georgescu M, Fischer I, Beydoun M, McCarthy E, DeViva J, Pietrzak R. Posttraumatic stress disorder and insomnia in US military veterans: Prevalence, correlates, and psychiatric and functional burden. Journal Of Sleep Research 2024, e14269. PMID: 38845413, DOI: 10.1111/jsr.14269.Peer-Reviewed Original ResearchPosttraumatic stress disorderStress disorderMilitary veteransInsomnia groupCo-occurring posttraumatic stress disorderBurden of PTSDTreating posttraumatic stress disorderClinical management of insomniaRates of psychiatric conditionsGeneralized anxiety disorderCurrent suicidal ideationMitigate suicide riskUS veteransManagement of insomniaUS military veteransMental health burdenFunctional burdenAnxiety disordersDepressive disorderSuicidal ideationSuicide riskPsychiatric conditionsPsychosocial functioningSocial functioningInsomniaSuicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans
Fischer I, Nichter B, Trachik B, Bryan C, Pietrzak R. Suicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans. Psychiatry 2024, 87: 241-250. PMID: 38832675, DOI: 10.1080/00332747.2024.2352883.Peer-Reviewed Original ResearchSuicide-specific cognitionsU.S. military veteransMilitary veteransSuicidal ideationSuicide planLifetime history of suicide attemptsHistory of suicide attemptsAssociated with suicidal ideationSuicide Cognitions ScaleDepressive symptom severityThoughts of suicideMitigate suicide riskB-SCSAdverse childhood experiencesExploratory post hoc analysisSuicidal behaviorLifetime historySuicide riskSuicide attemptsSymptom severitySuicidal thoughtsCognitive scalesIndicator of riskChildhood experiencesIntervention effortsHelping the Helpers: Mental Health Challenges of Psychosocial Support Workers During the Russian-Ukrainian War
Kang H, Fischer I, Esterlis I, Kolyshkina A, Ponomarenko L, Chobanian A, Vus V, Pietrzak R. Helping the Helpers: Mental Health Challenges of Psychosocial Support Workers During the Russian-Ukrainian War. Disaster Medicine And Public Health Preparedness 2024, 18: e95. PMID: 38829179, DOI: 10.1017/dmp.2024.68.Peer-Reviewed Original ResearchConceptsPsychosocial support workersPosttraumatic stress disorderAssociated with greater oddsPresence of meaning in lifeMeaning in lifeSuicidal ideationMental health challengesGreater oddsMental healthLow optimismSupport workersHealth challengesMental health problemsCorrelates of burnoutPromote social connectednessStress disorderPsychosocial characteristicsGreater distressWar exposureGeneral populationHealth problemsSocial connectednessBurnoutOddsSocial relationshipsHealth and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans
Nichter B, Hill M, Maguen S, Norman S, Fischer I, Pietrzak R. Health and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans. Journal Of Psychosomatic Research 2024, 179: 111617. PMID: 38394711, DOI: 10.1016/j.jpsychores.2024.111617.Peer-Reviewed Original ResearchMilitary sexual traumaExposure to military sexual traumaU.S. combat veteransCombat veteransMoral injurySexual traumaNational Health and ResilienceSeverity of posttraumatic stressPast-year suicidal ideationPrevalence of military sexual traumaPhysical health comorbiditiesCo-occurrenceChronic medical conditionsGeneralized anxietyPopulation-based studyPosttraumatic stressSuicidal ideationVeterans StudySomatic complaintsPsychosocial functioningInsomnia symptomsMilitary veteransLifetime prevalencePMIEsHealth comorbiditiesFunctional correlates of a novel 8-factor model of PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Stiltner B, Fischer I, Duek O, Polimanti R, Harpaz-Rotem I, Pietrzak R. Functional correlates of a novel 8-factor model of PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2024, 171: 69-74. PMID: 38244335, DOI: 10.1016/j.jpsychires.2024.01.017.Peer-Reviewed Original ResearchConceptsModels of posttraumatic stress disorderPosttraumatic stress disorderNational Health and ResilienceU.S. military veteransArousal symptomsSuicidal ideationVeterans StudyCurrent depressionSymptom clustersMilitary veteransPosttraumatic stress disorder symptom clustersPosttraumatic stress disorder symptomsPosttraumatic Stress Disorder ChecklistAnxious arousal symptomsDysphoric arousal symptomsIntrusive symptom clustersOdds of suicidal ideationFunctional correlatesMulti-faceted disorderExternalizing behavioral symptomsAssociated with lower oddsAssociated with higher oddsSymptom structureAvoidance symptomsDSM-5
2023
Sex-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 correlatePrevalenceIdeationSubjective cognitive difficulties and posttraumatic stress disorder interact to increase suicide risk among middle-aged and older US military veterans
Cations M, Cook J, Nichter B, Esterlis I, Pietrzak R. Subjective cognitive difficulties and posttraumatic stress disorder interact to increase suicide risk among middle-aged and older US military veterans. International Psychogeriatrics 2023, 36: 599-607. PMID: 36756753, DOI: 10.1017/s1041610222001053.Peer-Reviewed Original ResearchPosttraumatic stress disorderSubjective cognitive difficultiesCurrent suicidal intentSuicidal intentSuicidal ideationPatient Health Questionnaire-9Suicide riskStress disorderCurrent posttraumatic stress disorderMilitary veteransCross-sectional studyUnited States military veteransUS military veteransCognitive Functioning ScaleOlder U.S. veteransCognitive difficultiesSubjective cognitive impairmentQuestionnaire-9US veteransNational HealthSuicide Behaviors QuestionnaireOlder veteransCognitive impairmentConcentration difficultiesU.S. veterans
2022
Prevalence 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 involvementProvision 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 increaseCohort
2021
Resilience to Suicidal Ideation among U.S. Military Veterans with Posttraumatic Stress: Results from the National Health and Resilience in Veterans Study
Kumar S, Hein C, DiLillo D, Pietrzak R. Resilience to Suicidal Ideation among U.S. Military Veterans with Posttraumatic Stress: Results from the National Health and Resilience in Veterans Study. Military Behavioral Health 2021, 10: 328-337. PMID: 36393818, PMCID: PMC9642972, DOI: 10.1080/21635781.2021.2015019.Peer-Reviewed Original ResearchPosttraumatic stress symptomsSuicidal ideationSuicidal ideation severityOperation Enduring Freedom/Operation Iraqi Freedom/Operation New DawnIdeation severityThree-year followSevere suicidal ideationMilitary combat veteransExperience higher ratesStrong protective factorU.S. military veteransOperation New DawnNational HealthVeterans StudyPsychological resilienceProtective factorsProtective psychological factorsTreatment effortsMilitary veteransSeverity
2014
Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study
Pietrzak RH, Tsai J, Armour C, Mota N, Harpaz-Rotem I, Southwick SM. Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2014, 174: 522-526. PMID: 25556669, DOI: 10.1016/j.jad.2014.12.007.Peer-Reviewed Original ResearchConceptsQuality of lifePosttraumatic stress disorderDSM-5 PTSD symptomsPTSD symptomsNational HealthU.S. veteransSuicidal ideationVeterans StudySymptom clustersDysphoric arousal symptomsCross-sectional designFunctional outcomePsychiatric comorbidityClinical significancePTSD symptom clustersCurrent depressionDSM-5 PTSD symptom clustersPTSD phenotypeMental disordersSymptomsComorbid psychopathologyStress disorderFunctional correlatesStatistical ManualTreatment efforts