Timothy Schmutte, PsyD
Assistant Professor of PsychiatryCards
About
Research
Publications
2026
Comparing Risk Prediction for Suicide Attempts and Deaths After Emergency Department Visits for Individuals With Mental Health Disorders.
Marcus S, Wiesel Cullen S, Xie M, Liu T, Williams N, Schmutte T, Ungar L, Cardamone N, Olfson M. Comparing Risk Prediction for Suicide Attempts and Deaths After Emergency Department Visits for Individuals With Mental Health Disorders. The Journal Of Clinical Psychiatry 2026, 87 PMID: 41784443, PMCID: PMC12981230, DOI: 10.4088/jcp.25m16070.Peer-Reviewed Original ResearchConceptsMental health disordersSuicidal eventsHealth disordersSuicide deathsContinuum of severityRisk of suicide deathEmergency departmentDays of emergency departmentSuicide attemptsSuicidal thoughtsNonfatal attemptsResults:National Death IndexElectronic health recordsNonfatal outcomesEmergency department visitsSuicideLongitudinal cohort analysisConclusions:DisordersNational sampleED episodesHealth recordsDepartment visitsDeath IndexUsing Peer Specialists to Support Suicide Prevention: A Mixed-Methods Pilot of Peers for Valued Living (PREVAIL) in the Department of Veterans Affairs
Schmutte T, Dodge J, Klee A, Bullock J, Pfeiffer P, Wang T, McCoy J, Chinman M. Using Peer Specialists to Support Suicide Prevention: A Mixed-Methods Pilot of Peers for Valued Living (PREVAIL) in the Department of Veterans Affairs. Psychiatric Rehabilitation Journal 2026 PMID: 41587194, DOI: 10.1037/prj0000681.Peer-Reviewed Original ResearchHigh-risk veteransSuicide prevention interventionsPeer specialistsPreventive interventionsQualitative interviewsMixed-methods pilot studyDepartment of Veterans AffairsSevere psychiatric disabilitiesSuicidal ideationMixed-methods studyReliable change indexPersonal recoveryPsychiatric disabilitiesPreliminary effectivenessPerceived burdenVeterans AffairsValued livingSpecialist interventionSuicide preventionFeasibility studyQualitative analysisVeteransPositive experiencesSuicide riskPositive changes
2025
Comparing patterns of recent mental health service use for predicting suicidal events following emergency department mental health visits in the United States: A national cohort study
Schmutte T, Marcus S, Xie M, Cullen S, Liu T, Ungar L, Cardamone N, Williams N, Olfson M. Comparing patterns of recent mental health service use for predicting suicidal events following emergency department mental health visits in the United States: A national cohort study. Social Psychiatry And Psychiatric Epidemiology 2025, 61: 535-543. PMID: 41331149, PMCID: PMC12995995, DOI: 10.1007/s00127-025-03016-w.Peer-Reviewed Original ResearchMental health service useHealth service useMental health visitsService use variablesMental health diagnosesService useHealth visitsArea under the receiver operating curveMental healthHealth diagnosisOptum electronic health record dataEmergency departmentElectronic health record dataCohort studyDemographic characteristicsDays of ED dischargeHealth record dataMental health episodesSuicidal eventsNational cohort studySuicidal ideationLogistic regression modelsAcute careMental diagnosesED settingA cohort study of predictors of short-term nonfatal suicidal and self-harm events among individuals with mental health disorders treated in the emergency department
Marcus S, Cullen S, Schmutte T, Xie M, Liu T, Ungar L, Cardamone N, Williams N, Olfson M. A cohort study of predictors of short-term nonfatal suicidal and self-harm events among individuals with mental health disorders treated in the emergency department. Journal Of Psychiatric Research 2025, 186: 458-468. PMID: 40318538, DOI: 10.1016/j.jpsychires.2025.04.035.Peer-Reviewed Original ResearchConceptsSelf-harm eventsMental health disordersED visitsHealth disordersBulimia nervosaEmergency departmentNonfatal suicideDiagnosis of bulimia nervosaElectronic health record dataSuicidal self-harmEmergency mental healthcareSuicide-related eventsLogistic regressionHealth record dataMental health diagnosesEmergency department visitsMental health problemsVisits of individualsSuicidal symptomsMental healthcareED episodesHealth recordsSelf-harmShort-term riskHealth diagnosisEvaluating the Effect of Routine Lethal Means Counseling in the Emergency Department on Suicide Mortality Among Mental Health Patients
Marcus S, Cullen S, Xie M, Bridge J, Caterino J, Schmutte T, Olfson M. Evaluating the Effect of Routine Lethal Means Counseling in the Emergency Department on Suicide Mortality Among Mental Health Patients. AJPM Focus 2025, 4: 100336. PMID: 40688469, PMCID: PMC12274817, DOI: 10.1016/j.focus.2025.100336.Peer-Reviewed Original ResearchLethal means counselingMental health disordersEmergency departmentHealth disordersNational Medicaid claims dataSuicide deathsMental health patientsPeriod post-dischargeStorage of firearmsOdds ratio of deathMedicaid claims dataRisk of suicideHealth patientsObservational cohort studyRatio of deathED episodesED visitsSuicide mortalityPost-dischargeLethal meansOdds ratioED patientsStored firearmsCohort studyED managementClassifying Unstructured Text in Electronic Health Records for Mental Health Prediction Models: Large Language Model Evaluation Study
Cardamone N, Olfson M, Schmutte T, Ungar L, Liu T, Cullen S, Williams N, Marcus S. Classifying Unstructured Text in Electronic Health Records for Mental Health Prediction Models: Large Language Model Evaluation Study. JMIR Medical Informatics 2025, 13: e65454. PMID: 39864953, PMCID: PMC11884378, DOI: 10.2196/65454.Peer-Reviewed Original ResearchConceptsElectronic health recordsMental health termsHealth termsClinical expertsEmergency departmentHealth recordsPhysical healthMental healthElectronic health record systemsHealth care provider organizationsMental health-related problemsElectronic health record data setsCare provider organizationsMental health cliniciansMental health disordersHealth-related problemsED episodesHealth cliniciansRecords of individualsState-of-the-artDiagnostic codesHealth disordersHospital readmissionProvider organizationsMortality risk
2024
Mitigating Racial Bias in Health Care Algorithms: Improving Fairness in Access to Supportive Housing
Noam K, Schmutte T, Bory C, Plant R. Mitigating Racial Bias in Health Care Algorithms: Improving Fairness in Access to Supportive Housing. Psychiatric Services 2024, 75: 1167-1171. PMID: 38938093, DOI: 10.1176/appi.ps.20230359.Peer-Reviewed Original ResearchMedicaid beneficiariesMitigate racial biasEthnic parityHousing supportSupportive housingChronic health needsCoordinated health careRacial biasHealth needsEthnic biasEthnic groupsDiverse stakeholdersHealth careBeneficiariesIncreased scrutinyHousingHealth care decisionsHomelessnessReview outputsSupportCare decisionsHealthAuthorsScrutinyStakeholders
2023
Association of 7-Day Follow-Up With 6-Month Suicide Mortality Following Hospitalization for Suicidal Thoughts or Behaviors Among Older Adults
Schmutte T, Olfson M, Xie M, Marcus S. Association of 7-Day Follow-Up With 6-Month Suicide Mortality Following Hospitalization for Suicidal Thoughts or Behaviors Among Older Adults. American Journal Of Geriatric Psychiatry 2023, 32: 128-134. PMID: 37690981, PMCID: PMC10841311, DOI: 10.1016/j.jagp.2023.08.011.Peer-Reviewed Original ResearchAdjusted risk ratioMental health careSuicide riskPrior mental health careSuicidal thoughtsOutpatient mental health careSuicide-specific interventionsRetrospective cohort analysisNational Death IndexHealth careHigh-risk groupShort-term suicide riskMedicare Advantage enrolleesHigh suicide riskPostdischarge periodDeath IndexTimely followRisk ratioCohort analysisHigh riskMedicare dataTreatment weightsSuicidal ideationSuicidal behaviorInverse probabilityImplementing Peer Specialists in Suicide Prevention Efforts in the Veterans Health Administration
Schmutte T, Krishnamurti L, Davidson L, Klee A, Bullock J, Panas R, Pfeiffer P, Chinman M. Implementing Peer Specialists in Suicide Prevention Efforts in the Veterans Health Administration. Psychiatric Quarterly 2023, 94: 311-319. PMID: 37278930, PMCID: PMC10424796, DOI: 10.1007/s11126-023-10034-x.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationHigh-risk veteransSuicide prevention effortsPeer specialistsHealth AdministrationSuicide riskPrevention effortsVHA medical centersSuicide prevention interventionsHigh suicide riskPeer support specialistsMedical CenterPrevention interventionsPrevention coordinatorsTeam approachSuicidal thoughtsSuicide preventionUnderused interventionVeteransClinical directorsPeer supportAdequate trainingAdministrationClinical supervisionInterventionUse of Online Peer Support Groups Among People Living With or Supporting Someone With Mental Illness
Schmutte T, Ponte K, Davidson L. Use of Online Peer Support Groups Among People Living With or Supporting Someone With Mental Illness. Psychiatric Services 2023, 74: 217-217. PMID: 36722095, DOI: 10.1176/appi.ps.20220352.Peer-Reviewed Original Research