2021
Factors Associated With 7-Day Follow-Up Outpatient Mental Healthcare in Older Adults Hospitalized for Suicidal Ideation, Suicide Attempt, and Self-Harm
Schmutte T, Olfson M, Xie M, Marcus SC. Factors Associated With 7-Day Follow-Up Outpatient Mental Healthcare in Older Adults Hospitalized for Suicidal Ideation, Suicide Attempt, and Self-Harm. American Journal Of Geriatric Psychiatry 2021, 30: 478-491. PMID: 34563430, PMCID: PMC10563141, DOI: 10.1016/j.jagp.2021.08.011.Peer-Reviewed Original ResearchConceptsOutpatient mental healthcareMental healthcareSuicidal ideationOlder adultsSuicide attemptsDays of dischargeRetrospective cohort analysisArea Health Resource FileNon-white patientsAmerican Hospital Association surveyAcademic medical centerSuicidal older adultsHospital dischargeCare continuityRisk ratioOutpatient careMedical CenterCohort analysisHigher oddsLower oddsEmergency careMedicare dataPatientsPsychiatric hospitalHospitalComparisons between suicide in persons with serious mental illness, other mental disorders, or no known mental illness: Results from 37 U.S. states, 2003–2017
Schmutte T, Costa M, Hammer P, Davidson L. Comparisons between suicide in persons with serious mental illness, other mental disorders, or no known mental illness: Results from 37 U.S. states, 2003–2017. Schizophrenia Research 2021, 228: 74-82. PMID: 33434737, PMCID: PMC7987877, DOI: 10.1016/j.schres.2020.11.058.Peer-Reviewed Original ResearchConceptsSerious mental illnessMental illnessMental disordersToxicology resultsSuicide decedentsCo-occurring substance use disordersSuicide deathsCo-occurring drug useContinuity of carePoor physical healthSubstance use disordersPrevious suicide attemptsImportant suicide prevention strategySuicide prevention strategiesTime of deathPost-mortem toxicology resultsCommon suicide methodAntidepressant medicationClinical characteristicsMedication adherenceCommon precipitating circumstancesLeading causeOdds ratioRetrospective analysisUse disorders
2020
Suicide in Older Adults With and Without Known Mental Illness: Results From the National Violent Death Reporting System, 2003–2016
Schmutte TJ, Wilkinson ST. Suicide in Older Adults With and Without Known Mental Illness: Results From the National Violent Death Reporting System, 2003–2016. American Journal Of Preventive Medicine 2020, 58: 584-590. PMID: 32001049, PMCID: PMC7089842, DOI: 10.1016/j.amepre.2019.11.001.Peer-Reviewed Original ResearchConceptsMental health conditionsMental illnessOlder adultsSuicide decedentsSuicide deathsHealth conditionsFemale suicide decedentsMost suicide deathsU.S. geriatric populationRisk older adultsPhysical health problemsMost older adultsClinical characteristicsPast suicide attemptsGeriatric populationRetrospective analysisLaw enforcement reportsSuicidal intentHealth problemsOld maleIllnessSuicide attemptsU.S. adultsSuicide risk increasesDepressed mood
2019
Self-Harm, Suicidal Ideation, and Attempted Suicide in Older Adults: A National Study of Emergency Department Visits and Follow-Up Care
Schmutte T, Olfson M, Xie M, Marcus SC. Self-Harm, Suicidal Ideation, and Attempted Suicide in Older Adults: A National Study of Emergency Department Visits and Follow-Up Care. American Journal Of Geriatric Psychiatry 2019, 28: 646-658. PMID: 31917069, PMCID: PMC7246137, DOI: 10.1016/j.jagp.2019.12.003.Peer-Reviewed Original ResearchConceptsEmergency departmentSuicidal ideationSuicide attemptsOlder adultsEmergency encountersMental disordersMental health outpatient careOutpatient mental health visitsArea Health Resource File dataMental health visitsRetrospective cohort analysisEmergency department visitsService use characteristicsMental health diagnosesUS older adultsYears of ageDischarge dispositionDepartment visitsHealth visitsCommunity dischargeClinical recognitionRisk ratioOutpatient careMedicare claimsCohort analysisDeliberate self‐harm in older adults: A national analysis of US emergency department visits and follow‐up care
Schmutte T, Olfson M, Xie M, Marcus SC. Deliberate self‐harm in older adults: A national analysis of US emergency department visits and follow‐up care. International Journal Of Geriatric Psychiatry 2019, 34: 1058-1069. PMID: 30933388, PMCID: PMC6579649, DOI: 10.1002/gps.5109.Peer-Reviewed Original ResearchConceptsMental health careOutpatient mental health careEmergency department visitsAdjusted risk ratioMental disorder diagnosesMental disordersDepartment visitsHealth careMental health outpatient careOlder adult Medicare beneficiariesUS Emergency Department VisitsDisorder diagnosisOlder adultsAdult Medicare beneficiariesRetrospective cohort analysisAfrican American patientsPsychiatric inpatient careYears of ageMedical comorbiditiesDischarge dispositionED visitsMost patientsTimely followRisk ratioAmerican patientsNational study of emergency department disposition for high suicide risk geriatric patients
Schmutte T, Olfson M, Xie M, Marcus SC. National study of emergency department disposition for high suicide risk geriatric patients. General Hospital Psychiatry 2019, 58: 67-70. PMID: 30933688, PMCID: PMC6500465, DOI: 10.1016/j.genhosppsych.2019.03.005.Peer-Reviewed Original ResearchConceptsHospital admissionEmergency departmentSuicide ideationOlder adultsPredictors of hospitalizationRetrospective cohort analysisArea Health Resource FileEmergency department dispositionMental health conditionsSubstance use disordersMost older adultsED episodesMedical comorbiditiesED visitsMedical morbidityGeriatric patientsPatient factorsRisk ratioMedicare claimsCohort analysisHigh riskPsychiatric unitUse disordersAdmission statusCurrent diagnosis
2017
Improved Sleep, Diet, and Exercise in Adults with Serious Mental Illness: Results from a Pilot Self-Management Intervention
Schmutte T, Davidson L, O’Connell M. Improved Sleep, Diet, and Exercise in Adults with Serious Mental Illness: Results from a Pilot Self-Management Intervention. Psychiatric Quarterly 2017, 89: 61-71. PMID: 28455555, DOI: 10.1007/s11126-017-9516-9.Peer-Reviewed Original ResearchConceptsSerious mental illnessSelf-management programSleep qualityMental illnessPhysical health-related outcomesChronic Disease Self-Management ProgramDisease Self-Management ProgramSelf-reported sleep qualityChronic medical illnessHealth-promoting changesSelf-management interventionsReduced life expectancyHealth-related outcomesRobust risk factorMajority of adultsMedical morbidityMedical illnessPhysical morbidityRisk factorsPoor sleepPremature mortalityGeneral populationPhysical illnessExercise frequencyHealthy diet
2008
Stemming the Tide of Suicide in Older White Men: A Call to Action
Schmutte T, O'Connell M, Weiland M, Lawless S, Davidson L. Stemming the Tide of Suicide in Older White Men: A Call to Action. American Journal Of Men's Health 2008, 3: 189-200. PMID: 19477749, DOI: 10.1177/1557988308316555.Peer-Reviewed Original ResearchConceptsPrevention strategiesWhite menGeriatric mental healthPublic health problemOld white manElderly white menRisk age groupSuicide prevention initiativesAwareness of suicideOlder menHealth problemsAge groupsPrevention initiativesMental healthOlder adultsVulnerable populationsSuicideMenSuicide ratesLate adulthoodUnited StatesUnprecedented agingReality of suicide