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
2022
Associations Between Inpatient Induction on Medications for Opioid Use Disorder and Postdischarge Medications for Opioid Use Disorder Adherence, Overdose, and Service Use
Noam K, Schmutte T, Pirard S, Bourdon C, Langless D, Plant R. Associations Between Inpatient Induction on Medications for Opioid Use Disorder and Postdischarge Medications for Opioid Use Disorder Adherence, Overdose, and Service Use. Journal Of Addiction Medicine 2022, 17: e199-e201. PMID: 37267183, DOI: 10.1097/adm.0000000000001092.Peer-Reviewed Original ResearchConceptsCause hospital readmissionOpioid use disorderHospital readmissionOdds ratioService utilizationMedical adviceOpioid overdoseUse disordersAcute service utilizationRetrospective cohort analysisContinuous Medicaid enrollmentSignificant reductionInpatient inductionPostdischarge medicationsAdherent patientsPostdischarge periodInpatient medicationsEmergency departmentMedicaid adultsInpatient careOpioid overdosesPreadmission periodCohort analysisHigher oddsInpatient days
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 hospitalHospitalPredictive modeling of service discontinuation in transitional age youth with recent behavioral health service use
Bory C, Schmutte T, Davidson L, Plant R. Predictive modeling of service discontinuation in transitional age youth with recent behavioral health service use. Health Services Research 2021, 57: 152-158. PMID: 34396526, PMCID: PMC8763280, DOI: 10.1111/1475-6773.13871.Peer-Reviewed Original ResearchConceptsBehavioral health service useHealth service useTransitional age youthService usePrimary behavioral health diagnosisLogistic regressionBehavioral health diagnosesContinuity of careAge youthBehavioral health servicesBehavioral health needsBehavioral health careMedicaid claimsAdministrative claimsMedicaid beneficiariesHealth needsHealth servicesMedicaid enrollmentDiscontinuationHealth diagnosisMonthsHealth careYoung personService discontinuationCareSuicide risk in first year after dementia diagnosis in older adults
Schmutte T, Olfson M, Maust DT, Xie M, Marcus SC. Suicide risk in first year after dementia diagnosis in older adults. Alzheimer's & Dementia 2021, 18: 262-271. PMID: 34036738, PMCID: PMC8613307, DOI: 10.1002/alz.12390.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioADRD diagnosisOverall standardized mortality ratioSuicide riskGeneral geriatric populationChronic pain conditionsNational Death IndexSuicide risk screeningRecent mental healthRisk of suicideFirst yearPain conditionsDeath IndexGeriatric populationNational cohortMortality ratioRisk screeningHigh riskMedicare feeDementia diagnosisService beneficiariesAlzheimer's diseaseRural residenceMental healthOlder adultsSuicide Risk in the First Year Following Dementia Diagnosis: A National Study of U.S. Older Adults
Schmutte T, Maust D, Olfson M, Xie M, Marcus S. Suicide Risk in the First Year Following Dementia Diagnosis: A National Study of U.S. Older Adults. American Journal Of Geriatric Psychiatry 2021, 29: s118-s119. DOI: 10.1016/j.jagp.2021.01.113.Peer-Reviewed Original ResearchStandardized mortality ratioSubstance use disordersRecent mental healthADRD diagnosisDementia diagnosisUse disordersSuicide riskOlder adultsMental healthSuicide deathsChronic painRisk factorsHigh riskOverall standardized mortality ratioSuicide ratesGeneral geriatric populationChronic pain conditionsNational Death IndexSuicide mortalityHealth careVeterans Health AdministrationLife-saving careCohort of adultsFirst yearSuicide risk screeningCharacteristics of Behavioral Urgent Care Centers: A National Study During the COVID-19 Pandemic
Du K, Hsiang W, Schmutte T. Characteristics of Behavioral Urgent Care Centers: A National Study During the COVID-19 Pandemic. Psychiatric Services 2021, 72: 235-235. PMID: 33517688, DOI: 10.1176/appi.ps.202000874.Peer-Reviewed Original ResearchComparisons 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
Association of Suicide Prevention Interventions With Subsequent Suicide Attempts, Linkage to Follow-up Care, and Depression Symptoms for Acute Care Settings
Doupnik SK, Rudd B, Schmutte T, Worsley D, Bowden CF, McCarthy E, Eggan E, Bridge JA, Marcus SC. Association of Suicide Prevention Interventions With Subsequent Suicide Attempts, Linkage to Follow-up Care, and Depression Symptoms for Acute Care Settings. JAMA Psychiatry 2020, 77: 1021-1030. PMID: 32584936, PMCID: PMC7301305, DOI: 10.1001/jamapsychiatry.2020.1586.Peer-Reviewed Original ResearchConceptsSubsequent suicide attemptsSuicide prevention interventionsStandardized mean differenceDepression symptomsPrevention interventionsSuicide attemptsClinical trialsMean differencePatient self-report measuresMedical record reviewAcute care settingReduced depression symptomsPooled-effect estimatesEgger's regression testSmall-study effectsMental health careRandom-effects modelEffect sizeSelf-report measuresCochrane riskBias toolPrimary outcomeRecord reviewStudy inclusionOvid MEDLINEPeer Supports in Recovery
Schmutte T, Guy K, Davidson L, Bellamy C. Peer Supports in Recovery. 2020, 245-252. DOI: 10.1007/978-3-030-19847-3_21.Peer-Reviewed Original ResearchSerious mental illnessMental illnessCostly acute care servicesPeer supportPublic mental health settingsAcute care servicesCurrent evidence baseMental health settingsMental health systemPhysical health outcomesRecovery-oriented practiceEvidence-based practiceSystemic reviewHealth outcomesHealth settingsCare servicesHealth systemPeer supportersEvidence baseMental healthSubstance useIllnessPromising additionInvolvement of peopleCareSuicide 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 analysisWhat Is the Meaning of Recovery?
Davidson L, Schmutte T. What Is the Meaning of Recovery? 2019, 71-100. DOI: 10.1007/978-3-030-11908-9_4.Peer-Reviewed Original ResearchSerious mental illnessMental illnessMental health servicesConsumer/survivor movementPerson-centred careSelf-directed lifeRestoration of functioningMeaning of recoverySymptom reductionHealth servicesMental health fieldSocial determinantsPersonal recoveryPsychiatric disabilitiesClinical senseMental healthIllnessTerm recoveryDisability rights frameworkCareCommunity inclusionHealth fieldSurvivor movementRecoveryDeliberate 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
2018
A Pay-for-Performance Initiative to Reduce Pediatric Psychiatric Inpatient Length of Stay
Schmutte T, Van der Heide L, Szczygiel L, Phelan A, Davidson L, Plant R. A Pay-for-Performance Initiative to Reduce Pediatric Psychiatric Inpatient Length of Stay. Psychiatric Services 2018, 70: 156-158. PMID: 30394181, DOI: 10.1176/appi.ps.201800190.Peer-Reviewed Original ResearchConceptsPsychiatric Inpatient LengthInpatient lengthMore community-based servicesP4P programApparent adverse outcomesCommunity-based servicesDays postdischargePostdischarge careInpatient stayAdverse outcomesNonsignificant decreaseService useStayPerformance initiativesAdditional researchAverage lengthReadmissionPostdischargeNATIONAL STUDY OF EMERGENCY DEPARTMENT VISITS AND FOLLOW-UP TREATMENT FOR ATTEMPTED SUICIDE IN OLDER ADULTS
Schmutte T, Xie M, O’Connell M, Marcus S. NATIONAL STUDY OF EMERGENCY DEPARTMENT VISITS AND FOLLOW-UP TREATMENT FOR ATTEMPTED SUICIDE IN OLDER ADULTS. Innovation In Aging 2018, 2: 971-971. PMCID: PMC6239766, DOI: 10.1093/geroni/igy031.3597.Peer-Reviewed Original Research