Timothy Schmutte, PsyD
Assistant Professor of PsychiatryCards
About
Research
Publications
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, 1-9. PMID: 41331149, 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
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 hospitalHospital