Timothy Schmutte, PsyD
Assistant Professor of PsychiatryCards
About
Research
Publications
2025
Evaluating 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, 100336. 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 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 adults