2024
Mixed-methods formative evaluation of implementing an adapted suicide prevention treatment: Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration
Decker S, Kroll-Desrosiers A, Mattocks K, Aunon F, Galliford E, Doran N, Baird S, Rielage J, Ridley J, Bannister J, Giovannelli T, Landes S, Goodman M, Walker L, DeRycke E, Shriver C, Spana E, Honsberger M, Brown H, Demirelli S, Shest E, Martino S. Mixed-methods formative evaluation of implementing an adapted suicide prevention treatment: Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration. Frontiers In Psychiatry 2024, 15: 1495102. DOI: 10.3389/fpsyt.2024.1495102.Peer-Reviewed Original ResearchDialectical Behaviour Therapy Skills GroupEmotion dysregulationSuicide attemptsVeterans Health AdministrationSkill groupsReducing emotion dysregulationSuicide prevention treatmentsReduce suicide attemptsImproving coping skillsSuicidal behaviorCoping skillsSuicide preventionLimited staffingHealth AdministrationSuicideVeterans Health Administration medical centersHybrid effectiveness-implementation trialVeteran suicideMixed-methods formative evaluationVeteransIntegrated Promoting ActionEffectiveness-implementation trialPrevent veteran suicideQualitative dataRandomized controlled trials
2021
Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment
Decker SE, Ramsey CM, Ronzitti S, Kerns RD, Driscoll MA, Dziura J, Skanderson M, Bathulapalli H, Brandt CA, Haskell SG, Goulet JL. Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment. Psychiatry Research 2021, 303: 114089. PMID: 34247061, DOI: 10.1016/j.psychres.2021.114089.Peer-Reviewed Original ResearchConceptsMental health diagnosesMilitary sexual traumaVeterans Healthcare AdministrationSuicidal ideationHealth diagnosisSexual traumaRelative risk estimatesOEF/OIF/OND veteransSample of veteransPost-9/11 veteransSuicide risk factorsMental health concernsClinical remindersRisk factorsRelative riskHigh riskMen veteransMental healthcareHealth concernRisk estimatesMST survivorsWomenDiagnosisTraumaVeterans
2020
Sex Differences in Military Sexual Trauma and Severe Self-Directed Violence
Gross GM, Ronzitti S, Combellick JL, Decker SE, Mattocks KM, Hoff RA, Haskell SG, Brandt CA, Goulet JL. Sex Differences in Military Sexual Trauma and Severe Self-Directed Violence. American Journal Of Preventive Medicine 2020, 58: 675-682. PMID: 32037020, DOI: 10.1016/j.amepre.2019.12.006.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaSelf-directed violenceSexual traumaWomen veteransCox proportional hazards regression modelVeterans Health Administration (VHA) careProportional hazards regression modelsHazards regression modelsOperations Enduring Freedom/Iraqi Freedom/New Dawn veteransPsychiatric morbidityNew Dawn veteransSuicide attemptsBivariate analysisPreventative effortsTraumaWomenMenSex differencesVeteransRiskRegression modelsDemographic variablesSevere selfHospitalizationMorbidityChapter 12 Dialectical behavior therapy research and program evaluation in the Department of Veterans Affairs
Landes S, Decker S, McBain S, Goodman M, Smith B, Sullivan S, Spears A, Meyers L. Chapter 12 Dialectical behavior therapy research and program evaluation in the Department of Veterans Affairs. 2020, 275-292. DOI: 10.1016/b978-0-12-816384-9.00012-9.Peer-Reviewed Original ResearchDBT skills groupDialectical behavioral therapyBorderline personality disorderVeterans AffairsPosttraumatic stress disorderFemale veteransPersonality disorderIntensive outpatient programEvidence-based psychotherapiesTreatment of veteransProgram evaluationOutpatient programHigh riskTolerance groupDBT researchBehavioral therapyStress disorderEmotion dysregulationBehavior therapy researchDisordersVeteransSuicidalityDysregulationEfficacyTherapy research
2019
Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot
Decker SE, Adams L, Watkins LE, Sippel LM, Presnall-Shvorin J, Sofuoglu M, Martino S. Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot. Behavioural And Cognitive Psychotherapy 2019, 47: 616-621. PMID: 30894240, PMCID: PMC6936751, DOI: 10.1017/s1352465819000122.Peer-Reviewed Original ResearchConceptsDialectical behavior therapyUncontrolled pilot studySuicidal ideationPilot studyPrimary mental health providersBehavior therapyMental health careMental health providersEmotion dysregulationPreliminary efficacyHigh riskVeterans' useBaseline scoresHealth providersPotential efficacySuicide riskAdditional riskDysregulationSample t-testHealth careVeteransEfficacyIdeationT-testRisk
2013
Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences
Decker SE, Rosenheck RA, Tsai J, Hoff R, Harpaz-Rotem I. Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences. Women's Health Issues 2013, 23: e373-e380. PMID: 24183412, DOI: 10.1016/j.whi.2013.09.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultCrime VictimsFemaleHumansIll-Housed PersonsMental HealthMiddle AgedMilitary PersonnelMultivariate AnalysisPatient Acceptance of Health CarePatient PreferencePrevalenceRetrospective StudiesRisk FactorsSelf ReportSex OffensesSocioeconomic FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual assaultHomeless female veteransFemale veteransSexual assaultGreater mental health symptomsMental health symptomsSerious psychological sequelaePsychological distressPsychological sequelaeHomeless women veteransHealth symptomsThird of participantsTreatment preferencesPsychiatric symptomsCurrent homelessnessVeteransWomen veteransAssaultGreater severityClinical correlatesPTSDClinical symptomsHomeless womenObservational studyHigh risk
2012
Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck R, Decker S, Desai R, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, n/a-n/a. DOI: 10.1002/j.1573-6598.2012.21750.x.Peer-Reviewed Original ResearchHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeterans