2024
Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system.
Silveira S, Beydoun H, Tsai J. Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system. CNS Spectrums 2024, 1-8. PMID: 39576134, DOI: 10.1017/s1092852924002165.Peer-Reviewed Original ResearchSubstance use disordersPsychiatric disordersUse disorderMental illnessDiagnosis of cannabis use disorderAssociated with diagnosisDiagnosis of alcohol use disorderCannabis use disorderPosttraumatic stress disorderStimulant use disorderAlcohol use disorderHealthcare systemService-connected disability ratingDepartment of Veterans Affairs healthcare systemSample of veteransPrevalence of mental illnessCharlson Comorbidity IndexGroup of veteransManagement of mental illnessVeterans Affairs Healthcare SystemVA healthcare systemMS diagnosisSchizophrenia/schizoaffective disorderCorporate Data WarehouseDepressive disorder
2023
Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health
Griesemer I, Carter S, Weir A, Tsai J. Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health. Psychological Injury And Law 2023, 16: 408-415. DOI: 10.1007/s12207-023-09484-2.Peer-Reviewed Original ResearchMedical-legal partnershipMental health diagnosesLegal issuesHealth diagnosisLegal needsMental health challengesPoisson regression modelsPosttraumatic stress disorderAlcohol use disorderVeterans Affairs Connecticut Healthcare SystemCivil legal needsComplex legal issuesNeeds screeningClient intakeMental healthHealthcare systemHealthcare facilitiesAdministrative dataStress disorderHealth challengesUse disorderMedical-legalLegal clinicsLegal centerRegression modelsPurpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study
Fischer I, Nichter B, Feldman D, Na P, Tsai J, Harpaz-Rotem I, Schulenberg S, Pietrzak R. Purpose in life protects against the development of suicidal thoughts and behaviors in U.S. veterans without a history of suicidality: A 10-year, nationally representative, longitudinal study. Journal Of Affective Disorders 2023, 340: 551-554. PMID: 37557988, DOI: 10.1016/j.jad.2023.08.040.Peer-Reviewed Original ResearchConceptsIncident suicidal ideationAlcohol use disorderIncident suicide attemptsCurrent alcohol use disorderHistory of STBSuicidal ideationSuicide attemptsBaseline predictorsDaily livingPopulation-based prospective cohort studySuicidal thoughtsLow purposeCurrent posttraumatic stress disorderProspective cohort studyTraditional risk factorsLower annual household incomeMultivariable regression analysisEvidence-based interventionsUS military veteransPosttraumatic stress disorderAnnual household incomeCohort studyTrauma burdenRisk factorsNational HealthFirearm Ownership Among a Nationally Representative Sample of U.S. Veterans
Fischer I, Aunon F, Nichter B, Hill M, Panza K, Kline A, Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Firearm Ownership Among a Nationally Representative Sample of U.S. Veterans. American Journal Of Preventive Medicine 2023, 65: 1129-1133. PMID: 37354925, DOI: 10.1016/j.amepre.2023.06.013.Peer-Reviewed Original ResearchConceptsU.S. veteransMultivariable logistic regression analysisLogistic regression analysisAlcohol use disorderSuicide prevention effortsU.S. military veteransNationally Representative SampleMale sexTrauma burdenNational HealthRepresentative sampleFirearm ownershipChi-square analysisUse disordersFirearm safetyIndependent sample t-testLifetime historyVeterans StudyPrevention effortsPsychiatric variablesMilitary veteransVeteransRegression analysisT-testSignificant main effectEpidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system
Tsai J, Szymkowiak D, Zullig L. Epidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system. Cancer Epidemiology Biomarkers & Prevention 2023, 32: 617-624. PMID: 36791363, DOI: 10.1158/1055-9965.epi-22-1154.Peer-Reviewed Original ResearchConceptsSuicidal ideation/behaviorSubstance use disordersUse disordersVA health care systemVeterans Affairs administrative dataCommon primary siteCancer diagnosisIntrahepatic bile ductsRisk of cancerVA healthcare systemAlcohol use disorderCorrelates of cancerTypes of cancerHealth care systemIncident cancerTreatment of cancerBile ductIncidence rateHigh prevalenceLower riskPsychiatric correlatesPsychiatric characteristicsPsychiatric disordersPrimary sitePsychiatric conditionsSex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeation
2022
Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans: An Exploration of Potential Mediating Factors
Orak U, Kelton K, Vaughn M, Tsai J, Pietrzak R. Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans: An Exploration of Potential Mediating Factors. Criminal Justice And Behavior 2022, 50: 392-409. DOI: 10.1177/00938548221140352.Peer-Reviewed Original ResearchCombat veteransUse disordersCLS involvementU.S. combat veteransDrug use disordersAlcohol use disorderPotential mediating factorsRisk factorsNational HealthModifiable mechanismsHistory of homelessnessVeterans StudyDescriptive studyPrevention effortsPotential mechanismsNotable proportionVeteransInvolvementDisordersAssociationMoral injuryMediating factorsIndirect associationsLarge proportion
2021
Prospective association between receipt of the economic impact payment and mental health outcomes
Tsai J, Huang M, Rajan SS, Elbogen EB. Prospective association between receipt of the economic impact payment and mental health outcomes. Journal Of Epidemiology & Community Health 2021, 76: 285-292. PMID: 34389662, PMCID: PMC8366281, DOI: 10.1136/jech-2021-216661.Peer-Reviewed Original ResearchConceptsMental health outcomesHealth outcomesUS adultsProspective associationsSuicidal ideationLow-income US adultsPositive COVID-19 testAlcohol use disorderPost-traumatic stress disorderIllicit drug useRecent suicidal ideationCOVID-19 testAlcohol use problemsAnnual personal incomePositive mental health outcomesHigher oddsMedical conditionsUse disordersBaseline assessmentDrug useSociodemographic characteristicsPast monthStress disorderAnxiety disordersMental healthDisentangling the association between PTSD symptom heterogeneity and alcohol use disorder: Results from the 2019–2020 National Health and Resilience in Veterans Study
Palmisano AN, Fogle BM, Tsai J, Petrakis IL, Pietrzak RH. Disentangling the association between PTSD symptom heterogeneity and alcohol use disorder: Results from the 2019–2020 National Health and Resilience in Veterans Study. Journal Of Psychiatric Research 2021, 142: 179-187. PMID: 34359013, DOI: 10.1016/j.jpsychires.2021.07.046.Peer-Reviewed Original ResearchIncidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias.
Jutkowitz E, DeVone F, Halladay C, Hooshyar D, Tsai J, Rudolph JL. Incidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias. Rhode Island Medical Journal 2021, 104: 20-25. PMID: 33926154, PMCID: PMC8514122.Peer-Reviewed Original ResearchConceptsADRD diagnosisUse disordersAlzheimer's diseaseAdjusted hazard ratioYears of ageSubstance use disordersAlcohol use disorderPost-traumatic stress disorderVeterans Affairs administrative recordsHazard ratioLiver diseaseLung diseaseIncidence rateRelated dementiaYounger ageGreater riskDiseaseStress disorderIncidenceVeteransDisordersDementiaDiagnosisADRDAgePsychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U.S. adults
Tsai J, Elbogen EB, Huang M, North CS, Pietrzak RH. Psychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U.S. adults. Journal Of Affective Disorders 2021, 288: 41-49. PMID: 33839557, PMCID: PMC9754659, DOI: 10.1016/j.jad.2021.03.085.Peer-Reviewed Original ResearchConceptsMajor depressive disorderAlcohol use disorderCOVID-19 infectionSuicidal ideationUse disordersPatient Health Questionnaire-2Generalized Anxiety Disorder-2Anxiety disordersHistory of AUDPopulation-based preventionPsychological distressCurrent alcohol use disorderCOVID-19 statusLow-income U.S. adultsMultivariable analysisU.S adultsDepressive disorderDisorder-2Psychiatric problemsYounger ageU.S. adultsPTSD ChecklistQuestionnaire-2Alcohol useTreatment effortsMindfulness as a Mediator Between Trauma Exposure and Mental Health Outcomes: Results From the National Health and Resilience in Veterans Study
Kachadourian LK, Harpaz-Rotem I, Tsai J, Southwick S, Pietrzak RH. Mindfulness as a Mediator Between Trauma Exposure and Mental Health Outcomes: Results From the National Health and Resilience in Veterans Study. Psychological Trauma Theory Research Practice And Policy 2021, 13: 223-230. PMID: 33475404, PMCID: PMC8500672, DOI: 10.1037/tra0000995.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAlcohol use disorderLifetime traumaTrauma-related negative affectPresent momentVeterans StudyU.S. veteransTrauma-related experiencesSuicidal ideationTraumatic life eventsLifetime trauma burdenMental health outcomesQuality of lifeMental health problemsTrauma remindersNegative affectMindful attentionTrauma exposurePTSD symptomsMental health issuesTraumatic eventsCumulative traumaStress disorderNoncombat veteransLife events
2016
Interest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses
Klee A, Stacy M, Rosenheck R, Harkness L, Tsai J. Interest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses. Psychiatric Rehabilitation Journal 2016, 39: 173-179. PMID: 26985680, DOI: 10.1037/prj0000180.Peer-Reviewed Original ResearchConceptsSerious mental illnessMental illnessMental health-related problemsCommunity care centersAlcohol use disorderComputerized therapyTechnology-based interventionsHealth-related problemsGeneral population surveyMultivariable analysisInequitable careCare centerSociodemographic barriersUse disordersPsychiatric diagnosisIllnessPTSD diagnosisUnderserved populationsHealth careVeteransTechnology use patternsTherapyLower ratesService gapsDiagnosis
2014
Potential mental health needs of US adult residents under different provisions of the Affordable Care Act.
Tsai J, Pilver CE, Hoff RA. Potential mental health needs of US adult residents under different provisions of the Affordable Care Act. The Journal Of Clinical Psychiatry 2014, 75: 1402-10. PMID: 25271598, DOI: 10.4088/jcp.13m08885.Peer-Reviewed Original ResearchConceptsAffordable Care ActMental health needsHigh prevalenceAssociated Disabilities Interview Schedule-IVHealth needsPotential mental health needsUS adult populationCare ActAlcohol use disorderNational Epidemiologic SurveyClinical differencesUS adult residentsPsychiatric disordersHealth insurance exchangesUse disordersEpidemiologic SurveyPsychiatric diagnosisExpansion of MedicaidUS populationAdult populationMedicaid expansionRelated conditionsAnxiety disordersAdult residentsMedicaid
2013
When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments.
Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments. American Journal Of Public Health 2013, 103 Suppl 2: s225-31. PMID: 24148061, PMCID: PMC3969129, DOI: 10.2105/ajph.2013.301307.Peer-Reviewed Original ResearchConceptsVeterans Affairs emergency departmentEmergency departmentED usersClinical characteristicsUse disordersNational integrated health care systemNational VA administrative dataIntegrated health care systemEmergency department usersDrug use disordersHealth insuranceVA administrative dataCross-sectional studyHomeless veteransSubstance abuse diagnosisAlcohol use disorderHealth care systemUS veteransMedical conditionsAbuse diagnosisPsychiatric diagnosisMultivariate analysisFiscal year 2010Outreach servicesMental healthAlcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes
Tsai J, Kasprow WJ, Rosenheck RA. Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes. Addictive Behaviors 2013, 39: 455-460. PMID: 23490136, DOI: 10.1016/j.addbeh.2013.02.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersComorbidityFemaleHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedOutcome Assessment, Health CarePublic HousingQuality of LifeResidential TreatmentSelf ReportSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsDrug use disordersSubstance use disordersUse disordersHomeless veteransOutcomes 6 monthsHUD-VASHPrevalence of alcoholAlcohol use disorderClinical outcomesClinical statusDrug disordersBaseline differencesSubstance abuseSubstance useDisordersStrong associationPrevious monthMore nightsResidential treatmentVeteransMonthsProgram entryUrban Development-Veterans AffairsOutcomesPrevalence
2011
Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans
Edens EL, Kasprow W, Tsai J, Rosenheck RA. Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans. American Journal On Addictions 2011, 20: 412-419. PMID: 21838839, DOI: 10.1111/j.1521-0391.2011.00166.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-AgedAged, 80 and overCase-Control StudiesFemaleHumansIll-Housed PersonsIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedRisk FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans Disability ClaimsConceptsService-connected disabilityPersonality disorderUse disordersPathological gamblingClinical prevention effortsSubstance useLow-risk groupLow-risk subgroupsVA administrative dataSevere mental illnessSubstance use disordersAlcohol use disorderIllicit drug useMental health service usersOEF/OIFHealth service usersModifiable riskPrimary preventionSubgroup analysisReduced riskMental health usersVA servicesDrug useMental illnessLogistic regression