2024
Socioeconomic Correlates of Suicidal Ideation in Military Veterans: Examining the Interaction Between Homelessness and Financial Debt
DuBois C, Falls A, Serrano B, Wagner H, Tsai J, Elbogen E. Socioeconomic Correlates of Suicidal Ideation in Military Veterans: Examining the Interaction Between Homelessness and Financial Debt. Community Mental Health Journal 2024, 60: 1617-1626. PMID: 39110293, DOI: 10.1007/s10597-024-01316-0.Peer-Reviewed Original ResearchHistory of homelessnessPosttraumatic stress disorderSuicidal ideationHigher debtHistory of criminal arrestCorrelates of suicidal ideationSample of veteransNational sample of veteransFinancial debtOdds of suicidal ideationNationally-representative studyCriminal arrestsHomelessnessStress disorderSocioeconomic correlatesMilitary veteransGreater lonelinessIdeationU.S. veteransNational sampleSuicide preventionVeteransDebtDecision-makingCurrent debtFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeterans
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 modelsChanges in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis
Spiller T, Na P, Merians A, Duek O, Ben-Zion Z, Tsai J, von Känel R, Harpaz-Rotem I, Pietrzak R. Changes in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis. Journal Of Psychiatric Research 2023, 165: 352-359. PMID: 37595331, DOI: 10.1016/j.jpsychires.2023.08.003.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSymptoms of PTSDTraumatic eventsPosttraumatic growthU.S. military veteransPTSD symptomsSuicidal ideationMental healthMilitary veteransIncrease of symptomsPopulation-based sampleCOVID-19 pandemicFirst yearStress disorderMost veteransSymptomsFirst monthPsychopathological symptomsGeneral resilienceGroup levelAnxietyVeteransIndividual reactionsDepressionSubtle increaseNot all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans
Kachadourian L, Duek O, Tsai J, Harpaz-Rotem I, Pietrzak R. Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans. Journal Of Affective Disorders 2023, 340: 728-731. PMID: 37572698, PMCID: PMC10754253, DOI: 10.1016/j.jad.2023.08.012.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderU.S. military veteransMilitary veteransIndex traumaPTSD symptomsDysphoric arousal symptomsIllness/injuryGreater overall severityIndex traumatic eventClinical presentationNational HealthDiagnostic criteriaTreatment approachesGreater severityOverall severityVeterans StudyInterpersonal violenceStress disorderTraumaArousal symptomsSymptomsVeteransPhenotypic heterogeneityTraumatic eventsSeverityIntentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017
Rawat B, Reisman J, Pogoda T, Liu W, Rongali S, Aseltine R, Chen K, Tsai J, Berlowitz D, Yu H, Carlson K. Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017. JMIR Public Health And Surveillance 2023, 9: e42803. PMID: 37486751, PMCID: PMC10407646, DOI: 10.2196/42803.Peer-Reviewed Original ResearchConceptsTraumatic brain injurySelf-harm diagnosisVeterans Health AdministrationPrior traumatic brain injuryPosttraumatic stress disorderVHA health careIndex dateVHA utilizationHealth care encountersPTSD diagnosisUS veteransBrain injuryPrevalence of TBICharlson Comorbidity Index scoreUS Veterans Health AdministrationStress disorderComorbidity Index scoreRetrospective cohort studyAdjusted odds ratioHealth careSuicide prevention effortsVHA visitCohort studyPotential confoundersInjury codes
2022
Dispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans
McGuire AP, Fagan JG, Tsai J, Merians AN, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Dispositional gratitude predicts the development of psychopathology and suicidal behaviors: Results from a 7-year population-based study of U.S. military veterans. Journal Of Psychiatric Research 2022, 149: 168-176. PMID: 35278781, PMCID: PMC9017955, DOI: 10.1016/j.jpsychires.2022.02.028.Peer-Reviewed Original ResearchConceptsMajor depressive disorderPosttraumatic stress disorderU.S. military veteransSuicidal ideationMental health outcomesSuicide attemptsSuicidal behaviorDevelopment of psychopathologyHealth outcomesMilitary veteransAdverse mental health outcomesPopulation-based studyPopulation-based samplePrimary prevention effortsMultivariable analysisDepressive disorderHigh riskBaseline levelsU.S. veteransStress disorderAnxiety disordersPrevention effortsIncident outcomesService membersVeterans
2021
Factors associated with post-traumatic growth in response to the COVID-19 pandemic: Results from a national sample of U.S. military veterans
Na PJ, Tsai J, Southwick SM, Pietrzak RH. Factors associated with post-traumatic growth in response to the COVID-19 pandemic: Results from a national sample of U.S. military veterans. Social Science & Medicine 2021, 289: 114409. PMID: 34537394, PMCID: PMC8445520, DOI: 10.1016/j.socscimed.2021.114409.Peer-Reviewed Original ResearchConceptsPost-traumatic growthPosttraumatic stress disorderPTSD symptomsU.S. military veteransPositive psychological changesNegative psychological outcomesMilitary veteransU.S. veteransNational samplePrior traumatic eventsAvoidance symptomsTrauma survivorsPsychological outcomesTraumatic eventsPsychological changesPsychosocial interventionsStress disorderPsychological distressPsychological impactCOVID-19 pandemicMajority of researchVeterans StudyMental healthLongitudinal studyFunctional correlatesProspective 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 healthReceipt, Spending, and Clinical Correlates of the Economic Impact Payment Among Middle- and Low-Income U.S. Adults
Tsai J, Huang M, Montgomery AE, Elbogen EB. Receipt, Spending, and Clinical Correlates of the Economic Impact Payment Among Middle- and Low-Income U.S. Adults. Psychiatric Services 2021, 72: 1377-1384. PMID: 34074140, DOI: 10.1176/appi.ps.202100001.Peer-Reviewed Original ResearchConceptsLow-income U.S. adultsU.S. adultsMental healthUse problemsRecent suicidal ideationDrug use problemsPosttraumatic stress disorderSchizophrenia spectrum disordersSubstance abuse problemsClinical characteristicsEligible adultsAlcohol use problemsClinical correlatesLow-income populationsSuicidal ideationStress disorderAbuse problemsAdultsCOVID-19 pandemicIncidence 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 disorderIncidenceVeteransDisordersDementiaDiagnosisADRDAgeAssociation of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Pietrzak RH, Tsai J, Southwick SM. Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e214972. PMID: 33830230, PMCID: PMC8033430, DOI: 10.1001/jamanetworkopen.2021.4972.Peer-Reviewed Original ResearchMindfulness 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 eventsDispositional gratitude and mental health in the U.S. veteran population: Results from the National Health and Resilience Veterans Study
McGuire AP, Fogle BM, Tsai J, Southwick SM, Pietrzak RH. Dispositional gratitude and mental health in the U.S. veteran population: Results from the National Health and Resilience Veterans Study. Journal Of Psychiatric Research 2021, 135: 279-288. PMID: 33516080, DOI: 10.1016/j.jpsychires.2021.01.020.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderDispositional gratitudePositive mental health outcomesMental healthCurrent posttraumatic stress disorderMajor depressive disorderMental health outcomesU.S. veteransReligiosity/spiritualityPsychological resilienceHigh gratitudeSocial phobiaStress disorderLow gratitudePsychiatric morbidityPsychosocial variablesAnxiety disordersSocial supportPsychosocial factorsMilitary veteransGratitudeNicotine dependenceSuicidal ideationPopulation-based dataVeterans
2020
The National Health and Resilience in Veterans Study: A Narrative Review and Future Directions
Fogle BM, Tsai J, Mota N, Harpaz-Rotem I, Krystal JH, Southwick SM, Pietrzak RH. The National Health and Resilience in Veterans Study: A Narrative Review and Future Directions. Frontiers In Psychiatry 2020, 11: 538218. PMID: 33362593, PMCID: PMC7755975, DOI: 10.3389/fpsyt.2020.538218.Peer-Reviewed Original ResearchNational HealthVeterans StudyMental disordersNarrative reviewVeterans Affairs Healthcare SystemPopulation-based dataUnique health needsUnited States veteransPost-traumatic stress disorderNon-veteran counterpartsPost-traumatic growthProtective psychosocial characteristicsProspective studyStates veteransIndependent cohortHealth outcomesHealth needsU.S. veteransCare deliveryClinical implicationsLongitudinal changesPsychosocial characteristicsProtective factorsStress disorderTreatment effortsDissociative symptoms predict risk for the development of PTSD: Results from the National Health and Resilience in Veterans Study (NHRVS)
Herzog S, Fogle BM, Harpaz-Rotem I, Tsai J, DePierro J, Pietrzak RH. Dissociative symptoms predict risk for the development of PTSD: Results from the National Health and Resilience in Veterans Study (NHRVS). Journal Of Psychiatric Research 2020, 131: 215-219. PMID: 32998083, DOI: 10.1016/j.jpsychires.2020.09.018.Peer-Reviewed Original ResearchConceptsDevelopment of PTSDPosttraumatic stress disorderU.S. military veteransDissociative symptomsRisk factorsDerealization symptomsIncident posttraumatic stress disorderTrauma exposureImmutable risk factorsProspective cohort studyPopulation-based risk factorsMilitary veteransPrediction of PTSDPotential clinical utilityTrauma-related factorsTrauma-exposed veteransCohort studyNational HealthRelative riskClinical utilityU.S. veteransVeterans StudySymptomsTrauma characteristicsStress disorderLongitudinal study of the housing and mental health outcomes of tenants appearing in eviction court
Tsai J, Jones N, Szymkowiak D, Rosenheck RA. Longitudinal study of the housing and mental health outcomes of tenants appearing in eviction court. Social Psychiatry And Psychiatric Epidemiology 2020, 56: 1679-1686. PMID: 32926182, DOI: 10.1007/s00127-020-01953-2.Peer-Reviewed Original ResearchConceptsMental health outcomesHealth outcomesMental healthMajor depressive disorderMental health treatmentMental health symptomsGeneralized anxiety disorderPosttraumatic stress disorderMental health issuesHousing instabilityResultsAt baselineMethodsOne hundredDepressive disorderPsychosocial statusInverse probability weightingHealth treatmentHealth symptomsSuicidal ideationSizable subgroupStress disorderAnxiety disordersHealth issuesLongitudinal studyDisordersBaselineDynamic interplay between PTSD symptoms and posttraumatic growth in older military veterans
Whealin JM, Pitts B, Tsai J, Rivera C, Fogle BM, Southwick SM, Pietrzak RH. Dynamic interplay between PTSD symptoms and posttraumatic growth in older military veterans. Journal Of Affective Disorders 2020, 269: 185-191. PMID: 32339132, DOI: 10.1016/j.jad.2020.03.020.Peer-Reviewed Original ResearchConceptsGreater posttraumatic growthPosttraumatic stress disorderPosttraumatic growthPTSD symptomsActive copingReligious copingOlder military veteransPositive psychological changesSubsequent posttraumatic growthMilitary veteransChronic PTSD symptomsWave 2Self-report natureSpecific symptom clustersAnxious arousalDysphoric arousalGreater severityHyperarousal symptomsTraumatic eventsPsychological changesStress disorderCopingSymptom clustersLongitudinal studyWave 3
2019
Awareness of Suicide Prevention Programs Among U.S. Military Veterans
Tsai J, Snitkin M, Trevisan L, Kraus SW, Pietrzak RH. Awareness of Suicide Prevention Programs Among U.S. Military Veterans. Administration And Policy In Mental Health And Mental Health Services Research 2019, 47: 115-125. PMID: 31529286, DOI: 10.1007/s10488-019-00975-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAwarenessComorbidityFemaleHealth PromotionHealth StatusHotlinesHumansMaleMental HealthMiddle AgedPatient Acceptance of Health CareSex FactorsSocial AdjustmentSocial StigmaSocial SupportSocioeconomic FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide PreventionSuicide, AttemptedUnited StatesVeteransYoung AdultConceptsSuicide prevention programsVeterans Crisis LinePrevention programsVeterans AffairsVA centersMedical conditionsSuicide preventionPrimary healthcare providersPosttraumatic stress disorderMajority of veteransU.S. military veteransHistory of suicidalityCrisis lineVeteran populationHealthcare providersSuicidal ideationU.S. veteransPast homelessnessStress disorderAnxiety disordersVeteran suicideMilitary veteransTargeted outreachVeteransPreventionPosttraumatic Stress Disorder Symptoms, Functioning, and Suicidal Ideation in US Military Veterans: A Symptomics Approach.
Kachadourian LK, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Posttraumatic Stress Disorder Symptoms, Functioning, and Suicidal Ideation in US Military Veterans: A Symptomics Approach. The Primary Care Companion For CNS Disorders 2019, 21 PMID: 31050228, DOI: 10.4088/pcc.18m02402.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPositive affectMeasures of functioningCognitive functioningNegative thoughtsPTSD symptomsConcentration difficultiesSleep difficultiesTreatment of PTSDUS military veteransSeverity of PTSDPosttraumatic stress disorder (PTSD) symptomsSuicidal ideationDSM-5 PTSD symptomsMilitary veteransLifetime trauma burdenIrritability/aggressionHyperarousal symptomsDisorder symptomsStress disorderPsychogenic amnesiaPTSD diagnosisQuality of lifeMental functioningMost variance