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 debt
2023
Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans
Nelson R, Montgomery A, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Byrne T. Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans. Journal Of General Internal Medicine 2023, 39: 587-595. PMID: 37884831, PMCID: PMC10973310, DOI: 10.1007/s11606-023-08337-7.Peer-Reviewed Original ResearchCause mortalityHealth outcomesSuicidal ideationSuicide attemptsCox proportional hazards regression approachVeterans AffairsRetrospective national cohort studyNational cohort studyRisk of deathImportant health outcomesImproved health outcomesUnique veteransAnalysis cohortOverall cohortCohort studyMean durationUS veteransTreatment weightingSuicide morbidityPrevention componentsMortalityInverse probabilitySuicide outcomesOutcomesSupportive servicesChanges 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 increasePurpose 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 HealthFood Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans
Elbogen E, Graziano R, LaRue G, Cohen A, Hooshyar D, Wagner H, Tsai J. Food Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans. Archives Of Suicide Research 2023, 28: 644-659. PMID: 37165670, PMCID: PMC10636240, DOI: 10.1080/13811118.2023.2200795.Peer-Reviewed Original ResearchMental health disordersSubsequent suicidal ideationHealth disordersSuicidal ideationOne-yearMilitary veteransSuicide riskIndependent risk markerSubsequent suicide riskU.S. military service membersPost-9/11 veteransMilitary service membersFood insecurityMultivariable analysisOdds of suicideRisk markersClinical covariatesHigher oddsElevated riskMental disordersSocial determinantsRepresentative longitudinal surveyDisordersService membersNational Longitudinal StudySex-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
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementCharacteristics of Tenants Who Delayed Rent Payments during Eviction Moratoria in 2020
Tsai J, Fish K, Schick V. Characteristics of Tenants Who Delayed Rent Payments during Eviction Moratoria in 2020. Journal Of Urban Health 2022, 99: 936-940. PMID: 36123570, PMCID: PMC9484717, DOI: 10.1007/s11524-022-00684-w.Peer-Reviewed Original ResearchErectile Dysfunction in a U.S. National Sample of Male Military Veterans
Way BM, Griffin KR, Kraus SW, Tsai J, Pietrzak RH. Erectile Dysfunction in a U.S. National Sample of Male Military Veterans. Military Medicine 2022, 188: 2837-2843. PMID: 35792506, DOI: 10.1093/milmed/usac187.Peer-Reviewed Original ResearchConceptsProbable post-traumatic stress disorderMajor depressive disorderPhysical health conditionsWeighted lifetime prevalenceErectile dysfunctionMental health issuesHealth conditionsHealth burdenLifetime prevalenceSelf-report assessmentsOdds of MDDProbable PTSDU.S. veteransSuicidal ideationAnxiety disordersHealth issuesPrevalent sexual dysfunctionHigh blood pressureMental health burdenMale U.S. veteransMilitary veteransU.S. veteran populationMental health conditionsPost-traumatic stress disorderRepresentative sampleProvision of social support and mental health in U.S. military veterans
Na P, Tsai J, Southwick S, Pietrzak R. Provision of social support and mental health in U.S. military veterans. Npj Mental Health Research 2022, 1: 4. PMID: 38609471, PMCID: PMC10938859, DOI: 10.1038/s44184-022-00004-9.Peer-Reviewed Original ResearchMental healthAdverse mental health outcomesSocial supportMental health outcomesMajority of veteransU.S. military veteransUS veteransLower oddsPsychiatric disordersRepresentative cohortHealth outcomesSuicidal ideationGood healthMilitary veteransStandard deviation increaseVeteransProvision of supportHealthOddsOutcomesDeviation increaseCohortMental Health Burden in Enlisted and Commissioned U.S. Military Veterans: Importance of Indirect Trauma Exposure in Commissioned Veterans
Merians AN, Na PJ, Tsai J, Harpaz-Rotem I, Pietrzak RH. Mental Health Burden in Enlisted and Commissioned U.S. Military Veterans: Importance of Indirect Trauma Exposure in Commissioned Veterans. Psychiatry 2022, 85: 418-432. PMID: 35532217, DOI: 10.1080/00332747.2022.2068301.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMajor depressive disorderU.S. military veteransSuicidal ideationMilitary veteransTrauma exposureMost mental health outcomesMental health burdenPast-year suicidal ideationDrug use disordersU.S. veteran populationMental health historyHigh exposureMental health outcomesMultivariable analysisDepressive disorderNational HealthHealth burdenPost-stratification weightsUse disordersVeteran populationHealth historyHealth outcomesIndirect trauma exposureVeterans StudyDispositional 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
Effects of Electroconvulsive Therapy on Suicidal Behavior and Emergency Department Use Among Homeless Veterans: A Propensity Score-Matched Study.
Tsai J, Peltzman T, Watts BV, Shiner B. Effects of Electroconvulsive Therapy on Suicidal Behavior and Emergency Department Use Among Homeless Veterans: A Propensity Score-Matched Study. The Journal Of Clinical Psychiatry 2021, 82 PMID: 34705349, DOI: 10.4088/jcp.21m13935.Peer-Reviewed Original ResearchMeSH KeywordsDiagnostic and Statistical Manual of Mental DisordersElectroconvulsive TherapyEmergency Service, HospitalEmergency Services, PsychiatricFemaleHumansIll-Housed PersonsMaleMedical OveruseMental DisordersMiddle AgedPatient Acceptance of Health CarePatient DischargeSuicidal IdeationSuicide, AttemptedUnited StatesUnited States Department of Veterans AffairsVeteransConceptsElectroconvulsive therapyEmergency department useHomeless veteransDepartment useSuicidal ideationVeterans Affairs Health Care SystemNational VA administrative dataPropensity score-matched studySuicide attemptsFirst ECT sessionVA administrative dataPsychiatric inpatient unitHealth care systemECT sessionsED useAcute servicesInpatient unitTreatment engagementPsychiatric conditionsPropensity scoreSuicidal behaviorCare systemVeteransFurther studiesAdministrative dataProspective 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 healthBehavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study
Straus E, Norman SB, Tripp JC, Tsai J, Sippel LM, Jeste DV, Southwick SM, Pietrzak RH. Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2021, 30: 297-310. PMID: 34417085, DOI: 10.1016/j.jagp.2021.07.006.Peer-Reviewed Original ResearchConceptsU.S. military veteransNational HealthPhysical healthMilitary veteransSuicidal ideationVeterans StudyFunctional measuresPsychiatric risk factorsLoneliness severityCross-sectional studyU.S. veteran populationPhysical health conditionsReliable self-report assessmentsCurrent suicidal ideationRisk factorsSelf-report assessmentsTransdiagnostic preventionCurrent prevalenceVeteran populationU.S. veteransFunctional difficultiesMental healthHealth conditionsIntervention targetsReporting feelingReceipt, 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 pandemicMental health and suicidal ideation in US military veterans with histories of COVID-19 infection
Na P, Tsai J, Harpaz-Rotem I, Pietrzak R. Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection. BMJ Military Health 2021, 168: 15-19. PMID: 34035155, PMCID: PMC8154290, DOI: 10.1136/bmjmilitary-2021-001846.Peer-Reviewed Original ResearchConceptsStrong independent predictorUS military veteransSuicidal ideationIndependent predictorsCOVID-19COVID-related stressorsInternalising disordersPsychiatric conditionsProtective factorsMilitary veteransCOVID-19 infectionLogistic regression analysisPsychiatric symptom severityLower household incomeCurrent suicidal ideationSubstance use problemsProspective cohortMultivariable analysisTrauma burdenPositive screenUS veteransNational HealthPsychiatric symptomsPsychiatric disordersVeterans StudyThe hidden burden of social anxiety disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Byrne SP, Fogle BM, Asch R, Esterlis I, Harpaz-Rotem I, Tsai J, Pietrzak RH. The hidden burden of social anxiety disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Affective Disorders 2021, 291: 9-14. PMID: 34022553, DOI: 10.1016/j.jad.2021.04.088.Peer-Reviewed Original ResearchConceptsU.S. military veteransPsychiatric comorbidityPsychiatric disordersSuicidal ideationU.S. veteransAnxiety disordersComorbid psychiatric disordersMilitary veteransLifetime major depressionImportance of screeningPrevalent mental disordersSocial anxiety disorderMental health functioningCurrent suicidal ideationMeasures of functioningPosttraumatic stress disorderLifetime social anxiety disorderIncremental burdenMultivariable analysisPsychiatric morbidityNational HealthRepresentative sampleMajor depressionFunctional impairmentPsychiatric historyPsychological 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 effortsPrevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions
Na PJ, Tsai J, Hill ML, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Prevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions. Journal Of Psychiatric Research 2021, 137: 351-359. PMID: 33756377, PMCID: PMC8545743, DOI: 10.1016/j.jpsychires.2021.03.021.Peer-Reviewed Original ResearchConceptsPre-existing psychiatric conditionsPsychiatric symptom severitySuicidal ideationPsychiatric conditionsPsychiatric symptomsSymptom severityCOVID-19Protective factorsCoronavirus disease 2019 (COVID-19) pandemicPast-year suicidal ideationCOVID-19 infectionDisease 2019 pandemicLifetime suicide attemptsU.S. military veteransMultivariable analysisNational HealthOlder veteransGeneral populationRepresentative cohortU.S. veteransVeterans StudySuicide attemptsOlder ageSuicide riskPsychosocial difficulties