A5003430463- Suicide and Self-Harm Studies
- Mental Health Treatment and Access
- Emergency and Acute Care Studies
- Psychosomatic Disorders and Their Treatments
- Health Policy Implementation Science
- Posttraumatic Stress Disorder Research
- Migration, Health and Trauma
- Gun Ownership and Violence Research
- Treatment of Major Depression
- Substance Abuse Treatment and Outcomes
- Resilience and Mental Health
- Psychiatric care and mental health services
- Homelessness and Social Issues
- Occupational Health and Performance
- Healthcare Decision-Making and Restraints
- Trauma and Emergency Care Studies
- Child and Adolescent Psychosocial and Emotional Development
- Poisoning and overdose treatments
- Homicide, Infanticide, and Child Abuse
- Traumatic Brain Injury Research
- Electroconvulsive Therapy Studies
- Alcoholism and Thiamine Deficiency
- Healthcare professionals’ stress and burnout
- Mental Health Research Topics
- Bipolar Disorder and Treatment
JPS Health Network
2023-2025
John Peter Smith Hospital
2019-2025
United States Army Institute of Surgical Research
2025
University of North Texas
2013-2024
University of North Texas Health Science Center
2013-2024
Behavioral Health Services
2023
The University of Texas Rio Grande Valley
2023
Health Net
2020-2021
National Institute of Mental Health
2013-2021
Substance Abuse and Mental Health Services Administration
2021
The objective of this study was to ascertain trends in mental health-related visits U.S. emergency departments.Data were obtained from the National Hospital Ambulatory Medical Care Survey by using ICD-9-CM, E, and V codes as well reasons for visit.From 1992 2001, there 53 million visits, representing an increase 4.9 percent 6.3 all department 17.1 23.6 per 1,000 population across decade. most prevalent diagnoses substance-related disorders (22 visits), mood (17 percent), anxiety (16...
The prevalence and severity of suicidal ideation was established in a patient sample seeking emergency treatment for non-psychiatric reasons. Using computerised mental health screening panel, data were collected from waiting-room patients during randomised shifts over 45-day period. Of 1590 screened patients, 185 (11.6%) acknowledged 31 (2%) reported planning to kill themselves. Almost all those with (97%) symptoms consistent mood, anxiety and/or substance-related disorders. Structured...
Despite wide promotion, clinical practice guidelines have had limited effect in changing physician behavior. Effective implementation strategies to date included: multifaceted interventions involving audit and feedback, local consensus processes, marketing; reminder systems, either manual or computerized; interactive educational meetings. In addition, there is now growing evidence that contextual factors affecting must be addressed such as organizational support (leadership procedures...
American youth are seriously impacted by depression and suicide. The Texas Youth Depression Suicide Research Network (TX-YDSRN) Participant Registry Study was initiated in 2020 to develop predictive models for treatment outcomes with and/or suicidality. This report presents the study rationale, design baseline characteristics of first 1000 participants. TX-YDSRN consists Hub (coordinating center), 12 medical school "Nodes" (manage/implement study), each 1–5 primary care, inpatient,...
Background The terrorist attacks in the USA on 11 September 2001 affected suicide rates two European countries, whereas overall US remained stable. effect attack site rates, however, has not been studied. Aims To examine post-attack areas surrounding three airline crash sites. Method Daily mortality were modelled using time series techniques. Where rate change was significant, both duration and geographic scope analysed. Results Around World Trade Center, 180-day dropped significantly ( t =...
Understanding ambulance utilization patterns is essential to assessing prehospital system capacity and preparedness at the national level.To describe characteristics of patients transported U.S. emergency departments (EDs) by determine predictors utilization.Data were obtained from National Hospital Ambulatory Medical Care Survey using mode arrival, demographic visit information, ICD-9-CM E V-codes, classified reasons for visit.The rates ED visits persons conveyed ambulence stable between...
Objective: This study estimated the expected cost-effectiveness and population impact of outpatient interventions to reduce suicide risk among patients presenting general hospital emergency departments (EDs), compared with usual care. Several such have been found efficacious, but none is yet widespread, population-based implementation unknown. Methods: Modeled analysis three ED-initiated prevention previously be efficacious—follow-up via postcards or caring letters, follow-up telephone...
Abstract Introduction Rehabilitation in the acute care setting can have a significant impact on functional outcomes and is recognized as part of Intensive Care Unit liberation bundle. A previous performance improvement project 2018 found that wound assessments were most common barriers to rehabilitative our burn center. An interdisciplinary approach coordination was needed optimize rehabilitation participation without compromising assessments. Methods Several meetings held identify process...
Risk behaviors and psychological problems may limit recovery after trauma, be related to injury recidivism, the effectiveness of alcohol interventions in trauma patients. The aim current study was evaluate prevalence associated with their relationship use adult patients.A prospective cohort 301 patients admitted a single Level I center were interviewed regarding risk use.There evidence acute and/or chronic 48.2% cases. Over three fourths (77%) engaged one or more high-risk driving practices,...
In 2004, results from The Texas Medication Algorithm Project (TMAP) showed better clinical outcomes for patients whose physicians adhered to a paper-and-pencil algorithm compared who received standard treatment major depressive disorder (MDD). However, implementation of and fidelity the among various providers was observed be inadequate. A computerized decision support system (CDSS) TMAP depression has since been developed improve adherence algorithm.This 2-group, parallel design, trial (one...
Our objective was to examine all suicides (n = 423) in 2 geographic areas of the Veterans Health Administration (VHA) over a 7-year period and perform detailed chart reviews on subsample that had VHA visit last year life 381).Within this sample, we compared group with 1 or more documented psychiatric symptoms (68.5%) no such (31.5%). The groups were suicidal thoughts behaviors, somatic symptoms, stressors using χ(2) test time death after survival analyses.Veterans likely receive suicide risk...
Article Abstract Objective: This study examined the characteristics and outcomes of patients with major depressive disorder (MDD), or without atypical features, who were treated acute bilateral electroconvulsive therapy (ECT). Method: Analyses conducted 489 met DSM-IV criteria for MDD. Subjects identified as typical on basis Structured Clinical Interview obtained at baseline prior to ECT. Depression symptom severity was measured by 24-item Hamilton Rating Scale (HAM-D24) 30-item Inventory...
It is time to strategically apply science and accountability the public health problem of preventable suicide. U.S. suicide rates have remained stable for decades. More than 36,000 individuals now die by each year. A health-based approach quickly substantially reduce suicides requires strategic deployment existing evidence-based interventions, rapid development new measures increase results. The purpose this Open Forum galvanize researchers further develop consolidate knowledge needed guide...