A5015476701- Mental Health Treatment and Access
- Suicide and Self-Harm Studies
- Posttraumatic Stress Disorder Research
- Schizophrenia research and treatment
- Migration, Health and Trauma
- Bipolar Disorder and Treatment
- Treatment of Major Depression
- Healthcare professionals’ stress and burnout
- Medication Adherence and Compliance
- Primary Care and Health Outcomes
- Health disparities and outcomes
- Employment and Welfare Studies
- Digital Mental Health Interventions
- Mental Health and Patient Involvement
- Gun Ownership and Violence Research
- Maternal Mental Health During Pregnancy and Postpartum
- Pharmaceutical Practices and Patient Outcomes
- Mental Health and Psychiatry
- Health Systems, Economic Evaluations, Quality of Life
- Psychosomatic Disorders and Their Treatments
- Substance Abuse Treatment and Outcomes
- Mental Health Research Topics
- Family Support in Illness
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Family Caregiving in Mental Illness
University of Michigan
2012-2021
VA Center for Clinical Management Research
2008-2021
VA Ann Arbor Healthcare System
2007-2020
John D. Dingell VA Medical Center
2020
Battle Creek VA Medical Center
2020
Hudson Institute
2018
Health Services Research & Development
2004-2017
University of Arkansas for Medical Sciences
2017
University of Massachusetts Chan Medical School
2016
University of Washington
2016
Context:Although numerous studies have documented the clear link between psychiatric conditions and suicide, few allowed for comparison strength of association different diagnoses suicide.Objective: To examine types risk suicide in patients receiving health care services from Department Veterans Affairs fiscal year (FY) 1999.Design: This project examined National Death Index data Health Administration patient treatment records.
There are limited data on the extent to which suicide mortality is associated with specific pain conditions.To examine associations between clinical diagnoses of noncancer conditions and among individuals receiving services in Department Veterans Affairs Healthcare System.Retrospective analysis.Data were extracted from National Death Index treatment records System.Individuals fiscal year 2005 who remained alive at start 2006 (N = 4 863 086).Analyses examined association baseline pain-related...
Many patients with schizophrenia are poorly adherent antipsychotic medications. The newer, atypical antipsychotics may be more acceptable to and result in increased adherence. We used national Department of Veterans Affairs (VA) pharmacy data examine whether receiving agents their medication explored patient factors associated Patients who received a diagnosis or schizoaffective disorder between October 1, 1998, September 30, 1999, were identified the VA National Psychosis Registry....
Comprehensive NeuroScience, Inc., 21 Bloomingdale
Article Abstract Objective: Approximately 40% of patients with schizophrenia are poorly adherent to their antipsychotics at any given time. However, little is known about patients†adherence over time, although this has important services implications. We examined antipsychotic adherence 4 years the aggregate and individual level among a large cohort patients. Method: identified 34,128 Veterans Affairs who received diagnosis an fill in fiscal year (FY) 1999, completed visits each next...
We sought to report clinical and demographic factors associated with suicide among depressed veterans in an attempt determine what characteristics identified at high risk for suicide.We used longitudinal, nationally representative data (1999-2004) rates veterans, estimating time until using Cox proportional hazards regression models.Of 807694 meeting study criteria, 1683 (0.21%) committed during follow-up. Increased risks were observed male, younger, non-Hispanic White patients. Veterans...
Understanding and reducing mortality from suicide among veterans is a national priority, particularly for individuals receiving care the US Veterans Health Administration (VHA). This report examines rates VHA patients compares them with in general population. Suicide was assessed fiscal year 2001 alive at start of that use years 2000-2001 (n = 4,692,034). Deaths were identified by using National Death Index data. General population Web-based Injury Statistics Query Reporting System....
Abstract Background: Smoking, alcohol use, and depression are interrelated highly prevalent in patients with head neck cancer, adversely affecting quality of life survival. alcohol, share common treatments, such as cognitive behavioral therapy antidepressants. Consequently, we developed tested a tailored smoking, intervention for cancer. Methods: Patients cancer at least one these disorders were recruited from the University Michigan three Veterans Affairs medical centers. Subjects...
Background Patients with diabetes and depression often have self-management needs that require between-visit support. This study evaluated the impact of telephone-delivered cognitive behavioral therapy (CBT) targeting patients' management depressive symptoms, physical activity levels, diabetes-related outcomes. Methods Two hundred ninety-one patients type 2 significant symptoms (Beck Depression Inventory scores ≥14) were recruited from a community-based, university-based, Veterans Affairs...
Citizen soldiers (National Guard and Reserves) represent approximately 40% of the two million armed forces deployed to Afghanistan Iraq. Twenty‐five forty percent them develop PTSD, clinical depression, sleep disturbances, or suicidal thoughts. Upon returning home, many encounter additional stresses hurdles obtaining care: specifically, civilian communities lack military medical/psychiatric facilities; financial, job, relationship have evolved been exacerbated during deployment; uncertainty...
Observational research frequently uses administrative codes for mental health or substance use diagnoses and important behaviours such as suicide attempts. We sought to validate (International Classification of Diseases, 9 th edition, clinical modification diagnostic E-codes) entered in Veterans Health Administration data patients with depression versus a gold standard electronic medical record text ("chart notation"). Three random samples were selected, each stratified by geographic region,...
Depressive disorders greatly increase suicide risk; however, little is known about the contribution of comorbid anxiety or symptoms to risk death among depressed patients. We examined whether veterans with had higher risks death.Using VA administrative databases we identified 887,859 patients depression. then used univariate and multivariate logistic regression, controlling for demographics substance use disorders, determine odds ratios completed associated individual presence any disorder,...
Objective: Despite dramatic increases in the rate of fatal accidental overdose recent years, risk factors for this outcome remain poorly understood, particularly clinical populations. The authors examined association psychiatric and substance use diagnoses with death from overdose. Method: study followed a cohort patients 2000 to 2006. included all treated Veterans Health Administration facilities during fiscal year 1999 who were alive at start (N=3,291,891). Death by was determined using...
Using national patient cohorts, we assessed rural-urban differences in suicide rates, risks, and methods veterans.We identified all Department of Veterans Affairs (VA) patients fiscal years 2003 to 2004 (FY03-04) alive at the start FY04 (n = 5,447,257) FY06-07 FY07 5,709,077). Mortality (FY04-05 FY07-08) was from National Death Index searches. Census criteria defined rurality. We used proportional hazards regressions calculate controlling for age, gender, psychiatric diagnoses, VA mental...
The purpose of this study was to evaluate the risk suicide among veteran men relative nonveteran by age and examine prevalence circumstances male veterans in different groups (18-34, 35-44, 45-64, ≥ 65 years).
Abstract Background Assessing predictors of suicide and means completion in patients with dementia may aid the development interventions to reduce risk among growing population individuals dementia. Methods This national, retrospective, cohort study used data from Department Veterans Affairs (fiscal years 2001–2005). The sample included ≥60 old diagnosed (N = 294,952), which 241 committed suicide. Potential were identified using logistic regression. Suicide methods are also reported. Results...
The current study examined rates of alcohol misuse among National Guard (NG) service members and their spouses/partners, concordance drinking behaviors couples, the effects misuse, depression, posttraumatic stress disorder (PTSD) on three measures family functioning. This is important because it addresses topics heavy functioning in an at-risk population-NG returning from a combat zone deployment. We surveyed NG (1,143) partners (674) 45-90 days after military Service member hazardous were...
Using data from the 1999 Large Health Survey of Veterans, Veterans Affairs' medical records, and National Death Index (N = 260,254), association between self-reported pain severity suicide among veterans as examined, after accounting for demographic variables psychiatric diagnoses. A Cox proportional hazards regression demonstrated that with severe were more likely to die by than patients experiencing none, mild, or moderate (HR: 1.33; 95% CI: 1.15, 1.54), controlling characteristics. These...