• Author: Brian Shiner
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Investigating the differential impact of psychosocial factors by patient characteristics and demographics on Veteran suicide risk through machine learning extraction of cross-modal interactions

Accurate prediction of suicide risk is crucial for identifying patients with elevated risk burden, helping ensure these patients receive targeted care. The US Department of Veteran …

Rural–urban disparities in access to interventional psychiatry treatments among U.S. Department of Veterans Affairs patients

Abstract: While tele-mental health has improved access to standard medication management and psychotherapy for rural veterans, implementation of interventional psychiatry …

Characteristics of rural Veterans using VA video-to-home telehealth or community care network for mental healthcare

Abstract: Objective: To compare characteristics of rural veterans using VA brick and mortar (B&M), VA video-to-home telehealth (VA VTH), or VA community care network (CCN) for …

Using natural language processing to inform targeted rural and urban Hispanic U.S. Department of Veterans Affairs suicide prediction models

Abstract: Rural Hispanic veterans experience elevated suicide rates when compared to urban counterparts. Group differences remain poorly understood. This study evaluates a …

Associations between delivery modality and treatment dose and density of trauma-focused evidence-based psychotherapy for posttraumatic stress disorder

Abstract: Recommended evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD), including Cognitive Processing Therapy (CPT) and Prolonged Exposure Therapy …

Exploring staff beliefs about unplanned discharge and related harms in VA substance use disorder residential programs: A qualitative study

Abstract: BACKGROUND: Unplanned discharge is common in substance use disorder (SUD) residential programs and associated with worse outcomes such as relapse and suicide. There is …

Reliable symptom worsening among Veterans receiving cognitive processing therapy or prolonged exposure therapy for posttraumatic stress disorder in routine Veterans Health Administration care

Abstract: Clinical practice guidelines recommend trauma-focused evidence-based psychotherapy (EBP) to treat posttraumatic stress disorder (PTSD). Some veterans and clinicians …

Comparing suicide rates for cognitive processing therapy versus prolonged exposure therapy for posttraumatic stress disorder

Abstract: OBJECTIVE: This study aimed to compare suicide mortality rates for patients receiving two evidence-based psychotherapy (EBP) protocols for posttraumatic stress disorder …

Preprocessing of natural language process variables using a data-driven method improves the association with suicide risk in a large Veterans affairs population

Abstract: Objective: Suicide risk assessment has historically relied heavily on clinical evaluations and patient self-reports. Natural language processing (NLP) of electronic …

Mental health care quality across the COVID-19 pandemic in rural versus urban patients

Abstract: This study reports on the quality of mental health care delivered to rural and urban Department of Veterans Affairs patients across the COVID-19 pandemic. This is a …

Evaluating evidence-based psychotherapy utilization patterns among suicide-risk-stratified Veterans diagnosed with posttraumatic stress disorder

Abstract: Posttraumatic stress disorder (PTSD) is a prevalent psychiatric condition, particularly among US Veterans. PTSD-diagnosed patients are more likely to experience suicidal …

Trauma-focused evidence-based psychotherapy for post-traumatic stress disorder delivered via video telehealth in the Veterans Health Administration

Abstract: Introduction: Trauma-focused evidence-based psychotherapy (EBP) is the recommended treatment for post-traumatic stress disorder (PTSD). During and after the COVID-19 …