• Author: Paul N. Pfeiffer
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Using peer specialists to support suicide prevention: A mixed-methods pilot of peers for valued living (PREVAIL) in the Department of Veterans Affairs

Abstract: OBJECTIVE: This mixed-methods study evaluated a pilot peer specialist intervention designed to reduce suicide risk in high-risk veterans with severe psychiatric …

Predictors of non-fatal suicide attempts and alignment with clinician assessments of overall risk: Findings from Veterans' comprehensive suicide risk evaluations

Abstract: This study examined the structured suicide risk assessment utilized by the Veterans Health Administration (VHA), the Comprehensive Suicide Risk Evaluation (CSRE), as …

Antipsychotic and mood stabilizer receipt for Veterans Affairs patients with PTSD: A national investigation

Abstract: Objective: Treatment guidelines recommend only a few medications for the treatment of posttraumatic stress disorder (PTSD). There is substantial guideline-nonconcordant …

Suicide risk evaluations and suicide in the Veterans Health Administration

Abstract: Importance: The Veterans Health Administration (VHA) implemented the Comprehensive Suicide Risk Evaluation (CSRE) in 2019 to standardize suicide risk assessment across …

Heterogeneity in 10-year course trajectories of moderate to severe major depressive disorder among Veterans

Abstract: Aims: Epidemiological studies show that despite the episodic nature, the long-term trajectory of depression can be variable. This study evaluated the heterogeneity of …

The evaluation of a web-based intervention (Deprexis) to decrease depression and restore functioning in Veterans: Protocol for a randomized controlled trial

Abstract: Background: Depressive symptoms are common in veterans, and the presence of these symptoms increases disability as well as suicidal thoughts and behaviors. However, there …

Generalized anxiety disorder screening scores are associated with greater treatment need among Veterans with depression

Abstract: Comorbid anxiety and depression predict a poorer prognosis than either disorder occurring alone. It is unclear whether self-reported anxiety symptom scores identify …

Retention in individual trauma-focused treatment following family-based treatment among US Veterans

Abstract: Importance: Despite the availability of several empirically supported trauma-focused interventions, retention in posttraumatic stress disorder (PTSD) psychotherapy is …

Depression symptom outcomes and re-engagement among VA patients who discontinue care while symptomatic

Abstract: Objective: Evaluate outcomes of Veterans who discontinued treatment with at least moderate ongoing depressive symptoms. Method: Veterans with elevated depression symptoms …

Behavioral Health Provider Burnout and Mental Health Care in the Veterans Health Administration

Abstract: Although many studies assess predictors of provider burnout, few analyses provide high-quality, consistent evidence on the impact of provider burnout on patient outcomes …

Outcomes of Acceptance and Commitment Therapy for depression and predictors of treatment response in Veterans Health Administration patients

Abstract: Acceptance and Commitment Therapy for depression (ACT-D) is a promising depression treatment which has not been evaluated on a large scale within VA. This study aimed to …

Latent Classes of PTSD Symptoms in Veterans Undergoing Residential PTSD Treatment

Although most veterans in the Department of Veterans Affairs (VA) health system are treated for posttraumatic stress disorder (PTSD) in the outpatient setting, the VA has …