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- Sexual sadism; sexual offenders; behavioral indicators; diagnostic validity; mental health professionals (1)
- Subthreshold PTSD. (1)
- Suicidal ideation; primary health care; community health centers; mental health services; disease management (1)
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- Suicide; Suicidal ideation; Older adults; Depression; Longitudinal (1)
Articles 1 - 18 of 18
Full-Text Articles in Medicine and Health Sciences
The Impact Of Exercise On Suicide Risk: Examining Pathways Through Depression, Ptsd, And Sleep In An Inpatient Sample Of Veterans, Collin L. Davidson, Kimberly A. Babson, Marcel O. Bonn-Miller, Tasha Souter, Steven D. Vannoy
The Impact Of Exercise On Suicide Risk: Examining Pathways Through Depression, Ptsd, And Sleep In An Inpatient Sample Of Veterans, Collin L. Davidson, Kimberly A. Babson, Marcel O. Bonn-Miller, Tasha Souter, Steven D. Vannoy
Steven D Vannoy
Suicide has a large public health impact. Although effective interventions exist, the many people at risk for suicide cannot access these interventions. Exercise interventions hold promise in terms of reducing suicide because of their ease of implementation. While exercise reduces depression, and reductions in depressive symptoms are linked to reduced suicidal ideation, no studies have directly linked exercise and suicide risk. The current study examined this associ- ation, including potential mediators (i.e., sleep disturbance, posttraumatic stress symptoms, and depression), in a sample of Veterans. SEM analyses revealed that exercise was directly and indirectly associated with suicide risk. Additionally, exercise was …
Characteristics, Management, And Depression Outcomes Of Primary Care Patients Who Endorse Thoughts Of Death Or Suicide On The Phq-9, Amy M. Bauer, Ya-Fen Chan, Hsiang Huang, Steven D. Vannoy, Jurgen Unuzter
Characteristics, Management, And Depression Outcomes Of Primary Care Patients Who Endorse Thoughts Of Death Or Suicide On The Phq-9, Amy M. Bauer, Ya-Fen Chan, Hsiang Huang, Steven D. Vannoy, Jurgen Unuzter
Steven D Vannoy
BACKGROUND: With increasing emphasis on integrat- ing behavioral health services, primary care providers play an important role in managing patients with suicidal thoughts. OBJECTIVE: To evaluate whether Patient Health Questionnaire-9 (PHQ-9) Item 9 scores are associated with patient characteristics, management, and depres- sion outcomes in a primary care-based mental health program. DESIGN: Observational analysis of data collected from a patient registry. PARTICIPANTS: Eleven thousand fifteen adults en- rolled in the Mental Health Integration Program (MHIP). INTERVENTIONS: MHIP provides integrated mental health services for safety-net populations in over 100 community health centers across Washington State. Key elements of the team-based model …
Activity Scheduling As A Core Component Of Effective Care Management For Late-Life Depression, Genevieve Riebe, Ming-Yu Fan, JüRgen UnüTzer, Steven D. Vannoy
Activity Scheduling As A Core Component Of Effective Care Management For Late-Life Depression, Genevieve Riebe, Ming-Yu Fan, JüRgen UnüTzer, Steven D. Vannoy
Steven D Vannoy
Background: Activity scheduling is an established component of evidenced-based treatment for late-life depression in primary care. We examined participant records from the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) trial to identify activity scheduling strategies used in the context of successful depression care management (CM), associations of activity scheduling with self-reported activity engagement, and depression outcomes. Methods: This study used observational mixed methods analysis of 4335 CM session notes from 597 participants in the intervention arm of the IMPACT trial. Grounded theory was used to identify 17 distinct activity categories from CM notes. Logistic regression was used to evaluate associations …
A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer
A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer
Steven D Vannoy
Objective: Integration of general medical and mental health services is a growing priority for safety-net providers. The authors describe a project that established a one-year learning collaborative focused on integration of services between community health centers (CHCs) and community mental health centers (CMHCs). Specific targets were treatment for general medical and psychiatric symptoms related to depression, bipolar dis- order, alcohol use disorders, and metabolic syndrome. Methods: This ob- servational study used mixed methods. Quantitative measures included 15 patient-level health indicators, practice self-assessment of resources and support for chronic disease self-management, and participant satisfaction. Results: Sixteen CHC-CMHC pairs were selected for …
Hopelessness And Suicidal Ideation In Iraq And Afghanistan War Veterans Reporting Subthreshold And Threshold Posttraumatic Stress Disorder, Matthew Jakupcak, Katherine D. Hoerster, Alethea Varra, Steven D. Vannoy, Bradford Felker, Stephen Hunt
Hopelessness And Suicidal Ideation In Iraq And Afghanistan War Veterans Reporting Subthreshold And Threshold Posttraumatic Stress Disorder, Matthew Jakupcak, Katherine D. Hoerster, Alethea Varra, Steven D. Vannoy, Bradford Felker, Stephen Hunt
Steven D Vannoy
Abstract: We examined hopelessness and suicidal ideation in association with subthreshold and threshold posttraumatic stress disorder (PTSD) in a sample of Iraq and Afghanistan War Veterans (U.S., N 275) assessed within a specialty VA postdeployment health clinic. Veterans completed paper-and-pencil questionnaires at intake. The military version of the PTSD Checklist was used to determine PTSD levels (No PTSD; subthreshold PTSD; PTSD), and endorsement of hopelessness or suicidal ideation were used as markers of elevated suicide risk. Veterans were also asked if they received mental health treatment in the prior 6 months. Veterans reporting subthreshold PTSD were 3 times more …
Suicide-Related Discussions With Depressed Primary Care Patients In The Usa: Gender And Quality Gaps. A Mixed Methods Analysis, Steven D. Vannoy, Lynne S. Robins
Suicide-Related Discussions With Depressed Primary Care Patients In The Usa: Gender And Quality Gaps. A Mixed Methods Analysis, Steven D. Vannoy, Lynne S. Robins
Steven D Vannoy
Objective: To characterise suicide-risk discussions in depressed primary-care patients. Design: Secondary analysis of recordings and self reports by physicians and patients. Descriptive statistics of depression and suicide-related discussion, with qualitative extraction of disclosure, enquiry and physician response. Setting: 12 primary-care clinics between July 2003 and March 2005. Participants: 48 primary-care physicians and 1776 adult patients. Measures: Presence of depression or suicide-related discussions during the encounter; patient and physician demographics; depression symptom severity and suicide ideation as measured by the Patient Health Questionnaire (PHQ9); physician’s decision-making style as measured by the Medical Outcomes Study Participatory Decision-Making Scale; support for autonomy as …
Opportunities And Challenges Of Implementing Collaborative Mental Health Care In Post-Katrina New Orleans, Wayne Bentham, Steven D. Vannoy, Katrina Badger, Ashley Wennerstrom, Benjamin F. Springgate
Opportunities And Challenges Of Implementing Collaborative Mental Health Care In Post-Katrina New Orleans, Wayne Bentham, Steven D. Vannoy, Katrina Badger, Ashley Wennerstrom, Benjamin F. Springgate
Steven D Vannoy
Increased community need for mental health resources and a desire to provide high quality, evidence-based, cost-effective care prompted REACH NOLA to create the Mental Health Infrastructure and Training (MHIT) program.
Mental Health Infrastructure And Training Project. Building Community Resilience Through Mental Health Infrastructure And Training In Post-Katrina New Orleans, Benjamin F. Springgate, Ashley Wennerstrom, Diana Meyers, Charles E. Allen, Steven D. Vannoy, Wayne Bentham, Kenneth B. Wells
Mental Health Infrastructure And Training Project. Building Community Resilience Through Mental Health Infrastructure And Training In Post-Katrina New Orleans, Benjamin F. Springgate, Ashley Wennerstrom, Diana Meyers, Charles E. Allen, Steven D. Vannoy, Wayne Bentham, Kenneth B. Wells
Steven D Vannoy
No abstract provided.
Advantages Of Using Estimated Depression- Free Days For Evaluating Treatment Efficacy, Steven D. Vannoy, Patricia Arean, JüRgen UnüTzer
Advantages Of Using Estimated Depression- Free Days For Evaluating Treatment Efficacy, Steven D. Vannoy, Patricia Arean, JüRgen UnüTzer
Steven D Vannoy
Objective: Several common methods for measuring treatment response present a snapshot of depression symptoms. The construct of estimated depression-free days (DFDs) simultaneously captures treatment outcome and estimates the patient’s experience of depression over time. The study compared this measure with traditional measures used in depression treatment research. Methods: This secondary data analysis was based on data from the Improving Mood—Promoting Access to Collaborative Treatment trial, a multisite depression treatment study conducted in 18 primary care clinics in five states and representing eight health care sys- tems. The sample of older adults (N=906) had been randomly assigned to receive collaborative care …
Suicide Inquiry In Primary Care: Creating Context, Inquiring, And Following Up, Steven D. Vannoy, Tonya Fancher, Caitlyn Meltvedt, JüRgen UnüTzer, Paul Duberstein, Richard L. Kravitz
Suicide Inquiry In Primary Care: Creating Context, Inquiring, And Following Up, Steven D. Vannoy, Tonya Fancher, Caitlyn Meltvedt, JüRgen UnüTzer, Paul Duberstein, Richard L. Kravitz
Steven D Vannoy
ABSTRACT PURPOSE We wanted to describe the vocabulary and narrative context of pri- mary care physicians’ inquiries about suicide. METHODS One hundred fifty-two primary care physicians (53% to 61% of those approached) were randomly recruited from 4 sites in Northern California and Rochester, New York, to participate in a study assessing the effect of a patient’s request for antidepressant medication on a physician’s prescribing behavior. Standardized patients portraying 2 conditions (carpal tunnel syndrome and major depression, or back pain and adjustment disorder with depressed mood) and 3 antidepressant request types (brand-specific, general, or none) made 298 unan- nounced visits to …
Course Of Suicide Ideation And Predictors Of Change In Depressed Older Adults, Kelly C. Cukrowicz, Paul R. Duberstein, Steven D. Vannoy, Thomas R. Lynch, Douglas R. Mcquoid, David C. Steffens
Course Of Suicide Ideation And Predictors Of Change In Depressed Older Adults, Kelly C. Cukrowicz, Paul R. Duberstein, Steven D. Vannoy, Thomas R. Lynch, Douglas R. Mcquoid, David C. Steffens
Steven D Vannoy
Background—Rates of suicide among older adults in the United States are higher than that of other age groups. Therefore, it is critically important to deepen understanding of the processes that drive suicide risk among at-risk older patients. To this end, we examined the longitudinal course of suicide ideation in a sample of treatment-seeking depressed adults 60 years of age or older. Methods—Secondary analyses were conducted with a longitudinal dataset including 343 older adults seeking treatment for depression in the context of a naturalistic treatment setting. Participants completed assessments of depressive symptoms and thoughts of suicide every three months for one …
Care Management For Depression And Osteoarthritis Pain In Older Primary Care Patients: A Pilot Study, Ju ̈Rgen Unu ̈Tzer, Melinda Hantke, Diane Powers, Lori Higa, Elizabeth Lin, Steven D. Vannoy, Stephen Thielke, Ming-Yu Fan
Care Management For Depression And Osteoarthritis Pain In Older Primary Care Patients: A Pilot Study, Ju ̈Rgen Unu ̈Tzer, Melinda Hantke, Diane Powers, Lori Higa, Elizabeth Lin, Steven D. Vannoy, Stephen Thielke, Ming-Yu Fan
Steven D Vannoy
Objective To establish the feasibility of and to generate preliminary evidence for the efficacy of a care management program addressing both physical and emotional pain associated with late-life depression and osteoarthritis. Methods Treatment development pilot study in three university affiliated primary care clinics. Participants were patients 60 years or older with depression and osteoarthritis pain. The intervention entailed a nurse administered care management program supporting depression and arthritis treatment by primary care physicians. Outcomes include depression, pain severity and functional impairment from pain assessed at baseline and 6 months. Results Fourteen patients participated in the pilot program. Between baseline and …
Professional Perspectives On Sexual Sadism, Julia E. Mclawsen, Rebecca L. Jackson, Steven D. Vannoy, Gregg J. Gagliardi, Mario J. Scalora
Professional Perspectives On Sexual Sadism, Julia E. Mclawsen, Rebecca L. Jackson, Steven D. Vannoy, Gregg J. Gagliardi, Mario J. Scalora
Steven D Vannoy
Significant controversy surrounds the diagnosis of sexual sadism. Research suggests that many characteristics attributed to sexual sadists fail to differentiate sexual offenders with and without this diagnosis. Furthermore, when there are differences between sadists and nonsadists, “sadistic” features are frequently associated with nonsadists. Finally, diagnosticians appear to use idiosyncratic methods to diagnose sexual sadism. These findings raise concerns about the reliability and validity of a diagnosis of sexual sadism, particularly with respect to how professionals conceptualize this diagnosis. This study examines how professionals understand the relative importance of behaviors associated with sadistic versus nonsadistic sexual offending. Professionals rated behaviors according …
Integrating Mental Health And Primary Care, Stephen Thielke, Steven D. Vannoy, JüRgen UnüTzer
Integrating Mental Health And Primary Care, Stephen Thielke, Steven D. Vannoy, JüRgen UnüTzer
Steven D Vannoy
No abstract provided.
Let’S Not Talk About It: Suicide Inquiry In Primary Care, Mitchell D. Feldman, Peter Franks, Paul R. Duberstein, Steven D. Vannoy, Ronald Epstein, Richard L. Kravitz
Let’S Not Talk About It: Suicide Inquiry In Primary Care, Mitchell D. Feldman, Peter Franks, Paul R. Duberstein, Steven D. Vannoy, Ronald Epstein, Richard L. Kravitz
Steven D Vannoy
ABSTRACT PURPOSE The purpose of this study was to ascertain physician characteristics associated with exploring suicidality in patients with depressive symptoms and the influence of patient antidepressant requests. METHODS Primary care physicians were randomly recruited from 4 sites in northern California and Rochester, NY; 152 physicians participated (53%-61% of those approached). Standardized patients portraying 2 conditions (major depres- sion and adjustment disorder) and 3 antidepressant request types (brand specific, general, or none) made unannounced visits to these physicians between May 2003 and May 2004. We examined factors associated with physician exploration of suicidality. RESULTS Suicide was explored in 36% of …
Models Of Care For Treating Late-Life Depression In Primary Care, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer
Models Of Care For Treating Late-Life Depression In Primary Care, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer
Steven D Vannoy
No abstract provided.
The Relationship Between Suicide Ideation And Late-Life Depression, Steven D. Vannoy, Paul Duberstein, Kelly Cukrowicz, Elizabeth Lin, Ming-Yu Fan, Ju ̈Rgen Unu ̈Tzer
The Relationship Between Suicide Ideation And Late-Life Depression, Steven D. Vannoy, Paul Duberstein, Kelly Cukrowicz, Elizabeth Lin, Ming-Yu Fan, Ju ̈Rgen Unu ̈Tzer
Steven D Vannoy
Objective: To describe the course of suicide ideation (SI) in primary-care based late-life depression treatment, identify predictors of SI, characterize the dynamic relationship between depression and SI, and test the hypothesis that collaborative care decreases the likelihood of reporting SI by decreasing the severity of depressive symptoms. Methods: This was a secondary analysis of a randomized controlled trial comparing collaborative care to usual care for late-life depression. Participants were 1,801 adults age 60 and older from eight diverse primary-care systems. Depression was measured using the Hopkins Symptoms Checklist (HSCL-20). SI was operation- alized using one item from the HSCL-20. Predictors …
Making An Impact On Late-Life Depression. Partnering With Primary Care Providers Can Double The Effect Of Treatment, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer
Making An Impact On Late-Life Depression. Partnering With Primary Care Providers Can Double The Effect Of Treatment, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer
Steven D Vannoy
Few depressed older adults seek help from psychiatrists. Those who receive mental health treatment most likely do so in pri- mary care settings. Yet primary care physicians (PCPs) often are ill-equipped to effectively treat depression while managing older patients’ numerous acute and chronic medical conditions. If depressed older patients won’t go to a psychiatrist, why not bring the psychiatrist to the patients? This article describes a clinically tested approach called project IMPACT that links psy- chiatrists to primary care teams and dramatically improves depression treatment in older adults.