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  1. Article ; Online: Evaluating Clinician Attitudes After Local Implementation of the Veterans Affairs Predictive Analytic Model for Suicide Prevention.

    Piccirillo, Marilyn L / Pruitt, Larry D / Reger, Mark A

    Journal of psychiatric practice

    2022  Volume 28, Issue 1, Page(s) 14–23

    Abstract: Objective: The Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment (REACH VET) program was launched in 2017 to identify Veterans at high risk for suicide and other adverse outcomes using predictive analytics. This quality ... ...

    Abstract Objective: The Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment (REACH VET) program was launched in 2017 to identify Veterans at high risk for suicide and other adverse outcomes using predictive analytics. This quality improvement study evaluated the sustainment of the REACH VET program at a large Veterans Affairs health care system by assessing clinician attitudes.
    Methods: A mixed-methods approach was used to collect anonymous survey (N=35) and qualitative interview (n=12) data from Veterans Affairs REACH VET providers.
    Results: Survey findings demonstrated largely neutral to negative attitudes towards REACH VET, with the most notable responses indicating that REACH VET identified Veterans who were already perceived to be engaged in care. Interview findings reflected a variety of attitudes, including perceived lack of added value and pessimism regarding successful outreach. Clinicians reported that the program was values-consistent and had the potential to improve the quality of care.
    Conclusions: Results demonstrate the need for educational interventions and improved communication between local coordinators and clinicians. Clinicians rarely discussed fears about the algorithmic approach, but they highlighted concerns about the value that this approach added to their role. Future evaluations are needed to examine additional sustainment issues.
    MeSH term(s) Attitude ; Humans ; Surveys and Questionnaires ; United States ; United States Department of Veterans Affairs ; Veterans ; Suicide Prevention
    Language English
    Publishing date 2022-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2022726-7
    ISSN 1538-1145 ; 1527-4160
    ISSN (online) 1538-1145
    ISSN 1527-4160
    DOI 10.1097/PRA.0000000000000595
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4753: Show issues Location:
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  2. Article ; Online: What is "safety"?: Lethal means counseling as a cross-cultural communication.

    Pruitt, Larry D / Sung, Jeffrey C / Walker, Kara A

    Military psychology : the official journal of the Division of Military Psychology, American Psychological Association

    2022  Volume 34, Issue 3, Page(s) 352–365

    Abstract: U.S. suicide rates have risen every year over the past two decades with self-directed firearm use as the method accounting for the highest proportion of deaths. This pattern is particularly pronounced among veterans and members of the U.S. Armed Forces. ... ...

    Abstract U.S. suicide rates have risen every year over the past two decades with self-directed firearm use as the method accounting for the highest proportion of deaths. This pattern is particularly pronounced among veterans and members of the U.S. Armed Forces. The numerical burden of firearm-related suicide accompanied by characteristics of self-directed firearm injury have motivated the development of lethal means safety initiatives focused on firearms. Simultaneously, research has sought to characterize patterns of firearm ownership and use among veterans as well as optimal strategies for clinicians to deliver suicide prevention messages to firearm owners. Increasingly, findings from research have been understood as cultural factors that warrant greater attention to improve the quality of lethal means counseling. Here, we review and interpret selected research on cultural aspects of firearm ownership and suggest that cultural differences between health care practitioners and firearm owners may result in health care practitioners delivering clinical interventions that are broadly divergent from perspectives within the cultural frameworks of firearm owners. We follow by organizing these cultural factors into existing frameworks of cultural competency training as a basis for developing curriculum for health care practitioners to improve clinical care.
    Language English
    Publishing date 2022-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2021130-2
    ISSN 1532-7876 ; 0899-5605
    ISSN (online) 1532-7876
    ISSN 0899-5605
    DOI 10.1080/08995605.2022.2040939
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Suicide Safety Planning During a Pandemic: The Implications of COVID-19 on Coping with a Crisis.

    Pruitt, Larry D / Mcintosh, Leidy S / Reger, Greg

    Suicide & life-threatening behavior

    2020  Volume 50, Issue 3, Page(s) 741–749

    MeSH term(s) Adaptation, Psychological ; Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Suicide
    Keywords covid19
    Language English
    Publishing date 2020-06-08
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 750058-0
    ISSN 1943-278X ; 0047-4592 ; 0363-0234
    ISSN (online) 1943-278X
    ISSN 0047-4592 ; 0363-0234
    DOI 10.1111/sltb.12641
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Positive Predictive Values and Potential Success of Suicide Prediction Models-Reply.

    Belsher, Bradley E / Smolenski, Derek J / Pruitt, Larry D

    JAMA psychiatry

    2019  Volume 76, Issue 8, Page(s) 870–871

    MeSH term(s) Humans ; Predictive Value of Tests ; Risk Assessment ; Suicide, Attempted
    Language English
    Publishing date 2019-06-24
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2701203-7
    ISSN 2168-6238 ; 2168-622X
    ISSN (online) 2168-6238
    ISSN 2168-622X
    DOI 10.1001/jamapsychiatry.2019.1510
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Lessons From the Latest US Military Suicide Surveillance Data.

    Reger, Mark A / Pruitt, Larry D / Smolenski, Derek J

    The Journal of clinical psychiatry

    2018  Volume 79, Issue 1

    MeSH term(s) Humans ; Military Personnel/psychology ; Military Personnel/statistics & numerical data ; Risk Factors ; Suicide/statistics & numerical data ; Suicide/trends ; United States/epidemiology ; United States Department of Defense/statistics & numerical data
    Language English
    Publishing date 2018-03-22
    Publishing country United States
    Document type Letter
    ZDB-ID 716287-x
    ISSN 1555-2101 ; 0160-6689
    ISSN (online) 1555-2101
    ISSN 0160-6689
    DOI 10.4088/JCP.17l11790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 108: Show issues Location:
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    Zs.MO 247: Show issues

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  7. Article ; Online: Suicide Safety Planning During a Pandemic

    Pruitt, Larry D. / Mcintosh, Leidy S. / Reger, Greg

    Suicide and Life-Threatening Behavior

    The Implications of COVID‐19 on Coping with a Crisis

    2020  Volume 50, Issue 3, Page(s) 741–749

    Keywords Public Health, Environmental and Occupational Health ; Clinical Psychology ; Psychiatry and Mental health ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ISSN 0363-0234
    DOI 10.1111/sltb.12641
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Local implementation evaluation of a suicide prevention predictive model at a large VA health care system.

    du Pont, Alta / Stanley, Ian H / Pruitt, Larry D / Reger, Mark A

    Suicide & life-threatening behavior

    2021  Volume 52, Issue 2, Page(s) 214–221

    Abstract: Background: The Veterans Health Administration (VHA) implemented REACH VET, which analyzes health records to identify veterans at statistically elevated risk for suicide and other adverse outcomes compared to other veterans in VHA. This project ... ...

    Abstract Background: The Veterans Health Administration (VHA) implemented REACH VET, which analyzes health records to identify veterans at statistically elevated risk for suicide and other adverse outcomes compared to other veterans in VHA. This project evaluated REACH VET program implementation at a large VA health care system by examining program fidelity and treatment engagement, receipt of suicide prevention interventions, and suicide-related behaviors in the 6 months following identification.
    Methods: Over a 12-month period, 218 unique cases were identified by REACH VET within a local VA system. Data were extracted from the VA's electronic medical records.
    Results: Protocol adherence for required clinical and administrative steps was 94% and above. After identification, 88% received outpatient mental health treatment, 21% had a psychiatric hospitalization, and 83% engaged in Safety Planning around the time of identification or in the following six months. Twenty-six percent of cases were identified by another existing method for identifying high-risk veterans. Five percent had a medically documented suicide attempt, and none were known to die by suicide in the following 6 months.
    Conclusions: Local evaluation suggested high protocol fidelity and high engagement in mental health and suicide prevention services following identification among veterans who remained at elevated risk in the 6 months that followed.
    MeSH term(s) Delivery of Health Care ; Humans ; Mental Health ; Suicidal Ideation ; United States ; United States Department of Veterans Affairs ; Veterans/psychology
    Language English
    Publishing date 2021-11-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 750058-0
    ISSN 1943-278X ; 0047-4592 ; 0363-0234
    ISSN (online) 1943-278X
    ISSN 0047-4592 ; 0363-0234
    DOI 10.1111/sltb.12810
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1729: Show issues Location:
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  9. Article ; Online: Transferring care to enhance access to early-phase cancer clinical trials: Protocol to evaluate a novel program.

    Nwachukwu, Chika / Makhnoon, Sukh / Person, Marieshia / Muthukrishnan, Meera / Kazmi, Syed / Anderson, Larry D / Kaur, Gurbakhash / Kapinos, Kandice A / Williams, Erin L / Fatunde, Oluwatomilade / Sadeghi, Navid / Robles, Fabian / Basey, Alice / Hulsey, Thomas / Pruitt, Sandi L / Gerber, David E

    Contemporary clinical trials communications

    2024  Volume 39, Page(s) 101292

    Abstract: Involving diverse populations in early-phase (phase I and II) cancer clinical trials is critical to informed therapeutic development. However, given the growing costs and complexities of early-phase trials, trial activation and enrollment barriers may be ...

    Abstract Involving diverse populations in early-phase (phase I and II) cancer clinical trials is critical to informed therapeutic development. However, given the growing costs and complexities of early-phase trials, trial activation and enrollment barriers may be greatest for these studies at healthcare facilities that provide care to the most diverse patient groups, including those in historically underserved communities (e.g., safety-net healthcare systems). To promote diverse and equitable access to early-phase cancer clinical trials, we are implementing a novel program for the transfer of care to enhance access to early-phase cancer clinical trials. We will then perform a mixed-methods study to determine perceptions and impact of the program. Specifically, we will screen, recruit, and enroll diverse patients from an urban, integrated safety-net healthcare system to open and active early-phase clinical trials being conducted in a university-based cancer center. To evaluate this novel program, we will: (1) determine program impact and efficiency; and (2) determine stakeholder experience with and perceptions of the program. To achieve these goals, we will conduct preliminary cost analyses of the program. We will also conduct surveys and interviews with patients and caregivers to elucidate program impact, challenges, and areas for improvement. We hypothesize that broadening access to early-phase cancer trials conducted at experienced centers may improve equity and diversity. In turn, such efforts may enhance the efficiency and generalizability of cancer clinical research.
    Language English
    Publishing date 2024-04-08
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2451-8654
    ISSN (online) 2451-8654
    DOI 10.1016/j.conctc.2024.101292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Brief Cognitive-Behavioral Therapy for Suicide Prevention (BCBT-SP) via Video Telehealth: A Case Example During the COVID-19 Outbreak.

    Rojas, Sasha M / Gold, Sari D / Bryan, Craig J / Pruitt, Larry D / Felker, Bradford L / Reger, Mark A

    Cognitive and behavioral practice

    2021  Volume 29, Issue 2, Page(s) 446–453

    Abstract: Although veterans living in remote/rural areas are at elevated risk for suicide, there is very little research specific to treating suicidal veterans who present with barriers to in-person care. The current study aims to examine the delivery of brief ... ...

    Abstract Although veterans living in remote/rural areas are at elevated risk for suicide, there is very little research specific to treating suicidal veterans who present with barriers to in-person care. The current study aims to examine the delivery of brief cognitive-behavioral therapy for suicide prevention (BCBT-SP) via Clinical Video Telehealth (CVT) to the home of a veteran discharged from the psychiatric inpatient unit after a recent suicide attempt. Preliminary data on acceptability, feasibility, and changes in symptoms were gathered. The veteran received treatment during the 2020 COVID-19 outbreak and additional adaptations were made accordingly. The veteran did not engage in any suicidal behavior during the course of treatment, and suicidal ideation, depression, and anxiety decreased as treatment progressed. The results provide initial support for the feasibility of BCBT-SP via CVT to the home.
    Language English
    Publishing date 2021-02-04
    Publishing country United States
    Document type Journal Article
    ISSN 1077-7229
    ISSN 1077-7229
    DOI 10.1016/j.cbpra.2020.12.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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