Bradley V. Watts
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View article: Using natural language processing to inform targeted rural and urban Hispanic U.S. Department of Veterans Affairs suicide prediction models.
Using natural language processing to inform targeted rural and urban Hispanic U.S. Department of Veterans Affairs suicide prediction models. Open
View article: Evaluation of Ventilation at 10°C as the Optimal Storage Condition for Donor Lungs in a Murine Model
Evaluation of Ventilation at 10°C as the Optimal Storage Condition for Donor Lungs in a Murine Model Open
Rationale Cold static preservation at 4°C is the clinical standard for donor lung storage but is limited to 6–8 hours of cold ischemia. Static storage at 10°C has been shown to extend ischemia times and improve lung health. Given that lung…
View article: Career impact of the national interprofessional fellowship in patient safety: an alumni evaluation
Career impact of the national interprofessional fellowship in patient safety: an alumni evaluation Open
Background There has been a proliferation of health professions training programmes focused on quality and patient safety, but little information regarding the outcomes of these programmes. The purpose of this study was to examine the impa…
View article: Stimulant medication and suicide mortality in attention-deficit hyperactivity disorder
Stimulant medication and suicide mortality in attention-deficit hyperactivity disorder Open
Patients diagnosed with attention-deficit hyperactivity disorder (ADHD) are at an elevated risk for suicide. No prior work has assessed the association between stimulant prescriptions and death by suicide in this population. This retrospec…
View article: Pilot randomized controlled trial of a brief strategy to prevent suicide after discharge from residential addiction treatment
Pilot randomized controlled trial of a brief strategy to prevent suicide after discharge from residential addiction treatment Open
View article: Leveraging Natural Language Processing to Improve Electronic Health Record Suicide Risk Prediction for Veterans Health Administration Users
Leveraging Natural Language Processing to Improve Electronic Health Record Suicide Risk Prediction for Veterans Health Administration Users Open
Conclusions: The NLP-supplemented predictive models provided considerable benefit when compared to conventional structured EHR models. Results support future structured and unstructured EHR risk model integrations.
View article: Rural‐urban trends in health care utilization, treatment, and mortality among US veterans with congestive heart failure: A retrospective cohort study
Rural‐urban trends in health care utilization, treatment, and mortality among US veterans with congestive heart failure: A retrospective cohort study Open
Purpose To compare longitudinal rates of health care utilization, evidence‐based treatment, and mortality between rural and urban‐dwelling patients with congestive heart failure (CHF). Methods We used electronic medical record data from th…
View article: Tools to Detect Risk of Death by Suicide
Tools to Detect Risk of Death by Suicide Open
Registration: PROSPERO: CRD42021285528.
View article: Lithium in the prevention of suicide in adults: systematic review and meta-analysis of clinical trials
Lithium in the prevention of suicide in adults: systematic review and meta-analysis of clinical trials Open
Summary Controversy exists regarding the efficacy of lithium for suicide prevention. Except for a recent trial that enrolled over 500 patients, available trials of lithium for suicide prevention have involved small samples. It is challengi…
View article: Spreading a Strategy to Prevent Suicide After Psychiatric Hospitalization: Results of a Quality Improvement Spread Initiative
Spreading a Strategy to Prevent Suicide After Psychiatric Hospitalization: Results of a Quality Improvement Spread Initiative Open
View article: A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting
A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting Open
View article: The Regional Distribution of Psychiatric Residency Positions Funded by the Department of Veterans Affairs and Its Relationship to Rural Veteran Populations
The Regional Distribution of Psychiatric Residency Positions Funded by the Department of Veterans Affairs and Its Relationship to Rural Veteran Populations Open
Objective The authors evaluated the distribution of psychiatry residency positions funded by the Department of Veterans Affairs between 2014 and 2020 with respect to geographic location and hospital patient population rurality. Methods The…
View article: Patient and Clinical Factors Associated With Response to Medications for Posttraumatic Stress Disorder
Patient and Clinical Factors Associated With Response to Medications for Posttraumatic Stress Disorder Open
Conclusions: In the largest real-world study of medications for PTSD to date, we did not observe a pattern of differential response among clinical subgroups. All patients taking medications for PTSD, especially those with the…
View article: Association between suicide, external-cause and all-cause mortality and irregular mental health discharge among the US veteran population
Association between suicide, external-cause and all-cause mortality and irregular mental health discharge among the US veteran population Open
Background Irregular hospital discharge is highly prevalent among people admitted to hospital for mental health reasons. No study has examined the relationship between irregular discharge, post-discharge mortality and treatment setting (i.…
View article: Irregular hospital discharge from acute inpatient and residential mental health treatment settings in a large integrated healthcare system
Irregular hospital discharge from acute inpatient and residential mental health treatment settings in a large integrated healthcare system Open
View article: Mortality after electroconvulsive therapy
Mortality after electroconvulsive therapy Open
Background There are limited studies examining mortality associated with electroconvulsive therapy (ECT), and many studies do not include a control group or method to identify all patient deaths. Aims We aimed to evaluate the risk of death…
View article: Longitudinal Examination of COVID-19 Public Health Measures on Mental Health for Rural Patients With Serious Mental Illness
Longitudinal Examination of COVID-19 Public Health Measures on Mental Health for Rural Patients With Serious Mental Illness Open
Introduction There is emerging evidence to support that the COVID-19 pandemic and related public health measures may be associated with negative mental health sequelae. Rural populations in particular may fair worse because they share many…
View article: Invited Commentary: Baby Steps to a Learning Mental Health–Care System—Can We Do the Work?
Invited Commentary: Baby Steps to a Learning Mental Health–Care System—Can We Do the Work? Open
There are an infinite number of small decisions to be made in routine clinical practice, and most will never be the subject of prospective research studies. Rather than making these decisions arbitrarily, learning health-care systems lever…
View article: Comparing Medications for DSM-5 PTSD in Routine VA Practice
Comparing Medications for DSM-5 PTSD in Routine VA Practice Open
There may be an advantage to venlafaxine over other agents in achieving acute-phase remission for DSM-5 PTSD in routine clinical practice, but this finding requires further study. Regardless of the agent chosen, medication cessation during…
View article: A pandemic of Body, Mind, and Spirit: The Burden of “Social Distancing” in Rural Communities During an Era of Heightened Suicide Risk
A pandemic of Body, Mind, and Spirit: The Burden of “Social Distancing” in Rural Communities During an Era of Heightened Suicide Risk Open
View article: Correction to: Measurement Strategies for Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes
Correction to: Measurement Strategies for Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes Open
View article: Natural language processing of clinical mental health notes may add predictive value to existing suicide risk models
Natural language processing of clinical mental health notes may add predictive value to existing suicide risk models Open
Background This study evaluated whether natural language processing (NLP) of psychotherapy note text provides additional accuracy over and above currently used suicide prediction models. Methods We used a cohort of Veterans Health Administ…
View article: Electroconvulsive Therapy in Veterans Health Administration Hospitals
Electroconvulsive Therapy in Veterans Health Administration Hospitals Open
Objectives The body of large-scale, epidemiological research on electroconvulsive therapy (ECT) in the United States is limited. To address this gap, we assessed demographic, clinical, pharmacological, and mental health treatment history a…
View article: Associations between Medication Assisted Therapy Services Delivery and Mortality in a National Cohort of Veterans with Posttraumatic Stress Disorder and Opioid Use Disorder
Associations between Medication Assisted Therapy Services Delivery and Mortality in a National Cohort of Veterans with Posttraumatic Stress Disorder and Opioid Use Disorder Open
Objective: Opioid use disorder (OUD) is a notable concern in the United States (US) and strongly associated with mortality. There is a high prevalence of OUD in patients with posttraumatic stress disorder (PTSD) and the mortality as…
View article: A Pilot Study of an Intervention to Prevent Suicide After Psychiatric Hospitalization
A Pilot Study of an Intervention to Prevent Suicide After Psychiatric Hospitalization Open
A prior meta-analysis found that the World Health Organization Brief Intervention and Contact Program (WHO BIC) significantly reduces suicide risk. WHO BIC has not been studied in high-income countries. We piloted an adapted version of WHO…
View article: Career Impact of the Chief Resident in Quality and Safety Training Program: An Alumni Evaluation
Career Impact of the Chief Resident in Quality and Safety Training Program: An Alumni Evaluation Open
Purpose Most evaluations of quality improvement and patient safety (QI/PS) training programs provide inadequate data on their impact on alumni careers and QI/PS involvement. To address this gap, the authors investigated continued participa…
View article: Review of alternatives to root cause analysis: developing a robust system for incident report analysis
Review of alternatives to root cause analysis: developing a robust system for incident report analysis Open
Medical errors and other system failures lead to patient injury and significant costs—estimates of potential societal costs range from $393 to $958 billion.1 2 To improve safety, the healthcare system has looked to industries with impressi…
View article: Causes of Excess Mortality in Veterans Treated for Posttraumatic Stress Disorder
Causes of Excess Mortality in Veterans Treated for Posttraumatic Stress Disorder Open
View article: Using patient‐reported outcomes to understand the effectiveness of guideline‐concordant care for post‐traumatic stress disorder in clinical practice
Using patient‐reported outcomes to understand the effectiveness of guideline‐concordant care for post‐traumatic stress disorder in clinical practice Open
Rationale Identifying predictors of improvement amongst patients receiving routine treatment for post‐traumatic stress disorder (PTSD) could provide information about factors that influence the clinical effectiveness of guideline‐concordan…
View article: Hypoxia-related risk factors for death by suicide in a national clinical sample
Hypoxia-related risk factors for death by suicide in a national clinical sample Open