Brian K. Ahmedani
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View article: Pediatric Healthcare Worker Perspectives on Implementation of a Secure Firearm Storage Program: A Qualitative Study
Pediatric Healthcare Worker Perspectives on Implementation of a Secure Firearm Storage Program: A Qualitative Study Open
Background Primary care-based secure firearm storage programs are well-positioned to prevent firearm-related injury, the leading cause of death for young people in the United States. While recommended by the American Academy of Pediatrics …
View article: Correction: Study protocol for a stepped-wedge, randomized controlled trial to evaluate implementation of a suicide risk identification model among behavioral health patients in three large health systems
Correction: Study protocol for a stepped-wedge, randomized controlled trial to evaluate implementation of a suicide risk identification model among behavioral health patients in three large health systems Open
View article: Feasibility of implementation of the zero suicide model in community-based organizations serving Afghan refugees resettled in Michigan
Feasibility of implementation of the zero suicide model in community-based organizations serving Afghan refugees resettled in Michigan Open
View article: Peer Support Intervention for Suicide Prevention Among High-Risk Adults in Michigan
Peer Support Intervention for Suicide Prevention Among High-Risk Adults in Michigan Open
Importance Innovative approaches to address interpersonal risk factors for suicide attempts and suicidal ideation may help reduce persistently elevated suicide rates in the US. Objective To determine whether Peers for Valued Living (PREVAI…
View article: Suicide Risk Screening in Jails: Protocol for a Pilot Study Leveraging the Mental Health Research Network Algorithm and Health Care Data
Suicide Risk Screening in Jails: Protocol for a Pilot Study Leveraging the Mental Health Research Network Algorithm and Health Care Data Open
Background Suicide in local jails occurs at a higher rate than in the general population, requiring improvements to risk screening methods. Current suicide risk screening practices in jails are insufficient: They are commonly not conducted…
View article: Changes in utilization of in-person and virtual outpatient mental health visits before and during the COVID-19 pandemic: An observational cohort study
Changes in utilization of in-person and virtual outpatient mental health visits before and during the COVID-19 pandemic: An observational cohort study Open
While depression and anxiety increased with the COVID-19 pandemic, mental health (MH) care access plummeted. This accelerated the uptake of virtual visits, but the degree to which these supplanted in-person visits is unknown. This study ai…
View article: Zero Suicide Model Implementation and Suicide Attempt Rates in Outpatient Mental Health Care
Zero Suicide Model Implementation and Suicide Attempt Rates in Outpatient Mental Health Care Open
Importance Suicide is a major public health concern, and as most individuals have contact with health care practitioners before suicide, health systems are essential for suicide prevention. The Zero Suicide (ZS) model is the recommended ap…
View article: Disruptions in Psychiatric Medication Fills in the United States Before and During the COVID-19 Pandemic
Disruptions in Psychiatric Medication Fills in the United States Before and During the COVID-19 Pandemic Open
View article: Prescription Opioid Use and Change in Generalized Anxiety Disorder
Prescription Opioid Use and Change in Generalized Anxiety Disorder Open
View article: Suicide Risk Screening in Jails: Protocol for a Pilot Study Leveraging the Mental Health Research Network Algorithm and Health Care Data (Preprint)
Suicide Risk Screening in Jails: Protocol for a Pilot Study Leveraging the Mental Health Research Network Algorithm and Health Care Data (Preprint) Open
BACKGROUND Suicide in local jails occurs at a higher rate than in the general population, requiring improvements to risk screening methods. Current suicide risk screening practices in jails are insufficient: They are commonly not conducte…
View article: Effectiveness of Integrating Suicide Care in Primary Care
Effectiveness of Integrating Suicide Care in Primary Care Open
National Institute of Mental Health.
View article: Implementation of a Secure Firearm Storage Program in Pediatric Primary Care
Implementation of a Secure Firearm Storage Program in Pediatric Primary Care Open
Importance Increased secure firearm storage can reduce youth firearm injury and mortality, a leading cause of death for children and adolescents in the US. Despite the availability of evidence-based secure firearm storage programs and reco…
View article: Opportunities to Advance Equity Through Implementation Strategy Design
Opportunities to Advance Equity Through Implementation Strategy Design Open
Background: Implementation strategies are potential tools for advancing equity goals in healthcare. Implementation scientists have increased attention to the integration of equity considerations into implementation research, but limited co…
View article: Author Correction: The frequency of pathogenic variation in the All of Us cohort reveals ancestry-driven disparities
Author Correction: The frequency of pathogenic variation in the All of Us cohort reveals ancestry-driven disparities Open
View article: Share of Adult Suicides After Recent Jail Release
Share of Adult Suicides After Recent Jail Release Open
Importance Although people released from jail have an elevated suicide risk, the potentially large proportion of this population in all adult suicides is unknown. Objective To estimate what percentage of adults who died by suicide within 1…
View article: Importance of variables from different time frames for predicting self-harm using health system data
Importance of variables from different time frames for predicting self-harm using health system data Open
Objective Self-harm risk prediction models developed using health system data (electronic health records and insurance claims information) often use patient information from up to several years prior to the index visit when the prediction …
View article: Clozapine Use Among People With Psychotic Disorders Who Experience Specific Indications for Clozapine
Clozapine Use Among People With Psychotic Disorders Who Experience Specific Indications for Clozapine Open
Conclusions: Initiating clozapine treatment is uncommon among people with psychotic disorders who experience events suggesting clozapine is indicated, with even lower rates among Black and Hispanic patients.
View article: Adolescents Who Do Not Endorse Risk via the Patient Health Questionnaire Before Self-Harm or Suicide
Adolescents Who Do Not Endorse Risk via the Patient Health Questionnaire Before Self-Harm or Suicide Open
Importance Given that the Patient Health Questionnaire (PHQ) item 9 is commonly used to screen for risk of self-harm and suicide, it is important that clinicians recognize circumstances when at-risk adolescents may go undetected. Objective…
View article: Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation
Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation Open
Six health systems that implemented ZS showed a high level of variation in the proportions of patients receiving suicide screening and risk assessment and lethal means counseling. Two opportunities emerged for further study to increase fre…
View article: Reduced Disruption in Psychotherapy Visits Among Older Adults During the COVID-19 Pandemic
Reduced Disruption in Psychotherapy Visits Among Older Adults During the COVID-19 Pandemic Open
View article: Utilizing primary care to engage underserved patients in a psychological intervention for chronic pain
Utilizing primary care to engage underserved patients in a psychological intervention for chronic pain Open
Background: Although psychological interventions can be used to improve chronic pain management, underserved individuals (i.e., racially minoritized and socioeconomically disadvantaged) may be less likely to engage in such services. The pu…
View article: Predicting risk of suicidal behavior from insurance claims data vs. linked data from insurance claims and electronic health records
Predicting risk of suicidal behavior from insurance claims data vs. linked data from insurance claims and electronic health records Open
Purpose Observational studies assessing effects of medical products on suicidal behavior often rely on health record data to account for pre‐existing risk. We assess whether high‐dimensional models predicting suicide risk using data derive…
View article: Association of initial opioid prescription duration and an opioid refill by pain diagnosis: Evidence from outpatient settings in ten US health systems
Association of initial opioid prescription duration and an opioid refill by pain diagnosis: Evidence from outpatient settings in ten US health systems Open
View article: Correction: Cross-phenotype relationship between opioid use disorder and suicide attempts: new evidence from polygenic association and Mendelian randomization analyses
Correction: Cross-phenotype relationship between opioid use disorder and suicide attempts: new evidence from polygenic association and Mendelian randomization analyses Open
View article: Psychotherapy Disruption Before and After the Transition to Virtual Mental Health Care Induced by the COVID-19 Pandemic
Psychotherapy Disruption Before and After the Transition to Virtual Mental Health Care Induced by the COVID-19 Pandemic Open
This study found fewer population-level disruptions in psychotherapy receipt after rapid transition to virtual mental health care following COVID-19 onset. These data support the continued availability of virtual psychotherapy.
View article: Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management
Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management Open
Objective: Engagement in evidence-based psychological interventions for pain management is low. Identifying characteristics associated with interest in interventions can inform approaches to increase uptake and engagement. The purpose of t…
View article: Managed Care Updates of Subscriber Jail Release to Prompt Community Suicide Prevention: Clinical Trial Protocol
Managed Care Updates of Subscriber Jail Release to Prompt Community Suicide Prevention: Clinical Trial Protocol Open
Background. Recent jail detention is a marker for trait and state suicide risk in community-based populations. However, healthcare providers are typically unaware that their client was in jail and few post-release suicide prevention effort…
View article: Association Between Adverse Social Determinants of Health and Suicide Death
Association Between Adverse Social Determinants of Health and Suicide Death Open
Objective: The aim of this study was to identify adverse social determinants of health (SDoH) International Statistical Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code prevalence among individuals who died…
View article: Racial-Ethnic Differences in Receipt of Past-Year Health Care Services Among Suicide Decedents: A Case-Control Study
Racial-Ethnic Differences in Receipt of Past-Year Health Care Services Among Suicide Decedents: A Case-Control Study Open
These findings suggest that higher past-year health care utilization was associated with increased likelihood of suicide death across several racial-ethnic groups. This observation underscores the need for identifying and managing suicide …
View article: Diagnosed Posttraumatic Stress Disorder and Other Trauma-Associated Stress Disorders and Risk for Suicide Mortality
Diagnosed Posttraumatic Stress Disorder and Other Trauma-Associated Stress Disorders and Risk for Suicide Mortality Open
All trauma-associated stress disorders are risk factors for suicide mortality, highlighting the importance of health system suicide prevention protocols that consider the full spectrum of traumatic stress diagnoses.