MIRECC / CoE
Rocky Mountain MIRECC for Veteran Suicide Prevention
Suicide is complex but it is also preventable. Beyond treating Veterans in crisis there are so many ways to tackle this. When you look at the topics we investigate, from gut bacteria to community gatherings, you see the possibilities.
- Podcast: AAS Lived Experience - Parts 1 - 3
- 20 June 2018 - During the 2018 AAS conference we had the opportunity to record a number of brief podcasts with leaders in the Lived Experience community. This week we'll release 3 of these and next week we'll drop the other 2. So for this week we have:
AFSP Suicide Outreach Program with Doreen Marshall and Shannon Donnick
AFSP Survivors of Suicide Loss Day with Doreen Marshal and Brandon English
Lived Expertise with DeQuincy Lezine
- Pub: Decreases in Suicide Cognitions After Cognitive Processing Therapy Among Veterans With Posttraumatic Stress Disorder Due to Military Sexual Trauma: A Preliminary Examination
- 14 June 2018 - Drs Lindsey Monteith and Ryan Holliday co-authored this paper examining suicide-specific beliefs over the course of treatment and follow-up in veterans who received cognitive processing therapy (CPT) for MST-related PTSD. "Hierarchical linear models revealed that veterans who received CPT had significant reductions in suicide-specific cognitions regarding unbearability, unlovability, and unsolvability. These preliminary findings warrant replication in a randomized controlled trial with a larger sample that includes participants with more acute suicidal intent." Read more
- Articles of Note in VA Health Services Research & Development Forum
- 8 June 2018 - RMIRECC researchers had a number of articles in the Spring 2018 online Forum from VA Health Services Research & Development. Drs Lisa A. Brenner, Claire Hoffmire, Nathaniel Mohatt, and Jeri E. Forster wrote "Preventing Suicide among Veterans Will Require Clinicians and Researchers to Adopt a Public Health Approach". Dr. Claire Hoffmire also co-wrote "Concerning Trends in Suicide Among Women Veterans Point to Need for More Research on Tailored Interventions" and Dr. Lindsey L. Monteith co-wrote "Research Seeks to Better Understand the Relationship between Combat-related Killing and Suicidal Ideation". Download the full newsletter
- Podcast: Never Worry Alone - The VA Suicide Risk Management Consultation Program
- 6 June 2018 - In this episode Adam has a great talk with Dr. Bridget Matarazzo about the VA Suicide Risk Management Consultation Program. The program has recently expanded so that anyone working with a Veteran and concerned about suicide can contact them for a free consultation. Bridget discusses the idea behind the service and the great team (Hal S. Wortzel, MD, Sarra Nazem, Ph.D., Georgia Gerard, LCSW, Kaily A. Cannizzaro, PsyD, and Peter Gutierrez, Ph.D.) that provides the consultation.
- Pub: Predictors of Unbearability, Unlovability, and Unsolvability in Veterans With Military-Sexual-Trauma-Related Posttraumatic Stress Disorder
- 5 June 2018 - Dr. Ryan Holliday was a co-author on a study investigating potential predictors of unbearability, unlovability, and unsolvability in veterans with MST-related PTSD. "In veterans with MST-related PTSD who express unbearability, unlovability, and unsolvability, assessing and addressing depression, trauma-related negative cognitions about self and self-blame, and physical health functioning may be an important step in reducing SDV." Read more
- Pub: The Military Suicide Research Consortium Common Data Elements: An Examination of Measurement Invariance Across Current Service Members and Veterans
- 4 June 2018 - Dr. Peter Gutierrez was part of this study to examine measurement invariance of the Military Suicide Research Consortium Common Data Elements (CDEs) across current service members, younger veterans, and older veterans to better help those at risk of suicide. "The Military Suicide Research Consortium CDEs demonstrate at least adequate model fit for current military service members and veterans, regardless of age. Thus, the CDEs can be validly used across military and veteran populations. Given similar latent structures, research findings in one group may inform clinical and policy decision making for the other." Read more
- Pub: Evaluation of Suicide Risk Assessment Measures in an Israel Defense Forces Military Sample
- 30 May 2018 - This study published with RMIRECC researchers, Pete Gutierrez, PhD and Jetta Hanson, MA, looks at whether common psychological measures translated to Hebrew and used in a group of Israel Defense Forces maintain reliability and validity. This study suggest they do. Read more.
- Podcast Bonus: Veterans Crisis Line: History, Purpose, and a Look Ahead with Director Matt Miller
- 25 May 2018 - Curious about the Veterans Crisis Line? Join us for an in-depth conversation with VCL Director Matt Miller about its purpose, history, and what the future holds. Matt takes us on a journey from VCL's initial launch in 2007, to right now, for the ribbon-cutting of the 3rd call center in Topeka, Kansas. We talk about how VCL has expanded to meet increasing demand, responding to over 2000 calls each day. Matt tells us about the services VCL offers, who can use them, and how responders are trained to support Veterans and their loved ones. He also walks us through what happens when someone reaches out to the VCL, and explains the follow-up process connecting Veterans with their local VA Suicide Prevention Coordinator. Matt demystifies the crisis line experience and encourages everyone to be familiar with how to contact the VCL before a crisis happens, including saving the number 1-800-273-8255 press 1 into your phone. Tune in to learn about the latest technological advances being pioneered by the VCL, as well as research and continuous quality improvement underway.
- Pub: The Relationship between Suicidal Responses and Traumatic Brain Injury and Severe Insomnia in Active Duty, Veteran, and Civilian Populations
- 24 May 2018 - This paper including RMIRECC researchers Pete Gutierrez, PhD, Kelly Soberay, MA and Jetta Hanson, MA looks at "how a positive traumatic brain injury (TBI) screening and insomnia severity relates to suicidal outcomes across active duty, veteran, and civilian samples." The study indicates that TBI and insomnia both contribute to suicidal response individually in all populations. For Veterans it appears that both TBI and insomnia both contribute while for active duty personnel insomnia poses a stronger risk. Read more.
- Podcast: The Warrior to Soul Mate Program with Clyde Angel and Georgia Gerard
- 16 May 2018 - In this podcast Georgia interviews Dr. Clyde Angel, Chief of Chaplain Services at the Indianapolis VA and National Coordinator for the Warrior to Soul Mate Program. The effects of deployments and transitioning to civilian life can be stressful for families. Dr. Clyde discusses the growth and effectiveness of the Warrior to Soul Mate Program and how it can help Veterans and their spouses and significant others learn valuable skills, such as effective communication, to reconnect and repair relationships. Listen to the podcast:
- Pub: Altered Cortical GABA in Female Veterans with Suicidal Behavior: Sex Differences and Clinical Correlates
- 11 May 2018 - Our RMIRECC colleagues in Salt Lake City, Margaret Legarreta, PhD, Perry F. Renshaw, MD, PhD, Erin McGlade, PhD, and Deborah Yurgelun-Todd, PhD, published this open source article on PubMed Central exploring the neurochemical underpinnings of the association between stress/trauma and suicide risk are unclear, especially in regards to sex differences. They hypothesized that gamma-amino butyric acid (GABA), the major inhibitory neurotransmitter may be a neurochemical candidate that is critical in the association between stress and suicide risk in veterans. This study suggests that reduced GABA/Cr+ PCr ratio in the ACC, which may be related to altered inhibitory capacity, may underlie suicide risk in female veterans. Further, the negative association between GABA/Cr+PCr and stress symptomatology and depression scores suggests that MRS studies may shed light on intermediate phenotypes of suicidal behavior. Read more.
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