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Rocky Mountain MIRECC for Veteran Suicide Prevention

Rocky Mountain MIRECC for Veteran Suicide Prevention

Rocky Mountain MIRECC News for You Archive

Updated: 4 December 2018

Visual abstract on safety planning in emergency departmentsPub: Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department.
2 November 2018 - RMIRECC Director, Lisa Brenner, participated in this study that explored whether providing Safety Planning Interventions in hospital emergency departments would reduce suicidal behavior and increase participation in outpatient care 6 months hence. The results were encouraging in that there was a reduction in suicidal behaviors and an increase in treatment engagements. Read more
Menu of Options for rural suicide preventionPub: A menu of options: Resources for preventing veteran suicide in rural communities
29 October 2018 - RMIRECC authors, Nate Mohatt, Lindsey Monteith and Nazanin Bahraini (as well as former RMIRECC social worker Melodi Billera) contributed to this manuscript that assesses "the availability of evidence-based and promising practices to support a community-based suicide prevention effort for rural veterans." Read more
RMIRECCRMIRECC: It Takes a Center
22 October 2018 - Thanks to the team effort led by Drs. Ryan Holliday and Lindsey Monteith, we sent 1,000 mailings to learn about trauma & health care seeking among women Veterans.
REACHVETPodcast: Predictive Analytics to Reach Veterans at Risk
15 October 2018 - This bonus podcast release is coinciding with a HSR&D Cyberseminar "REACH VET: Applying Predictive Analytics to Clinical Practice." The HSR&D website will have a recording of the seminar. Adam speaks with Aaron Eagan, RN MPH, about the use of predictive analytics to identify Veterans at highest-risk of suicide and intervenes clinically to review and enhance care.

Listen to the podcast
A voice at the tablePub: Orbitofrontal connectivity is associated with depression and anxiety in marijuana-using adolescents
11 October 2018 - Our Associate Director, Deborah Yurgelen-Todd, located in the Salt Lake City office published this paper in the Journal of Affective Disorders. "This study highlights the association between Orbitofrontal connectivity connectivity, marijuana use, and symptoms of depression and anxiety in adolescents. These findings provide further insight into understanding the neural correlates that modulate the relationship between comorbid marijuana use and mood disorders and could potentially help us better develop preventive and treatment measures." Read more
Dr. Michael KauthPodcast: A Conversation with Dr. Michael Kauth - A Lifetime of Achievement in Veterans Care
10 October 2018 - Dr. Michael Kauth is a clinical psychologist and has two major roles in the VA. He is Director of the VHA LGBT Health Program – a position shared with Dr. Jillian Shipherd – and he is also Co-Director of the South Central Mental Illness Research, Education and Clinical Center. In addition, Dr. Kauth is a professor in the Department of Psychiatry at Baylor College of Medicine in Houston, TX. Recently he received The American Psychological Association, Division 18, James Besyner Award for Lifetime Achievement and later this week he and Dr. Shipherd will be receive the 2018 Achievement Award from the Gay/Lesbian Medical Association in Las Vegas. I have known Michael for almost 15 years beginning when he was the National Educational Director for MIRECC/CoE and I maintained the website. I caught up with Michael to reflect on his work and get his view of the future.

Listen to the podcast
Dr. Lindsey MonteithPodcast: Military Sexual Trauma (MST) - A Discussion with Dr. Lindsey Monteith
4 October 2018 - We recorded this podcast to coincide with a series of online trainings that Dr. Monteith is conducting and because this is a particular time in our country where sexual assault is on the minds of many. Lindsey discusses with Adam how we can take a public health approach to sexual violence, one where we can all take responsibility for ending the violence and helping vistims heal. Her research of late has taken a qualitative approach where survivors are given a chance to speak in their own voice and make their own choices. She reminds us to listen with compassion and to believe what survivors are telling us.

Listen to the podcast
A voice at the tableVA National Suicide Data Report Released
27 September 2018 - This September 2018 VA National Suicide Data Report (from the Office of Mental Health and Suicide Prevention) includes data from 2005 through newly released numbers for 2016. It highlights new findings based upon National Death Index mortality data up to 2016, and includes data from all fifty states and District of Columbia. State data sheets offer local data by age group, sex and method, with comparisons to regional as well as national data. Read more
Jess Stohlmann-RaineyPodcast: Giving Credibility to Other Views with Jess Stohlmann-Rainey
26 September 2018 - I read Jess' piece, "Hegemonic Sanity and Suicide" in San Francisco during a rather desultory conference. The essay is a fresh look at a topic we all spend so much time thinking and talking about. For this podcast Jess came into our office at the new Rocky Mountain Regional VAMC, we sat by the window and talked. Jess had a lot of intriguing things to say about how we, society, think of mental health and how our collective inability to understand and accept differences places some of us on the margin and not part of the whole. And once we are on the margin how the credibility of our voices, our experiences are discounted. Tune in to the podcast to understand how listening to those with lived experiences can lead to a place where we trust what we are being told.

Listen to the podcast
A voice at the tablePodcast: Making Room for Voices All Around with Annmarie Matulis and Tracey Pacheco Medeiros
19 September 2018 - I went to Annmarie and Tracey's website, A Voice at the Table, and the banner shows a winter scene, bare trees in the snow. Then I started editing the recording that Adam did of these two wonders during the 2018 Bridging the Divide conference her in Denver. Listening to these two felt like coming in from the cold and sitting at the table in their kitchen. Laughing and talking big subjects and enveloped in warmth and fine company. Listen to this podcast and immerse yourselves in the power of the human spirit.

Listen to the podcast
A Rasch analysisA Rasch analysis of the Neurobehavioral Symptom Inventory in a national cohort of Operation Enduring and Iraqi Freedom veterans with mild traumatic brain injury
14 September 2018 - RMIRECC authors Nazanin Bahraini, Trisha Hostetter, Jeri Forster, Alexandra Schneider, and Lisa Brenner published this article recently exploring whether the Neurobehavioral Symptom Inventory (NSI) total score could be used as a global measure of postconcussive symptoms. Find out
DEPARTMENT OF DEFENSE - CONGRESSIONALLY DIRECTED MEDICAL RESEARCH PROGRAMSToward a Gold Standard for Suicide Risk Assessment for Military Personnel
14 September 2018 - Drs. Pete Gutierrez and Thomas Joiner research funded by the U.S. Department of Defense Medical Research Development Program (DMRDP) is highlighted on the Congressionally Directed Medical Research Programs (CDMRP) website. They sought to identify a gold standard diagnostic tool that could reliably and accurately predict suicide risk in Service members; they compared the performance of four prominent suicide assessments, namely the Columbia-Suicide Severity Rating Scale (C-SSRS), Self-Harm Behavior Questionnaire (SHBQ), Suicidal Behaviors Questionnaire-Revised (SBQ-R), and Beck Scale for Suicide Ideation (BSS). Learn more.
Intimate Partner Violence & Suicide PreventionPodcast: The Intersection of Intimate Partner Violence & Suicide Prevention with Drs. LeAnn Bruce, Keita Franklin and Lindsey Monteith
12 September 2018 - This podcast is an excellent example of the collaborative relationship between the VA Intimate Partner Violence Assistance Program and the VA Suicide Prevention Program in their mutual efforts to prevent both intimate partner violence (IPV) and suicide for those who have served. Dr. Bruce is the National Program Manager for the VHA Intimate Partner Violence Assistance Program, which serves Veterans, their partners, and VA staff impacted by intimate partner violence. Dr. Franklin is the Executive Director, Suicide Prevention for the U.S. Department of Veterans Affairs Office of Mental Health and Suicide Prevention. And Dr. Monteith is a research/clinical psychologist with Rocky Mountain MIRECC for Suicide Prevention.

Listen to the podcast
The Manidookewigashkibjigan Sacred BundlePodcast: The Manidookewigashkibjigan Sacred Bundle: R.E.S.P.E.C.T (Respect, Engaging, Supporting, Protecting, Empowering, Connecting, and Teaching) Project
5 September 2018 - Thank you for MIRECC’s, for your interest in the Sacred Bundle Project. We are a Garrett Lee Smith (GLS) Tribal grantee, with the full name of our project being “Manidookewigashkibjigan Sacred Bundle: R.E.S.P.E.C.T (Respect, Engaging, Supporting, Protecting, Empowering, Connecting, and Teaching) Project. We are primarily focused on youth suicide prevention concerning Native American/Alaskan Native individuals ages 10-24 years old. We work with 12 federally recognized tribes in Michigan and spread the message that everyone is a #HealingHelper. So similar to the VA message #BeThere.

Listen to the podcast
Ryan HollidayPodcast: Military Sexual Trauma - Trauma Informed Care with Ryan Holliday
22 August 2018 - Adam Hoffberg interviewed Psychology Fellow Dr. Ryan Holliday about the research he is doing related to Military Sexual Trauma. This is a podcast that you could describe to your kids with something like, "Kids, I heard Doc Holliday's original podcast before he became really big." You talk with Ryan and you just know he knows a lot (about evidence-based treatment, MST and PTSD) and isn't afraid to break it down for you.

Listen to the podcast
American Association of SuicidologistPodcast: The 2018 AAS Conference - Part 4
25 July 2018 - Here we are at the end of our series. And we end it with some blockbusters:

An Ecological Approach to Suicide Prevention with Dr. Emma Elliott-Groves

What if We...? Taking a New Look at Risk with Drs. Jessica Ribeiro and Joseph Franklin

The Role of Daily Interpersonal Interactions in Suicide Risk with Dr. Katie Lewis
Drs. Gutierrez and JoinerNEW: SERVE Toolkit for Veteran Engagement
23 July 2018 - RMIRECCs Leah Wendleton is part of the nationwide team that recently released the Strengthening Excellence in Research through Veteran Engagement (SERVE) Toolkit. The toolkit was created to "support VA Research Centers and investigators in efforts to include Veterans and other stakeholders in the development, implementation, and dissemination of research studies. The Toolkit is comprised of five sections, four of which correspond to a stage of development for Veteran Engagement initiatives and a fifth that focuses specifically on evaluation. The sixth section is web-based and contains a number of useful resources that have either been developed by VA colleagues or that our team identified as being useful for engaged research efforts." Learn more
American Association of SuicidologistPodcast: The 2018 AAS Conference - Part 3
18 July 2018 - In this 3rd of our 4 part series from the 2018 AAS conference we diversify and hear from a Health Behaviorist, a gamer and a future seminarian:

Health Promoting Behaviors as Suicide Prevention with Dr. Daniel DeBrule

The Gaming Community Comes to the Rescue with Stack Up's Elvis Walden

Suicide Prevention and the Greek Life with Marshall Taylor
Drs. Gutierrez and JoinerDrs. Gutierrez and Joiner Receives Two Honors
5 July 2018 - The Military Suicide Research Consortium (MSRC) Co-Directors, Drs. Peter Gutierrez and Thomas Joiner, are honored by the recognition of the MSRC and their efforts as recipients of the 2018 Military Health System Research Symposium (MHSRS) Outstanding Research Accomplishment (Team/Academia) Award and the American Psychological Association (APA) Division 19 Society of Military Psychology’s 2018 Charles C. Gersoni Military Psychology Award. See the press release.
Emmy Award Winning VideoEmmy Award Winning Video - Comedian and Navy Veteran Rodney Perry's Road to Recovery
28 June 2018 - This past weekend at the 60th annual National Capital Chesapeake Bay Chapter regional Emmy Awards, a segment produced for VA’s The American Veteran video series was awarded a regional Emmy by the National Capital Chesapeake Bay Chapter of the National Academy of Television Arts and Sciences. A cool things about this video (other than this Veteran's phenomenal recovery here at the Denver VAMC) is that RMIRECC's own video producer, Rachel Warden, helped during the shooting and production phase in Denver! Watch the full video.
American Association of SuicidologistPodcast: AAS Lived Experience - Part 2
27 June 2018 - This week we wrap our lived experience/expertise cycle with 2 short podcast related to postvention. Later this year we will unveil the Suicide Postvention Resource Center a website and resource center and these podcasts serve as an introduction of sorts:

The Journey of a Loss Survivor with Janet Schnell, MSW, LSW

Postvention: an Introduction with Sarra Nazem and Elaine de Mello
Dr. Ryan HollidayDr. Ryan Holliday Receives 2018 APA Early Career Achievement Award
25 June 2018 - Dr. Ryan Holliday,a psychology fellow at RMIRECC, is the recipient of the 2018 APA Early Career Achievement Award! He is one of 14 people to be chosen out of a very competitive pool of candidates based on his achievements and demonstration of leadership.
American Association of SuicidologistPodcast: AAS Lived Experience - Part 1
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
Journal Nervous Mental DiseasePub: 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
Never Worry AloneArticles 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
Never Worry AlonePodcast: 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.

Rocky Mountain Short Takes Podcast Listen


Dr. Ryan HollidayPub: 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
Dr. Peter GutierrezPub: 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
Military and Behavioral HealthPub: 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.
Veterans Crisis LinePodcast 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.

Rocky Mountain Short Takes Podcast Listen


archives suicide researchPub: 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.
Warrior to Soul Mate ProgramPodcast: 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:

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PubMed CentralPub: 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.
Intensive Care MedicinePub: Should all ICU clinicians regularly be tested for burnout? We are not sure
10 May 2018 - Dr. Meredith Mealer is the co-author of this work that appears in Intensive Care Medicine. The paper seeks to answer four questions: Q1) Is burnout syndrome the proper disorder to screen for in ICU clinicians?; Q2) What are the best survey instruments to screen for burnout in ICU clinicians?; Q3) How should the stigma associated with burnout and other psychological disorders be addressed?; Q4) Are we properly prepared to utilize the results of burnout testing to help ICU providers? Read more here.

Also of interest is Dr. Mealer's podcast PTSD and the ICU Nurse: Bolstering Resiliency in the Helping Professions
Treatment Works for Veterans WebsitePodcast Bonus: Treatment Works for Veterans Website Launches!
7 May 2018 - Adam discusses the new website www.treatmentworksforvets.org with Dr. Brad Karlin. The website has two purposes. The first is to introduce Veterans to the idea of Evidence-Based Psychotherapies, especially for insomnia and depression (others will be added later). Evidence-Based Psychotherapies (EBP) are treatments that have been shown to work; they have been tested and work. The other part of the website is for clinicians and focuses on Shared Decision Making, a process in which the provider sits down with the person interested in getting treatment and together they decide on what EBP is best for the individual. Best of all the website is free and open to everyone - Veteran and non-Veteran! Listen to the podcast:

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Joseph A. Simonetti, MD, MPHPub: Firearm Storage Practices and Risk Perceptions Among a Nationally Representative Sample of U.S. Veterans With and Without Self-Harm Risk Factors
1 May 2018 - Dr. Joe Simonetti continues his important work in lethal means safety. This article, published with Deborah Azrael PhD Matthew Miller MD, ScD explores storage practices and risk perceptions among Veterans. From the abstract, "Overall, one in three U.S. Veteran firearm owners store household firearms loaded and unlocked, one in twenty believe that a firearm increases household suicide risk, and one in four consider their loaded and unlocked firearm to be inaccessible to suicidal household members. Storage practices and risk perceptions are similar among those with and without self‐reported suicide risk factors. Affecting risk perceptions may be a critical aspect of interventions addressing lethal means safety among U.S. Veterans." Read more.
Lindsey Monteith, Kelly Soberay, Holly Gerber and Nazanin BahrainiPub: The phenomenology of military sexual trauma among male veterans
25 April 2018 - Today also saw the release for Dr. Lindsey Monteith, Dr. Nazanin Bahraini, Kelly Soberay and former Research Assistant, Holly Gerber on PsycNet the publication The phenomenology of military sexual trauma among male veterans. This study looked at Military Sexual Trauma in males. The study used "a phenomenological approach to describe the lived experiences of men exposed to MST." Themes that emerged include "disruptions to their sense of masculinity," and questioning their sexuality among many other themes. Read the abstract.

Not part of this research but a related topic the author Junot Diaz recently wrote about his experience of child sexual abuse that mirrors many of these themes in The New Yorker Magazine.
Lindsey MonteithPub: Suicide Ideation in Female Survivors of Military Sexual Trauma: The Trauma Source Matters
25 April 2018 - Dr Lindsey Monteith published this paper with Rebecca K. Blais, PhD. This study looked "whether experiencing suicidal ideation differs based on the source of PTSD symptoms" That is whether the PTSD is related to Military Sexual Trauma (MST) or to a non-MST source. What they found was the source of the trauma does matter. "Participants who identified MST as the source of their PTSD symptoms were over two times more likely to report SI, compared to those who described non-MST-related events as the source of their PTSD symptoms. Compared to those who reported the source of their PTSD symptoms as combat-/deployment-related, those who identified MST as the source were at least three times as likely to report current SI. Results underscore the importance of efforts to address MST-related PTSD symptoms when working with female service members/Veterans." Read more
Jerry ReedPodcast: Suicide Prevention Master Series with Dr. Jerry Reed
11 April 2018 - Jerry Reed, PhD, MSW, Education Development Center’s Senior Vice President for Practice Leadership and Lead for the U.S. Division’s Suicide, Violence, and Injury Prevention Portfolio, shares his professional journey from the early days of his career experience to his current position of being a well-known leader and expert in the suicide, violence, and injury prevention fields. Read more. Listen to the podcast:

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Federal PractitionerUnderstanding, Assessing, and Conceptualizing Suicide Risk Among Veterans With PTSD
5 April 2018 - Three of our researchers (Ryan Holliday, PhD, Lindsey Monteith, PhD, Hal Wortzel, MD) published today in the journal Federal Practitioner. The article concludes, "Because suicide risk assessment and management can be time sensitive and anxiety provoking, mental health providers can use a TRM (Therapuetic Risk Management) approach to increase their confidence in instituting optimal care and mitigating risk by having a structured, therapeutic assessment process that gathers appropriate suicide- and PTSD-related data to assist in developing suicide risk-related treatment. However, more research is needed to determine the most useful self-report measures and effective interventions when working with veterans with PTSD at risk of suicide." Read more
Journal of Aggression, Maltreatment and TraumaA Single-Arm Meta-Analysis of Cognitive Processing Therapy in Addressing Trauma-Related Negative Cognitions
30 March 2018 - Rocky Mountain MIRECC Psychology Fellow, Dr. Ryan Holliday, keeps publishing and publishing. Today his publication was released in Journal of Aggression, Maltreatment & Trauma. This study looked at the research that has been done related to Cognitive Processing Therapy (CPT) a treatment "designed to address cognitive “stuck points” connected to a patient’s trauma-related negative cognitions (NCs)." From 9 studies there was a reduction in negative cognitions. Read more
Resources for Coping after a Tragic EventResources for Coping after a Tragic Event
27 March 2018 - There are many different responses to traumatic events. Most people have intense responses immediately following, and often for several weeks or even months after, a traumatic event. With the help of the National Center for PTSD, VA Office for Suicide Prevention, we put together this resource for dealing with workplace tragedy. Learn more.
Journal of Psychiatry ResearchReductions in Self-Blame Cognitions Predict PTSD Improvements with Cognitive Processing Therapy for Military Sexual Trauma-Related PTSD
15 March 2018 - Dr. Ryan Holliday, Rocky Mountain MIRECC Psychology Fellow, is the lead author on this paper exploring how reductions in trauma-related negative cognitions during Cognitive Processing Therapy (CPT) are theorized to precede posttraumatic stress disorder (PTSD) symptom reduction. From baseline to 6-months posttreatment, only changes in self-blame predicted and temporally preceded changes in PTSD symptoms, highlighting a potential mechanism of change in CPT for military sexual trauma-related PTSD. Read more.
A Clinical Evidence-Based ApproachA Clinical Evidence-Based Approach to Examine the Effects of mTBI and PTSD Symptoms on ANAM Performance in Recently Deployed Active Duty Soldiers: Results From the Warrior Strong Study
9 March 2018 - Drs. Lisa Betthauser and Lisa Brenner participated in this publication in the Journal of Head Trauma Rehabilitation. The article looks to establish a baseline of how soldiers with mTBI and/or PTSD Symptoms perform a certain standardized test, the ANAM4. The study "results illustrate that a combination of mTBI and PTS is associated with worse ANAM4 performance than either condition alone." Read more
Suicide and Life-Threatening BehaviorVeteran Participation in Intensive Suicide Research Protocols: Evaluating Iatrogenic Effects Across Three Studies
RMIRECC researchers Erin K. Poindexter PhD, Sarra Nazem PhD, Sean M. Barnes PhD, and Trisha A. Hostetter MPH, along with Phillip N. Smith PhD published research as to whether Veterans who participate in suicide prevention research are harmed by that participation (an Iatrogenic effect). The results indicate that Veterans are not harmed by participating in research studies. Read more
Lisa Betthauser, Nazanin Bahraini, Peter Gutierrez10 Years of Great Service: 3 RMIRECCers Honored!
We recently honored a trio of our own for being with us for 10 years. Lisa Betthauser, Nazanin (Nasi) Bahraini and Peter Gutierrez have been with us at least since 2008. Nasi Bahraini first begain at RMIRECC as a Psychology Fellow prior to becoming a RMIRECC employee. And now Nasi is the Director of the Education Core and a joy to work with. Lisa Betthauser also has spent time with us as a student and is now a Principle Investigator doing exciting work related Complementary and Alternative Medicine. And Pete Gutierrez has been doing research for us all these many years and is also the co-Director, with Dr. Thomas Joiner at Florida State University, of the DOD Military Suicide Research Consortium. We appreciate this wonderful trio!
Journal of Head Trauma and RehabilitationA Randomized Controlled Trial of the Collaborative Assessment and Management of Suicidality versus Enhanced Care as Usual With Suicidal Soldiers
27 February 2018 - Drs. Brenner and Gutierrez participated in this randomized controlled trial known as "Operation Worth Living" (OWL). The study sought to compare the treatment use of Collaborative Assessment and Management of Suicidality (CAMS) to enhanced care as usual (E-CAU) in the reduction of both suicidal ideation and suicide attempts in US Army Soldiers. From the abstract, "Conclusions: Soldiers receiving CAMS and E-CAU significantly improved post-treatment. Those who received CAMS were less likely to report SI at 3 months; further group differences were not otherwise seen." Read more.
Journal of Head Trauma and RehabilitationPersistent Symptoms and Objectively Measured Balance Performance Among OEF/OIF Veterans With Remote Mild Traumatic Brain Injury
27 February 2018 - RMIRECC authors Jeri Forster PhD, Kelly Stearns-Yoder MA, and Lisa Brenner PhD participated in writing this paper along with colleagues from the University of Colorado School of Medicine, Physical Medicine and Rehabilitation Department. This study explored the relationships between dizziness, fatigue, and depression and PTSD and balance in Veterans with mTBI. "Findings suggest that dizziness, fatigue, depression and PTSD, and time since most recent mTBI may influence balance performance." Read more
Dr. Peter GutierrezEvaluation of Structured Assessment and Mediating Factors of Suicide-Focused Group Therapy for Veterans Recently Discharged from Inpatient Psychiatry
26 February 2018 - Dr. Peter Gutierrez teamed up with six co-authors on this publication which explored whether adding the Suicide Status Form (SSF) to a suicide-focused group therapy for veterans showed benefit. An added note here both Pete and David Jobes have recorded podcasts with us! Catch Pete's podcast "Risk Factors, Warning Signs, and Drivers of Suicide: What Are They, How Do They Differ, and Why Does It Matter?" and David Jobes' podcast "Looking 30 Years Ahead and 30 Years Behind with David A. Jobes".
Lisa Brenner being awarded the 2018 Roger G. Barker Distinguished Research Contribution AwardDr. Lisa Brenner, the 2018 Roger G. Barker Distinguished Research Contribution Award Recipient!
23 February 2018 - The American Psychology Association Division 22, Rehabilitation Psychology awarded Dr. Lisa Brenner with the 2018 Roger G. Barker Distinguished Research Contribution Award. This annual award is conferred upon an individual who is judged to have made an outstanding lifelong contribution to rehabilitation psychology through empirical research, conceptual/theoretical development or both. The award was announced at the Rehabilitation Psychology Mid-Winter Meeting during the Awards Ceremony.
Journal of Psychiatry - Interpersonal and Biological ProcessesPub: Ryan Holliday, Rocky Mountain MIRECC Psychology Fellow, Publishes in Psychiatry
22 February 2018 - Dr. Holliday is one of the authors on "Facilitating Fear-Based Memory Extinction With Dexamethasone: A Randomized Controlled Trial in Male Veterans With Combat-Related PTSD". From the abstract "Animal and preliminary human studies have demonstrated that glucocorticoids enhance the extinction of fear memories. Impaired extinction of fear memories is a critical component in the development and maintenance of posttraumatic stress disorder (PTSD). The purpose of this translational study was to determine the effectiveness of pairing a glucocorticoid with trauma memory reactivation as a novel intervention to treat PTSD and to measure the duration of the effect. Conclusions: Despite insufficient power to test differences in PTSD symptom reduction, findings suggest that this novel intervention may have potential for treatment of combat-related PTSD." Read more
Dr. Bryann DeBeerPodcast: The Role of Health Promoting Behaviors with Dr. Bryann DeBeer
14 February 2018 - In this podcast Adam Hoffberg interviews Dr. Bryann DeBeer, a suicide prevention researcher and clinical research psychologist at the VA VISN 17 Center of Excellence for Research on Returning War Veterans, and an Assistant Professor at Texas A&M Health Science Center. Dr. DeBeer discusses her interesting research which examines risk factors for suicide in Veterans. Her work also focuses on translating these findings into new actionable suicide prevention techniques. Adam and Dr. DeBeer talk about how these findings fit into clinical practice in order to help clinicians improve their work with clients at risk for suicide. Listen to the podcast:

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Margaret Legarreta, PhDPub: Suicide Behavior and Chronic Pain: An Exploration of Pain-Related Catastrophic Thinking, Disability, and Descriptions of the Pain Experience
5 February 2018 - The RMIRECC team in Salt Lake City (Margaret Legarreta, PhD (pictured), Elliott Bueler, BA, Jennifer DiMuzio, BA, Erin McGlade, PhD, and Deborah Yurgelun-Todd, PhD) published this important paper exploring the role of chronic pain in suicide prevention. "The study results support the need to assess pain from a multifaceted perspective and to examine the different experiences of pain, such as sensory and affective constructs, when discussing suicide risk in veterans." Read more.
Coming Home LogoStudy: Coming Home from Afghanistan and Iraq
30 January 2018 - The Coming Home from Afghanistan and Iraq study will help VA understand the effects of military service, deployment, and combat on the health and well-being of Veterans who served during Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND). Researchers are looking at the physical and mental health, vocation or occupation, and social relationships of deployed Veterans, non-deployed Veterans, and similar civilians. Learn more
Lindsey MonteithPub: Understanding Suicidal Self-Directed Violence Among Men Exposed to Military Sexual Trauma: An Ecological Framework
RMIRECC staff (Dr Lindsey Monteith, pictured, Dr Nazanin Bahraini and Kelly Soberay, MA) and former staff (Holly Gerber) contributed to this article published by APA PsycNET. The publication explores a qualitative study "aimed to describe men’s perceptions of the impact of MST on their lives, in relation to their subsequent experiences with suicidal ideation and attempt." The authors findings "suggest a complex, multifaceted etiology of men’s suicidal ideation and suicide attempts following MST. Ecological perspectives that consider processes at interpersonal, institutional, and cultural levels may be particularly informative for enhancing suicide prevention efforts for men who have experienced MST." Read more.
Brooke Dorsey-Holliman PhDPub: Dr. Brooke Dorsey-Holliman Leads 3 RMIRECC Authors on Resiliency, cultural beliefs and practices that mitigate suicide risk among African American female veterans
Dr. Brooke Dorsey-Holliman was the lead author on this publication along with Drs. Lindsey Monteith and Lisa Brenner and former study coordinator Elizabeth Spitzer. The article is from a qualitative study exploring protective factors for suicide among African American women Veterans. "Three themes emerged as being protective against suicide: (a) resilience, (b) social support, and (c) religion. Results underscore the importance of specific cultural beliefs and practices as being protective against suicide among African American women Veterans." Read the whole publication from this open access journal.
Military and Behavioral HealthPub: Factors Influencing Suicide Risk Assessment and Management in VA Primary Care Clinics: A Qualitative Study of Provider Perspectives
22 January 2018 - Former RMIRECC Fellow Megan Petrik and Suicide Risk Management Consultation Program Co-Director and Consultant Bridget Matarazzo co-authored this paper in Military and Behavioral Health. The qualitative study found these themes the impact of a trusting patient–provider relationship, multidisciplinary team-based care, education about suicide prevention from integrated behavioral health providers, reliable access to mental health care, and VA system-wide suicide prevention efforts in supporting generalists' ability to effectively assess and manage veterans' suicide. Read more.
Journal of Anxiety DisordersPub: Study Coordinator Nathalie Dieujuste Publishes in Journal of Anxiety Disorders
19 January 2018 - Nathalie Dieujuste, a study coordinator for RMIRECC co-authored the paper "Construct validation of the hybrid model of posttraumatic stress disorder: Distinctiveness of the new symptom clusters." What is particularly interesting about this study is it shows a negtive result; that is, from the key results reported, "The hybrid model might not provide a meaningful framework for understanding which PTSD symptoms relate to associated features." Studies that report negative results are important because they make us consider why did this experiment not turn out quite as expected. Read more.
Joseph A. Simonetti, MD, MPHPodcast: Promoting Lethal Means Safety to Prevent Veteran Suicide with Joe Simonetti, MD
What is it about Lethal Means Safety (LMS) that makes a difference in suicide prevention? LMS is about increasing the distance between thoughts of suicide and action. In this week’s episode, we are joined by Dr. Joseph Simonetti, MD, MPH, physician and suicide prevention researcher with the Rocky Mountain MIRECC. Dr. Simonetti guides us through the fundamentals of lethal means safety, why it’s important, and provides suggestions on how to ensure that conversations about lethal means safety are Veteran-centered. Download the transcript or listen to the podcast:

Rocky Mountain Short Takes Podcast Listen


Journal pf Psychiatric PracticeNew Publication: Why Suicide Risk Assessment Still Matters
8 January 2018 - RMIRECC Drs. Hal Wortzel, Sarra Nazem, Nazanin Bahraini and Bridget Matarazzo published this article "Why Suicide Risk Assessment Still Matters" in the Law and Psychiatry Column in the Journal of Psychiatric Practice. The authors state, "When properly performed in concert with patient-centered mental health care, suicide risk assessment and management may add to the therapeutic and recovery-oriented benefits of care, independent of the ability to predict death by suicide." Read more
Also listen to Dr. Peter Gutierrez's podcast "Response to abandoning suicide risk assessment" from 2016.
Helping Others Hold OnPodcast: Helping Others Hold On
6 December 2017 - PsychArmor Institute’s FREE online course Helping Others Hold On provides tools and tips to recognize, understand, and combat suicidal feelings in Veterans. Course leaders Dr. Craig J. Bryan, Executive Director of the National Center for Veteran Studies at The University of Utah, and Carie Rodgers, Ph.D., Education Director of PsychArmor Institute provide an overview and discuss the coded language of suicide, the importance of sleep, and crisis response planning.

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Dr. Shelby ScottTransgender Veteran Mental Health Care: Introduction to Terminology, Enhancing Clinical Skills, and Continuing Education
20 November 2017 - In honor of Transgender Awareness Month, Dr. Shelby Scott, Denver VA Clinical Psychologist and Lesbian, Gay, Bisexual, and Transgender Veteran Care Coordinator, spoke with Adam Hoffberg at the Denver VA Rocky Mountain MIRECC to provide a thorough introduction to this topic. Dr. Scott discusses specific clinical recommendations that can improve the way all VA providers serve our transgender Veterans, medical and mental health services provided by the VA, and how to get connected to additional VA and community resources!

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Dr. Lindsey MonteithDr. Lindsey Monteith Publishes: Childhood Abuse, the Interpersonal–Psychological Theory of Suicide, and the Mediating Role of Depression
1 November 2017 - Dr. Lindsey Monteith published this week in Suicide and Life-Threatening Behavior an article that further explores the role of childhood abuse in later self-directed violence. The paper looks at different forms of abuse and their relationship to the Interpersonal–Psychological Theory of Suicide. Read the paper here.
The second Zero Suicide Trilogy Podcast is liveThe Second Zero Suicide Trilogy Podcast
18 October 2017 - We present our 2nd Zero Suicide Trilogy with stories recorded at the 2017 Bridging the Divide Conference last May. This trilogy features Ursula Whiteside (Why and How Now Matters Now), Richard McKeon (An Agency's Approach to Zero Suicide) and Sarah Brummett (A State's Approach to Zero Suicide). These conversations are short and give a brilliant insight to Zero Suicide.
The VA HOME Program on the Vantage Point blogClinical Program: VA HOME Program
7 September 2017 - The VAntage Point blog has a story featuring Dr. Bridget Matarazzo from Rocky Mountain MIRECC for Veteran Suicide Prevention. The story, "New program allows VA staff to make house calls for Veterans who return home after inpatient mental health care" dives into how providing home care to Veterans after inpatient psychiatric care prevents suicide. Read the full story.
Dese'Rae L. StagePodcast: Life Experience Captured with Dese'Rae L. Stage
6 September 2017 - Live Through This #Stay...captured through the art, the lens, the stories of our lived experience. Adam caught up with Dese'Rae earlier this summer and this conversation is the result. I was listening in on the other line and she blew me away with her everything-ness. Adam would ask her about how she came up with this or that idea and Des would just say something like, "I got bored one day so I wrote this program/created this movie/started this movement." Yes, of course you did and we all benefited.

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Dr. Lindsey MonteithPub: Sexual dysfunction is associated with suicidal ideation in female service members and veterans
5 September 2017 - Dr. Lindsey Monteith is the co-author on this paper that explores the association of "sexual dysfunction, which may be a possible component of thwarted belonging and perceived burdensomeness, with suicidal ideation." Results suggest "screening for sexual dysfunction in female service members/veterans might help identify those at risk for suicidal ideation." Read the full article.
Journal of Personality and Mental HealthPub: The role of emotion regulation in predicting personality dimensions
30 August 2017 - Rocky Mountain MIRECC for Veteran Suicide Prevention Post-Doc Fellow Lauren Borges, PhD, published "The role of emotion regulation in predicting personality dimensions" in Personality and Mental Health. From the article abstract "These findings provide preliminary evidence that some personality dimensions never assessed in relation to emotion regulation are strongly predicted by emotion regulation variables."
Joseph A. Simonetti, MD, MPH from Rocky Mountain MIRECC for Veteran Suicide PreventionPub: Formal firearm training among adults in the USA: results of a national survey
29 August 2017 - Joseph A. Simonetti, MD, MPH from Rocky Mountain MIRECC for Veteran Suicide Prevention was co-author on this paper published in BMJ Journals. The article explored what percent of firearm owners had taken a formal training course (61% versus 56-58% in 1994). Additionally, they looked at the content of the courses and found that 15% including information about suicide prevention. The authors recommend standardizing training and evaluating the effectiveness of the training.
Barbara Van Dahlen from Give an HourPodcast: Why’s it gotta be this hard? (Maybe it doesn’t)
23 August 2017 - Sometimes it can feel like making real progress in mental health (and perhaps especially suicide prevention) is an overwhelming, sometimes impossible task. How can we counter the “bigness” of the job? Dr. Barbara Van Dahlen, founder of Give an Hour, gives this advice: Go Simple

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authors for Problem-Solving Therapy for Suicide Prevention in Veterans With Moderate-to-Severe Traumatic Brain InjuryPub: Problem-Solving Therapy for Suicide Prevention in Veterans With Moderate-to-Severe Traumatic Brain Injury
14 August 2017 - Authors from Rocky Mountain MIRECC for Veteran Suicide Prevention published today in Rehabilitation Psychology. The article explored the "acceptability and feasibility of Problem-Solving Therapy for Suicide Prevention (PST-SP)" for Veterans with hopelessness and moderate to severe TBI. Initial indications are positive. The next research step is to conduct a Phase II randomized controlled trial. Stay tuned!
David JobesPodcast: Looking 30 Years Ahead and 30 Years Behind with David A. Jobes, Ph.D., ABPP
9 August 2017 - Earlier this summer I called Dave and hit the record button. What followed was a chance to look forward into the future of suicide prevention based on 30 years of work and research in our chosen field of suicide prevention. Listening to Dave you can get the sense that we are on the cusp of dramatic changes in how we treat the individuals in our care.

Rocky Mountain Short Takes Podcast Listen


Team RubiconPodcast: Team Rubicon: Regaining a sense of purpose, community and identity
28 June 2017 - Melissa continues her community reintegration series with Amanda Burke from Team Rubicon. The Team Rubicon message is "Disasters are our business. Veterans are our passion." And you'll hear it in Amanda's voice as she describes her own journey and her continuing passion.

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Warrior CaninePodcast: Meet Matt (human) and James (canine) from Warrior Canine Connection
21 June 2017 - Meet Matt (human) and James (canine), who became friends through shared service - and maybe a little bit of fate. When Matt returned home to the States, after a stay at Walter Reed, he joined Warrior Canine Connection only reluctantly. In this interview, Matt shares his experience working through to the other side of TBI and PTSD, and the role James plays.
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Sally Spencer-ThomasPodcast: Suicide Prevention in the Construction Industry with Sally Spencer-Thomas PhD
14 June 2017 - The Bridging the Divide Conference is an annual event in Denver put on by Suicide Prevention Coalition of Colorado and this year we caught up with the very busy, very energetic Sally Spencer-Thomas. Lately, Sally has taken up suicide prevention work in the construction industry. This was not a population I was familiar with but as you'll find in listening to this podcast the overlap between this industry and Veterans is surprisingly large.
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Podcast: The Zero Suicide TrilogyPodcast: The Zero Suicide Trilogy
31 May 2017 - During the 50th annual American Association of Suicidologist conference in Phoenix, AZ Adam had the chance to interview three leaders in the Zero Suicide Initiative, Julie Goldstein, Anthony Pisani and Brian Ahmandani.
An Introduction to the Zero Suicide Initiative with Julie Goldstein GrumetAn Introduction to the Zero Suicide Initiative with Julie Goldstein Grumet, Ph.D.
31 May 2017 - Julie is the Director of Health and Behavioral Health Initiatives at the Suicide Prevention Resource Center (SPRC). Dr. Goldstein Grumet provides strategic direction to improve the effectiveness of behavioral health, clinical care, and primary care providers to recognize and respond to suicide emergencies. She oversees the Zero Suicide initiative for SPRC, supporting the work of state and health care leaders who are implementing system-wide approaches to suicide prevention.
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A new take on Zero Suicide and Risk Formulation with Tony PisaniA new take on Zero Suicide and Risk Formulation with Tony Pisani, Ph.D.
31 May 2017 - Tony Pisani, Ph.D. (University of Rochester Center for the Study and Prevention of Suicide) discusses his model for suicide safer care, prevention-oriented risk formulation, and the need for a common framework for assessing, communicating, and responding to suicide risk for clinicians, patients, and the medical record. Dr. Pisani will be releasing new materials and training opportunities soon. To be notified when updates are available, please visit tonypisani.info.
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Suicide Prevention in Health Systems with Brian AhmedaniSuicide Prevention in Health Systems with Brian Ahmedani, Ph.D. L.M.S.W.
31 May 2017 - Dr. Ahmendani joined the Center for Health Policy and Health Services Research at Henry Ford Health System (HFHS) in 2010. The Center for Health Services Research investigates ways to improve the quality, efficiency and equity of health care. This podcast discusses some of the the history of the zero suicide initiative and Henry Ford Health System, including recent research findings on suicide prevention in health systems.
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Factors Affecting Resilience and Development of Posttraumatic Stress Disorder in Critical Care NursesPub: Factors Affecting Resilience and Development of Posttraumatic Stress Disorder in Critical Care Nurses
24 May 2017 - Dr Meredith Mealer published this article in the May 2017 edition of American Journal of Critical Care. The article explores "Job stress and cumulative exposure to traumatic events experienced by critical care nurses can lead to psychological distress and the development of burnout syndrome and posttraumatic stress disorder. Resilience can mitigate symptoms associated with these conditions." Also listen to Meridith's podcast:
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AmericaServesPodcast: Creating Communities to Serve Those Who Served - AmericaServes
17 May 2017 - Melissa McHarg interviews Michael Haynie, Ph.D. the Executive Director & Founder of Institute for Veterans and Military Families (IVMF) at Syracuse University. The conversation takes a close look at AmericaServes. The mission of AmericaServes is “to empower human services providers in the United States, and equip them with the technological and informational resources needed to efficiently and effectively guide service members, veterans, and their families to the most appropriate services and resources.”
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Spiritually Integrated CarePodcast: Spiritually Integrated Care for PTSD and Moral Injury
3 May 2017 - Veterans who present with PTSD and moral injury often report spiritual distress that places them at higher risk for suicide. In this podcast, we share up to date research on moral injury, spiritual distress, and empirically tested techniques for helping veterans use their own spiritual resources as an asset in their recovery.
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The Association Between Posttraumatic Stress Disorder and Perceptions of Deployment-Related Injury in Veterans With and Without Mild Traumatic Brain InjuryNew Pub: The Association Between Posttraumatic Stress Disorder and Perceptions of Deployment-Related Injury in Veterans With and Without Mild Traumatic Brain Injury
21 April 2017 - RMIRECC Drs. Nazanin Bahraini, Lindsey Monteith, Jeri Forster and Lisa Brenner (along with Holly Gerber and Trisha Hostetter) published this important article that examines " whether the association between PTSD and injury perceptions differs for Veterans with mild traumatic brain injury compared with Veterans with non-TBI." They conclude: "PTSD symptom severity influences perceptions about mTBI and non-TBIs sustained during deployment. Altering injury perceptions may be an important treatment target for Veterans with co-occurring PTSD and deployment-related injuries." Read more
Straight Scoop for VeteransStraight Scoop for Veterans - What Two Guys Can Do
19 April 2017 - Melissa McHarg interviews Roger Pipkin from Straight Scoop for Veterans. Roger tells the amazing story of how he and a friend decided to tackle Veteran suicide in New Mexico. You won't believe the progress they have made.
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A A S ConferenceRMIRECC @ 50th Annual AAS Conference
17 April 2017 - RMIRECC will be providing 11 presentations at the 50th annual American Association of Suicidology (AAS) in Phoenix, AZ. The conference starts next week with a full day presentation titled "Therapeutic Risk Management of the Suicidal Patient (TRMSP)" by Sarra Nazem PhD, Bridget Matarazzo PsyD, and Hal Wortzel MD. The last day ends with Adam Hoffberg, Nasi Bahraini PhD, and Joe Huggins presenting on "Increasing Your Digital Impact". Find short videos on almost all the presentations.
The Camouflage ClosetThe Camouflage Closet: Strong, Resilient LGBT Veterans!
5 April 2017 - Nine Veterans were given cameras to tell their stories; their resiliency, their strength and their efforts overcoming. An amazing quote "research indicates that 75% of all Veterans with PTSD state that they have also experienced PTSD Growth."
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Team Red White and BluePodcast: health + people + purpose = The Team RWB Enrichment Equation
29 March 2017 - Team RWB is a nationwide organization with over 115,000 members, in over 200 locations and their mission is to enrich the lives of America’s veterans by connecting them to their community through physical and social activity.
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Mental Health in Allergic RhinitisNew Pub: Mental Health in Allergic Rhinitis: Depression and Suicidal Behavior
28 March 2017 - MVM Core Team Members Christopher A. Lowry, Lisa A Brenner, Andrew J. Hoisington, and Teodor T. Postolache published an article entitled "Mental Health in Allergic Rhinitis: Depression and Suicidal Behavior" in the journal Current Treatment Options in Allergy. From the abstract, "For the clinicians routinely treating a substantial patient population with allergic diseases, there are additional concerns, as allergy has been linked with both depression and suicidal behavior."
Adam HoffbergAdam Hoffberg Appears on SPSM Chat
26 March 2017 - RMIRECC's Adam Hoffberg was the guest on SPSM Chat getting the message out about the podcast Rocky Mountain Short Takes on Suicide Prevention and many of the other work being done. SPSM Chat is a twitter-based conversation that "is targeted at mental health and communications professionals using social media to make suicide a “never” event. SPSM chats occur every Sunday night 9pm CST.
Suzanne McGarityPodcast: Community Reintegration for Veterans after TBI
22 March 2017 - In honor of March being Brain Injury Awareness Month we wanted to discuss the article “Community Reintegration Problems Among Veterans and Active Duty Service Members With Traumatic Brain Injury.”
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Adam HoffbergPublished: Epidemiology and prognosis of mild traumatic brain injury in returning soldiers - A cohort study
21 March 2017 - Dr. Lisa Brenner published this article with an impressive list of co-authors in the March 2017 of Neurology. The article is part of a larger study that will continue monitoring this group of returning soldiers from Afghanistan and Iraq. This article is at a 3 month follow-up; there will be future follow-up at 6 and 12 months. The study reports that 47% of the soldiers who had sustained a mild TBI reported at their 3 month follow-up postconcussive symptoms (PCS). Most commonly the symptoms were sleep problems, forgetfulness, irritability and headaches.
Podcast: Talking Community Response with Denver Co-Responder Team ProgramPodcast: Talking Community Response with Denver Co-Responder Team Program
8 March 2017 - This week’s Rocky Mountain MIRECC Short Takes podcast highlights a local program invested in proactively reaching out to individuals who may experience mental health challenges, and build healthy relationships that better serve community members both in crisis and for the long haul.
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Carl Castro

Rocky Mountain Short Takes on Suicide Prevention: Colonel Carl Castro, PhD on the Military Suicide Transition Theory, The Hemingway Effect and the Importance of Understanding the Military Family

22 February 2017

Adam interviews Dr. Carl Castro, retired Colonel from the US Army, about his extensive work in area of suicide prevention, especially as it relates to the military community. Their conversation is far ranging but really does a wonderful job discussing transitions as a way to understand suicide in the military community. Dr. Castro also tells us about Ernest Hemingway, an army Veteran, and how his death can serve as a paradigm to understand the suicide death of elderly Veterans.

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The podcast is approximately 32 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

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Published: Initial Validation of the Self-Directed Violence Picture System (SDVPS)

Journal of Psychological Assessment

21 February 2017

Out this week in Psychological Assessment is an article from three of our investigators: Sarra Nazem PhD, Jeri Forster PhD and Lisa Brenner PhD, ABPP. The article explores a novel approach to assist in identifying persons with suicidal ideation who will and will not go on to engage in self-directed violence (SDV). In our recent podcast with Craig Bryan PhD makes clear it is imperative that we be able to determine amongst the many who experience suicidal ideation from those who will go on to engage in SDV behaviors.

Dr. Nazem's approach builds on the work by Matthew Nock PhD at Harvard and Sean Barnes PhD here at RMIRECC using the Implicit Association Test (IAT). Dr. Nazem has substituted images for text to to measure the associated response. This intial study demonstrates that the images elicited a a stronger response than text in the expected positive, negative and neutral directions.

If you are a researcher interested in using SDVPS please contact us.

Learn more about the publication DOI: 10.1037/pas0000448

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Published: Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness about Death: Associations With Suicidal Ideation among Female Veterans Exposed to Military Sexual Trauma

13 February 2017

Journal cover

Rocky Mountain MIRECC for Suicide Prevention researchers Lindsey Monteith PhD and Nasi Bahraini Phd along with Deleene Menefee PhD from South Central MIRECC published this article in the February issue of Journal of Clinical Psychology.

The study of female Veterans with a history of military sexual trauma strived to see whether aspects from the interpersonal-psychological theory of suicide might be applied to suicidal ideation within this group. Studies before this one often looked at the psychological aftermath of the trauma. The researchers here wanted to see if a well-established theory helped better understand the outcomes within the group. The study found that the constructs perceived burdensomeness and fearlessness about death were associated with suicidal ideation. For clinicians working with this group of Veterans it is important to examine these particular areas.

Find the paper at DOI: 10.1002/jclp.22462

Listen to Dr. Monteith discuss her earlier work on MST in this podcast: http://traffic.libsyn.com/denvermirecc/mst_01b.mp3
and watch for next podcast to drop soon!

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Published: Connecting Veterans at Risk for Suicide to Care Through the HOME Program

10 February 2017

Suicide Life Threatening Behavior

Rocky Mountain MIRECC researchers Bridget B. Matarazzo PsyD, Melodi Billera LCSW, Jeri E. Forster PhD, and Lisa A. Brenner PhD, ABPP (Rp) published an article in Suicide and Life-Threatening Behavior titled "Connecting Veterans at Risk for Suicide to Care Through the HOME Program."

The HOME (Home-Based Mental Health Evaluation) program "engages veterans in care following psychiatric hospitalization." The HOME program recognizes that the transition from psychiatric hospitalization to home is a high risk time for Veterans, for anyone. The study explored whether providing some in-home contact during this period might reduce this risk. The study is encouraging because it "suggest that the HOME program is effective at engaging veterans in care during the high-risk period of time following psychiatric hospitalization."

Read more on the HOME program
Find the article using DOI: 10.1111/sltb.12334

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Rocky Mountain Short Takes on Suicide Prevention: Collaborative Safety Planning for Older Adults

8 February 2017

This week join Adam Hoffberg as he chats with Dr. Elizabeth Conti a clinical psychologist and Postdoctoral Research Fellow with the VA Center for Innovation. Dr. Conti, along with four of her colleagues from the VA’s South Central MIRECC published the manual Collaborative Safety Planning for Older Adults. Dr. Conti gives a wonderful overview of what a safety plan is and leads our audience through creating one. Then she answers why safety planning with older adults’ presents challenges that clinician’s need to address in their practice. Throughout the conversation Elizabeth describes a collaborative approach that harkens to the work of Dr. David Jobes. This is a podcast where clinicians will gain a deeper appreciation of the safety plan and be able to use the skills learned in their everyday practice.

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The podcast is approximately 24 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

Study Recruitment:
Diet in Male Veterans in Colorado with Multiple Sclerosis (MS)

Omega-3

19 January 2017

We are now recruiting for the study Diet in Male Veterans in Colorado with Multiple Sclerosis (MS) COMIRB#: 15-1369.

This study is looking into whether dietary factors play a role in quality of life for male Veterans with MS. Participation in this study involves a 2-hour visit at the Denver, Golden or Colorado Springs Veterans Affairs facilities in which you will be filling out questionnaires. Compensation will be provided.

For more information about this study or to schedule an appointment, please call Daniel Hadidi at 303-399-8020 ext. 4714.

Patient-Centered Outcomes Research Institute (PCORI) Awards Grant to Nathaniel Mohatt

6 January 2017

Nate Mohatt

The Patient-Centered Outcomes Research Institute (PCORI), an independent nonprofit, nongovernmental organization awarded a grant to Nathaniel (Nate) Mohatt, Research Psychologist, Rocky Mountain MIRECC; Assistant Professor, Physical Medicine and Rehabilitation, University of Colorado Denver, for his study Coalition for Recovery and Innovation in Traumatic Brain Injury Care Across the Lifespan (CRITICAL).

Learn more about Nate and this research.

 

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Rocky Mountain Short Takes on Suicide Prevention: Craig Bryan on Fluid Vulnerability Theory - a way to Understand Acute and Chronic Suicide Risk

25 January 2017

This week Adam discusses Fluid Vulnerability Theory with Craig Bryan, PsyD, with the National Center for Veterans Studies at the University of Utah. Dr. Bryan ducked into an empty room at the hospital where he was delivering a talk to chat with Adam. Craig served four years in the Air Force and deployed to Iraq in 2009 as Director of the Traumatic Brain Injury Clinic at the Air Force Theater Hospital in Balad, Iraq. Later he worked with Dr. David Rudd as Dr. Rudd developed Fluid Vulnerability Theory (FVT). FVT states that “suicide risk is an inherently dynamically changing construct...that risk will fluctuate over time.” And it is through understanding the processes that underlie the “ideation to acting framework” where work and change come about. Listening to these two really get in the weeds about FVT is like having a full conference presentation delivered right to you. It is fascinating.

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The podcast is approximately 40 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

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RM MIRECC MVM CoRE Researcher Makes Top 10 List!

Chris Lowry

19 January 2017

Christopher Lowry, Co-Director of the Military and Veteran Microbiome: Consortium for Research and Education (MVMCoRE) and associate professor University of Colorado Department of Integrative Physiology, was acknowledged as contributing one of the top 10 studies that advances or breaks through mental health research.

The Brain & Behavior Research Foundation, one of the nation’s leading non-governmental funding source for mental health research, identified Dr. Lowry's research as a "potential game changer". The study, Immunization with a heat-killed preparation of the environmental bacterium Mycobacterium vaccae promotes stress resilience in mice, was published in May 2016 in the Proceedings of the National Academy of Sciences (PNAS).

We were lucky enough to catch up with Chris shortly after this article published and record a podcast. The podcast is 22 minutes long and should not be missed. Listen to Exploring the Possible Role of the Microbiome in Suicide.

 

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Military Times: VA is studying gut bacteria in PTSD, TBI patients - Join the Probiotics Study

Vaccine

After work first done by MVM's own Christopher Lowry there is a new study being launched at the VA lead by Lisa Brenner and Christopher Lowry exploring whether an over-the-counter probiotic can lead to positive results for PTSD and TBI.

Learn more about joining the Probiotics study

Read the article

Listen to Chris' podcast on this topic

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Rocky Mountain Short Takes on Suicide Prevention: Working towards a better understanding of suicide loss

11 January 2017

Suicide is known as a rare event, yet the large number of those impacted by suicide (through exposure, and closer connections including bereavement) makes suicide loss relatable to every human. Preliminary research on suicide bereavement in Veterans and Military Families shows that military family members who have lost someone to suicide are at greater risk for depression, anxiety, and suicidal thoughts of their own. Melanie Hom, M.A., a clinical graduate student at Thomas Joiners’ Laboratory for the Study and Prevention of Suicide-Related Conditions continues this line of research, which she discusses with Adam in this week’s Short Takes podcast. Using common data elements aggregated across 15 studies funded by the Military Suicide Research Consortium, this study finds that the majority (over 50%) of service members and Veterans know someone who has died by suicide. Melanie shares findings about those affected by suicide loss, as well as important clinical implications and needed next steps for future research.

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Related resources:

Resources for loved ones bereaved by suicide:

The podcast is approximately 25 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on Suicide Prevention: Rehabilitation at the VA is a Team Sport, as is Suicide Prevention

28 December 2016

The VAs Polytrauma System of Care (PSC) represents the world’s largest, integrated model of traumatic brain injury (TBI) care. In this podcast, Adam catches up with Joel Scholten MD (widely known as @VATBIDoc on twitter) at this year’s annual American Congress of Rehabilitation Medicine conference to discuss PSC’s achievements. Joel describes the comprehensive system of rehabilitation care available to Veterans and their families, which strives to address often complicated care needs. These often range from TBI with co-morbid PTSD, pain, and other conditions that benefit from PSC’s individualized treatment plans and highly multi-disciplinary approach. Join Joel and Adam during the Chicago Cubs' victory parade as they discuss the VA’s team sport approach to rehabilitation and suicide prevention.

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Supporting material:

The podcast is approximately 13 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention, Rehabilitation

Congressionally Directed Medical Research Programs Applauds Military Suicide Research Consortium for Recent Accomplishments from Cutting-Edge Studies

23 December 2016

Military Suicide Research Consortium"The Military Suicide Research Consortium (MSRC), co-directed by Drs. Pete Gutierrez and Thomas Joiner, was established in 2010 in an effort to coordinate and focus suicide research efforts across the Department of Defense (DoD) due to the increased rates of suicide in the military. The MSRC is focused on the discovery of scientific knowledge about suicidal behavior in the military, addressing relevant problems that may be solved with policy and/or practice, disseminating consortium knowledge, and training future leaders in military suicide research. The Denver Research Institute and Florida State University received additional funding this year in order to continue the consortium for 5 more years (see http://cdmrp.army.mil/search.aspx for abstract). With this additional funding, they aim to continue to produce highly valuable and mission-relevant deliverables in order to address the problem of suicide in the military."

Read more at the CDMRP website, especially about the last 7 research projects by such leaders in the field as Dr. Michael Anestis, Dr. Craig Bryan and Dr. Matthew Nock and on topics like "Computerized Anger Reduction Treatment for Suicide Prevention" and "Perceptual Retraining to Reduce Suicide Risk".

Learn more about MSRC at their website.

Rocky Mountain Short Takes on Suicide Prevention: Sleeping Well as an Upstream Approach to Suicide Prevention

14 December 2016

Could improved sleep potentially help prevent individuals from developing suicidal thoughts or behaviors sometime in the future? Rocky Mountain MIRECC Psychologist Sarra Nazem talks with Adam about her clinical work and research into evidence-based insomnia treatments as it relates to decreasing suicide risk. This topic is particularly relevant for providers working with Veterans and military, who experience sleep disturbances at increasingly high levels in the past decade. The good news: though insomnia is highly prevalent among Vets and military, it is also highly treatable. EB interventions such as SHUTi (Sleep Health Using the Internet) capitalize on a combination of high effectiveness and wide accessibility. Join Sarra and Adam as they discuss improving sleep as a way to increase hopefulness, and improve outcomes for other co-morbid conditions.

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Supporting material:

The podcast is approximately 25 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention, Sleep

Congratulations! Home-Based Mental Health Evaluation (HOME) Program for Rural Veterans Selected as a Gold Status Practice

12 December 2016

HOME programThe Under Secretary for Health (USH) announced that RM MIRECCs Home-Based Mental Health Evaluation (HOME) Program for Rural Veterans lead by Bridget Matarazzo, PsyD., has been selected as a Gold Status practice in the USH Second Shark Tank Competition. "The goal of the Diffusion of Excellence Initiative is to identify best practices, and adapt and replicate them at other sites of care to improve the experiences of Veterans and their families, as well as those who serve them. The initiative helps empower front-line employees to share best practices to effectively use existing resources and skills to make improvements." Learn more about the Diffusion of Excellence Initiative.

The Home-Based Mental Health Evaluation (HOME) program is a suicide prevention intervention for Veterans aimed at increasing treatment engagement and decreasing suicide risk following psychiatric hospitalization, a period of heightened suicide risk. Learn more about HOME.

Rocky Mountain Short Takes on Suicide Prevention: From Elementary School to Retirement: Suicide Prevention Throughout the Life Cycle

30 November 2016

Richard Egan shares his professional journey, which spans 26 years’ service with the Air Force (starting with munitions, “bombs and bullets”) to Suicide Prevention Training and Outreach Facilitator, Nevada Department of Health and Human Services, Office of Suicide Prevention. Nevada represents the only State to reduce (by a small amount) suicide rates from 1999 – 2014, while the rest of the nation increased upwards of 24%. How did they achieve this result? Mr. Egan describes a comprehensive life cycle approach, starting with social-emotional learning in elementary school, to supporting older residents, many of whom have left family/friends behind in other states. This podcast also highlights Nevada’s access to lethal means’ programs, proactively reaching and training community members that may come in contact with at-risk individuals.

Play podcast

Supporting material:

The podcast is approximately 40 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention, Firearm Safety

Rocky Mountain Short Takes on Suicide Prevention: LGBTQ and Suicide Prevention: Challenges and Opportunities

2 November 2016

Adam spoke with Dr. John Blosnich a research health scientist with the Center for Health Equity Research and Promotion at the VA Pittsburgh Healthcare System and an adjunct assistant professor in the Department of Behavioral and Community Health Sciences at the University of Pittsburgh Graduate School of Public Health. John discusses his work with Veterans from the Transgender community. The work being done within the VA may surprise some and should cause us all a beacon of hope.

Play podcast

Supporting material:

The podcast is approximately 20 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on Suicide Prevention: Talking to T2 about Mental Health Apps

19 October 2016

Adam talks this week with Dr. Julie Kinn from The National Center for Telehealth & Technology (T2), a Department of Defense organization that evaluates new technologies for tele-mental health. T2 has put out lots of mobile apps focusing on the mental needs of Veterans, caregivers, service members and clinicians. The apps have been remarkably popular and useful. Adam explores the process of creating evidence-based apps that are fun, easy to use and beneficial.

Supporting material:

The podcast is approximately 30 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on Suicide Prevention: PTSD and the ICU Nurse: Bolstering Resiliency in the Helping Professions

5 October 2016

Adam interviews a new addition to the Rocky Mountain MIRECC for Suicide Prevention team, Dr. Meredith Mealer. Meredith as done important work studying the high prevalence of PTSD in ICU nurses. Her work has found that ICU nurses suffer from PTSD at a rate comparable to soldiers returning from Iraq and Afghanistan. Dr. Mealer's research has also provided steps that nurses and ALL helping professionals can take that have proven to bolster resilience. The work is important for all in the helping field.

Supporting material:

The podcast is approximately 21 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

See Dr. Pete Gutierrez's Latest Publication: Are Military/Veterans Affected by Suicide?

3 October 2016

Pete Gutierrez

The article in the Journal of Affective Disorders published an online version of "Exploring the Association between Exposure to Suicide and Suicide Risk among Military Service Members and Veterans" which Dr. Pete Gutierrez co-authored with Melanie A. Hom, Ian H. Stanley, Thomas E. Joiner Jr.. The article explores the impact of suicide exposure among service memvers and Veterans. Studies have indicated the devastating affect of suicide within families and the article describes how the same may be true for a military population.

The article was released online 28 September 2016 where you can read more.

Dr. Meredith Mealer publishes "Moral Distress in Intensive Care Unit (ICU) Nurses"

29 September 2016

ICU Nurse

Dr. Meredith Mealer has a new article in the Journal of Intensive Care Medicine titled "Moral Distress in ICU Nurses". This article explores the "complex and difficult work environment" within the ICU and how this can lead to moral distress. The idea of moral distress discussed in this article is akin to the podcast released just a week ago on moral injury.

Read Meredith's article on moral distress and then listen to Georgia Gerard's podcast on moral injury.

Also, coming next Wednesday, 5 October 2016, you can listen to Dr. Mealer's own podcast discussing PTSD in ICU nurses. Her podcast will help us understand how all in the caring field can experience PTSD. Best, she will share methods to build resilience for your self and colleagues!

Rocky Mountain Short Takes on Suicide Prevention: On Moral Injury and Suicide

21 September 2016

In this week's episode Adam discusses moral injury with Georgia Gerard, LCSW, a social worker at Rocky Mountain MIRECC for Suicide Prevention. Moral injury is distinct but can also overlap with PTSD. It is important to tease out the differences and then help the individual back to a a place of acceptance.

Supporting material:

The podcast is approximately 18 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention

RM MIRECC Researchers Appear in Utah PBS Video "Hope Lives: Preventing Teen Suicide"

16 September 2016

Doug Gray

From our Salt Lake City Rocky Mountain MIRECC for VA Suicide Research office, Drs. Doug Gray and Perry Renshaw appear in an important PBS documentary on Teen Suicide. The documentaary was produced by KUED, the University of Utah's PBS channel. From the KUED website: "This timely KUED film on teen suicide in Utah highlights three stories — a promising young athlete who took his own life, a young man now in his late 20s who talks candidly about his suicide attempt as a teen, and a young transgender teen who also survived her suicide attempt with a reaffirmed desire to live."

Watch this wonderful production on KUED.

Dr. Doug Gray and Rocky Mountain MIRECCs SLC Team Publish Comparing Veterans and nonveteran Utah Suicide Decedents

9 September 2016

Doug Gray

Dr. Douglas Gray along with Rocky Mountain MIRECC for VA Suicide Prevention Salt Lake City colleagues Erin McGlade and Deborah Yurgelun-Todd published "Male suspected suicide decedents in Utah: A comparison of Veterans and nonveterans" in the August edition of Comprehensive Psychiatry. The article explored differences between Veterans and nonveterans who died by suicide. Results included that Veterans were older at the time of death and they had more prior suicide attempts and greater access to firearms.

Read "Male suspected suicide decedents in Utah: A comparison of Veterans and nonveterans" for free.

Also, it is worth noting the Doug is the voice behind our popular How to Talk to a Child about a Suicide Attempt in Your Family videos. Watch the full series on the VHA YouTube channel.

Rocky Mountain Short Takes on VA Suicide Prevention: Dr. Kate Comtois on Caring Contacts - Simple and Meaningful

7 September 2016

For this episode we took our podcast equipment to the Denver VA's 4th annual Mental Health Summit where Dr. Kate Comtois was giving the keynote address. Kate was there to tell us about promising directions in treating the patient with suicidal thoughts and behaviors. We’ll have Kate on Rocky Mountain Short Takes again in the coming months but today we wanted to focus on what she had to say about Caring Communications. This simple yet effective tool was first introduced in the 1990’s but the research was not published until 2001. Since then research in Australia, Iran and the U.S. has shown consistent positive results. Listen to the podcast and then think about how you can add this simple technique to your own practice.

Supporting material:

The podcast is approximately 27 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on VA Suicide Prevention: Getting the Word out about Suicide Prevention

24 August 2016

Dr. Nazanin Bahraini, Director of Education for the Rocky Mountain MIRECC for Suicide Prevention discusses VA Suicide Prevention research and how we make that research accessible for clinicians and Veterans. Nasi talks about the movement in VA Suicide Prevention research from her days as a psychology fellow where the research focused on down-river approaches to today where there the approaches run a wider range from community to environmental. She touches on the future, VA Suicide Prevention month and the 22 Pushup Challenge (have you done challenge yet!).

Supporting material:

The podcast is approximately 25 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on VA Suicide Prevention: The Microbiome, Old Friends and Getting Outside

11 August 2016

This week Adam interviews Lieutenant Colonel Andrew Hoisington, Ph.D., P.E., M.SAME, USAF, an Assistant Professor, and Environmental Engineering Division Chief, Department of Civil & Environmental Engineering, U.S. Air Force Academy. He is also one of the principle investigators with the Military and Veteran Microbiome: Consortium for Research and Education (MVM-CoRE). Dr. Hoisington is the author on numerous publications in the fields of the microbiota, immunoregulation, and mental health, including lead author on a publication in the journal Microbiome, and author on a recent publication in Current Environmental Health Reports.

Supporting material:

The podcast is approximately 25 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention, Microbiome

Teodor T. Postolache, MD: Infection and Risk of Death by Suicide

10 August 2016

Dr. Postolache

Dr. Postolache is the co-author published online entitled "A Nationwide Cohort Study of the Association Between Hospitalization With Infection and Risk of Death by Suicide." Dr. Postolache splits his time working as a professor of psychiatry at the University of Maryland School of Medicine and the Military and Veteran Microbiome: Consortium for Research and Education at the Rocky Mountain MIRECC for Suicide Prevention. The study the article is based upon followed over seven million Danish residents for 32 years (1980 - 2011) "To estimate the association between hospitalization with infection and the risk of death by suicide." The findings indicate some association.

Read the full article for free on the JAMA Psychiatry website.

Read a related interview in LiveScience and the JAMA Psychiatry editorial "Ascertaining Whether Suicides Are Caused by Infections."

Annals of Epidemiology Publishes Article Co-Written by Dr. Lisa Brenner

1 August 2016

Dr. Brenner

The article was written with John R. Blosnich, PhD, MPH, with the Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA and Robert M. Bossarte, PhD, with Post Deployment Health Service, Department of Veterans Affairs, Washington, DC and the Department of Psychiatry, University of Rochester, Rochester, NY. The title of the article is "Population mental health among U.S. military veterans: results of the Veterans Health Module of the Behavioral Risk Factor Surveillance System, 2011–2012" and the reason it was written was to examine "mental health indicators" in a sample of U.S. military Veterans.

Read more on the Annals of Epidemiology website.

Rocky Mountain Short Takes on VA Suicide Prevention: Implicit Association Test between Death/Life and Suicide

27 July 2016

Adam Hoffberg interviews Dr. Sean Barnes about his paper “Moving Beyond Self-Report: Implicit Associations about Death/Life Prospectively Predict Suicidal Behavior among Veterans”. The paper explores suicide risk assessment, the limitations of self-report, and why advancing our understanding of objective ways to measure suicide risk is so important. Specifically it examines the predictive validity of the death/suicide Implicit Association Test (d/sIAT) as an objective measure of future risk.

Supporting material:

The podcast is approximately 20 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention

Dr. Lindsey Monteith Publishes in Psychiatry Research

26 July 2016

Dr. Monteith

Dr. Lindsey Monteith lead a team of Rocky Mountain MIRECC for Suicide Prevention colleagues including Nazanin H. Bahraini PhD, Bridget Matarazzo, PsyD, Kelly Soberay, MA, Jeri E. Forster, PhD, and Holly Gerber on a paper entitled "The Influence of Gender on Suicidal Ideation following Military Sexual Trauma among Veterans in the Veterans Health Administration."

In February 2016, Dr. Monteith recorded a podcast related to two of her publications on Military Sexual Trauma (MST) and suicidal ideation, listen to the podcast RMIRECC Short Takes Podcast - Risk Factors, Warning Signs, and Drivers of Suicide.

Also:

Dr. Sean Barnes Publishes in Suicide and Life-Threatening Behavior Journal

21 July 2016

Journal cover

Dr. Sean Barnes is the lead author on “Moving Beyond Self-Report: Implicit Associations about Death/Life Prospectively Predict Suicidal Behavior among Veterans” a paper published online with several Rocky Mountain MIRECC for Suicide Prevention colleagues including Nazanin H. Bahraini PhD, Jeri E. Forster PhD, Kelly A. Stearns-Yoder BA and Trisha A. Hostetter MPH.

The paper explores suicide risk assessment, the limitations of self-report, and why advancing our understanding of objective ways to measure suicide risk is so important. Specifically it examines the predictive validity of the death/suicide Implicit Association Test (d/sIAT) as an objective measure of future risk. Matthew Nock, the senior author on this paper, has done ground-breaking work using the death/suicide Implicit Association Test which "assesses individuals’ unconscious associations between themselves and life and death."

Read the online paper.

Read about Matthew Nock's work in the New York Times' story "The Suicide Detective".

Look for the Rocky Mountain Short Takes podcast dropping Wednesday, 27 July 2016.

Rocky Mountain Short Takes on VA Suicide Prevention: Combat Rush

13 July 2016

Joe Huggins interviews Dr. Lisa Betthauser about the concept of combat rush. Combat rush was first coined by Dr. Jim Grigsby from his work in the early 1990s with Viet Nam Veterans. Dr. Betthauser explores the role of risky behaviors in returning Veterans, the role of safety planning and possible positive psychological outlets.

Supporting material:

The podcast is approximately 22 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on VA Suicide Prevention: Validating the Interpersonal Theory of Suicide in a Veteran Population

29 June 2016

Adam interviews Dr. Bridget Matarazzo about using measures to test Dr. Joiner's Interpersonal Theory of Suicide. This episode is of particular interest for any clinician who works with Veterans. Dr. Matarazzo explores to recognize perceived burdensomeness and thwarted belongingness in the presence of acquired capability through psychometric tools. And how these tools have been validated for a Veteran population.

Supporting material:

The podcast is approximately 16 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention

Rocky Mountain Short Takes on Suicide Prevention: Talking to Patients about Firearm Safety

15 June 2016

Adam Hoffberg talks with Dr. Marian (Emmy) Betz about how to talk with patients about firearm safety in relation to suicide risk. Dr. Betz is an emergency room physician at the University of Colorado Hospital and has worked extensively in the area of lethal means safety for suicide prevention. Her most recent article published June 2016 is titled "Lethal Means Access and Assessment Among Suicidal Emergency Department Patients."

An interesting part of this far ranging discussion occurs near the end when Dr. Betz discusses a program in Colorado, the Colorado Gun Shop Project. The program is modeled on the New Hampshire Firearm Safety Coalition. The purpose of the project is to collaborate with gun shop retailers, gun range owners, and firearm safety course instructors to promote suicide prevention awareness, recognize suicidal behavior, and limit the sale of firearms to any customer who is suicidal. See the links below to learn more.

Supporting material:

The podcast is approximately 26 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention; Firearm Safety

Rocky Mountain Short Takes on Suicide Prevention: Environmental Factors and Suicide

1 June 2016

In this episode Adam interviews Perry Renshaw, MD PhD MBA, the Medical Director of Rocky Mountain MIRECC who is based in our Salt Lake City, UT office. Dr. Renshaw is the senior author on “Acute Air Pollution Exposure and Risk of Suicide Completion”, one of the American Journal of Epidemiology (AJE) and the Society for Epidemiologic Research’s 2015 Articles of the Year. Listen as they explore what role the environment plays in suicide and the clinical implications.

Supporting material:

The podcast is approximately 18 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention; Environmental Factors; Stress Resilience

Rocky Mountain Short Takes on Suicide Prevention: The Microbiome and Suicide Prevention

16 May 2016

In this podcast Adam Hoffberg (and @adamhoffberg) interviews Dr. Christopher A Lowry (and @CALowryPhD) about his work studying the relationship between stress resilience and the microbiome. Dr. Lowry is with the University of Colorado Boulder, Department of Integrative Physiology, and the Center for Neuroscience, as well as co-Director for the Military and Veteran Microbiome: Consortium for Research and Education (and @MVM_CoRE). Dr. Lowry is the senior author on a publication in the Proceedings of the National Academy of Science . The article is titled “Immunization with a heat-killed preparation of the environmental bacterium Mycobacterium vaccae promotes stress resilience in mice.” Listen how the this article with it's complex title is turned into something understandable.

Supporting material:

The podcast is approximately 22 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention; Microbiome; Stress Resilience

Rocky Mountain Short Takes on Suicide Prevention Nature and Determinants of Suicidal Ideation among U.S. Veterans

18 April 2016

Welcome to our fifth RM Short Takes podcast. This week Adam Hoffberg interviews Dr. Noelle Smith. Dr. Smith is a clinical psychologist at the Tampa VA and affiliated with the VA National Center for Posttraumatic Stress Disorder. She specializes in working with Veterans with PTSD and is the lead author on a recent publication in the Journal of Affective Disorders. The article will appear in the June 2016 print edition and is titled “Nature and determinants of suicidal ideation among U.S. Veterans: Results from the national health and resilience in Veterans study.” Listen to Dr. Smith discuss the article and it's importance to the field of suicide prevention.

Supporting material:

The podcast is approximately 20 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention; Veteran

Six Training Videos: Suicide Assessment, Treatment and Management

videos

30 March 2016

These six videos were part of a day long training that Sarra Nazem PhD, Nazanin Bahraini PhD and Lisa Brenner PhD did in October 2014 for mental health clinicians at the American Lake VAMC.

Topics included:

  1. Self-Directed Violence
  2. Suicide Risk Assessment
  3. Suicide Risk Stratification
  4. Suicide Risk Intervention Strategies
  5. Suicide Risk Safety Planning
  6. End of Life Issues

RM MIRECCs Salt Lake City Research Team Publishes One of the Best Articles of 2015!

journal of epidemiology

25 March 2016

The prestigious American Journal of Epidemiology (AJE) and the Society for Epidemiologic Research has named the article “Acute Air Pollution Exposure and Risk of Suicide Completion” one of the Journal’s 2015 Articles of the Year!

The article written by Amanda V. Bakian, Rebekah S. Huber, Hilary Coon, Douglas Gray, Phillip Wilson, William M. McMahon and Perry F. Renshaw "examined the associations between short-term exposure to nitrogen dioxide, particulate matter, and sulfur dioxide and completed suicide in Salt Lake County, Utah (n = 1,546) from 2000 to 2010." The findings indicate a "positive associations between air pollution and suicide appear to be consistent across study locations with vastly different meteorological, geographical, and cultural characteristics."

The article can be found online here.

RM MIRECC Team Lead by Alexandra Schneider Publish in Frontiers in Psychiatry

journal frontiers psychiatry

19 April 2016

Alexandra Schneider lead a team of seven at Rocky Mountain MIRECC for Suicide Prevention on the publication of "Responses to Traumatic Brain Injury Screening Questions and Suicide Attempts among Those Seeking Veterans Health Administration Mental Health Services". The study suggests that among those seeking mental health services, individuals who screen positive for a history of TBI using the TBI-4 are at increased risk for suicide attempt during the 1-year period following intake. The TBI-4 is a series of four questions:

  1. Have you ever been hospitalized or treated in an emergency room following a head or neck injury?;
  2. Have you ever been knocked out or unconscious following an accident or injury?;
  3. Have you ever injured your head or neck in a car accident or from some other moving vehicle accident?; and
  4. Have you ever injured your head or neck in a fight or fall?

The article is available online at the Frontiers in Psychiatry website.

Rocky Mountain Short Takes on Suicide Prevention Sleep-Wake Disturbance

30 March 2016

Welcome to our fourth RM Short Takes podcast. This week Adam Hoffberg interviews Dr. Ellyn Matthews on her article "A Qualitative Study of Sleep-Wake Disturbance Among Veterans With Post-Acute Moderate to Severe Traumatic Brain Injury." Ellyn is now invested in Elizabeth Stanley Cooper Endowed Chair in Oncology Nursing at the University of Arkansas after a great stint with Rocky Mountain MIRECC. In this podcast she discusses the effect sleep-wake disturbance can have on Veterans with moderate to severe TBI.

The podcast is approximately 20 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention; Sleep-Wake Disturbance

RM MIRECC @ 49th Annual American Association of Suicidology Conterence

American Association of Suicidology Conference

18 March 2016

The 2016 American Association of Suicidology Conference starts Wednesday, 30 March in Chicago. It is, perhaps, the premier conference related to the suicide prevention in the country and Rocky Mountain MIRECC will be participating in 14 presentations! You can follow what is going on via Twitter #aas16.

Visit our 2016 AAS page to see short video presentations from most of our conference highlighting the work we do.

 

RMIRECC Short Takes Podcast - Response to "Is it time to abandon suicide risk assessment"

16 March 2016

Welcome to our third RM Short Takes podcast. This week Adam Hoffberg interviews Dr. Peter Gutierrez about an editorial by Dr Declan Murray in the British Journal of Psychiatry Open (DOI: 10.1192/bjpo.bp.115.002071) in which Dr Murray discusses abandoning suicide risk assessment. As you might expect, the answer is not a simple yes or no.

The podcast is approximately 14 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes or your favorite podcasts tool.

Categories: Suicide Prevention; Clinicians; Suicide Risk Assessment

Brain Injury Awareness Month & Sleep Awareness Week: Two articles in The Journal of Head Trauma Rehabilitation from RM MIRECC Researchers

11 March 2016

journal head trauma

Today the Journal of Head Trauma Rehabilitation published two articles written by our researchers.

The first is A Qualitative Study of Sleep–Wake Disturbance Among Veterans With Post–Acute Moderate to Severe Traumatic Brain Injury by Ellyn E. Matthews, PhD, AOCNS, CBSM, FAAN (now at the University of Arkansas); Gina M. Signoracci, PhD; Kelly Stearns-Yoder, BA; and Lisa A. Brenner, PhD, ABPP. In this article the researchers conducted a qualitative study, meaning they spoke to 19 Veterans about their experience with Sleep-Wake Disturbance (SWD). One outcome is the need for early and routine evaluation, monitoring and treatment of SWD. Learn more.

The second article is Actigraphic and Sleep Diary Measures in Veterans With Traumatic Brain Injury: Discrepancy in Selected Sleep Parameters by Sarra Nazem, PhD; Jeri E. Forster, PhD; Lisa A. Brenner, PhD, ABPP; and Ellyn E. Matthews, PhD, AOCNS, CBSM, FAAN (now at the University of Arkansas). This article examined how well a person's sleep diary matched a data collection tool, a sleep actigraphy. There appears to be a "notable mismatch" between what a person records in their sleep diary and what a tool records. This means that we must be careful relying on one or the other. Learn more.

Categories: TBI; Sleep Disturbance

RMIRECC Short Takes Podcast - Military Sexual Trauma and Suicide

22 February 2016

Join us for our second episode of RMIRECC Short Takes when we interview Dr. Lindsey Monteith about her two recent articles exploring military sexual trauma "Sexual Trauma and Combat During Deployment: Associations With Suicidal Ideation Among OEF/OIF/OND Veterans" and "A Closer Examination of Sexual Trauma During Deployment: Not all Sexual Traumas are Associated with Suicidal Ideation".

The podcast is approximately 20 minutes long.

Categories: Suicide Prevention; Clinicians; Military Sexual Trauma

RMIRECC Short Takes Podcast - Risk Factors, Warning Signs, and Drivers of Suicide

10 February 2016

Listen to our first podcast with Adam Hoffberg interviewing Dr. Peter Gutierrez regarding his latest publication "Risk Factors, Warning Signs, and Drivers of Suicide: What Are They, How Do They Differ, and Why Does It Matter?" in Suicide and Life-Threatening Behavior.

Resources:

The podcast is approximately 26 minutes long.

Categories: Suicide Prevention; Clinicians

The Denver VA and Rocky Mountain MIRECC Begin Research on Exoskeleton

20 January 2016

Dr. Brenner

Research is beginning on an exoskeleton suit donated by SoldierStrong, a nonprofit that provides advanced medical technologies to veterans, to see what benefits, physically and psychologically, there may be. Dr. Lisa Brenner, Director of Rocky Mountain MIRECC for Suicide Prevention will lead the research in partnership with University of Colorado School of Medicine Department of Physical Medicine and Rehabilitation.

Channel 9News covered the event and has video and a story. And the Denver Post also did a nice write up.

Categories: Traumatic Brain Injury; Veterans

RM MIRECC Participates in Summit - Preventing Veteran Suicide: A Call to Action

2 February 2016

Veteran suicide prevention

On February 2, the VA hosted a national summit on Veteran suicide prevention. Veteran suicide impacts us. To fight it we need everyone, government and community stakeholders, working together. Everyone has a duty to help Veterans suffering from the hidden scars of military service that lead them to think suicide is their only option.

Much of the summit was captured by people in the audience tweeting, catching and retelling the many highlights. These tweets were then captured in a story, put together online by Storify. To read what was said by some of the leading experts in the field of suicide prevention and gain insight into stories told by Veterans open the story.

And you can follow RM MIRECC on Twitter: @RMIRECC as well many leading voices working to stop suicide.

Categories: Suicide Prevention; Social Media

RM MIRECC Social Workers Publish Military Culture and the Transition to Civilian Life: Suicide Risk and Other Considerations

27 January 2016

social work journal

Rocky Mountain MIRECC for Suicide Prevention social workers Melodi Billera and Georgia Gerard along with James L. Pease published an important article for clinicians, especially civilian clinicians in the journal Social Work in late December.

The article presses the point that knowing and understanding military culture can help mental health clinicians provide culturally relevant care. This is all the more important during this time of military drawdown and as more service personnel transition to civilian life.TBI toolkit

Please take a look at our TBI Toolkit for Providers section on Military/Veteran Culture and the VA Mental Health Services' Community Provider Toolkit for more resources.

Categories: Suicide Prevention; Clinicians; Military Culture

Risk Factors, Warning Signs and "Drivers": Can You Tell the Difference?

18 January 2016

journal cover

Pete Gutierrez, PhD co-authored an article entitled "Risk Factors, Warning Signs, and Drivers of Suicide: What Are They, How Do They Differ, and Why Does It Matter?" in Suicide and Life-Threatening Behavior.

Research has highlighted many specific risk factors and warning signs for future suicidal behaviors. This article introduces the concept of "drivers". Think of warning signs and risk factors as a map; drivers are the specific route your patient is travelling.

The article can be found on Wiley Online Library (note: there is a pay wall). © 2015 The American Association of Suicidology.

Categories: Suicide Prevention; Clinical

RM MIRECC Researchers Awarded SPiRE Grants

18 January 2016

RM MIRECC researchers Lisa Brenner and Sean Barnes received separate SpiRE grants for important research projects. SPiRE grants are given by the VA Office of Research & Development for Small Projects in REhabilitation Research:

Lisa Brenner
Lisa A. Brenner, Ph.D., Principal Investigator; Director, Rocky Mountain MIRECC for Suicide Prevention
Biological Signature and Safety of an Immunomodulatory Probiotic Intervention for Veterans with Co-Occurring Mild TBI and PTSD
This study begins a new exploration in the area of the human microbiome; the microorganisms in our gut. There is growing evidence linking inflammation and mental health. This study explores the role of our microbiome, inflammation and ties to mild TBI (mTBI) and post-traumatic stress disorder (PTSD).
See below for more on the human microbiome
Sean Barnes
Sean Barnes, Ph.D., Principal Investigator; Clinical Research Psychologist, Rocky Mountain MIRECC
ACT for Life: a Brief Intervention for Maximizing Recovery After Suicidal Crises
A psychiatric hospitalization provides an opportunity to provide treatment and promote recovery. This study will look at the application of “ACT (Acceptance and Commitment Therapy) for Life” in an inpatient setting. ACT for Life is a brief, recovery-oriented intervention for Veterans hospitalized due to suicide risk. The study will provide critical information to inform final revisions to the treatment manual and research design for a future efficacy study of ACT for Life.

Categories: Suicide Prevention; Research

Microbiome of the Built Environment (MoBE): Suppress Inflammation to Promote Mental Health

18 January 2016

With the growth of the human microbiome perspective and the microbiome-gut-brain axis, there is an increasing appreciation regarding the association between inflammation and mental health. The microorganisms living within the built environment (MoBE) interact with the human microbiome, and may play an important role in modulating inflammation-induced psychiatric conditions and their symptoms. Research to identify environmental microorganisms that are either beneficial or harmful to mental health may lead to promising prevention and intervention treatments. This paper reviews the potential benefit of MoBe in studies of mental health.

“It is possible that intentional modification of the built environment to increase microbial biodiversity, or to increase exposure to immunoregulatory antigens or probiotics, would result in improved mental health conditions.”

Learn more:

Spanish Language Video for Talking to Children About a Suicide Attempt Released

18 January 2016

YouTube

The How to Talk to a Child about a Suicide Attempt in Your Family are now available as videos translated into Spanish. The video takes many of the important points from the written guides and using professional actors shows parents and caregivers how they can be used.

Si ha habido un intento de suicidio reciente en su familia, esto puede ser una de las experiencias más difíciles que usted y sus hijos pueden enfrentar jamás. Es importante cuidar de sí mismo, por lo que son más capaces de cuidar a su hijo.

Esta guía está pensada para ofrecerle un poco de ese apoyo, y también compartir otros recursos que pueden ser útiles para usted ahora, y como su familia se recupere. La guía no pretende sustituir el consejo profesional de salud mental. De hecho, puede ser mejor usar esto junto con el apoyo profesional si usted o su hijo tiene dificultades con la forma de hablar de este tema difícil.

Watch the video/Mirar el video

Categories: Veterans; Families; Suicide Prevention

Hire Heroes

Hire Heroes USA

This national service has earned a Seal of Distinction, and assists with resume revisions, job search and applications, job interviewing techniques and developing a post-military strategic plan. A hiring board connects Vets, transitioning military and their spouses with Hire Heroes USA’s corporate partners, maximizing opportunities for successful employment.

 


project sanctuary

Project Sanctuary - Where Military Families Reconnect

Project Sanctuary supports our military families by providing therapeutic retreats, enabling the families to reconnect and reintegrate into their communities through education, innovative services, supportive follow through…and FUN! Of the hundreds of families who have attended our retreats, 90% are still intact; we happily report ZERO SUICIDES, and all servicemen and women who want to have a job are working. Simply put, our program works.

 


R 4 alliance

R4 Alliance

R4 Alliance is a membership of programs of excellence providing therapeutic and community based Recreation services to Our Military Family. We are focused and committed to achieving the highest quality services through collaborative efforts in Research, education, standards of excellence, economic viability, and continuum of care across our service community. We believe these services are essential to the holistic Rehabilitation and Reintegration of Our Military Family.

 


VA choice

Veterans Choice Program: Connecting you to timely and convenient access to health care in your community.

If you have been waiting for VA care, live a certain distance from a VA facility, or face other geographic challenges, you may be eligible for a new program entitled “Veterans Choice Program”. The program provides options to be seen and treated in local communities. Visit the site or call 866-606-8198 to get started and learn more about your options.

 


Feds hire

FEDS Hire Vets

“Feds hire Vets is your single site for Federal employment information for Veterans, transitioning military service members, their families, and Federal hiring officials.” Here you will find online assistance, as well as a calendar of local events across the country. The site and service is a result of an Executive Order, “Employment of Veterans in the Federal Government,” and partnerships between the VA, DoD, Homeland security and other federal agencies.

 


my next move

My Next Move for Veterans

My Next Move for Veterans is designed for U.S. veterans who are current job seekers. The interactive tool helps vets learn about their career options. The site has tasks, skills, salary information, job listings, and more for over 900 different careers. Veterans can find careers through keyword search; by browsing industries that employ different types of workers; or by discovering civilian careers that are similar to their job in the military. Veterans can also take advantage of the O*NET Interest Profiler, a tool that offers personalized career suggestions based on a person's interests and level of work experience.

 


vets fast launch

Veteran Fast Launch Initiative

Every year, over 180,000 dedicated men and women exit our nation's armed services after their loyal service to our nation. For over 45 years, SCORE has been a leader in providing mentoring and training to entrepreneurs through its network of 13,000 volunteer mentors and trainers. SCORE stands ready to answer the call of helping our veterans to transition into life as entrepreneurs. The SCORE Foundation, in partnership with major corporations, is pleased to offer the "Veteran Fast Launch" initiative. This program is a combined package of free software and services combined with SCORE's mentoring program in order to help accelerate the ability of veterans and their families to start and succeed as small business owners.

 


real life lines

REALifelines

The Recovery and Employment Assistance Lifelines (REALifelines) initiative is a joint project of the U.S. Department of Labor, the Bethesda Naval Medical Center and the Walter Reed Army Medical Center. It will create a seamless, personalized assistance network to ensure that seriously wounded and injured service members who cannot return to active duty are trained for rewarding new careers in the private sector.

 


Farmer Veteran Coalition

Farmer Veteran Coalition

The mission of the Farmer Veteran Coalition is to mobilize veterans to feed America. We cultivate a new generation of farmers and food leaders, and develop viable employment and meaningful careers through the collaboration of the farming and military communities. We believe that veterans possess the unique skills and character needed to strengthen rural communities and create sustainable food systems for all. We believe that food production offers purpose, opportunity, as well as physical and psychological benefits.

 


Hope for the Warriors

Hope for the Warriors

The mission of Hope for the Warriors® is to enhance the quality of life for post-9/11 service members, their families, and families of the fallen who have sustained physical and psychological wounds in the line of duty. Hope For The Warriors® is dedicated to restoring a sense of self, restoring the family unit, and restoring hope for our service members and our military families.

 


Reboot Workshop

Reboot Workshop

Our mission is to assist veterans in making a successful transition from military service to civilian life, with all veterans achieving, within their potential, their goals in the transition domains of employment and career, education, living situation, personal effectiveness/wellbeing, and community-life functioning.

 


in transition

inTransition

Contact inTransition and you will be assigned a personal coach who will support you as you move between health care systems or providers. He or she will:

  • Coach you one-on-one as you go through your transition.
  • Connect you with your new provider.
  • Empower you with tools to continue making healthy life choices.

 


give an hour

Give an Hour

Currently, Give an Hour is dedicated to meeting the mental health needs of the troops and families affected by the ongoing conflicts in Iraq and Afghanistan. We provide counseling to individuals, couples and families, and children and adolescents. We offer treatment for anxiety, depression, substance abuse, post-traumatic stress disorder, traumatic brain injuries, sexual health and intimacy concerns, and loss and grieving.

 


Networks for Veterans

Network for Veterans

Our goal as Networks for Veterans is to make the adjustment to civilian life easier for all veterans by providing them the tools to connect with family and their community, and to help combat unemployment through email, resumes, and online resources. We aim to do this by providing the technology and networking capability that connects them through use of this technology.

 


National Disabled Veterans Winter Sports Clinic

National Disabled Veterans Winter Sports Clinic

The National Disabled Veterans Winter Sports Clinic is a world-leader in adaptive winter sports instruction for U.S. military Veterans and active duty servicemen and women with disabilities.

We are committed to improving the quality of life for Veterans with disabilities. Participants will develop sports skills and take part in a variety of adaptive sports workshops. Clinic participation demonstrates that having a physical or visual disability is not an obstacle to an active rewarding life.

The five-day Clinic consists of downhill and cross-country ski lessons, a challenge race, adaptive sports workshops and educational classes, plus sponsored and self-directed alternate activities such as scuba diving, sled hockey, a climbing wall, snowmobiling and other activities. More than 200 certified ski instructors for the disabled, and several current and former members of the U.S. Disabled Ski Team, serve as ski instructors to meet the unique needs of the participants.

 


Mission Redefined

Mission Redefined — VA Adaptive Sports Program

Your courage, your determination and your drive all led you to serve America proudly. Those same characteristics will also lead to satisfaction and success in adaptive sports. Disabled Veterans of all ages and abilities report better health, new friendships and a better quality of life when participating in adaptive sports. Disabled Veterans who are physically active simply have more fun! To get started, take some time to review the many sports opportunities available to you by reaching out to your VA clinical team and checking out this website.

 


Veterans Business Network

Veterans Business Network

The Veterans Business Network is an organization with two primary goals: to develop the largest veteran-owned business database in the country, and assist with transitioning veterans from military to civilian life.

Our partners range from dedicated veteran organizations such as SCORE and the Small Business Administration of Veteran’s Affairs to private organizations across the country. With this network, VBN can fulfill its mission of assisting veterans across the country in their business and civilian life.

 


Vail Veterans Program

Vail Veterans Program

Through rehabilitative sports and recreation activities the Vail Veterans Program helps to rebuild confidence and provide a sense of freedom from catastrophic injuries including: loss of multiple limbs, severe burns, spinal cord injuries, post-traumatic stress syndrome, and traumatic brain injuries. The Vail Veterans Program is provided free of charge to wounded warriors and their families giving them much needed time away from the hospital and offering them hope for the future.

 


Veterans’ Families United

Veterans’ Families United

Veterans’ Families United is an all-volunteer organization that connects “Veterans and their families to compassionate resources.” These include virtual as well as real world resources, with a “Connect by State” listing that links Vets to local/regional sources of assistance. Online tools cover many topics, from medical to housing and legal, mental health, finances, and benefits. Wellness resources introduce additional options for Veterans and families, with descriptions and links to local connections for alternatives such as meditation, therapy dogs, and equine therapy.

 


VETERANS CHANNEL

Google: VETERANS CHANNEL

Google’s Veterans Channel, hosted by You Tube, provides a place where Veterans and those who care about Veterans alike may contribute to a video story about service. Three main pages (Transition Tips, Veterans’ Voices, and Tributes) highlight Veteran contributions, challenges, and experiences, as well as thanks from across the U.S.

 


Team River Runner

Team River Runner

Team River Runner (TRR), established in August 2004 by kayakers in the Washington, DC area, is a primarily volunteer non-profit organization run by a council of kayakers and overseen by a board of directors. TRR was initially established to help active duty military personnel wounded in Iraq and Afghanistan who were recovering at Walter Reed Army Medical Center. With the success there obvious and the opportunity elsewhere apparent, TRR expanded to other Department of Defense (DoD) and Department of Veterans Affairs (VA) chapter sites in 2007.

 


STAR Well-Kit

STAR Well-Kit

The STAR Well-Kit: Tools for Healing (‘Simple Tools to Aid and Restore’) is a web-based toolkit for learning about wellness practices and Integrative Medicine tools for Veterans. The toolkit features Veterans describing their experiences of how Integrative Medicine tools and techniques may help. You can also follow along with brief demonstrations of various practices.

The STAR Well-Kit was created by the Veteran’s Health Administration’s (VHA) War Related Illness and Injury Study Center (WRIISC) with funding and support from the Office of Patient Centered Care and Cultural Transformation (OPCC&CT).

 


Calculate Post-9/11 GI Bill Benefits

Calculate Post-9/11 GI Bill Benefits

New Website Makes it Easier for Service Members and Veterans to Calculate Post-9/11 GI Bill Benefits

 


College Navigator

College Navigator

This website from the U.S. Department of Education can help Veterans find the right college. Search by type of degree or institution, location, programs, etc. Build a personalized list. Also info on financial aid, careers and more.

 


Colorado Health Career Guide

The Colorado Health Career Guide

Is a health career right for you? The Colorado Health Career Guide was first developed as a catalog in 1998 by the Colorado Area Health Education Center to help students find a health career. Now in it's fourth edition the on line career guide pays special attention to information about on-line programs.

 


DoD Safe Helpline

DoD Safe Helpline

Sexual Assault Support for the DoD Community - 877-995-5247 and www.safehelpline.org

 


Center of Excellence for Medical Multimedia Traumatic Brain Injury

The Journey Home

The Journey Home is the Center of Excellence for Medical Multimedia Traumatic Brain Injury (TBI) Web Site. This site provides an informative and sensitive exploration of Traumatic Brain Injury (TBI), including information for patients, family members, and caregivers.

 


National Resource Directory

National Resource Directory

Connecting Wounded Warriors, Service Members, Veterans, Their Families and Caregivers with Those Who Support Them.

 


Veterans Business Outreach Program

Veterans Business Outreach Centers

The Veterans Business Outreach Program (VBOP) is designed to provide entrepreneurial development services such as business training; counseling and mentoring; and referrals for eligible veterans owning or considering starting a small business. SBA has 16 organizations participating in this cooperative agreement and serving as Veterans Business Outreach Centers (VBOC).

 


Work Vessels for Veterans

Work Vessels for Veterans

Work Vessels for Veterans offers a hand up to returning veterans of Iraq and Afghanistan by providing the "vessel" needed to start a business or complete career education.

 


Site Map

 

Contact Information

Denver

Rocky Mountain Regional VAMC (RMR VAMC)
1700 N Wheeling St, G-3-116M
Aurora, CO 80045
720-723-6493

Salt Lake City

VA Salt Lake City Health Care System
500 Foothill DR
Salt Lake City, UT 84148
801-582-1565 x2821