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.
Adam Interviews John R. Blosnich, PhD, MPH, from the VHA Center for Health Equity Research and Promotion. Dr. Blosnich's program of health equity research in VA focuses on LGBT Veterans, with specific attention to suicidal risk and examining ways that information about patients' social determinants of health can be part of adaptive health care systems.
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.
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. Meale'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.
In this week's episode Adam discusses moral injury with Georgia Gerard 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.
Adam Hoffberg visits with Dr. Kate Comtois during a break in the Denver VA's Mental Health Summit. Kate discusses the simple idea of caring contacts as a way to prevent suicide and remain connected with our patients. Give it a try.
Dr. Nazanin Bahraini discusses how research in suicide prevention is made accessible through the art of dissemination and implementation.
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. 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.
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.
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.
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.
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." Adam and Emmy discuss the balance between protecting rights, safety and trust.
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.
On this episode of Rocky Mountain Short Takes on Suicide Prevention, Adam interviews Dr. Christopher A Lowry, Associate Professor, Department of Integrative Physiology, University of Colorado, Boulder and Co-Director of the Military and Veteran Microbiome Consortium for Research and Education. This podcast looks at Dr. Lowry's latest publication and explores the relationship between the microbiome and suicide prevention.
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 Smith discuss the article and is importance to the field of suicide prevention.
Adam Hoffberg interviews Dr. Ellyn Matthews about her recent study looking at the sleep-wake disturbance in Veterans and it's relationship to suicide. The study was published as "A Qualitative Study of Sleep-Wake Disturbance Among Veterans With Post-Acute Moderate to Severe Traumatic Brain Injury."
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.
Adam Hoffberg interviews Dr. Lindsey Monteith from the Rocky Mountain MIRECC for Suicide Prevention about two articles she recently published:"A Closer Examination of Sexual Trauma During Deployment: Not All Sexual Traumas Are Associated with Suicidal Ideation" and "Sexual Trauma and Combat During Deployment: Associations With Suicidal Ideation Among OEF/OIF/OND Veterans".
Rocky Mountain MIRECC for Suicide Prevention presents: 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 traveling.
Adam Hoffberg interviews Dr. Peter Gutierrez on the concepts of risk factors, warning signs and drivers.