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October 2021; 11 (5) Research

Suicide and Seizures

A National Cohort Study in Veterans

Yarden Bornovski, Ebony Jackson-Shaheed, Stephanie Argraves, Adrianna Hitchins, Benjamin Tolchin, Daniela Galluzzo, Kei-Hoi Cheung, Joseph Goulet, Melissa Skanderson, Cynthia A. Brandt, Mary Jo Pugh, Hamada Altalib
First published March 12, 2021, DOI: https://doi.org/10.1212/CPJ.0000000000001070
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Article Information

vol. 11 no. 5 372-376
DOI: 
https://doi.org/10.1212/CPJ.0000000000001070
Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received July 10, 2020
  • Accepted January 18, 2021
  • First Published March 12, 2021.

Article Versions

Copyright & Usage: 
© 2021 American Academy of Neurology

Author Disclosures

    1. Yarden Bornovski, MD,
    2. Ebony Jackson-Shaheed, MPH,
    3. Stephanie Argraves, MS,
    4. Adrianna Hitchins, MD,
    5. Benjamin Tolchin, MD, MS,
    6. Daniela Galluzzo, MD,
    7. Kei-Hoi Cheung, PhD,
    8. Joseph Goulet, PhD, MS,
    9. Melissa Skanderson, MSW,
    10. Cynthia A. Brandt, MD, MPH,
    11. Mary Jo Pugh, PhD and
    12. Hamada Altalib, DO, MPH
  1. Yarden Bornovski, MD,
    2. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. salary was paid by a grant from the U.S. Department of Defense CDRMP (EP1600449) from 05/2019 - 08/2020

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. salary was paid by a grant from the U.S. Department of Defense CDRMP (EP1600449) from 05/2019 - 08/2020

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  2. Ebony Jackson-Shaheed, MPH,
    3. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  3. Stephanie Argraves, MS,
    4. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  4. Adrianna Hitchins, MD,
    5. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  5. Benjamin Tolchin, MD, MS,
    6. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for travel or speaker honoraria:

    1. 1) American Academy of Neurology, travel funding 2) International League Against Epilepsy, travel funding 3) Columbia University Medical Center, travel funding

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. 1) Department of Veterans Affairs, Veterans Health Administration, VISN1 Career Development Award PI: Benjamin Tolchin, MD, MS Project period: 10/01/2018 – 9/30/2020 2) Department of Veterans Affairs, Veterans Health Administration, Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, Locally Initiated Project 96-037 PI: Benjamin Tolchin, MD, MS Project period: 04/01/2018 – 03/31/2019

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. 1) American Academy of Neurology/American Brain Foundation: Practice Research Training Scholarship PI: Benjamin Tolchin, MD, MS Project period: 07/01/2015 – 06/30/2017 2) C. G. Swebilius Trust: Swebilius Grant PI: Benjamin Tolchin, MD, MS Project period: 05/01/2018 – 4/30/2019

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  6. Daniela Galluzzo, MD,
    7. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. Research sponsored by the Department of Defense

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  7. Kei-Hoi Cheung, PhD,
    8. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  8. Joseph Goulet, PhD, MS,
    9. Scientific Advisory Boards:

    1. 1) Veterans Health Administration, Health Services Research & Development, DSMB, non-profit

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. 2013-present associate editor, Journal of Pain

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. VA HSR&D, CIN 13-407, 10/13 - 09/23, statistician VA HSR&D, IIR 18-035, 06/19 - 05/23, PI VA HSR&D, IIR 17-228, 11/18 - 11/22, statistician VA HSR&D, IIR 16-262, 05/18 - 04/22, PI VA HSR&D, IIR 15-092, 02/17 - 01/21, statistician

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. Palmer College of Chiropractic, N/A, 07/17 - 06/22, statistician

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  9. Melissa Skanderson, MSW,
    10. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  10. Cynthia A. Brandt, MD, MPH,
    11. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. 1 R01 AT008448-01 NCCIH 2017-2021 PI U24 AT009769 NCCIH 2018-2022 PI CIN 13-407 VA HSR&D COIN 2018-2023 CoI NCATS 2017-2021 CoI R01 HL125587 NHLBI 2018-2020 CoI R01 HL126770 NHLBI 2018-2020 CoI IIR 15-092 VA HSR&D 2018-2021 CoI 4UH3DA047003 NIDA/NIH/DHHS 2019-2023 CoI U19 MH108206-01 NIMD 2017-2020 CoI U24AA022001 NIAA 2016-21 PI

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  11. Mary Jo Pugh, PhD and
    12. Scientific Advisory Boards:

    1. None

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. None

    Editorial Boards:

    1. NO COMPENSATION(1)BMC Health Services Research, Associate Editor, 2009-2017(2) BMC Geriatrics, Associate Editor, 2008-2017 (3) Journal of Managed Care Pharmacy, Editorial Advisory Board, 2007-2012.

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. (1) Brain Sentinel 2018; preparing protocol for RCT that will test a device in the VA population. I am not involved in the research of the device.

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. Brain Sentinel 2018, $15000

    Research Support, Government Entities:

    1. (1) VA health services research and development service; PII 50 HX002767 (2018-2023)(2) Congressionally Directed Medical Research Programs W81XWH-16-2-0046 PI (2016-2020)(3) VA health services research and development service; Co-I; 1I01HX001056-01 (2015-2018)(4) VA health services research and development service; Co-PI; 1I01HX001304-01 (2015-2018)(5) DoD; Co-I; GRANT11769314 (2014-2019)(6) DoD/ VA Clinical Sciences Research and Development Service; Co-PI; 7) VA Rehabilitation Research and Development; PI; I21 RX002060-01 (2016-2018)(8) DoD; Co-I; W81XWH-16-2-0013 (2016-2020)(9) NICHD; PI; 5R21HD089098-02 (2016-2018)(10) VA health services research and development service; Co-PI; 1 I01 HX001682 (2016-2020)(11) DoD Epilepsy Research Program; W81XWH-17-1-0691, PI, (2016-2020)(12) DoD CDMRP, W81XWH-17-1-0691, Co-PI, (2017-2020)(13) DoD CDMRP, W81XWH-18-1-0803, Co-I (2018-2022)(14) DoD CDMRP, W81XWH-18-1-0247, PI, (2018-2021)(15) DoD CDMRP, W81XWH-18-1-0736, Co-I (2018-2020)(16) VA Rehabilitation Research and Development Service, 1 I01 RX003443-01, PI, (2019-2024)(17) VA Rehabilitation Research and Development Service, 1 I01 RX003442-01, PI, (2019-2024)(18) DoD CDMRP, W81XWH-20-1-0764, PI (2020-2024)

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. None

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  12. Hamada Altalib, DO, MPH
    13. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. Epilepsy.com: Wellness & Emotional Health Comorbidities in Adults Editor. 2020-current Journal of Muslim Mental Health: Chief Editor. 2010-current

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. American Physician Institute: non-profit entity. Commissioned to lecture, write, and edit continuing medical education educational material.

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. Commercial research support received from Eisai Medical Research, Engage Therapeutics, Pfizer, Sunovion, and UCB (not related to current manuscript).

    Research Support, Government Entities:

    1. Department of Defense Congressionally Directed Medical Research Programs Epilepsy Research Program, PI, 2017- present

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  1. Department of Neurology (YB, EJ-S, SA, BT, HA), Yale School of Medicine, New Haven, CT; University of Rochester Medical Center (AH); Westchester Medical Center (DG), NY; Connecticut VA Healthcare System (K-HC, JG, MS, CAB), West Haven; Department of Emergency Medicine (K-HC, JG, CAB), Yale School of Medicine, New Haven; and VA Salt Lake City Healthcare System (MJP), University of Utah.
  1. Correspondence
    Dr. Altalib Hamada.hamid{at}yale.edu
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