Carolinas Collaborative on Climate, Health, and Equity

Temperature extremes contribute to suicide-related help-seeking through multiple pathways: Evidence from crisis hotline data (2019–2023)

Ryan, S. C., Sugg, M. M., Schwandt, V., Crespo, S., Lindzey, S., & Runkle, J. D. (2026, February 11). PLOS Mental Health.

Help-Seeking Patterns during Weather Events: 2-1-1 Service Calls among Service-Connected Unhoused Populations in Louisiana from 2014 to 2023

Sugg, M. M., Ryan, S. C., Erb, M., Bigelow, J., Holbein, A., & Runkle, J. D. (2026, February 17). Journal of Urban Health, Vol. 2.

Pathways linking poverty and mental health: Causal mediation analysis in Southern Appalachia.

Runkle, J. D., Herbst, K., Bradley, J., & Braasch, E. (2026, February 16). Rural Mental Health.

Retrospective interrupted time-series evaluation of mental distress among transgender and gender diverse youth after Hurricane Ian (2022)

Ryan, S. C., Sugg, M. M., Thompson, M. P., & Runkle, J. D. (2026, February 12). The Journal of LGBTQ+ Mental Health.

Spatial Analysis of Flood Risk, Neighborhood Characteristics, and Chronic Health Conditions in North Carolina

Ulrich, S. E., Sugg, M. M., Hatcher, S. M., & Runkle, J. D. (2026, February 1). GeoHealth, Vol. 2.

Temperature extremes and maternal health: differential risks of severe maternal morbidity during heatwaves and coldwaves in North Carolina

Ulrich, S. E., Sugg, M. M., Roy, M., & Runkle, J. D. (2026, February 1). International Journal of Biometeorology, Vol. 2.

Disparities in suicide risk trajectories among youth during the COVID ‐19 pandemic

Ryan, S. C., Thompson, M. P., Sugg, M. M., & Runkle, J. D. (2026, January 26). Journal of Research on Adolescence.

Multiple marginalized identities: Multilevel analysis of COVID-19 impacts on youth mental and behavioral health

Runkle, J. D., Herbst, K., Ryan, S. C., Thompson, M. P., & Sugg, M. M. (2026, January 25). Personalized Medicine in Psychiatry, Vol. 1.

Extreme Precipitation Event Catalogue (EPEC)

Quintal, H., Sebastian, A., Henny, A., Tierney, G., Wright, D., Serre, M., & Dello, K. (2026, January 21). Texas Advanced Computing Center, Vol. 1.

Reflections on preparing regional chapters for NCA5

Frazier, A. G., Lustig, A. R., Chang, M., Elias, E. H., McPherson, R. A., Keener, V. W., … White, D. D. (2025, March 27). Climatic Change.

Health Inequalities at the Intersection of Race and Poverty in Southern Appalachia: A Community Health Needs Assessment Panel Survey 2012-2024

Runkle, J. D., Herbst, K., Bradley, J., & Braasch, E. (2025, September 12). North Carolina Medical Journal.

Rebuilding Maternal Health Access in Western North Carolina: Addressing Critical Gaps Amplified by Hurricane Helene

Runkle, J., & Sugg, M. (2025, April 30). North Carolina Medical Journal.

Scoping review of the societal impacts of compound climate events

Fehlman, C. A., Ryan, S. C., Lysne, K. G., Rundgren, Q. M., Spurlock, T. J., Orbison, R. O., … Sugg, M. M. (2025, January 16). Discover Environment.

Spatial analysis of environmental and socioeconomic factors impacting maternal and infant health outcomes in North Carolina

Ulrich, S. E., Sugg, M. M., Runkle, J. D., Fehlman, C. A., & Guignet, D. (2025, November 6). Journal of Environmental Studies and Sciences.

Community firearm violence during extreme temperatures in the continental United States: A spatiotemporal epidemiological analysis (2014–2024)

Sugg, M. M., Keefer, Q., Ryan, S. C., Desjardins, M. R., & Runkle, J. D. (2025, November 26). Environmental Challenges, Vol. 11.

Assessing the impact of heatwaves on emergency visits for major depression and suicidal ideation in youth with attention-deficit/hyperactivity disorder

Runkle, J. D., Reed, C., Weidner, K., Rothschild, J., Chandrasekhar, T., & Sugg, M. M. (2025, October 29). PLOS Mental Health.

Expansive Environmental Conditions on the Temperature-Preterm Birth Relationship Among Black Birthing Individuals in North Carolina, 2000-2020

Wooten, B., & Runkle, J. (2025, November 25).

Emergency department use for environmentally sensitive conditions among American Indian children exposed to air pollution and heat

Reed, C., Tiger, K., Cawley, M., Sugg, M. M., & Runkle, J. D. (2025, November 7). Environmental Research Health.

The Cost of Weather-Related Traffic Collisions

Burnett, I., & Harrison, J. (2025, June 2). Weather Climate and Society.

The Influence of Drought on Heat Wave Intensity, Duration, and Exposure

Leeper, R. D., Harrington, T., Palecki, M. A., DePolt, K., Scott, E., Runkle, J., & Diamond, H. J. (2025, April 25). Journal of Applied Meteorology and Climatology, Vol. 64, pp. 425–438.

Spatial inequities in greenspace: a spatial durbin model analyzing socio-demographic factors, heat risk, and neighborhood effects

Sugg, M. M., Ryan, S. C., Rankins, H. A., Ulrich, S. E., & Runkle, J. D. (2025, April 9). GeoJournal, Vol. 90.

Eco-anxiety, climate concern, and fatalistic outlooks: Insights from U.S. crisis text conversations on climate distress

Runkle, J. D., Herbst, K., Ryan, S., Sewell, K., Mallare, A., Berry, I., … Sugg, M. M. (2025, March 1). The Journal of Climate Change and Health, Vol. 22.

Mapping maternity care deserts: Driving distance and health outcomes in North Carolina

Sugg, M., Shakya, S., Ulrich, S., Tyson, J. S., & Runkle, J. (2025, March 1). The Journal of Rural Health, Vol. 41, p. 70020.

Cruel Summer (and Autumn): Humid Heat Trends, Extremes, and Mechanisms in the Southeast United States

Milrad, S. M., Ennis, K. E., Knight, D. A., Dello, K. D., Raye, L., & Wodzicki, K. R. (2025, March 18). International Journal of Climatology, Vol. 3.

Mental health disparities among maternal populations following heatwave exposure in North Carolina (2011–2019): a matched analysis

Ulrich, S. E., Sugg, M. M., Guignet, D., & Runkle, J. D. (2025, January 23). The Lancet Regional Health - Americas, Vol. 42.