A5037797353- Suicide and Self-Harm Studies
- Mental Health Treatment and Access
- Child and Adolescent Psychosocial and Emotional Development
- Health Policy Implementation Science
- Gun Ownership and Violence Research
- Digital Mental Health Interventions
- Bipolar Disorder and Treatment
- Posttraumatic Stress Disorder Research
- Personality Disorders and Psychopathology
- Primary Care and Health Outcomes
- Psychosomatic Disorders and Their Treatments
- Mental Health and Patient Involvement
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Child Abuse and Trauma
- Injury Epidemiology and Prevention
- Mental Health Research Topics
- Health Systems, Economic Evaluations, Quality of Life
- Public Health Policies and Education
- Psychotherapy Techniques and Applications
- Resilience and Mental Health
- Emergency and Acute Care Studies
- Community Health and Development
- Traumatic Ocular and Foreign Body Injuries
- Restraint-Related Deaths
- Autism Spectrum Disorder Research
University of Pennsylvania
2016-2025
California University of Pennsylvania
2012-2022
University of Washington
2016
Columbia University
2016
Harvard University
2006-2016
Dalhousie University
2016
Massachusetts General Hospital
2016
Temple University
2008-2012
McLean Hospital
2006-2008
A prospective, behavioral high-risk design provided a theoretically guided examination of vulnerability to first onset bipolar spectrum disorder based on the Behavioral Approach System (BAS) model. Adolescents (ages 14-19) at an "age risk" for were screened BAS sensitivity by interviewers blind current symptoms, lifetime history, and family history psychopathology. Participants selected with high versus moderate levels administered diagnostic interview. Those disorder, psychosis, or...
Little longitudinal research has examined progression to more severe bipolar disorders in individuals with "soft" spectrum conditions. We examine rates and predictors of I II diagnoses a nonpatient sample college-age participants (n = 201) high General Behavior Inventory scores childhood or adolescent onset followed longitudinally for 4.5 years from the Longitudinal Investigation Bipolar Spectrum (LIBS) project. Of 57 initial cyclothymia disorder not otherwise specified (BiNOS) diagnoses,...
The current study examines the predictive validity of Beck Depression Inventory (BDI) suicide item for death by and attempts.
Optimism has been conceptualised variously as positive expectations (PE) for the future , optimistic attributions illusion of control and self-enhancing biases. Relatively little research examined these multiple dimensions optimism in relation to psychological physical health. The current study assessed multi-dimensional nature within a prospective vulnerability-stress framework. Initial principal component analyses revealed following dimensions: PEs, Inferential Style (IS), Sense...
The purpose of this study was to determine the percentage borderline patients who first engaged in self-mutilation as children and compare parameters their self-harm those harmed themselves at an older age. Two hundred ninety inpatients meeting both Revised Diagnostic Interview for Borderlines (DIB-R; Zanarini, Gunderson, Frankenburg, & Chauncey, 1989) Statistical Manual Mental Disorders (3rd ed. ref.) (DSM-III-R; APA, 1987) criteria personality disorder were interviewed about history...
Abstract This study evaluated whether tonic immobility mediates the relations between perceived inescapability, peritraumatic fear, and posttraumatic stress disorder (PTSD) symptom severity among sexual assault survivors. Female undergraduates ( N = 176) completed questionnaires assessing history, immobility, PTSD symptoms. Results indicated that fully mediated inescapability overall severity, as well reexperiencing avoidance/numbing clusters. Tonic also relation fear symptoms, partially...
Disruptions in emotion regulation are a transdiagnostic risk factor for psychopathology. However, scant research has examined whether strategies related to the onset of posttraumatic stress disorder (PTSD) symptoms among youths exposed trauma. We investigated pretrauma prospectively predicted PTSD symptom after 2013 Boston Marathon terrorist attack adolescents and these associations were moderated by degree exposure media coverage attack.A sample 78 Boston-area (mean age = 16.72 years, 65%...
Progress bringing evidence-based practice (EBP) to community behavioral health (CBH) has been slow. This study investigated feasibility, acceptability, and fidelity outcomes of a program implement transdiagnostic cognitive therapy (CT) across diverse CBH settings, in response policy shift toward EBP.
Objective We identified common and unique barriers facilitators of evidence-based suicide prevention practices across primary care with integrated behavioral health services specialty mental settings to identify generalizable strategies for enhancing future implementation efforts.Method Twenty-six clinicians practice leaders from (n = 2 programs) 4 clinics) participated. Participation included a semi-structured qualitative interview on implementing practices. Within that interview,...
Importance Firearm injury and poisoning, often by drug or medication overdose, account for most suicides among the general population US veterans. In Veterans Health Administration, largest integrated health care system in US, firearm opioid access is assessed patients at risk suicide who complete safety plans. Objective To describe self-reported, clinician-documented to firearms opioids, storage practices, distribution of cable locks naloxone, counseling on overdose veterans elevated...
The purpose of this study was to assess the severity dissociation reported by borderline patients and axis II comparison subjects over 10 years prospective follow-up.The Dissociative Experiences Scale (DES) - a 28-item self-report measure administered 290 in-patients 72 during their index admission. It also re-administered at five contiguous 2-year follow-up periods.The overall dissociative experiences those in both groups decreased significantly time but discernibly greater (61% vs. 43%)....
External causes of injury codes (E-codes) are used in administrative and claims databases for billing often employed to estimate the number self-injury visits emergency departments (EDs).This study assessed accuracy E-codes using standardized, independently administered research assessments at time ED visits.We recruited 254 patients three psychiatric United States between 2007 2011, who completed after presenting suicide-related concerns were classified as suicide attempters (50.4%, n =...
<h3>Importance</h3> The rate of youth suicide has increased steadily over the past several decades due, in part, to an increase by firearm. Implementation evidence-based approaches safe firearm storage practices are important for reducing suicide. <h3>Objective</h3> To assess needs stakeholders who would be affected implementing approach safety promotion—Firearm Safety Check, which includes screening presence firearms home, brief motivational interviewing–informed counseling regarding...
Insights from behavioral economics, or how individuals' decisions and behaviors are shaped by finite cognitive resources (e.g., time, attention) mental heuristics, have been underutilized in efforts to increase the use of evidence-based practices implementation science. Using example firearm safety promotion pediatric primary care, which addresses an evidence-to-practice gap universal suicide prevention, we aim determine: is a less costly more scalable economic-informed strategy (i.e.,...
Article Abstract Objective: The degree of concordance between clinical and standardized assessments in the detection classification suicidal behavior nonsuicidal self-injury psychiatric emergency department settings was examined. Method: Two hundred fifty-four patients at 3 departments 2007 2011 were evaluated by research staff using behavior. Of 254 patients, 128 (50%) made a recent suicide attempt, 30 (12%) engaged behavior, 20 (8%) attempt interrupted self or others, 76 (30%) had other...
This paper posits that a clinician's own anxious reaction to delivering specific evidence-based interventions (EBIs) should be better accounted for within implementation science frameworks. A key next step is delineate the causal processes most likely influence successful of (EBIs). critical being able develop tailored strategies specifically target mechanisms by which succeeds or fails. First, we review literature on EBIs may act as negatively valenced stimuli clinicians, leading process...
Objective The severity of anxiety, in general, has been associated with suicide ideation (SI) among youth, but research yet to examine the specific anxiety symptoms that may contribute SI youth. This study examined symptom clusters (i.e., tense/restless, somatic/autonomic symptoms, humiliation/rejection, performing public, separation perfectionism, and anxious coping) youth who met diagnostic criteria for an disorder. Method Participants ( N = 87) were treatment‐seeking children adolescents...
The Collaborative Care Model (CoCM) increases access to mental health treatment and improves outcomes among patients with mild moderate psychopathology; however, it is unclear how effective CoCM for elevated suicide risk.