This study sought to describe self-reported barriers professional help seeking among college students who are at elevated suicide risk and determine if these vary by demographic clinical characteristics.Participants were 165 non-treatment seekers recruited as part of a Web-based treatment linkage intervention for (from September 2010 through December 2011).Data collected using questionnaires. Two coders coded students' responses an open-ended question about reasons not help.The most commonly...

The purpose of this study was to longitudinally examine specific characteristics suicidal ideation in combination with histories suicide attempts and non-suicidal self-injury (NSSI) best evaluate risk for a future attempt among high-risk adolescents emerging adults. Participants retrospective medical record review were 473 (53% female; 69% Caucasian) consecutive patients, ages 15 24 years (M=19.4 years) who presented psychiatric emergency services during 9-month period. These patients'...

Despite the high prevalence of psychiatric emergency (PE) visits for attempted suicide and nonsuicidal self-injury (NSSI) among adolescents, we have limited information about assessment tools that are helpful in predicting subsequent risk attempts adolescents PE settings. This study examined predictive validity a highly promising instrument, Columbia-Suicide Severity Rating Scale (C-SSRS).Participants were 178 (44.4% male; ages 13-17 years) seeking services. The C-SSRS interview selected...

The relationship between hopelessness and depression in predicting suicide‐related outcomes varies based on the anticipation of positive versus negative events. In this prospective study adolescents at elevated risk for suicide, we used two Beck Hopelessness Scale subscales to assess impact expectations depression, suicidal ideation, behavior over a 2‐ 4‐year period. multivariate regressions controlling negative‐expectation hopelessness, positive‐expectation was only significant predictor...

This pilot randomized controlled trial examined the effect of an online intervention for college students at risk suicide, Electronic Bridge to Mental Health Services (eBridge), which included personalized feedback and optional counseling delivered in accordance with motivational interviewing principles. Primary outcomes were readiness seek information or talk family friends about mental health treatment, actual treatment linkage.Participants 76 (45 women, 31 men; mean age = 22.9 years, SD...

Background Our understanding of suicidal ideation ( SI ) and its risk precursors is largely informed by studies spanning over wide time intervals (weeks, months, years). Little known about as it occurs in daily lives individuals at for suicide, the extent to which thoughts are dynamic short periods time, degree theoretically factors predict near‐term . Methods Thirty‐four adolescents hospitalized due last‐month suicide attempt and/or last‐week (76% female; ages 13–17) responded surveys sent...

Sexual and gender minorities are at elevated risk for suicide, yet few studies have examined differences in within many sexual minority subgroups. The purpose of this study was to examine prevalence suicide factors among a wide range orientations identities.Forty-one thousand four hundred twelve college students (62% cis-female, 37% cis-male, 1% transgender/genderqueer) completed wellness screen that included (depression, heavy alcohol use, ideation, attempt).Gender (i.e., transgender,...

College student mental health (MH) problems and suicide risk have steadily increased over the past decade a significant number of students with MH do not seek treatment. While some barriers to care service utilization (MHSU) been identified, very little is known regarding how these differ among sociodemographic subgroups students. Participants were 3,358 college from four US universities who screened positive for elevated (defined as 2 or more of: depression, alcohol misuse, suicidal...

Mental health care is built around patient recall and report of clinical symptoms. However, memories events experiences rely on cognitive heuristics that influence our recall. The peak-end bias, which refers to the tendency for most intense proximate aspects an experience disproportionately memory, has been understudied in context mental symptoms may unduly self-reported symptoms, even standardized assessments. To determine whether bias applies depressive Patient Health Questionnaire-9...

Previous research has documented the feasibility of screening in emergency departments for adolescent suicide risk. This randomized trial examined effectiveness Teen Options Change (TOC), an intervention adolescents seeking general medical services who screen positive risk.Participants were 49 youths, ages 14 to 19, nonpsychiatric emergencies. They screened risk because recent suicidal ideation, attempt, or depression plus substance abuse. Youths randomly assigned TOC enhanced treatment as...

This study's purpose was to examine the predictive validity and clinical utility of a brief measure assessing youths' own expectations their future risk suicidal behavior, administered in psychiatric emergency (PE) department; determine if ratings improve upon clinician-administered assessment ideation severity. The outcome suicide attempts up 18 months later.In this medical record review study, 340 consecutively presenting youths (ages 13-24) seeking PE services over 7-month period were...

Suicide is the second leading cause of death among college students in United States, and percentage reporting suicidal thoughts increasing. Nevertheless, many at risk do not seek mental health (MH) services. This randomized controlled trial (RCT) examined efficacy Electronic Bridge to Mental Health for College Students (eBridge) increasing at-risk students' linkage MH

Objective: The feasibility and concurrent validity of adolescent suicide risk screening in medical emergency departments (EDs) has been documented. objectives this short-term prospective study adolescents who screened positive for the ED were: 1) to examine adolescents' rate suicidal behavior during 2 months following their visits compare it with reported rates psychiatric samples; 2) identify possible predictors acute at-risk sample. Method: Participants were 81 adolescents, ages 14–19...

Importance There is a substantial gap between demand for and availability of mental health services. Digital interventions (DMHIs) are promising tools bridging this gap, yet little known about their comparative effectiveness. Objective To assess whether patients randomized to cognitive behavioral therapy (CBT)–based or mindfulness-based DMHI had greater improvements in symptoms than the enhanced personalized feedback (EPF)–only DMHI. DESIGN, SETTING, AND PARTICIPANTS This clinical trial was...

Abstract Objective Gender‐minority youth, whose gender identity differs from their sex assigned at birth, have elevated suicide risk compared to cisgender yet few studies examine in the emergency department (ED). Our objectives were determine prevalence of and assess protective factors associated with prior attempt (SA) recent ideation (SI) among gender‐minority adolescents ED. Methods We conducted a secondary analysis Emergency Department Screening for Teens Risk Suicide (ED‐STARS)...

This mixed-methods study examined attitudes, barriers, and preferences for mobile mental health interventions among first-year college students. 351 students (64% women; 51% non-Hispanic White; 66% Heterosexual) from two campuses completed self-report assessments 10 individual semi-structured interviews. Paired t-tests compared attitudes various mHealth applications logistic regressions sociodemographic clinical characteristics of app users. Themes, topics, quotes interviews were derived...

Abstract Privacy is a growing concern in mobile health research, particularly regarding passive data. Apple SensorKit provides novel platform for collecting phone and wearable usage sensor data, however the acceptability feasibility of these sensitive data to research subjects remains unknown. We piloted with large sample first-year U.S. medical residents as part longitudinal Intern Health Study . Findings demonstrate that successful enrollment retention rates can be achieved e-Cohort study...