A5023631388- Suicide and Self-Harm Studies
- Mental Health Treatment and Access
- Posttraumatic Stress Disorder Research
- Psychosomatic Disorders and Their Treatments
- Child and Adolescent Psychosocial and Emotional Development
- Schizophrenia research and treatment
- Psychotherapy Techniques and Applications
- Resilience and Mental Health
- Mental Health and Patient Involvement
- Personality Disorders and Psychopathology
- Digital Mental Health Interventions
- Mental Health Research Topics
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Gun Ownership and Violence Research
- Homicide, Infanticide, and Child Abuse
- Grief, Bereavement, and Mental Health
- Child Abuse and Trauma
- Health Policy Implementation Science
- Treatment of Major Depression
- Death Anxiety and Social Exclusion
- Mobile Health and mHealth Applications
- Functional Brain Connectivity Studies
- Counseling Practices and Supervision
- Attention Deficit Hyperactivity Disorder
- Telemedicine and Telehealth Implementation
VA San Diego Healthcare System
2021-2024
University of California, San Diego
2021-2024
Institute on Aging
2023
University of America
2015-2022
Catholic University of America
2015-2022
James J. Peters VA Medical Center
2022
University of Washington
2015-2018
Harborview Medical Center
2015-2017
Objective: This study describes a randomized controlled trial called "Operation Worth Living" (OWL) which compared the use of Collaborative Assessment and Management Suicidality (CAMS) to enhanced care as usual (E-CAU). We hypothesized that CAMS would be more effective than E-CAU for reducing suicidal ideation (SI) suicide attempts (SA), along with secondary behavioral health utilization markers U.S. Army Soldier outpatients significant SI (i.e., > 13 on Beck's Scale Suicide Ideation)....
Although it is well established that individuals living with psychosis are at increased risk for suicidal ideation, attempts, and death by suicide, several gaps in the literature need to be addressed advance research improve clinical practice. This Call-to-Action highlights three major our understanding of intersection suicide as determined expert consensus. The include methods, screening assessment tools used persons psychosis, psychosocial interventions therapies. Specific action steps...
Rates of treatment dropout in outpatient Dialectical Behavior Therapy (DBT) the community can be as high 24 % to 58 %, making a great concern. The primary purpose this article was examine predictors from DBT mental health setting. Participants were 56 consumers with borderline personality disorder (BPD) who psychiatrically disabled participating larger feasibility trial Therapy- Accepting Challenges Exiting System. following variables examined see whether they predicted DBT: age, education...
People with serious mental illnesses (SMIs) are at high risk for suicidal ideation and behavior, yet few suicide prevention interventions have been customized this group. We describe the outcomes of a pilot trial Mobile SafeTy And Recovery Therapy (mSTART), four-session suicide-focused cognitive behavioral intervention SMI, designed transition from acute to outpatient care augmented ecological momentary reinforce content.The primary objective was evaluate feasibility, acceptability,...
Given historically high rates of suicide among military personnel over the past decade present study analyzed whether key demographic, military, and research-based variables moderated clinical treatment outcomes 148 suicidal active duty US Army soldiers. This is a secondary analysis data from randomized controlled trial comparing collaborative assessment management suicidality (CAMS) to enhanced care as usual (E-CAU; Jobes et al., 2017). Nine potential moderator were derived suicidology...
Abstract Background Cognitive tasks delivered during ecological momentary assessment (EMA) may elucidate the short-term dynamics and contextual influences on cognition judgements of performance. This paper provides initial validation a smartphone task facial emotion recognition in serious mental illness. Methods A total 86 participants with psychotic disorders (non-affective affective psychosis), aged 19–65, were administered in-lab ‘gold standard’ affect recognition, neurocognition, symptom...
Abstract Background and Hypothesis People with serious mental illness (SMI; psychotic affective disorders psychosis) are at an increased risk of suicide, yet there is limited research on the correlates suicide in SMI. Social cognitive impairments common among people SMI several studies have examined social cognition suicidal ideation (SI) behavior. This systematic review aims to evaluate links between various domains cognition, SI, behavior Study Design Electronic databases (PubMed PsycInfo)...
Background Peer specialists are hired, trained, and accredited to share their lived experience of psychiatric illness support other similar individuals through the recovery process. There limited data on role peer in suicide prevention, including intervention development. Objective To better understand within Veterans Health Administration (VHA), we followed partnership community engagement a formative research approach development (1) identify barriers, facilitators, perceptions VHA...
Safety planning is a suicide prevention intervention that relies partly on an individual's social relationships as distractions during or help in suicidal crisis. The primary objectives of this study were to estimate rates missingness aspects safety plans determine whether differ by demographic characteristics and diagnoses examine missing contacts may affect clinical outcomes.Data drawn from the U.S. Department Veterans Affairs San Diego Healthcare System's electronic medical record...
Social-environmental factors have been found to be an integral part in the recovery process for individuals with psychiatric disabilities. There are few studies that obtained patient perspectives of how their social and treatment environments help facilitate or impede process. The following study examined self-reported interpersonal barriers among a sample (N = 31) borderline personality disorder who were receiving dialectical behaviour therapy. goal was identify problematic interferes goals...
People with serious mental illness (SMI) are at an increased risk for suicide. Social approach and avoidance motivations linked to social functioning, isolation is a factor This study uses ecological momentary assessment (EMA) understand in relation symptoms suicidal ideation (SI).
Objective There is growing interest in the development of composite precision treatment rules (PTRs) to guide selection treatments most likely be helpful for individual patients. We present here results an effort develop a preliminary PTR Collaborative Assessment and Management Suicidality (CAMS) relative enhanced‐care as usual based on secondary analysis Operation Worth Living (OWL) randomized controlled trial. The outcome eliminating suicide ideation (SI) within 3 months initiating...
The interpersonal-psychological theory of suicide (IPTS) differentiates the desire to die from capability inflict lethal self-injury. Despite increasing agreement in literature regarding theoretical relevance construct understanding military suicide, acquired has rarely been evaluated among currently or recently suicidal active-duty service members. To this end, present study pooled baseline data for 733 members enrolled one two clinical trials prevent suicide. We hypothesized that...
This pilot study investigates feasibility and acceptability of Caring Cards, a suicide prevention intervention inspired by Contacts the Recovery Model, where Veteran peers create cards that are sent to Veterans recently discharged from VA psychiatric hospitalization for risk.Caring Cards consists of: (1) weekly outpatient group (card makers) cards, (2) sending recipients). Feasibility card makers was measured attendance; (satisfaction) examined. Card recipients were one caring card, week...
Childhood trauma (CT) is associated with suicidal ideation and behaviors (SI/SB) in people psychosis. The interpersonal psychological theory of suicide (IPTS) suggests that there are four factors increase risk: thwarted belongingness, perceived burdensomeness, acquired capacity for suicide, hopelessness. IPTS constructs social cognitive biases SI/SB psychotic disorders. However, the role CT has not been examined In an outpatient community sample persons disorders (N = 96) assessed Trauma...