A5085290006- Suicide and Self-Harm Studies
- Mental Health Treatment and Access
- Digital Mental Health Interventions
- Mental Health Research Topics
- Psychosomatic Disorders and Their Treatments
- Substance Abuse Treatment and Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Gun Ownership and Violence Research
- Personality Disorders and Psychopathology
- Homicide, Infanticide, and Child Abuse
- Schizophrenia research and treatment
- Gambling Behavior and Treatments
- Impact of Technology on Adolescents
- Psychotherapy Techniques and Applications
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Personality Traits and Psychology
- Decision-Making and Behavioral Economics
- Mental Health and Patient Involvement
- Gestational Diabetes Research and Management
- Homelessness and Social Issues
- Statistical Methods in Clinical Trials
- Child and Adolescent Health
- Health Policy Implementation Science
- Higher Education Research Studies
- Urological Disorders and Treatments
University of Washington
2006-2024
Kaiser Permanente Washington Health Research Institute
2011-2021
Bellevue Hospital Center
2020-2021
Health Services Research & Development
2021
VA Puget Sound Health Care System
2021
Behavioral Tech Research, Inc.
2020
Group Health Cooperative
2013-2015
University of Washington Medical Center
2009
Royal Women's Hospital
1978-1979
The University of Melbourne
1978-1979
Can asking one question accurately assess suicide risk? If the is item 9 on Patient Health Questionnaire (PHQ-9), answer may be yes. Researchers in a large integrated health system examined outcomes for more than 84,000 outpatients who completed PHQ-9 at every visit depression between 2007 and 2011. Patients reported thoughts of death or self-harm “more half days” “nearly day” experienced markedly increased risk subsequent attempt death. For this high-risk group, additional assessment...
Article Abstract Objective: To examine the association between thoughts of death or self-harm reported on item 9 Patient Health Questionnaire (PHQ) depression module and risk suicide attempt over following 2 years. Method: In 4 health care systems participating in Mental Research Network, electronic records identified 509,945 adult outpatients completing 1,228,308 PHQ questionnaires during visits to primary care, specialty mental health, other outpatient providers January 1, 2007 December...
The present research was conducted to clarify the relationships among social anxiety, alcohol consumption, alcohol-related problems, and negative-reinforcement drinking motives college students. Heavy students (N = 316, 53.80% female) completed self-report measures of motives. Findings indicated that higher in anxiety consumed less but experienced more negative consequences. Moreover, relationship between consequences mediated by coping conformity addition consumption. In context current...
The authors sought to understand why patients may not report suicidal ideation at a health care visit prior suicide attempt.Electronic record data from Kaiser Permanente Washington were used identify who reported having no on question 9 of the nine-item Patient Health Questionnaire and subsequently made attempt (≤60 days). Semistructured interviews audio-recorded, transcribed, analyzed by using combination directed (deductive) conventional (inductive) content analysis validate further...
People at risk of self-harm or suicidal behavior can be accurately identified, but effective prevention will require scalable interventions.
Digital monitoring technologies (e.g., smart-phones and wearable devices) provide unprecedented opportunities to study potentially harmful behaviors such as suicide, violence, alcohol/substance use in real-time. The of these new has the potential significantly advance understanding, prediction, prevention behaviors. However, also introduce myriad ethical safety concerns, deciding when how intervene if a participant's responses indicate elevated risk during study?We used modified Delphi...
The purpose of the current study was to evaluate feasibility and efficacy two promising approaches indicated prevention disordered gambling in a college population.Randomized clinical trial with assignment personalized feedback intervention (PFI), cognitive-behavioral (CBI) or assessment-only control (AOC). PFI delivered individually single session included regarding behavior, norms, consequences risk-reduction tips, motivational interviewing style. CBI small groups over four six sessions...
Suicide remains the 10th-ranked most frequent cause of death in United States, accounting for over 40,000 deaths per year. Nonfatal suicide attempts lead to 200,000 hospitalizations and 600,000 emergency department visits annually. Recent evidence indicates that responses commonly used Patient Health Questionnaire (PHQ9) can identify outpatients who are at risk attempt specific psychotherapy or Care Management programs prevent high-risk patients. Motivated by these developments, NIMH-funded...
<sec> <title>BACKGROUND</title> As individuals experiencing suicidal thoughts increasingly turn to the internet for support, digital tools offer a scalable and accessible means address this urgent need. Platforms like NowMattersNow.org, grounded in Dialectical Behavior Therapy (DBT) principles, have demonstrated reductions ideation negative emotions, suggesting potential of web-based interventions suicide prevention. However, further investigation is needed identify which features website...
Related ArticleThis is a corrected version. See correction statement in: http://www.jmir.org/2015/4/e69/
While clinicians are expected to routinely assess and address suicide risk, existing data provide little guidance regarding the significance of visit-to-visit changes in suicidal ideation.
ABSTRACT Introduction Previous studies report that item 9 of the Patient Health Questionnaire (PHQ9) is useful for stratifying risk suicide attempt in adults. This study re‐produced utility PHQ9 assessing adolescents. Materials and Methods Individuals aged 13 to 17 years 4 health systems with a diagnosis depression history treatment were included. We estimated time first observed fatal or non‐fatal 2 following completion PHQ9, stratified by response 9. Results There 51,807 questionnaires...
Addressing firearm access is recommended when patients are identified as being at risk of suicide. However, the practice assessing controversial, and no national guidelines exist to inform practice. This study qualitatively explored patient perspectives on a routine question about optimize centeredness this in context suicide risk.Electronic health record data were used identify primary care reporting depressive symptoms, including suicidal thoughts, within 2 weeks sampling. Participants...
Abstract Alcohol consumption and its attendant problems are prevalent among adolescents young adult college students. Harm reduction has been found efficacious with heavy drinking These harm approaches do not demand abstinence designed to meet the individual where he or she is in change process. The authors present a case illustration of intervention, Brief Screening Intervention for College Students (BASICS), heavy‐drinking female student experiencing significant as result her drinking....
Cognitive behavioral therapy (CBT) is a goal-oriented treatment that guides patients to healthy thoughts and behaviors. Internet-delivered CBT with supportive coaching can be as effective in-person psychotherapy of depression.To test the feasibility engaging depressed primary care not currently receiving measure outcomes coaching.Pilot project.1) Uptake rate. 2) Reduction in depressive symptoms (average score on 20-item Hopkins Symptom Checklist) from baseline 4-month follow-up.Medical...
This study aimed to determine whether a self-management support service was more effective than treatment as usual in reducing depressive symptoms and major episodes increasing personal recovery among individuals with chronic or recurrent symptoms.
Nearly half of people who die by suicide see a health care provider in the month before their death. With release new guidelines, detection suicidal patients will likely increase. Providers need access to suicide-specific resources that can be used as part immediate, brief interventions with patient. Web-based prevention have potential address this need.This study aimed describe development NowMattersNow.org website resource for individuals thoughts and evaluate utility site via user...
<h3>Importance</h3> Firearms are the most common method of suicide, one "diseases despair" driving increased mortality in US over past decade. However, routine standardized questions about firearm access uncommon, particularly among adult populations, who more often asked at discretion health care clinicians. Because standard rare, patterns patient-reported unknown. <h3>Objective</h3> To evaluate whether and how patients self-report information on a mental monitoring questionnaire...
Importance US residents report broad access to firearms, which are the most common means of suicide death in US. Standardized firearm questions during routine health care encounters uncommon despite potential benefits for prevention. Objective To explore patient and clinician experiences with a standard question about on self-administered mental questionnaire routinely used prior primary specialty encounters. Design, Setting, Participants Qualitative semistructured interviews were conducted...
Inter-rater reliability and accuracy are measures of rater performance. is frequently used as a substitute for despite conceptual differences literature suggesting important between them. The aims this study were to compare inter-rater among group raters, using treatment adherence scale, assess factors affecting the these ratings. Paired undergraduate raters assessed therapist behavior by viewing videotapes 4 therapists' cognitive behavioral therapy sessions. Ratings compared with...