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| Publications of David B. Goldston :chronological alphabetical combined listing:%% Journal Articles @article{fds349446, Author = {Feuer, V and Goldston, DB}, Title = {SCREENING TOOLS IN THE EMERGENCY DEPARTMENT}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {58}, Number = {10}, Pages = {S305-S305}, Publisher = {Elsevier BV}, Year = {2019}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2019.07.694}, Doi = {10.1016/j.jaac.2019.07.694}, Key = {fds349446} } %% Papers Published @article{fds369355, Author = {Goldston, DB and Walrath, C}, Title = {The Garrett Lee Smith Memorial Act: A Description and Review of the Suicide Prevention Initiative.}, Journal = {Annu Rev Clin Psychol}, Volume = {19}, Pages = {261-275}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1146/annurev-clinpsy-080921-082634}, Abstract = {The Garrett Lee Smith (GLS) Memorial Act, continuously funded since 2004, has supported comprehensive, community-based youth suicide prevention efforts throughout the United States. Compared to matched communities, communities implementing GLS suicide prevention activities have lower population rates of suicide attempts and lower mortality among young people. Positive outcomes have been more pronounced with continuous years of implementation and in less densely populated communities. Cost analyses indicate that implementation of GLS suicide prevention activities more than pays for itself in reduced health care costs associated with fewer emergency department visits and hospitalizations. Although findings are encouraging, the heterogeneity of community suicide prevention programs and the lack of randomized trials preclude definitive determination of causal effects associated with GLS. The GLS initiative has never been brought fully to scale (e.g., simultaneously impacting all communities in the United States), so beneficial effects on nationwide suicide rates have not been realized.}, Doi = {10.1146/annurev-clinpsy-080921-082634}, Key = {fds369355} } @article{fds362120, Author = {Kauten, RL and Carter, SP and Stivers, M and Novak, LA and Baer, MM and LaCroix, JM and Grant, NE and Sickmann, B and Goldston, DB and Soumoff, A and Ghahramanlou-Holloway, M}, Title = {Post-Admission Cognitive Therapy for a Transgender Service Member With a Recent Suicidal Crisis: A Case Study of Gender-Affirming Care}, Journal = {Cognitive and Behavioral Practice}, Volume = {30}, Number = {2}, Pages = {273-286}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1016/j.cbpra.2021.10.007}, Abstract = {While elevated suicide risk in the American military and veteran population has led to the development of targeted interventions, the increased risk of suicidal ideation and behavior among transgender and gender diverse (TGD) Service members requires that interventions address suicide risk within the context of minority stressors and gender-affirming care. This case study presents Jordan (an alias), a transgender Service member who received inpatient psychiatric treatment following a suicide attempt precipitated by distress relating to gender dysphoria, minority status, and associated stressors. Jordan completed Post-Admission Cognitive Therapy (PACT; Ghahramanlou-Holloway, Cox, & Greene, 2012), a cognitive-behavioral intervention targeting suicide risk among military personnel and dependents psychiatrically hospitalized following a suicidal crisis. Within the context of PACT, Jordan's treatment included identifying and addressing distress related to minority stressors (externalized stigma, internalized transphobia, anticipated rejection, gender concealment) using gender-affirming best practices. Marked changes in Jordan's self-report measures from baseline to follow-up, as well as qualitative changes reported by Jordan, demonstrate that she felt comfortable, safe, and ready to be discharged from the inpatient unit after completing PACT treatment and gaining exposure to the skills necessary to help prevent and/or manage future suicidal crises. Treatment implications and recommendations for addressing suicide risk within the context of gender-affirming care and prevalent minority stressors are discussed.}, Doi = {10.1016/j.cbpra.2021.10.007}, Key = {fds362120} } @article{fds369857, Author = {Knettel, BA and Knippler, E and Martinez, A and Sardana, S and Agor, D and Mwobobia, J and Ledbetter, L and Amiri, I and Relf, MV and Goldston, DB}, Title = {A scoping review of counseling interventions for suicide prevention in Africa: Few studies address this life-saving aspect of mental health treatment.}, Journal = {J Affect Disord}, Volume = {328}, Pages = {183-190}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1016/j.jad.2023.02.038}, Abstract = {BACKGROUND: Nearly 800,000 people die by suicide each year, with 77 % occurring in low- and middle-income countries. Suicide is underestimated in many African settings due to challenges in data collection, stigma, and policies that promote silence; nonetheless, rates of suicide in Africa are consistently higher than global averages. METHODS: We conducted a scoping review of counseling interventions assessing suicide outcomes among adults in Africa using MEDLINE, Embase, PsycINFO, African Index Medicus, CABI Global Health, and Proquest databases. Study screening and data extraction was informed by the JBI Manual for Evidence Synthesis. RESULTS: Of 2438 abstracts reviewed, 33 studies met criteria for full-text review and 13 were included in the analysis. Interventions served several populations, including people living with HIV, out of school youth, university students, and women undergoing obstetric fistula repair. There was a near-equal split in individual versus group counseling modalities and the use of professional versus lay counselors. The majority of interventions had primary outcomes focused on other mental health or social variables with a secondary focus on suicide. Mechanisms of change for suicide prevention were poorly articulated. LIMITATIONS: The review was limited to English-language studies conducted after 2001 and excluded qualitative studies and those with fewer than 10 participants. CONCLUSIONS: There is a clear paucity of research in this area, particularly in the lack of randomized clinical trials and studies with suicide prevention as their primary outcome. Researchers should seek to develop or adapt evidence-based, culturally-resonant interventions to reduce the burden of suicide on the African continent.}, Doi = {10.1016/j.jad.2023.02.038}, Key = {fds369857} } @article{fds370049, Author = {Miller, VE and Pence, BW and Fitch, KV and Swilley-Martinez, M and Kavee, AL and Dorris, S and Cooper, T and Keil, AP and Gaynes, BN and Carey, TS and Goldston, D and Ranapurwala, S}, Title = {Hurricane Florence and suicide mortality in North Carolina: a controlled interrupted time-series analysis.}, Journal = {Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention}, Volume = {29}, Number = {2}, Pages = {180-185}, Year = {2023}, Month = {April}, url = {http://dx.doi.org/10.1136/ip-2022-044709}, Abstract = {<h4>Background</h4>Natural disasters are associated with increased mental health disorders and suicidal ideation; however, associations with suicide deaths are not well understood. We explored how Hurricane Florence, which made landfall in September 2018, may have impacted suicide deaths in North Carolina (NC).<h4>Methods</h4>We used publicly available NC death records data to estimate associations between Hurricane Florence and monthly suicide death rates using a controlled, interrupted time series analysis. Hurricane exposure was determined by using county-level support designations from the Federal Emergency Management Agency. We examined effect modification by sex, age group, and race/ethnicity.<h4>Results</h4>8363 suicide deaths occurred between January 2014 and December 2019. The overall suicide death rate in NC between 2014 and 2019 was 15.53 per 100 000 person-years (95% CI 15.20 to 15.87). Post-Hurricane, there was a small, immediate increase in the suicide death rate among exposed counties (0.89/100 000 PY; 95% CI -2.69 to 4.48). Comparing exposed and unexposed counties, there was no sustained post-Hurricane Florence change in suicide death rate trends (0.02/100 000 PY per month; 95% CI -0.33 to 0.38). Relative to 2018, NC experienced a statewide decline in suicides in 2019. An immediate increase in suicide deaths in Hurricane-affected counties versus Hurricane-unaffected counties was observed among women, people under age 65 and non-Hispanic black individuals, but there was no sustained change in the months after Hurricane Florence.<h4>Conclusions</h4>Although results did not indicate a strong post-Hurricane Florence impact on suicide rates, subgroup analysis suggests differential impacts of Hurricane Florence on several groups, warranting future follow-up.}, Doi = {10.1136/ip-2022-044709}, Key = {fds370049} } @article{fds369952, Author = {Pisani, A and Connor, K and Van Orden and K and Jordan, N and Landes, S and Curran, G and McDermott, M and Ertefaie, A and Kelberman, C and Ramanathan, S and Carruthers, J and Mossgraber, K and Goldston, D}, Title = {Effectiveness of a targeted brief intervention for recent suicide attempt survivors: a randomised controlled trial protocol.}, Journal = {Bmj Open}, Volume = {13}, Number = {3}, Pages = {e070105}, Year = {2023}, Month = {March}, url = {http://dx.doi.org/10.1136/bmjopen-2022-070105}, Abstract = {INTRODUCTION: Effective, brief, low-cost interventions for suicide attempt survivors are essential to saving lives and achieving the goals of the National Strategy for Suicide Prevention and Zero Suicide. This study aims to examine the effectiveness of the Attempted Suicide Short Intervention Program (ASSIP) in averting suicide reattempts in the United States healthcare system, its psychological mechanisms as predicted by the Interpersonal Theory of Suicide, and the potential implementation costs, barriers and facilitators for delivering it. METHODS AND ANALYSIS: This study is a hybrid type 1 effectiveness-implementation randomised controlled trial (RCT). ASSIP is delivered at three outpatient mental healthcare clinics in New York State. Participant referral sites include three local hospitals with inpatient and comprehensive psychiatric emergency services, and outpatient mental health clinics. Participants include 400 adults who have had a recent suicide attempt. All are randomised to 'Zero Suicide-Usual Care plus ASSIP' or 'Zero Suicide-Usual Care'. Randomisation is stratified by sex and whether the index attempt is a first suicide attempt or not. Participants complete assessments at baseline, 6 weeks, and 3, 6, 12 and, 18 months. The primary outcome is the time from randomisation to the first suicide reattempt. Prior to the RCT, a 23-person open trial took place, in which 13 participants received 'Zero Suicide-Usual Care plus ASSIP' and 14 completed the first follow-up time point. ETHICS AND DISSEMINATION: This study is overseen by the University of Rochester, with single Institutional Review Board (#3353) reliance agreements from Nathan Kline Institute (#1561697) and SUNY Upstate Medical University (#1647538). It has an established Data and Safety Monitoring Board. Results will be published in peer-reviewed academic journals, presented at scientific conferences, and communicated to referral organisations. Clinics considering ASSIP may use a stakeholder report generated by this study, including incremental cost-effectiveness data from the provider point of view. TRIAL REGISTRATION NUMBER: NCT03894462.}, Doi = {10.1136/bmjopen-2022-070105}, Key = {fds369952} } @article{fds368128, Author = {Novak, LA and LaCroix, JM and Perera, KU and Stivers, M and Schvey, NA and Goodie, JL and Olsen, C and Sbrocco, T and Goldston, DB and Soumoff, A and Weaver, J and Ghahramanlou-Holloway, M}, Title = {Help-seeking among psychiatrically hospitalized military personnel at risk for suicide.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {53}, Number = {1}, Pages = {75-88}, Year = {2023}, Month = {February}, url = {http://dx.doi.org/10.1111/sltb.12923}, Abstract = {INTRODUCTION: Promoting help-seeking is a key suicide prevention strategy. Yet, research on help-seeking patterns by high-risk individuals is limited. This study examined help-seeking among United States military Service members admitted for psychiatric inpatient care. METHODS: Participants were active duty Service members (N = 111) psychiatrically hospitalized for a suicide-related event. Data were collected as part of a larger randomized controlled trial. Reported types and perceived helpfulness of resources sought 30 days before hospitalization were examined. Hierarchical binary logistic regressions were used to examine associations among types of helping resources, mental health treatment stigma, and perceived social support. RESULTS: Approximately 90% of participants sought help prior to hospitalization, most frequently from behavioral health providers and friends. Accessed resources were generally considered helpful. Adjusting for covariates, mental health treatment stigma was not associated with seeking help from any resource type. Higher perceived social support was associated with greater likelihood of help-seeking from a friend (OR = 1.08, p = 0.013 [95% CI = 1.02, 1.14]). Marital status, education level, and organizational barriers were associated with specific types of resources, and/or not seeking help. CONCLUSION: Help-seeking is a complex human behavior. Promoting help-seeking among vulnerable subgroups requires further understanding of multiple interconnected factors.}, Doi = {10.1111/sltb.12923}, Key = {fds368128} } @article{fds367390, Author = {Sun, D and Adduru, VR and Phillips, RD and Bouchard, HC and Sotiras, A and Michael, AM and Baker, FC and Tapert, SF and Brown, SA and Clark, DB and Goldston, D and Nooner, KB and Nagel, BJ and Thompson, WK and De Bellis, MD and Morey, RA}, Title = {Adolescent alcohol use is linked to disruptions in age-appropriate cortical thinning: an unsupervised machine learning approach.}, Journal = {Neuropsychopharmacology}, Volume = {48}, Number = {2}, Pages = {317-326}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.1038/s41386-022-01457-4}, Abstract = {Cortical thickness changes dramatically during development and is associated with adolescent drinking. However, previous findings have been inconsistent and limited by region-of-interest approaches that are underpowered because they do not conform to the underlying spatially heterogeneous effects of alcohol. In this study, adolescents (n = 657; 12-22 years at baseline) from the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) study who endorsed little to no alcohol use at baseline were assessed with structural magnetic resonance imaging and followed longitudinally at four yearly intervals. Seven unique spatial patterns of covarying cortical thickness were obtained from the baseline scans by applying an unsupervised machine learning method called non-negative matrix factorization (NMF). The cortical thickness maps of all participants' longitudinal scans were projected onto vertex-level cortical patterns to obtain participant-specific coefficients for each pattern. Linear mixed-effects models were fit to each pattern to investigate longitudinal effects of alcohol consumption on cortical thickness. We found in six NMF-derived cortical thickness patterns, the longitudinal rate of decline in no/low drinkers was similar for all age cohorts. Among moderate drinkers the decline was faster in the younger adolescent cohort and slower in the older cohort. Among heavy drinkers the decline was fastest in the younger cohort and slowest in the older cohort. The findings suggested that unsupervised machine learning successfully delineated spatially coordinated patterns of vertex-level cortical thickness variation that are unconstrained by neuroanatomical features. Age-appropriate cortical thinning is more rapid in younger adolescent drinkers and slower in older adolescent drinkers, an effect that is strongest among heavy drinkers.}, Doi = {10.1038/s41386-022-01457-4}, Key = {fds367390} } @article{fds369858, Author = {Yu, SH and Kodish, T and Bear, L and O’Neill, JC and Asarnow, JR and Goldston, DB and Cheng, KK and Wang, X and Vargas, SM and Lau, AS}, Title = {Leader and Provider Perspectives on Implementing Safe Alternatives for Teens and Youth—Acute (SAFETY-A) in Public School Districts Serving Racial/Ethnic Minoritized Youth}, Journal = {School Mental Health}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.1007/s12310-023-09572-3}, Abstract = {Racial/ethnic minoritized (REM) youth represent a high-risk group for suicide, yet there are striking disparities in their use of mental health services (MHS) even after risk is identified in schools. Prior research suggests that school-based risk assessments and hospitalization encounters can be negatively experienced by REM youth and families, thus deterring likelihood of seeking follow-up care. The Safe Alternatives for Teens and Youth-Acute (SAFETY-A) is a brief, strengths-based, cognitive-behavioral family intervention demonstrated to increase linkage to MHS when implemented in emergency departments. With its focus on strengths and family engagement, SAFETY-A may cultivate a positive therapeutic encounter suited to addressing disparities in MHS by enhancing trust and family collaboration, if appropriately adapted for schools. Thirty-seven school district leaders and frontline school MHS providers from districts serving primarily socioeconomically disadvantaged REM communities participated in key informant interviews and focus groups. First, interviews were conducted to understand usual care processes for responding to students with suicidal thoughts and behaviors and perspectives on the strengths and disadvantages of current practices. An as-is process analysis was used to describe current practices spanning risk assessment, crisis intervention, and follow-up. Second, focus groups were conducted to solicit perceptions of the fit of SAFETY-A for these school contexts. Thematic analysis of the interviews and focus groups was used to identify multilevel facilitators and barriers to SAFETY-A implementation and potential tailoring variables for implementation strategies across school districts.}, Doi = {10.1007/s12310-023-09572-3}, Key = {fds369858} } @article{fds365284, Author = {Grove, JL and Kimbrel, NA and Griffin, SC and Halverson, T and White, MA and Blakey, SM and Beckham, JC and Dedert, EA and Goldston, DB and Pugh, MJ and Calhoun, PS}, Title = {Cannabis use and suicide risk among Gulf War veterans.}, Journal = {Death Stud}, Volume = {47}, Number = {5}, Pages = {618-623}, Year = {2023}, url = {http://dx.doi.org/10.1080/07481187.2022.2108944}, Abstract = {Cannabis use has been indicated as a risk factor for suicide in veterans. This study of Gulf War veterans tested the relationship between self-report past year cannabis use and (a) past year suicidal ideation and (b) risk for suicidal behavior. Data were from a national sample (N = 1126) of Gulf War veterans. Logistic regression models indicated cannabis use was associated with past year suicidal ideation and elevated risk for suicidal behavior, independent of key covariates. In corroboration with research on other military populations, this study indicates a potentially concerning association between cannabis use and suicide risk in Gulf War veterans.}, Doi = {10.1080/07481187.2022.2108944}, Key = {fds365284} } @article{fds368934, Author = {Grove, JL and Young, JR and Chen, Z and Blakey, SM and Beckham, JC and Calhoun, PS and Dedert, EA and Goldston, DB and Pugh, MJ and Kimbrel, NA}, Title = {Experiential Avoidance, Pain, and Suicide Risk in a National Sample of Gulf War Veterans.}, Journal = {Arch Suicide Res}, Pages = {1-15}, Year = {2022}, Month = {December}, url = {http://dx.doi.org/10.1080/13811118.2022.2160681}, Abstract = {Objective: Pain confers risk for suicidal thoughts and behaviors. Experiential avoidance (EA), which is relevant to both pain and suicide risk, has not been studied as a potential mechanism for this relationship. The present study tested the hypothesis that pain indirectly impacts suicide risk through EA in a national sample of Gulf War veterans.Methods: Participants included a stratified random sample of United States veterans (N = 1,012, 78% male) who had served in the Gulf War region between August 1990 and July 1991. Validated scales were used to quantify levels of pain, EA, and suicide risk.Results: Regression analyses indicated independent associations between pain, EA, and suicide risk; moreover, the association between pain and suicide risk was no longer significant once EA was included in model. Bootstrapping analyses confirmed that EA partially accounted for the cross-sectional association between pain and suicide risk, independent of common co-occurring problems, such as depression, PTSD, and alcohol use disorder symptoms.Conclusions: EA could be a key modifiable risk factor to target in people experiencing pain.}, Doi = {10.1080/13811118.2022.2160681}, Key = {fds368934} } @article{fds366216, Author = {Zhao, Q and Wang, K and Kiss, O and Yuksel, D and de Zambotti, M and Clark, DB and Goldston, DB and Nooner, KB and Brown, SA and Tapert, SF and Thompson, WK and Nagel, BJ and Pfefferbaum, A and Sullivan, EV and Pohl, KM and Baker, FC}, Title = {Earlier Bedtime and Effective Coping Skills Predict a Return to Low-Risk of Depression in Young Adults during the COVID-19 Pandemic.}, Journal = {International Journal of Environmental Research and Public Health}, Volume = {19}, Number = {16}, Year = {2022}, Month = {August}, url = {http://dx.doi.org/10.3390/ijerph191610300}, Abstract = {To determine the persistent effects of the pandemic on mental health in young adults, we categorized depressive symptom trajectories and sought factors that promoted a reduction in depressive symptoms in high-risk individuals. Specifically, longitudinal analysis investigated changes in the risk for depression before and during the pandemic until December 2021 in 399 young adults (57% female; age range: 22.8 ± 2.6 years) in the United States (U.S.) participating in the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) study. The Center for Epidemiologic Studies Depression Scale (CES-D-10) was administered multiple times before and during the pandemic. A score ≥10 identified individuals at high-risk for depression. Self-reported sleep behavior, substance use, and coping skills at the start of the pandemic were assessed as predictors for returning to low-risk levels while controlling for demographic factors. The analysis identified four trajectory groups regarding depression risk, with 38% being at low-risk pre-pandemic through 2021, 14% showing persistent high-risk pre-pandemic through 2021, and the remainder converting to high-risk either in June 2020 (30%) or later (18%). Of those who became high-risk in June 2020, 51% were no longer at high-risk in 2021. Logistic regression revealed that earlier bedtime and, for the older participants (mid to late twenties), better coping skills were associated with this declining risk. Results indicate divergence in trajectories of depressive symptoms, with a considerable number of young adults developing persistent depressive symptoms. Healthy sleep behavior and specific coping skills have the potential to promote remittance from depressive symptoms in the context of the pandemic.}, Doi = {10.3390/ijerph191610300}, Key = {fds366216} } @article{fds362953, Author = {Pelham, WE and Yuksel, D and Tapert, SF and Baker, FC and Pohl, KM and Thompson, WK and Podhajsky, S and Reuter, C and Zhao, Q and Eberson-Shumate, SC and Clark, DB and Goldston, DB and Nooner, KB and Brown, SA}, Title = {Did the acute impact of the COVID-19 pandemic on drinking or nicotine use persist? Evidence from a cohort of emerging adults followed for up to nine years.}, Journal = {Addict Behav}, Volume = {131}, Pages = {107313}, Year = {2022}, Month = {August}, url = {http://dx.doi.org/10.1016/j.addbeh.2022.107313}, Abstract = {OBJECTIVE: This study examined the impact of the COVID-19 pandemic on drinking and nicotine use through June of 2021 in a community-based sample of young adults. METHOD: Data were from 348 individuals (49% female) enrolled in a long-term longitudinal study with an accelerated longitudinal design: the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) Study. Individuals completed pre-pandemic assessments biannually from 2016 to early 2020, then completed up to three web-based, during-pandemic surveys in June 2020, December 2020, and June 2021. Assessments when individuals were 18.8-22.4 years old (N = 1,458) were used to compare drinking and nicotine use pre-pandemic vs. at each of the three during-pandemic timepoints, adjusting for the age-related increases expected over time. RESULTS: Compared to pre-pandemic, participants were less likely to report past-month drinking in June or December 2020, but there was an increase in drinking days among drinkers in June 2020. By June 2021, both the prevalence of past-month drinking and number of drinking days among drinks were similar to pre-pandemic levels. On average, there were no statistically significant differences between pre-pandemic and during-pandemic time points for binge drinking, typical drinking quantity, or nicotine use. Young adults who reported an adverse financial impact of the pandemic showed increased nicotine use while their peers showed stable or decreased nicotine use. CONCLUSION: Initial effects of the pandemic on alcohol use faded by June 2021, and on average there was little effect of the pandemic on nicotine use.}, Doi = {10.1016/j.addbeh.2022.107313}, Key = {fds362953} } @article{fds363863, Author = {Ranapurwala, SI and Miller, VE and Carey, TS and Gaynes, BN and Keil, AP and Fitch, CV and Swilley-Martinez, ME and Kavee, AL and Cooper, T and Dorris, S and Goldston, DB and Peiper, LJ and Pence, BW}, Title = {Innovations in suicide prevention research (INSPIRE): a protocol for a population-based case-control study.}, Journal = {Inj Prev}, Year = {2022}, Month = {June}, url = {http://dx.doi.org/10.1136/injuryprev-2022-044609}, Abstract = {BACKGROUND: Suicide deaths have been increasing for the past 20 years in the USA resulting in 45 979 deaths in 2020, a 29% increase since 1999. Lack of data linkage between entities with potential to implement large suicide prevention initiatives (health insurers, health institutions and corrections) is a barrier to developing an integrated framework for suicide prevention. OBJECTIVES: Data linkage between death records and several large administrative datasets to (1) estimate associations between risk factors and suicide outcomes, (2) develop predictive algorithms and (3) establish long-term data linkage workflow to ensure ongoing suicide surveillance. METHODS: We will combine six data sources from North Carolina, the 10th most populous state in the USA, from 2006 onward, including death certificate records, violent deaths reporting system, large private health insurance claims data, Medicaid claims data, University of North Carolina electronic health records and data on justice involved individuals released from incarceration. We will determine the incidence of death from suicide, suicide attempts and ideation in the four subpopulations to establish benchmarks. We will use a nested case-control design with incidence density-matched population-based controls to (1) identify short-term and long-term risk factors associated with suicide attempts and mortality and (2) develop machine learning-based predictive algorithms to identify individuals at risk of suicide deaths. DISCUSSION: We will address gaps from prior studies by establishing an in-depth linked suicide surveillance system integrating multiple large, comprehensive databases that permit establishment of benchmarks, identification of predictors, evaluation of prevention efforts and establishment of long-term surveillance workflow protocols.}, Doi = {10.1136/injuryprev-2022-044609}, Key = {fds363863} } @article{fds363903, Author = {Infante, MA and Eberson, SC and Zhang, Y and Brumback, T and Brown, SA and Colrain, IM and Baker, FC and Clark, DB and De Bellis, MD and Goldston, D and Nagel, BJ and Nooner, KB and Zhao, Q and Pohl, KM and Sullivan, EV and Pfefferbaum, A and Tapert, SF and Thompson, WK}, Title = {Adolescent Binge Drinking Is Associated With Accelerated Decline of Gray Matter Volume.}, Journal = {Cerebral Cortex}, Volume = {32}, Number = {12}, Pages = {2611-2620}, Year = {2022}, Month = {June}, url = {http://dx.doi.org/10.1093/cercor/bhab368}, Abstract = {The age- and time-dependent effects of binge drinking on adolescent brain development have not been well characterized even though binge drinking is a health crisis among adolescents. The impact of binge drinking on gray matter volume (GMV) development was examined using 5 waves of longitudinal data from the National Consortium on Alcohol and NeuroDevelopment in Adolescence study. Binge drinkers (n = 166) were compared with non-binge drinkers (n = 82 after matching on potential confounders). Number of binge drinking episodes in the past year was linked to decreased GMVs in bilateral Desikan-Killiany cortical parcellations (26 of 34 with P < 0.05/34) with the strongest effects observed in frontal regions. Interactions of binge drinking episodes and baseline age demonstrated stronger effects in younger participants. Statistical models sensitive to number of binge episodes and their temporal proximity to brain volumes provided the best fits. Consistent with prior research, results of this study highlight the negative effects of binge drinking on the developing brain. Our results present novel findings that cortical GMV decreases were greater in closer proximity to binge drinking episodes in a dose-response manner. This relation suggests a causal effect and raises the possibility that normal growth trajectories may be reinstated with alcohol abstinence.}, Doi = {10.1093/cercor/bhab368}, Key = {fds363903} } @article{fds363398, Author = {Inscoe, AB and Donisch, K and Cheek, S and Stokes, C and Goldston, DB and Asarnow, JR}, Title = {Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers' perspectives.}, Journal = {Psychol Trauma}, Volume = {14}, Number = {4}, Pages = {653-660}, Year = {2022}, Month = {May}, url = {http://dx.doi.org/10.1037/tra0001054}, Abstract = {OBJECTIVE: Research shows elevated rates of trauma exposure and traumatic stress among youth with suicidal thoughts and behaviors, underscoring the need for a trauma-informed approach to suicide prevention and intervention. The purpose of this study was to identify, from the perspective of caregivers, clinical practices that are sensitive to the needs of youth with co-occurring traumatic stress and suicidal thoughts and behaviors, as well as common barriers to receiving care. METHOD: Qualitative interviews were conducted with 13 caregivers of youth with trauma histories and comorbid suicidal thoughts and/or behaviors. Interviews were analyzed using a grounded theory approach. RESULTS: Qualitative analysis of interviews revealed themes related to the need for caregiver involvement in treatment, the impact of therapist and relationship characteristics such as authenticity and genuineness, and the importance of provider education about trauma. Common barriers included difficulties navigating the mental health system and cost. CONCLUSIONS: Findings provide guidance on how mental health providers can effectively recognize and respond to traumatic stress among youth presenting with suicidal thoughts and behaviors. System-level issues related to accessibility also are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).}, Doi = {10.1037/tra0001054}, Key = {fds363398} } @article{fds359492, Author = {Curry, JF and Kaminer, Y and Goldston, DB and Chan, G and Wells, KC and Burke, RH and Inscoe, AB and Meyer, AE and Cheek, SM}, Title = {Adaptive Treatment for Youth With Substance Use and Depression: Early Depression Response and Short-term Outcomes.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {61}, Number = {4}, Pages = {508-519}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1016/j.jaac.2021.07.807}, Abstract = {OBJECTIVE: To investigate prevalence and predictors of early depression response (EDR) in adolescents with substance use and depression receiving cognitive-behavioral therapy (CBT) for substance use and to test the efficacy of supplemental CBT targeting depression (CBT-D) for non-EDR adolescents in an adaptive treatment approach. METHOD: At 2 sites, 95 youths (ages 14-21, mean [SD] = 17.4 [1.8]) with alcohol or cannabis use and depressive symptoms received up to 12 sessions of CBT for substance use over 14 weeks. Assessments were at baseline and weeks 4, 9, and 14. The Children's Depression Rating Scale-Revised was the primary depression measure, with a reduction of 50% or more on this scale at week 4 defining EDR. The primary substance use outcomes of alcohol use, heavy alcohol use, and cannabis use frequency were assessed via interview report on the Alcohol Consumption Questionnaire and the Drug Checklist. Urinalysis provided a secondary measure of cannabis use. Non-EDR adolescents were randomly assigned to supplemental CBT-D or enhanced treatment as usual (ETAU). RESULTS: Thirty-five adolescents (37%; 95% CI, 27%-47%) demonstrated EDR. Fewer days of cannabis use (odds ratio 0.977; 95% CI, 0.961-0.992) and absence of conduct disorder (odds ratio 0.149; 95% CI, 0.031-0.716) predicted EDR. Frequency of drinking (F1,82 = 11.09, η2 = 0.119, p = .001), heavy drinking (F1,82 = 19.91, η2 = 0.195, p < .0001), and cannabis use (F1,220 = 35.01, η2 = 0.137, p < .001) decreased over time for EDR, CBT-D, and ETAU adolescents, with EDR adolescents evidencing earlier lower cannabis use (F2,220 = 4.16, η2 = 0.036, p = .0169). Negative (clean) urine screens increased over time (F1,219 = 5.10, η2 = 0.023, p = .0249). Comparison of CBT-D and ETAU indicated that depression significantly decreased over time in both groups (F1,48 = 64.20, η2 = 0.572, p < .001), with no advantage for CBT-D. CONCLUSION: Approximately one-third of adolescents with substance use and depression attain EDR during substance use treatment. Less frequent cannabis use facilitates depression response. The relatively small sample may have precluded identification of additional EDR predictors. CLINICAL TRIAL REGISTRATION INFORMATION: Treatment for Teens With Alcohol Abuse and Depression; https://clinicaltrials.gov/; NCT02227589.}, Doi = {10.1016/j.jaac.2021.07.807}, Key = {fds359492} } @article{fds360609, Author = {Thompson, MF and Luk, JW and LaCroix, JM and Perera, KU and Goldston, DB and Weaver, JJ and Soumoff, A and Ghahramanlou-Holloway, M}, Title = {Understanding the clinical characteristics of lesbian, gay, and bisexual military service members and adult beneficiaries within an inpatient psychiatric sample.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {52}, Number = {2}, Pages = {268-279}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1111/sltb.12819}, Abstract = {BACKGROUND: Limited knowledge exists regarding targets for suicide-focused care among high-risk United States (U.S.) civilian and military sexual minorities. PURPOSE: This study aimed to understand the demographic and clinical characteristics of a suicidal sexual minority sample, psychiatrically hospitalized in military treatment facilities, to advance future targeted care for this vulnerable subgroup. METHODS: Secondary analysis of baseline data from a multisite psychotherapy randomized controlled trial was performed comparing those who self-identified as lesbian, gay, or bisexual (LGB; n = 39) to heterosexual participants (n = 170). RESULTS: LGB participants were more likely than heterosexual participants to be younger, female, never married, and enlisted rank. LGB participants reported significantly lower family support, higher perceived burdensomeness, lower acquired capability for suicide, and were twice as likely to report that they could not control their suicidal thoughts. LGB and heterosexual participants reported similar levels of other suicide risk indicators and similar lifetime suicidal ideation and attempt histories. CONCLUSIONS: Compared to heterosexual participants, LGB participants reported increased risk indicators for suicide yet similar lifetime suicidal ideation and attempt histories. Suicide prevention programs should address the unique needs of this vulnerable subgroup. Interventions targeting family support, perceived burdensomeness, and controllability of suicidal thoughts may be promising.}, Doi = {10.1111/sltb.12819}, Key = {fds360609} } @article{fds356005, Author = {Lee-Tauler, SY and LaCroix, JM and Carter, SP and Perera, KU and Goldston, DB and Stivers, M and Soumoff, A and Sapyta, JJ and Weller, BE and Inscoe, AB and Weaver, JJ and Ghahramanlou-Holloway, M}, Title = {Perceived changes in social interactions following military psychiatric hospitalization for a suicidal crisis}, Journal = {Military Psychology}, Volume = {34}, Number = {3}, Pages = {296-304}, Year = {2022}, Month = {January}, url = {http://dx.doi.org/10.1080/08995605.2021.1902182}, Abstract = {Introduction Changes in social interactions following psychiatric hospitalization, a period characterized by heightened suicide risk, are important to understand. Objective: We qualitatively explored perceived changes in social interactions one month after inpatient psychiatric discharge following a suicidal crisis. Methods: A total of 113 United States Service members, recruited in the context of a psychotherapy randomized controlled trial, described the extent to which social interactions with family members, peers, and military commanders had changed. Results: Most participants (82.3%) reported at least some change in social interactions, conveying six common themes. Showing more care and checking in more were frequently reported for family (24.8%, 20.4%), commanders (23.0%, 16.8%), and by peers (12.4%, 10.6%). Showing more concern was most frequently reported for family (13.3%) followed by peers (6.2%) and commanders (6.2%). Participants reported showing more caution from peers (14.2%), commanders (13.3%) and family (6.2%). Acting more distant was reported from commanders (7.1%), peers (7.1%), and family (5.3%). Showing negative reaction(s) was reported from commanders (8.0%), family (3.5%) and rarely for peers (0.9%). Conclusion: Inpatient providers are encouraged to prepare patients for potential changes in social interactions following psychiatric discharge and how to best respond to these changes.}, Doi = {10.1080/08995605.2021.1902182}, Key = {fds356005} } @article{fds359929, Author = {Alzueta, E and Podhajsky, S and Zhao, Q and Tapert, SF and Thompson, WK and de Zambotti, M and Yuksel, D and Kiss, O and Wang, R and Volpe, L and Prouty, D and Colrain, IM and Clark, DB and Goldston, DB and Nooner, KB and De Bellis, MD and Brown, SA and Nagel, BJ and Pfefferbaum, A and Sullivan, EV and Baker, FC and Pohl, KM}, Title = {Risk for depression tripled during the COVID-19 pandemic in emerging adults followed for the last 8 years.}, Journal = {Psychological Medicine}, Pages = {1-8}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.1017/s0033291721004062}, Abstract = {<h4>Background</h4>The coronavirus disease 2019 (COVID-19) pandemic has significantly increased depression rates, particularly in emerging adults. The aim of this study was to examine longitudinal changes in depression risk before and during COVID-19 in a cohort of emerging adults in the U.S. and to determine whether prior drinking or sleep habits could predict the severity of depressive symptoms during the pandemic.<h4>Methods</h4>Participants were 525 emerging adults from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA), a five-site community sample including moderate-to-heavy drinkers. Poisson mixed-effect models evaluated changes in the Center for Epidemiological Studies Depression Scale (CES-D-10) from before to during COVID-19, also testing for sex and age interactions. Additional analyses examined whether alcohol use frequency or sleep duration measured in the last pre-COVID assessment predicted pandemic-related increase in depressive symptoms.<h4>Results</h4>The prevalence of risk for clinical depression tripled due to a substantial and sustained increase in depressive symptoms during COVID-19 relative to pre-COVID years. Effects were strongest for younger women. Frequent alcohol use and short sleep duration during the closest pre-COVID visit predicted a greater increase in COVID-19 depressive symptoms.<h4>Conclusions</h4>The sharp increase in depression risk among emerging adults heralds a public health crisis with alarming implications for their social and emotional functioning as this generation matures. In addition to the heightened risk for younger women, the role of alcohol use and sleep behavior should be tracked through preventive care aiming to mitigate this looming mental health crisis.}, Doi = {10.1017/s0033291721004062}, Key = {fds359929} } @article{fds358375, Author = {Luk, JW and Bond, AE and Gabrielli, J and LaCroix, JM and Perera, KU and Lee-Tauler, SY and Goldston, DB and Soumoff, A and Ghahramanlou-Holloway, M}, Title = {A latent class analysis of physical, emotional, and sexual abuse history among suicidal inpatients.}, Journal = {J Psychiatr Res}, Volume = {142}, Pages = {9-16}, Year = {2021}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jpsychires.2021.07.009}, Abstract = {OBJECTIVE: Physical, emotional, and sexual abuse are subtypes of childhood abuse that may persist into adulthood. This study applied latent class analysis to describe the pattern of co-occurrence of these three abuse subtypes during childhood and adulthood and examined latent class differences in psychosocial characteristics and three types of suicide attempt history (aborted, interrupted, and actual). METHODS: Data were drawn from a high-risk sample of 115 military service members and adult beneficiaries who were psychiatrically hospitalized following a suicide-related crisis. RESULTS: Three latent classes were identified: Multiple and Persistent Abuse (Class One: 29.6%), Childhood Physical and Persistent Emotional Abuse (Class Two: 27.0%), and Minimal Abuse (Class Three: 43.5%). Females were more likely than males to report a history of Multiple and Persistent Abuse. After controlling for gender, the Multiple and Persistent Abuse Class had higher scores of depressive symptoms and hazardous drinking, poorer sleep quality, and increased social stress than the Minimal Abuse Class. Moreover, the Multiple and Persistent Abuse Class was associated with increased likelihood of lifetime interrupted suicide attempt (Odds Ratio [OR] = 3.81, 95% CI = 1.20, 12.07) and actual suicide attempt (OR = 3.65, 95% CI = 1.23, 10.85), and had the greatest number of total actual suicide attempt (1.82 times on average). CONCLUSION: Co-occurrence of multiple subtypes of abuse across development is associated with higher psychosocial risk and history of suicide attempt. The assessment of specific subtypes of abuse and their timing may inform case conceptualization and the management of suicide risk among psychiatric inpatients.}, Doi = {10.1016/j.jpsychires.2021.07.009}, Key = {fds358375} } @article{fds351499, Author = {Doyle, O and Weller, BE and Goldston, DB and Breland-Noble, AM and Estroff, SE and Daniel, SS and Curry, JF and Wells, KC}, Title = {Coping in the Aftermath of Youth's Suicidal Behaviors: A Comparison of Black Mothers and White Mothers}, Journal = {Family Relations}, Volume = {70}, Number = {1}, Pages = {77-89}, Year = {2021}, Month = {February}, url = {http://dx.doi.org/10.1111/fare.12484}, Abstract = {Objective: To better understand Black mothers' and White mothers' qualitative reactions to their adolescents' hospitalizations due to suicide attempts. Background: Caregivers of youth with suicidal behaviors play a vital role in youth's subsequent treatment and recovery. Yet little attention has been paid to how they are affected by youth's psychiatric hospitalizations or how their reactions may be influenced by race. Method: Twenty Black mothers (Mage = 42.50; SD = 8.48) and 20 White mothers (Mage = 44.85; SD = 6.86) were randomly selected from data originally collected for a larger longitudinal, mixed method, multisite study. Data analysis was informed by grounded theory methodology. Results: Four themes emerged from the data: mothers' emotional distress; mothers' coping, needs, and supports; mothers' perceived need for increased monitoring; and improved mother–child relationships. Conclusions: Black mothers and White mothers largely had similar reactions to youth's hospitalizations; however, nuanced differences also were noted regarding how they described their experiences and what they emphasized. Implications: During discharge planning, mothers need additional support (beyond referrals) in their roles as caregivers and for their own coping. Additional clinical and research implications are discussed.}, Doi = {10.1111/fare.12484}, Key = {fds351499} } @article{fds359493, Author = {Tunno, AM and Inscoe, AB and Goldston, DB and Asarnow, JR}, Title = {A Trauma-Informed Approach to Youth Suicide Prevention and Intervention}, Journal = {Evid Based Pract Child Adolesc Ment Health}, Volume = {6}, Number = {3}, Pages = {316-327}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.1080/23794925.2021.1923089}, Abstract = {Suicide, suicidal behaviors, and self-harm are major public health problems among youth and can often co-occur with traumatic stress experiences and related symptoms. Given this interrelation, it is important that suicide prevention and intervention practices take a trauma-informed approach to reflect the complex, intertwined relation of traumatic stress symptoms and suicidal thoughts/behaviors. To that end, we summarize key steps in a proposed trauma-informed approach to suicide prevention and illustrate this approach with examples of how to clinically apply suggested components for youth who are suicidal and have been exposed to traumatic events.}, Doi = {10.1080/23794925.2021.1923089}, Key = {fds359493} } @article{fds359494, Author = {O’Neill, JC and Goldston, DB and Kodish, T and Yu, SH and Lau, AS and Asarnow, JR}, Title = {Implementing Trauma Informed Suicide Prevention Care in Schools: Responding to Acute Suicide Risk}, Journal = {Evid Based Pract Child Adolesc Ment Health}, Volume = {6}, Number = {3}, Pages = {379-392}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.1080/23794925.2021.1917019}, Abstract = {Suicide is the second leading cause of death of school-aged youth, and youth with histories of trauma are at increased risk of suicidal thoughts and actions. Given the impact of trauma on youth development, there has been an increased emphasis on trauma-informed practices in schools. However, while school-based providers encounter, assess, and intervene with youth at risk of suicide, the extent to which trauma-informed practices are incorporated in these procedures is unclear. Available evidence suggests that schools are sometimes over-reliant on emergency services rather than collaborating with students and families in a trauma-informed manner to develop plans for stabilization and linkage to care that are alternatives to referral to higher levels of care. This paper outlines key considerations for school-based suicide risk assessment and crisis intervention, including safety planning, and offers recommendations for improving intervention procedures in school settings that are trauma-informed and support care linkage. An enhanced school-based risk assessment and intervention care process model is offered with special considerations for collaborating with families, developing safe alternatives to emergency service referral (as appropriate), and connecting students to appropriate care proportionate to identified risk. SAFETY-A, an intervention model intended to complement school-based risk assessment procedures, is described to demonstrate a trauma-informed approach in working with students and families at-risk of suicide or self-harm following the enhanced care process model.}, Doi = {10.1080/23794925.2021.1917019}, Key = {fds359494} } @article{fds359495, Author = {Esposito-Smythers, C and Defayette, AB and Whitmyre, E and Steinberg, P and Goldston, DB and Asarnow, JR}, Title = {A Community Call to Action: Use of Quality Improvement Strategies to Address Youth Suicides}, Journal = {Evid Based Pract Child Adolesc Ment Health}, Volume = {6}, Number = {3}, Pages = {328-342}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.1080/23794925.2021.1917020}, Abstract = {Youth suicide clusters are a tragedy that no community should have to face. This paper details how a large community came together to better understand and prevent the future loss of young lives in their County using interdisciplinary quality improvement (QI) teams and a multi-component, continuous QI project. This includes the formation of a Youth Suicide Review Team, the development of a County wide Blueprint for youth and family behavioral health services, and the launching of a training consortium in evidence-based practice for behavioral health providers. The details surrounding these efforts are discussed, and the SAFETY-Acute/Family Intervention for Suicide Prevention is highlighted as an example of the training conducted. Finally, a discussion of some of the successes, barriers, and attempts to address obstacles along the QI pathway are offered. Broadly, this paper offers one model for how to leverage interdisciplinary academic-community partnerships to decrease risk for youth deaths by suicide by improving the quality of behavioral healthcare for youth and families.}, Doi = {10.1080/23794925.2021.1917020}, Key = {fds359495} } @article{fds359496, Author = {Goldston, DB and Asarnow, JR}, Title = {Quality Improvement for Acute Trauma-Informed Suicide Prevention Care: Introduction to Special Issue}, Journal = {Evid Based Pract Child Adolesc Ment Health}, Volume = {6}, Number = {3}, Pages = {303-306}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.1080/23794925.2021.1961645}, Doi = {10.1080/23794925.2021.1961645}, Key = {fds359496} } @article{fds354248, Author = {Fox, AM and LaCroix, JM and Bond, AE and Perera, KU and Luk, JW and Goldston, D and Weaver, J and Soumoff, A and Ghahramanlou-Holloway, M}, Title = {Evaluating Suicide Risk Using the Reasons for Dying-Reasons for Living (RFD-RFL) Index in a Military Psychiatric Inpatient Setting.}, Journal = {Psychiatry Research}, Volume = {295}, Pages = {113576}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.1016/j.psychres.2020.113576}, Abstract = {The present study aimed to explore reasons for dying (RFD) and reasons for living (RFL) among suicidal inpatients, conceptualize the RFD-RFL index, and examine whether suicide risk indicators were associated with the RFD-RFL index scores. Participants were military personnel (N = 167) psychiatrically hospitalized following a suicide-related crisis who provided baseline data as part of a randomized controlled trial. Family was the most commonly reported RFL (39.7%) and was the top ranked RFL for 65.9% of participants. The most frequently endorsed RFD categories included general descriptors of self (26.9%), general statements about escape (19.7%), and others/relationships (19.1%). Greater RFD-RFL index scores were associated with a greater wish to die relative to wish to live, greater hopelessness, and with a history of lifetime multiple suicide attempts. Endorsing more RFD relative to RFL may indicate heightened suicide risk. Results of this study identify the characteristics of RFD and RFL among a high-risk, military sample, and provide preliminary support for the clinical utility of evaluating the quantities of RFD and RFL. Clinicians are encouraged to explore RFD and RFL when working with suicidal patients. Future research may explore military-specific RFD and evaluate the validity of the proposed RFD-RFL index.}, Doi = {10.1016/j.psychres.2020.113576}, Key = {fds354248} } @article{fds358374, Author = {Conner, KR and Kearns, JC and Esposito, EC and Pizzarello, E and Wiegand, TJ and Britton, PC and Michel, K and Gysin-Maillart, AC and Goldston, DB}, Title = {Pilot RCT of the Attempted Suicide Short Intervention Program (ASSIP) adapted for rapid delivery during hospitalization to adult suicide attempt patients with substance use problems.}, Journal = {Gen Hosp Psychiatry}, Volume = {72}, Pages = {66-72}, Year = {2021}, url = {http://dx.doi.org/10.1016/j.genhosppsych.2021.07.002}, Abstract = {OBJECTIVE: The Attempted Suicide Short Intervention Program (ASSIP) was adapted for hospital delivery and to address substance use problems as well as evaluated for feasibility, acceptability, and therapist fidelity in a series of preparatory steps (n = 28) and in a pilot randomized controlled trial, RCT (n = 34). METHOD: In the RCT, patients with suicide attempts and substance use problem(s) with sufficient lengths of stay to deliver three ASSIP therapy sessions in hospital were randomized to adapted ASSIP or treatment as usual control. A blinded assessor identified suicide reattempts over 6-month follow-up with the Columbia-Suicide Severity Rating Scale (C-SSRS) and a comprehensive multi-source method. Treatment process measures and the Scale for Suicidal Ideation (SSI) were also administered. RESULTS: Median hospital stay was 13 days. ASSIP subjects reported high satisfaction with the treatment and high therapeutic alliance. Study therapists showed high fidelity to the modified ASSIP intervention. Repetition of suicide attempt was common in both study groups including a combined 9 (26%) subjects with reattempt based on C-SSRS and 13 (38%) subjects with reattempt based on multiple sources. CONCLUSIONS: Adult suicide attempt patients with substance use problems who require lengthy hospitalizations are at exceptionally high risk and may require additional strategies to lower risk.}, Doi = {10.1016/j.genhosppsych.2021.07.002}, Key = {fds358374} } @article{fds359744, Author = {Asarnow, JR and Zullo, L and Ernestus, SM and Venables, CW and Goldston, DB and Tunno, AM and Betz, ME}, Title = {"Lock and Protect": Development of a Digital Decision Aid to Support Lethal Means Counseling in Parents of Suicidal Youth.}, Journal = {Frontiers in Psychiatry}, Volume = {12}, Pages = {736236}, Year = {2021}, url = {http://dx.doi.org/10.3389/fpsyt.2021.736236}, Abstract = {Objective: Reducing access to lethal methods is an effective suicide prevention strategy that is often neglected in routine care. Digital interventions have shown promise for addressing such gaps in care; and decision aids have proven useful for supporting complicated health-related decisions, like those involving lethal means restriction. This article describes a parent/caregiver-facing web-based decision aid, the development process, and user testing. Method: A user-centered, participatory, mixed methods development design was employed. Beginning with an adult-focused decision aid developed by members of our team, we assessed ten iterations of the parent/caregiver decision aid with stakeholders (N = 85) using qualitative interviews and quantitative surveys. Stakeholders included: parents/caregivers whose children had histories of suicidal episodes before age 25, young adults with histories of suicidal thoughts/behaviors, firearm owners/representatives from firearm stores/ranges/groups, mental and medical health care providers, and emergency responders. Results: The final "Lock and Protect" decision aid was viewed as "useful for changing access to lethal means" by 100% of participants. Ninety-four percent of participants rated the information on reducing access to lethal means as good to excellent, and 91% rated the information on storage options as good to excellent. Qualitative feedback underscored a preference for offering this digital tool with a "human touch," as part of safety and discharge planning. Conclusions: "Lock and Protect" is a user-friendly web-based tool with potential for improving rates of lethal means counseling for parents/caregivers of suicidal youth and ultimately reducing pre-mature deaths by suicide.}, Doi = {10.3389/fpsyt.2021.736236}, Key = {fds359744} } @article{fds359067, Author = {Goldston, DB and Curry, JF and Wells, KC and Kaminer, Y and Daniel, SS and Esposito-Smythers, C and Doyle, O and Sapyta, J and Tunno, AM and Heilbron, NC and Roley-Roberts, M}, Title = {Feasibility of an Integrated Treatment Approach for Youth with Depression, Suicide Attempts, and Substance Use Problems.}, Journal = {Evid Based Pract Child Adolesc Ment Health}, Volume = {6}, Number = {2}, Pages = {155-172}, Year = {2021}, url = {http://dx.doi.org/10.1080/23794925.2021.1888664}, Abstract = {Depression, suicidal behaviors and substance use problems frequently co-occur, and treatment for youth with these co-occurring problems is often fragmented and challenging. An integrated cognitive-behavioral treatment approach that builds upon a relapse prevention framework and applies common core skills, language, and approach for treating these related problems may be clinically beneficial. Following a description of the integrated approach, we present results of a pilot trial (n = 13) to examine the acceptability and feasibility of the Cognitive-Behavioral Therapy - Relapse Prevention (CBT-RP) intervention plus enhanced treatment as usual (TAU) compared to enhanced TAU alone. The feasibility of the CBT-RP + TAU intervention was reflected by high rates of retention (86%). The acceptability was reflected in positive evaluations regarding the helpfulness of the intervention by adolescents and families. The majority of youth in both CBT-RP + TAU and TAU alone groups evidenced reductions in depression and suicide ideation from study entry to Week 20. Patterns of reduction were more consistent, however, for youth receiving CBT-RP + TAU, and reductions were slower to emerge for some youth receiving TAU alone. Reductions in alcohol and marijuana problems were similar, but half of the youth in TAU alone (and none in the CBT-RP + TAU group) had emergency department visits related to psychiatric crises or substance related problems. These findings, although based on a small sample, underscore the feasibility and acceptability of an integrated cognitive-behavioral relapse prevention approach for youth with depression, suicide attempt histories, and substance use problems.}, Doi = {10.1080/23794925.2021.1888664}, Key = {fds359067} } @article{fds353076, Author = {Cheek, SM and Reiter-Lavery, T and Goldston, DB}, Title = {Social rejection, popularity, peer victimization, and self-injurious thoughts and behaviors among adolescents: A systematic review and meta-analysis.}, Journal = {Clin Psychol Rev}, Volume = {82}, Pages = {101936}, Year = {2020}, Month = {December}, url = {http://dx.doi.org/10.1016/j.cpr.2020.101936}, Abstract = {Self-injurious thoughts and behaviors (SITBs) are significant public health problems in adolescence. The current article provides a comprehensive systematic review examining the relationship between events leading to perceived low relational evaluation (e.g. social rejection) and SITBs among adolescents. Theoretical work posits that low relational evaluation is experienced as psychologically painful, a known correlate of SITBs. Therefore, events leading to low relational evaluation may be particularly informative in understanding the context of SITBs. The current review examines how experiences of low relational evaluation that are hypothesized to elicit psychological pain, such as social rejection, low popularity, and peer victimization are related to engagement in SITBs in adolescence. A total of 56 articles meeting inclusion criteria were identified. The hypothesis of an association between indicators of low relational evaluation and SITBs was generally supported throughout the literature, with more consistency found among studies examining suicidal ideation specifically. However, interpretation of the findings is constrained by various methodological limitations of studies. The present review concludes with a theoretical conceptualization of the relationship between perceived relational value and SITBs, leveraging social and evolutionary psychological theory, to guide future research into this topic.}, Doi = {10.1016/j.cpr.2020.101936}, Key = {fds353076} } @article{fds351414, Author = {Knettel, BA and Mwamba, RN and Minja, L and Goldston, DB and Boshe, J and Watt, MH and KCMC Option B+ study team}, Title = {Exploring patterns and predictors of suicidal ideation among pregnant and postpartum women living with HIV in Kilimanjaro, Tanzania.}, Journal = {Aids}, Volume = {34}, Number = {11}, Pages = {1657-1664}, Year = {2020}, Month = {September}, url = {http://dx.doi.org/10.1097/QAD.0000000000002594}, Abstract = {OBJECTIVE: Pregnant and postpartum women living with HIV face disproportionate risk of depression and suicide, particularly in low-income and middle-income countries. This study examined patterns and predictors of suicidal ideation among women living with HIV in antenatal care in Kilimanjaro, Tanzania. DESIGN: We conducted a longitudinal cohort study of 200 pregnant women living with HIV, with surveys conducted during pregnancy and 6 months postpartum. METHODS: Pregnant women were recruited during HIV and antenatal care visits at nine clinics. A structured questionnaire was verbally administered in Kiswahili by a trained study nurse. We used simple frequencies and t-tests to measure patterns of suicidal ideation and logistic regression to assess factors associated with suicidal ideation. RESULTS: Suicidal ideation was endorsed by 12.8% of women during pregnancy and decreased significantly to 3.9% by 6 months postpartum. Ideation was not significantly greater among participants newly diagnosed with HIV. In univariable analyses, suicidal ideation was associated with depression, anxiety, HIV stigma, single relationship status, unknown HIV status of the father of the baby, negative attitudes about antiretroviral medication, and low social support. In the multivariable model, women experiencing anxiety and HIV stigma were significantly more likely to endorse suicidal ideation during pregnancy. CONCLUSION: Suicidal ideation and associated feelings of hopelessness are a critical challenge in antenatal care among women living with HIV, with important implications for quality of life, care engagement, and survival. To better support patients, targeted approaches to address anxiety, depression, stigma, and hopelessness must be prioritized, including crisis support for suicide prevention.}, Doi = {10.1097/QAD.0000000000002594}, Key = {fds351414} } @article{fds347213, Author = {Luk, JW and LaCroix, JM and Thompson, MF and Darmour, C and Perera, KU and Goldston, D and Soumoff, A and Weaver, J and Ghahramanlou-Holloway, M}, Title = {Hazardous drinking and clinical correlates among suicidal patients receiving psychiatric inpatient care at military medical settings.}, Journal = {Addict Behav}, Volume = {102}, Pages = {106178}, Year = {2020}, Month = {March}, url = {http://dx.doi.org/10.1016/j.addbeh.2019.106178}, Abstract = {BACKGROUND: To describe prevalence and identify clinical correlates of hazardous drinking among suicidal inpatients at military medical settings. METHOD: Data were drawn from the baseline assessment of a multisite randomized controlled trial of Post-Admission Cognitive Therapy (PACT). Participants were military Service members or adult beneficiaries (N = 218) who were admitted to inpatient care following a suicide-related crisis. Hazardous alcohol use in the past year was assessed using the Alcohol Use Disorder Identification Test (AUDIT). RESULTS: The average AUDIT score was 6.78 (SD = 7.87), with 28.9% reporting hazardous drinking (scored ≥8 on the AUDIT). Hazardous drinkers were more likely than nonhazardous drinkers to meet diagnosis of Substance Use Disorder (SUD; Odds Ratio [OR] = 5.96, 95% confidence intervals [CI] = 2.13, 16.71). Hazardous drinking was neither associated with measures of suicide ideation nor aborted or interrupted suicide attempt. However, hazardous drinkers had greater risk of having both single (RRR [Relative Risk Ratio] = 2.55, 95% CI = 1.18, 5.50) and multiple actual suicide attempts (RRR = 2.38, 95% CI = 1.06, 5.32) than nonhazardous drinkers. The association between hazardous drinking and single (but not multiple) actual suicide attempt remained significant after controlling for gender, depressive symptoms, hopelessness, Post-Traumatic Stress Disorder, and SUD (adjusted RRR = 2.48, 95% CI = 1.09, 5.65). CONCLUSIONS: A history of actual suicide attempt is associated with hazardous alcohol use among suicidal psychiatric inpatients. Assessment of drinking and drug use may inform case conceptualization and treatment of suicide-related behaviors in psychiatric inpatient settings.}, Doi = {10.1016/j.addbeh.2019.106178}, Key = {fds347213} } @article{fds346314, Author = {Cheek, SM and Goldston, DB and Erkanli, A and Massing-Schaffer, M and Liu, RT}, Title = {Social Rejection and Suicidal Ideation and Attempts among Adolescents Following Hospitalization: a Prospective Study.}, Journal = {J Abnorm Child Psychol}, Volume = {48}, Number = {1}, Pages = {123-133}, Year = {2020}, Month = {January}, url = {http://dx.doi.org/10.1007/s10802-019-00580-z}, Abstract = {Despite research indicating that stressful life events are associated with subsequent suicidal ideation (SI) and behavior, there is a lack of clarity regarding whether specific types of life events are differentially related to SI and attempts. The current prospective study examines whether social rejection related life events are proximally related to SI and suicide attempts in a clinically acute sample of adolescents. Adolescents aged 12 to 18 (n = 219) were followed for 6 months after discharge from inpatient hospitalization. A contextual threat interview of stressful life events between index admission and 6-month follow-up was administered. Participants were also assessed for current SI and suicide attempts at baseline and 6-month follow-up. Results from a multiple linear regression model indicated a significant prospective association between number of social rejection stressors and SI, even after controlling for baseline depressive symptoms, SI at study entry, gender, age, and number of non-social rejections stressors. An Anderson-Gill recurrent events model was conducted to examine the relationship between SR stressors and suicide attempts. Results demonstrated that the 31 days following a major social rejection stressor were associated with heightened risk for prospective suicide attempts. However, social rejection stressors were not more strongly related to risk for suicide attempt than non-social rejection stressors. These findings help clarify the role of social rejection as a precipitant of suicidal crises and have potential to inform more accurate, targeted risk assessment.}, Doi = {10.1007/s10802-019-00580-z}, Key = {fds346314} } @article{fds341560, Author = {Conner, KR and Wiegand, TJ and Goldston, DB}, Title = {A hospital-based treatment of suicide attempt patients with problematic alcohol use: Rationale and treatment development.}, Journal = {Gen Hosp Psychiatry}, Volume = {63}, Pages = {30-32}, Year = {2020}, url = {http://dx.doi.org/10.1016/j.genhosppsych.2019.02.001}, Abstract = {OBJECTIVE: Problematic alcohol use (PAU) is a potent risk factor for suicidal behavior yet individuals with PAU presenting to hospital with suicidal risk may receive less intensive hospital-based treatment than suicidal patients without PAU. Developing efficacious interventions for at-risk patients with PAU that may be delivered in hospital is critical, particularly for those hospitalized following a suicide attempt, a group at marked risk. METHOD: The authors identified the Attempted Suicide Short Intervention Program (ASSIP) for adaption for hospitalized suicide attempt patients with PAU because of its flexibility, brevity, and evidence of efficacy to reduce risk for suicide reattempt. After consulting with the developers of ASSIP, clinical research experts in the treatment of suicidal risk and PAU, and treatment providers of hospitalized suicide attempt patients, the authors made modifications to ASSIP to tailor it to hospitalized suicide attempt patients with PAU. Results and conclusion Our modifications to ASSIP include highlighting links between PAU and the timing of the attempt; integrating such links into the narrative story of the attempt, the written case formulation, and the homework task; and identifying concrete strategies to address PAU-related risk in the prevention plan. These modifications are the focus of an ongoing treatment development study.}, Doi = {10.1016/j.genhosppsych.2019.02.001}, Key = {fds341560} } @article{fds368935, Author = {Asarnow, JR and Goldston, DB and Tunno, AM and Inscoe, AB and Pynoos, R}, Title = {Suicide, Self-Harm, & Traumatic Stress Exposure: A Trauma-Informed Approach to the Evaluation and Management of Suicide Risk.}, Journal = {Evid Based Pract Child Adolesc Ment Health}, Volume = {5}, Number = {4}, Pages = {483-500}, Year = {2020}, url = {http://dx.doi.org/10.1080/23794925.2020.1796547}, Abstract = {In accordance with Taylor & Francis policy and their ethical obligation as researchers, the authors of this paper report the following disclosures. Dr. Asarnow receives grant, research, or other support from the National Institute of Mental Health, the Substance Abuse and Mental Health Services Administration (SAMHSA), the American Foundation for Suicide Prevention, the American Psychological Foundation, the Society of Clinical Child and Adolescent Psychology (Division 53 of the APA), and the Association for Child and Adolescent Mental Health. She has consulted on quality improvement for suicide/self-harm prevention and depression, serves on the Scientific Council of the American Foundation for Suicide Prevention, and the Scientific Advisory Board of the Klingenstein Third Generation Foundation. Drs. Asarnow, Goldston, Tunno, and Inscoe receive funding from a SAMHSA UCLA-Duke National Child Traumatic Stress Network Center grant, the purpose of which is to train, implement, and disseminate the intervention described in this report. There are no commercial conflicts of interest. Drs. Pynoos and Tunno receive funding from the National Center of the National Child Traumatic Stress Network, SAMHSA. Lastly, Dr. Robert Pynoos is the Chief Medical Officer of Behavioral Health Innovations, LLC, which licenses and receives payment for the use of the UCLA PTSD Reaction Index for DSM-5.}, Doi = {10.1080/23794925.2020.1796547}, Key = {fds368935} } @article{fds343407, Author = {Godoy Garraza and L and Kuiper, N and Goldston, D and McKeon, R and Walrath, C}, Title = {Long-term impact of the Garrett Lee Smith Youth Suicide Prevention Program on youth suicide mortality, 2006-2015.}, Journal = {The Journal of Child Psychology and Psychiatry and Allied Disciplines}, Volume = {60}, Number = {10}, Pages = {1142-1147}, Year = {2019}, Month = {October}, url = {http://dx.doi.org/10.1111/jcpp.13058}, Abstract = {BACKGROUND: Comprehensive suicide prevention programs funded through the Garrett Lee Smith Memorial Youth Suicide Prevention Program (GLS) have previously been shown to be associated with lower youth suicide mortality rates 1 year following program implementation. However, longer term effects of GLS have yet to be examined. METHODS: The impact of GLS implementation on youth suicide mortality through 2015 was estimated for U.S. counties initially exposed to state and tribal GLS activities between 2006 and 2009. The analytic approach combined propensity score-based techniques to address potential confounding arising from differences between counties exposed and not exposed to the program along an extensive set of characteristics, including historical suicide rates. RESULTS: Counties exposed to GLS during a single year had youth suicide mortality rates lower than expected and for longer than previously reported following implementation of GLS activities. Youth suicide mortality rates in counties implementing GLS were estimated to be 0.9 per 100,000 youths lower than control counties (p = .029) 1 year after the implementation, and 1.1 per 100,000 youths lower than control counties (p = .010) 2 years after the implementation. Further, persistent implementation during multiple years was associated with larger effects during longer periods. Additionally, among rural counties, the youth suicide rates 2 years after exposure were estimated to be 2.4 per 100,000 youths lower than in the absence of the program (p = .003). There was no significant evidence of a decrease in youth suicide rates three or more years after the GLS activities were discontinued. CONCLUSIONS: The effects of GLS comprehensive suicide prevention program were found to be stronger and longer lasting than previously reported, particularly in rural counties. In the face of well-documented increases in national suicide prevention rates, these results support the widespread and persistent implementation of comprehensive, community-based youth suicide prevention programs.}, Doi = {10.1111/jcpp.13058}, Key = {fds343407} } @article{fds340941, Author = {Kuiper, N and Goldston, D and Godoy Garraza and L and Walrath, C and Gould, M and McKeon, R}, Title = {Examining the Unanticipated Adverse Consequences of Youth Suicide Prevention Strategies: A Literature Review with Recommendations for Prevention Programs.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {49}, Number = {4}, Pages = {952-965}, Year = {2019}, Month = {August}, url = {http://dx.doi.org/10.1111/sltb.12492}, Abstract = {OBJECTIVE: Youth suicide is a public health problem in the United States. Suicide prevention programs have been shown to be beneficial; however, knowledge of unanticipated adverse consequences of programs is limited. The objective of this review is to present what is known about these consequences so informed decisions and appropriate planning can be made prior to implementation of suicide prevention interventions. METHOD: A narrative but systematic review was conducted assessing what is known about adverse consequences utilizing a comprehensive keyword search of EBSCO and PubMed databases. Study populations beyond youth were included. RESULTS: Unanticipated adverse consequences of suicide prevention interventions were included in 22 publications. Consequences occur at three levels: at the level of the youth, those who identify or intervene with at-risk youth, and at the system level. While rare, unanticipated adverse consequences include an increase in maladaptive coping and a decrease in help-seeking among program targets, overburden or increased suicide ideation among program implementers, and inadequate systemic preparedness. CONCLUSIONS: Overall, the benefits of youth suicide prevention outweigh the unanticipated adverse consequences. Nevertheless, these results may be utilized for informed decision-making regarding suicide prevention programming, and to ensure appropriate infrastructure is in place prior to prevention efforts.}, Doi = {10.1111/sltb.12492}, Key = {fds340941} } @article{fds337179, Author = {Ribeiro, SP and LaCroix, JM and De Oliveira and F and Novak, LA and Lee-Tauler, SY and Darmour, CA and Perera, KU and Goldston, DB and Weaver, J and Soumoff, A and Ghahramanlou-Holloway, M}, Title = {The Link between Posttraumatic Stress Disorder and Functionality among United States Military Service Members Psychiatrically Hospitalized Following a Suicide Crisis.}, Journal = {Healthcare (Basel, Switzerland)}, Volume = {6}, Number = {3}, Year = {2018}, Month = {August}, url = {http://dx.doi.org/10.3390/healthcare6030095}, Abstract = {Posttraumatic stress disorder (PTSD) is one of the most commonly diagnosed psychiatric disorders in the United States and has been linked to suicidal thoughts and behaviors, yet the role of a PTSD diagnosis on functional impairment among suicidal individuals remains unknown. This study examined the association between PTSD status and functional impairment among military psychiatric inpatients admitted for acute suicide risk (N = 166) with a lifetime history of at least one suicide attempt. Measures of functionality included: (1) alcohol use; (2) sleep quality; (3) social problem-solving; and (4) work and social adjustment. Thirty-eight percent of the sample met criteria for PTSD. Women were more likely than men to meet criteria for PTSD (p = 0.007), and participants who met PTSD criteria had significantly more psychiatric diagnoses (p < 0.001). Service members who met PTSD criteria reported more disturbed sleep (p = 0.003) and greater difficulties with work and social adjustment (p = 0.004) than those who did not meet PTSD criteria. However, functionality measures were not significantly associated with PTSD status after controlling for gender and psychiatric comorbidity. Gender and number of psychiatric comorbidities other than PTSD were significant predictors of PTSD in logistic regression models across four functionality measures. Future studies should assess the additive or mediating effect of psychiatric comorbidities in the association between impaired functioning and PTSD. Clinicians are encouraged to assess and address functionality during treatment with suicidal individuals, paying particular attention to individuals with multiple psychiatric diagnoses.}, Doi = {10.3390/healthcare6030095}, Key = {fds337179} } @article{fds322757, Author = {Godoy Garraza and L and Peart Boyce and S and Walrath, C and Goldston, DB and McKeon, R}, Title = {An Economic Evaluation of the Garrett Lee Smith Memorial Suicide Prevention Program.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {48}, Number = {1}, Pages = {3-11}, Year = {2018}, Month = {February}, url = {http://dx.doi.org/10.1111/sltb.12321}, Abstract = {For more than a decade, the Garrett Lee Smith Youth Suicide Prevention Program has provided funding for community-based suicide prevention programs to states, tribes, and colleges across the United States. Recent studies provided evidence of the program's effectiveness in reducing suicide mortality and suicide attempts among youth. This study compares the cost of implementing the program with the estimated savings resulting from avoided hospitalization and emergency department visits associated with the averted suicide attempts. The findings suggest that the cost of implementing multifaceted community-based suicide prevention strategies may be more than outweighed by savings in the health sector.}, Doi = {10.1111/sltb.12321}, Key = {fds322757} } @article{fds330045, Author = {Copeland, WE and Goldston, DB and Costello, EJ}, Title = {Adult Associations of Childhood Suicidal Thoughts and Behaviors: A Prospective, Longitudinal Analysis.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {56}, Number = {11}, Pages = {958-965.e4}, Year = {2017}, Month = {November}, url = {http://dx.doi.org/10.1016/j.jaac.2017.08.015}, Abstract = {OBJECTIVE: Suicidal thoughts and behavior (STBs) have their peak period of onset in adolescence, but little is known about how such behavior is associated with later functioning. The aim of this study is to test whether childhood STBs are related to adult psychiatric, suicidal, and functional outcomes. METHOD: This is a prospective, population-based community study of 1,420 participants assessed with structured interviews up to 7 times in childhood/adolescence (ages 9-16 years; 6,674 observations) for STBs including passive and active ideation, plans, and attempts. Participants were then assessed 4 times in young adulthood (ages 19, 21, 24, and 30 years; 4,556 observations of 1,273 participants) for psychiatric diagnoses, STBs, and functional outcomes. RESULTS: By age 16 years, 7.0% of participants had reported some type of STBs, with 3.9% reporting an attempt. Both ideation only and suicide attempts were associated with higher levels of anxiety disorders and STBs in adulthood, as well as poor functioning across financial, health, risky/illegal, and social domains. These observed effects generally were attenuated after adjusting for other psychiatric and psychosocial factors that predict childhood STBs (particularly maltreatment, depression, and disruptive behavior disorders). The exception was adult suicidal behavior, which was predicted by both childhood ideation and attempts, even in the fully adjusted model. Children and adolescents with STBs were more likely to have had a disrupted transition to adulthood. CONCLUSION: Childhood STBs are a marker for a multitude of poor psychiatric and functional outcomes in adulthood, but these effects are largely accounted for by other factors. In contrast, childhood STBs are a robust risk factor for adult suicidal thoughts and behavior.}, Doi = {10.1016/j.jaac.2017.08.015}, Key = {fds330045} } @article{fds322758, Author = {Daniel, SS and Goldston, DB and Erkanli, A and Heilbron, N and Franklin, JC}, Title = {Prospective Study of Major Loss Life Events and Risk for Suicidal Thoughts and Behaviors Among Adolescents and Young Adults.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {47}, Number = {4}, Pages = {436-449}, Year = {2017}, Month = {August}, url = {http://dx.doi.org/10.1111/sltb.12305}, Abstract = {This prospective, naturalistic study examined the association between major loss life experiences, other psychiatric risk factors (depression, hopelessness, and anxiety), and suicidal thoughts and behaviors (STBs) among adolescents followed through young adulthood for up to 14 years. Major loss life events were related to subsequent increases in STBs. Major loss life events were primarily related to increases in suicide ideation in the presence of lower levels of other risk factors. There was a bidirectional relationship between major losses and other risk factors. Implications for the association between loss experiences, other risk factors, and future STBs are discussed.}, Doi = {10.1111/sltb.12305}, Key = {fds322758} } @article{fds324862, Author = {Doyle, O and Weller, BE and Daniel, SS and Mayfield, A and Goldston, DB}, Title = {Overcoming barriers to fathers' participation in clinically relevant research: Recommendations from the field}, Journal = {Social Work Research}, Volume = {40}, Number = {4}, Pages = {260-264}, Publisher = {Oxford University Press (OUP)}, Year = {2016}, Month = {December}, url = {http://dx.doi.org/10.1093/swr/svw015}, Doi = {10.1093/swr/svw015}, Key = {fds324862} } @article{fds322759, Author = {Doyle, O and Magan, I and Cryer-Coupet, QR and Goldston, DB and Estroff, SE}, Title = {"Don't wait for it to rain to buy an umbrella:" The transmission of values from African American fathers to sons}, Journal = {Psychology of Men & Masculinity}, Volume = {17}, Number = {4}, Pages = {309-319}, Publisher = {American Psychological Association (APA)}, Year = {2016}, Month = {October}, url = {http://dx.doi.org/10.1037/men0000028}, Abstract = {African American fathers are increasingly documented as being involved with their children and engaging in roles that include child socialization. Yet, we have limited knowledge about the values African American fathers seek to instill in their children or the mechanism through which they transmit these values. Therefore, our objective was to explore, from African American fathers' perspectives, the values they seek to instill within their sons. Participants included 30 self-identified, African American, biological fathers of preadolescent sons at broad risk for developing aggressive behaviors, depressive symptoms, or both. The fathers participated in semistructured, qualitative interviews based on a topic guide that was developed a priori. Informed by grounded theory analysis methods, emergent themes were systematically identified by the research team. Five themes and 4 subthemes emerged from the data. The first 4 themes reflected values fathers aimed to instill in their sons: cultural messages (subthemes: cultural pride, managing racism), education (subthemes: educational attainment, social intelligence, and exposure), respect, and responsibility. The fifth theme, modeling, represented a mechanism through which fathers taught these important values. The findings provide invaluable insight, from the perspectives of fathers, into the cultural and gendered contexts that shape the values African American fathers seek to instill in their sons. An increased understanding of what is most important to fathers may be instrumental in the engagement and retention of African American fathers in prevention programs. Implications for prevention programs and future research are discussed.}, Doi = {10.1037/men0000028}, Key = {fds322759} } @article{fds314975, Author = {Goldston, DB and Erkanli, A and Daniel, SS and Heilbron, N and Weller, BE and Doyle, O}, Title = {Developmental Trajectories of Suicidal Thoughts and Behaviors From Adolescence Through Adulthood.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {55}, Number = {5}, Pages = {400-407.e1}, Year = {2016}, Month = {May}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1016/j.jaac.2016.02.010}, Abstract = {OBJECTIVE: Little is known about the patterns among individuals in the long-term course of suicidal thoughts and behaviors (STBs). The objective of this study was to identify developmental trajectories of STBs from adolescence through young adulthood, as well as risk and protective covariates, and nonsuicidal outcomes associated with these trajectories. METHOD: A total of 180 adolescents (ages 12-18 years at recruitment) were repeatedly assessed over an average of 13.6 years (2,273 assessments) since their psychiatric hospitalization. Trajectories were based on ratings of STBs at each assessment. Covariates included psychiatric risk factors (proportion of time in episodes of psychiatric disorders, hopelessness, trait anxiety, impulsivity, and aggression in adulthood, sexual and physical abuse, parental history of suicidal behavior), protective factors (survival and coping beliefs, social support in adulthood, parenthood), and nonsuicidal outcomes (social adjustment and functional impairment in adulthood, school drop-out, incarcerations). RESULTS: Using a Bayesian group-based trajectory model, 4 trajectories of STBs were identified: an increasing risk class (11%); a highest overall risk class (12%); a decreasing risk class (33%); and a low risk class (44%). The 4 classes were associated with distinct patterns of correlates in risk and protective factors and nonsuicidal outcomes. CONCLUSION: Adolescents and young adults have heterogeneous developmental trajectories of STBs. These trajectories and their covariates may inform strategies for predicting STBs and targeting interventions for individuals at risk for suicidal behavior.}, Doi = {10.1016/j.jaac.2016.02.010}, Key = {fds314975} } @article{fds272923, Author = {Conner, KR and Wyman, P and Goldston, DB and Bossarte, RM and Lu, N and Kaukeinen, K and Tu, XM and Houston, RJ and Lamis, DA and Chan, G and Bucholz, KK and Hesselbrock, VM}, Title = {Two Studies of Connectedness to Parents and Suicidal Thoughts and Behavior in Children and Adolescents.}, Journal = {J Clin Child Adolesc Psychol}, Volume = {45}, Number = {2}, Pages = {129-140}, Year = {2016}, ISSN = {1537-4416}, url = {http://dx.doi.org/10.1080/15374416.2014.952009}, Abstract = {We tested hypotheses that greater connectedness to parent(s) is associated with lower risk for nonlethal suicidal thoughts and behavior (STB), termed direct protective effects, and that parent connectedness serves to moderate (lower) the risk for STB associated with psychopathology including major depressive episode (MDE), termed moderating protective effects. Independent samples of children and adolescents recruited for a multicenter study of familial alcoholism were studied. Generalized estimating equation models were used that adjusted for age, sex, and youth psychopathology variables. The sample for Study 1 was assessed at baseline and about 2- and 4-year follow-ups, with baseline characteristics of n = 921, M age = 14.3 ± 1.8 years, and 51.8% female. The sample for Study 2 was assessed at baseline and about 5-year follow-up, with baseline characteristics of n = 867, M age = 12.0 ± 3.2 years, and 51.0% female. In both studies, increased perceived connectedness to father but not mother was associated with lower risk for measures of STB, consistent with direct protective effects. In Study 1, measures of parent connectedness were associated with lower risk for STB but only for youth that did not experience MDE (or alcohol use disorder), inconsistent with moderating protective effects. Study 2 showed that connectedness to fathers was associated with lower risk for suicide plans or attempts (severe STB) but not frequent thoughts of death or dying (nonsevere STB). Improved connectedness to fathers may lower risk for STB in children and adolescents, consistent with direct protective effects. Hypotheses about moderating protective effects were not supported.}, Doi = {10.1080/15374416.2014.952009}, Key = {fds272923} } @article{fds314976, Author = {Godoy Garraza and L and Walrath, C and Goldston, DB and Reid, H and McKeon, R}, Title = {Effect of the Garrett Lee Smith Memorial Suicide Prevention Program on Suicide Attempts Among Youths.}, Journal = {Jama Psychiatry}, Volume = {72}, Number = {11}, Pages = {1143-1149}, Year = {2015}, Month = {November}, ISSN = {2168-622X}, url = {http://dx.doi.org/10.1001/jamapsychiatry.2015.1933}, Abstract = {IMPORTANCE: Youth suicide prevention is a major public health priority. Studies documenting the effectiveness of community-based suicide prevention programs in reducing the number of nonlethal suicide attempts have been sparse. OBJECTIVE: To determine whether a reduction in suicide attempts among youths occurs following the implementation of the Garrett Lee Smith Memorial Suicide Prevention Program (hereafter referred to as the GLS program), consistent with the reduction in mortality documented previously. DESIGN, SETTING, AND PARTICIPANTS: We conducted an observational study of community-based suicide prevention programs for youths across 46 states and 12 tribal communities. The study compared 466 counties implementing the GLS program between 2006 and 2009 with 1161 counties that shared key preintervention characteristics but were not exposed to the GLS program. The unweighted rounded numbers of respondents used in this analysis were 84 000 in the control group and 57 000 in the intervention group. We used propensity score-based techniques to increase comparability (on background characteristics) between counties that implemented the GLS program and counties that did not. We combined information on program activities collected by the GLS national evaluation with information on county characteristics from several secondary sources. The data analysis was performed between April and August 2014. P < .05 was considered statistically significant. EXPOSURES: Comprehensive, multifaceted suicide prevention programs, including gatekeeper training, education and mental health awareness programs, screening activities, improved community partnerships and linkages to service, programs for suicide survivors, and crisis hotlines. MAIN OUTCOMES AND MEASURES: Suicide attempt rates for each county following implementation of the GLS program for youths 16 to 23 years of age at the time the program activities were implemented. We obtained this information from the National Survey on Drug Use and Health administered to a large national probabilistic sample between 2008 and 2011. RESULTS: Counties implementing GLS program activities had significantly lower suicide attempt rates among youths 16 to 23 years of age in the year following implementation of the GLS program than did similar counties that did not implement GLS program activities (4.9 fewer attempts per 1000 youths [95% CI, 1.8-8.0 fewer attempts per 1000 youths]; P = .003). More than 79 000 suicide attempts may have been averted during the period studied following implementation of the GLS program. There was no significant difference in suicide attempt rates among individuals older than 23 years during that same period. There was no evidence of longer-term differences in suicide attempt rates. CONCLUSIONS AND RELEVANCE: Comprehensive GLS program activities were associated with a reduction in suicide attempt rates. Sustained suicide prevention programming efforts may be needed to maintain the reduction in suicide attempt rates.}, Doi = {10.1001/jamapsychiatry.2015.1933}, Key = {fds314976} } @article{fds272922, Author = {Susanne Condron and D and Garraza, LG and Walrath, CM and McKeon, R and Goldston, DB and Heilbron, NS}, Title = {Identifying and Referring Youths at Risk for Suicide Following Participation in School-Based Gatekeeper Training.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {45}, Number = {4}, Pages = {461-476}, Year = {2015}, Month = {August}, ISSN = {0363-0234}, url = {http://dx.doi.org/10.1111/sltb.12142}, Abstract = {Gatekeeper training is a core strategy of the Garrett Lee Smith Memorial Suicide Prevention Act of 2004. Using data gathered from school-based gatekeeper trainings implemented by GLS grantees, this analysis examines training and gatekeeper factors associated with (1) identification and referral patterns and (2) services at-risk youths receive. Time spent interacting with youths was positively correlated with the number of gatekeeper identifications and knowledge about service receipt. Gatekeepers who participated in longer trainings identified proportionately more at-risk youths than participants in shorter trainings. Most gatekeeper trainees referred the identified youths to services regardless of training type.}, Doi = {10.1111/sltb.12142}, Key = {fds272922} } @article{fds272918, Author = {Doyle, O and Clark, TT and Cryer-Coupet, Q and Nebbitt, VE and Goldston, DB and Estroff, SE and Magan, I}, Title = {Unheard Voices: African American Fathers Speak about their Parenting Practices.}, Journal = {Psychology of Men & Masculinity}, Volume = {16}, Number = {3}, Pages = {274-283}, Year = {2015}, Month = {July}, ISSN = {1524-9220}, url = {http://dx.doi.org/10.1037/a0038730}, Abstract = {Researchers have called for qualitative investigations into African American fathers' parenting practices that consider their social context and identify specific practices. Such investigations can inform the way we conceptualize African American fathers' parenting practices, which can in turn contribute to prevention interventions with at-risk youth. We conducted semi-structured, qualitative interviews about parenting with 30 self-identified, African American, biological fathers of pre-adolescent sons at-risk for developing aggressive behaviors, depressive symptoms, or both. Fathers provided descriptions of their parenting practices, which were at times influenced by their environmental context, fathers' residential status, and masculine ideologies. Our systematic analysis revealed four related themes that emerged from the data: managing emotions, encouragement, discipline, and monitoring. Of particular note, fathers in the current sample emphasized the importance of teaching their sons to manage difficult emotions, largely utilized language consistent with male ideologies (i.e., encouragement rather than love or nurturance), and engaged in high levels of monitoring and discipline in response to perceived environmental challenges and the developmental needs of their sons. The findings provide deeper insight into the parenting practices of African American fathers who are largely understudied, and often misunderstood. Further, these findings highlight considerations that may have important implications for father-focused prevention interventions that support African American fathers, youth, and families.}, Doi = {10.1037/a0038730}, Key = {fds272918} } @article{fds272920, Author = {Walrath, C and Garraza, LG and Reid, H and Goldston, DB and McKeon, R}, Title = {Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality.}, Journal = {Am J Public Health}, Volume = {105}, Number = {5}, Pages = {986-993}, Year = {2015}, Month = {May}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.2014.302496}, Abstract = {OBJECTIVES: We examined whether a reduction in youth suicide mortality occurred between 2007 and 2010 that could reasonably be attributed to Garrett Lee Smith (GLS) program efforts. METHODS: We compared youth mortality rates across time between counties that implemented GLS-funded gatekeeper training sessions (the most frequently implemented suicide prevention strategy among grantees) and a set of matched counties in which no GLS-funded training occurred. A rich set of background characteristics, including preintervention mortality rates, was accounted for with a combination of propensity score-based techniques. We also analyzed closely related outcomes that we did not expect to be affected by GLS as control outcomes. RESULTS: Counties implementing GLS training had significantly lower suicide rates among the population aged 10 to 24 years the year after GLS training than similar counties that did not implement GLS training (1.33 fewer deaths per 100 000; P = .02). Simultaneously, we found no significant difference in terms of adult suicide mortality rates or nonsuicide youth mortality the year after the implementation. CONCLUSIONS: These results support the existence of an important reduction in youth suicide rates resulting from the implementation of GLS suicide prevention programming.}, Doi = {10.2105/AJPH.2014.302496}, Key = {fds272920} } @article{fds272921, Author = {Weller, BE and Faulkner, M and Doyle, O and Daniel, SS and Goldston, DB}, Title = {Impact of patients' psychiatric hospitalization on caregivers: a systematic review.}, Journal = {Psychiatr Serv}, Volume = {66}, Number = {5}, Pages = {527-535}, Year = {2015}, Month = {May}, ISSN = {1075-2730}, url = {http://dx.doi.org/10.1176/appi.ps.201400135}, Abstract = {OBJECTIVE: A systematic literature review was conducted to assess the impact of patients' psychiatric hospitalizations on caregivers. METHODS: A systematic search of the Web of Knowledge, PsycINFO, and MEDLINE (PubMed) was conducted for peer-reviewed articles published in English before August 31, 2013. Qualitative, quantitative, and mixed-methods studies were included if they focused on the outcomes of caregivers of either adult or youth patients and presented data collected directly from caregivers of patients who had been psychiatrically hospitalized. RESULTS: Twenty-nine articles met the inclusion criteria. The review found that caregivers are heterogeneous in their reaction to patients' psychiatric hospitalization; however, many report distress. Many caregivers have reported experiencing stigma, disruptions in daily life, worse general medical health, economic strain, and changes in relationships after hospitalization. Negative reactions to the hospitalization may decrease over time, but distress can remain elevated compared with the general population. Nonetheless, many caregivers have also reported experiencing positive changes as a result of the hospitalization. The reaction of caregivers may be influenced by the severity of the patient's psychiatric problems as well as the caregiver's demographic characteristics and style of coping. CONCLUSIONS: Caregivers experience a range of reactions to psychiatric hospitalizations. Providing caregivers with psychoeducation about their possible reaction to hospitalization and teaching them coping techniques may improve clinical outcomes for patients. Future research is needed to understand the heterogeneity in caregivers' reactions to patients' psychiatric hospitalization.}, Doi = {10.1176/appi.ps.201400135}, Key = {fds272921} } @article{fds272926, Author = {Doyle, O and Goldston, DB and Dzirasa, E and Fontes, M and Estroff, S and Burriss, A}, Title = {"You gotta have a good help mate": African American fathers' Co-parenting experiences}, Journal = {Psychology of Men & Masculinity}, Volume = {15}, Number = {4}, Pages = {377-386}, Publisher = {American Psychological Association (APA)}, Year = {2014}, Month = {January}, ISSN = {1524-9220}, url = {http://dx.doi.org/10.1037/a0034732}, Abstract = {Current descriptions of coparenting (i.e., shared decision making between parents and the coordination of parenting activities; Feinberg, 2002; McHale & Kuersten-Hogan, 2004) often are not informed by diverse cultural or family contexts, or by the perspectives of fathers. One group that has been notably absent in the coparenting literature is African American fathers. We conducted semistructured, qualitative interviews with 30 African American fathers (28-60 years of age) of a preadolescent, biological son at-risk for depression, aggression, or both. Informed by grounded theory, we systematically identified emergent themes in the data (Strauss & Corbin, 1998). Fathers provided descriptions of both positive and negative coparenting experiences, which were nuanced at times by their residential and marital status. The findings highlight the importance of gender-based parenting differences, fathers' belief in the importance of the father-son relationship, and the significance of discipline and communication as key coparenting domains for this sample of fathers. The framework presented here represents a critical step toward the advancement of coparenting conceptualizations that incorporate diverse cultures, nontraditional family types, and fathers. This framework is a starting point from which theoretical conceptualizations can be further developed. The findings challenge negative perceptions of African American fathers and highlight modifiable factors (e.g., communication) relevant for interventions that support African American fathers, youth, and families.}, Doi = {10.1037/a0034732}, Key = {fds272926} } @article{fds272925, Author = {Conner, KR and Bossarte, RM and Lu, N and Kaukeinen, K and Chan, G and Wyman, P and Tu, XM and Goldston, DB and Houston, RJ and Bucholz, KK and Hesselbrock, VM}, Title = {Parent and child psychopathology and suicide attempts among children of parents with alcohol use disorder.}, Journal = {Arch Suicide Res}, Volume = {18}, Number = {2}, Pages = {117-130}, Year = {2014}, ISSN = {1381-1118}, url = {http://dx.doi.org/10.1080/13811118.2013.826154}, Abstract = {Parents with psychopathology such as alcohol use disorder (AUD) that confers risk for suicide attempt (SA) may have children who are more likely to develop such psychopathology and to attempt suicide, suggesting that risk may be "transmitted" from parents to children. We examined this phenomenon during the transition from childhood to adolescence, when risk for SA increases dramatically. A cohort of 418 children were examined at average age 9.4 (range 7-14) years at enrollment (Time 1, childhood) and approximately 5 years later, prior to reaching age 18 (Time 2, adolescence). One or both biological parents, oversampled for AUD, were also interviewed. Structural equation models (SEM) examined father-child, mother-child, and either/both parent-child associations. The primary outcome was SA over follow-up among offspring, assessed at Time 2. As hypothesized, parental antisocial personality disorder predicted conduct disorder symptoms in offspring both during childhood and adolescence (parent-child model, father-child model) and maternal AUD predicted conduct disorder symptoms during childhood (mother-child model). However, we did not find evidence to support transmission of depression from parents to offspring either during childhood or adolescence, and parent psychopathology did not show statistically significant associations with SA during adolescence. In conclusion, we conducted a rare study of parent-to-child "transmission" of risk for SA that used a prospective research design, included diagnostic interviews with both parents and offspring, and examined the transition from childhood to adolescence, and the first such study in children of parents with AUD. Results provided mixed support for hypothesized parent-child associations.}, Doi = {10.1080/13811118.2013.826154}, Key = {fds272925} } @article{fds272930, Author = {Heilbron, N and Goldston, D and Walrath, C and Rodi, M and McKeon, R}, Title = {Suicide risk protocols: addressing the needs of high risk youths identified through suicide prevention efforts and in clinical settings.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {43}, Number = {2}, Pages = {150-160}, Year = {2013}, Month = {April}, ISSN = {0363-0234}, url = {http://dx.doi.org/10.1111/sltb.12004}, Abstract = {Several agencies have emphasized the importance of establishing clear protocols or procedures to address the needs of youths who are identified as suicidal through suicide prevention programs or in emergency department settings. What constitutes optimal guidelines for developing and implementing such protocols, however, is unclear. At the request of the Substance Abuse and Mental Health Services Administration, we provide an overview of recommendations, as well as steps taken in conjunction with selected prevention programs and in emergency department settings to address the needs and improve the care of these youths.}, Doi = {10.1111/sltb.12004}, Key = {fds272930} } @article{fds272965, Author = {Pisani, AR and Schmeelk-Cone, K and Gunzler, D and Petrova, M and Goldston, DB and Tu, X and Wyman, PA}, Title = {Associations between suicidal high school students' help-seeking and their attitudes and perceptions of social environment.}, Journal = {Journal of Youth and Adolescence}, Volume = {41}, Number = {10}, Pages = {1312-1324}, Year = {2012}, Month = {October}, ISSN = {0047-2891}, url = {http://dx.doi.org/10.1007/s10964-012-9766-7}, Abstract = {Suicide is a leading cause of death among adolescents, many of whom fail to disclose suicide concerns to adults who might help. This study examined patterns and predictors of help-seeking behavior among adolescents who seriously considered suicide in the past year. 2,737 students (50.9 % female, 46.9 % male; racial distribution 79.5 % Caucasian, 11.9 % Hispanic/Latino, and 3.6 % Black/African-American) from 12 high schools in rural/underserviced communities were surveyed to assess serious suicide ideation (SI) in the past year, disclosure of SI to adults and peers, attempts to get help, attitudes about help-seeking, perceptions of school engagement, and coping support. Help-seeking was defined as both disclosing SI to an adult and perceiving oneself as seeking help. The relationship between adolescents' help-seeking disclosure and (1) help-seeking attitudes and (2) perceptions of social resources was examined among suicidal help-seeking youth, suicidal non-help-seeking youth, and non-suicidal youth. Of the 381 (14 %) students reporting SI, only 23 % told an adult, 29 % sought adult help, and 15 % did both. Suicidal help-seekers were similar to non-suicidal peers on all measures of help-seeking attitudes and social environment perceptions. Positive attitudes about help-seeking from adults at school, perceptions that adults would respond to suicide concerns, willingness to overcome peer secrecy requests, and greater coping support and engagement with the school were associated with students' increased disclosure of SI and help-seeking. This study supports prevention strategies that change student norms, attitudes and social environments to promote help-seeking among adolescents with SI. Promising intervention targets include increasing students' perceptions of the availability and capability of adults to help them, and strengthening students' understanding of how existing resources can help them cope.}, Doi = {10.1007/s10964-012-9766-7}, Key = {fds272965} } @article{fds272927, Author = {Flowers, L and Daniel, S and Kaplan, S and Goldston, D}, Title = {Reading and motivation in adolescent poor readers}, Pages = {1-17}, Year = {2012}, Month = {August}, Abstract = {In the United States, the number of below proficient students entering high school is reflected in figures from the National Assessment of Educational Progress, which in 2007 reported that 26% of eighth graders were unable to comprehend satisfactorily grade appropriate text. This is a problem, not only in the US, but internationally. Although most poor readers do not experience more psychosocial problems than their typically reading peers, a prospective study of non-referred high school students found that poor readers evidenced significantly more functional impairment across multiple areas-including depression, trait anxiety, somatic complaints, and suicidal ideation or attempts. Reading researchers around the globe increasingly recognize the multivariate nature of reading achievement, including the importance of motivation and other psychological factors along with cognitive and ecological factors. Much of what is known about reading and motivation has come from studies involving elementary grade students has shown that students' attitudes toward reading begin very early and become firmly entrenched with advancing grades A study is outlined that would examine the independent and combined benefits of a program that directly addresses motivation toward a specific goal to change behavior and a program of focused reading instruction in adolescents with reading deficiencies with and without a history of diagnosed dyslexia. © 2012 by Nova Science Publishers, Inc. All rights reserved.}, Key = {fds272927} } @article{fds272953, Author = {Esposito-Smythers, C and Walsh, A and Spirito, A and Rizzo, C and Goldston, DB and Kaminer, Y}, Title = {Working With the Suicidal Client Who Also Abuses Substances.}, Journal = {Cognitive and Behavioral Practice}, Volume = {19}, Number = {2}, Pages = {245-255}, Year = {2012}, Month = {May}, ISSN = {1077-7229}, url = {http://dx.doi.org/10.1016/j.cbpra.2010.11.004}, Abstract = {Substance use disorders and suicidal thoughts and behaviors commonly co-occur in adolescent and adult psychiatric populations and are often functionally interrelated. Although the evidence base for treatment of this population is sparse, integrated cognitive behavioral treatment (CBT) protocols, or those that rely heavily on CBT techniques, hold promise. In this paper, we provide an overview of the evidence-based literature for interventions that target suicidal behavior and substance use disorders with adults and adolescents. We then discuss the manner in which these behaviors may be functionally interrelated and offer a conceptual framework (S-O-R-C) to guide case conceptualization and treatment planning for clients with co-occurring suicidality and substance use disorders. Next, we provide a case example of a client with suicidal behavior and an alcohol use disorder and demonstrate how to apply an integrated CBT treatment protocol to this case. This case example is followed by a more general discussion about the potential advantages of integrated CBT protocols for suicidality and substance use disorders, guidelines for prioritizing treatment targets and skill selection for each individual client, and other important treatment considerations. We conclude with recommendations for future research in this area.}, Doi = {10.1016/j.cbpra.2010.11.004}, Key = {fds272953} } @article{fds272954, Author = {Ellis, TE and Goldston, DB}, Title = {SPECIAL SERIES Working With Suicidal Clients: Not Business as Usual Introduction}, Journal = {Cognitive and Behavioral Practice}, Volume = {19}, Number = {2}, Pages = {205-208}, Publisher = {ELSEVIER SCIENCE INC}, Year = {2012}, Month = {May}, ISSN = {1077-7229}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000302274900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {In this introduction to a special series of articles on working with suicidal clients, we note that much of the recent growth in theory and research pertaining to suicidal individuals has been contributed by cognitive-behavioral theorists and researchers. This work has established that suicidal people manifest important cognitive vulnerabilities that can be addressed in therapeutic interventions specifically designed for them. Studies to date have produced outcomes that support this framework. We provide brief previews of the collection of articles that follow, which cover safety planning, protocols for evaluating risk, the utility of health behavior theory for informing treatment, mindfulness-based approaches for suicidality, developmental and family considerations, intensive inpatient CBT for individuals in the military, integrated interventions for substance abuse and suicidal behaviors, and coping with the impact of client suicide. We conclude that clinicians are now in a position to begin moving beyond a "therapy as usual" mindset in working with suicidal clients. © 2011.}, Doi = {10.1016/j.cbpra.2011.08.004}, Key = {fds272954} } @article{fds272955, Author = {Daniel, SS and Goldston, DB}, Title = {Hopelessness and Lack of Connectedness to Others as Risk Factors for Suicidal Behavior Across the Lifespan: Implications for Cognitive-Behavioral Treatment}, Journal = {Cognitive and Behavioral Practice}, Volume = {19}, Number = {2}, Pages = {288-300}, Publisher = {Elsevier BV}, Year = {2012}, Month = {May}, ISSN = {1077-7229}, url = {http://dx.doi.org/10.1016/j.cbpra.2011.05.003}, Abstract = {The rates of suicide attempts and death by suicide vary considerably over the lifespan, highlighting the influence of different contextual, risk, and protective factors at different points in development (Daniel & Goldston, 2009). Hopelessness and lack of connectedness to others are two factors that have been associated with increased risk for suicidal thoughts and behaviors across the lifespan. The primary purposes of this paper are to describe how hopelessness and lack of connectedness to others may contribute to risk for suicidal behaviors, and to outline empirically supported cognitive-behavioral interventions for these difficulties at three developmental periods during which suicidal behavior is prevalent: (a) adolescence and young adulthood, (b) middle adulthood, and (c) older adulthood. This paper is not intended as an exhaustive review, but rather an overview of selected developmental issues related to hopelessness and lack of connectedness to others as risk factors for suicidal behavior. Special emphasis is given to clinical implications for cognitive-behavioral interventions, which are illustrated through case conceptualizations and examples at each developmental period. © 2011.}, Doi = {10.1016/j.cbpra.2011.05.003}, Key = {fds272955} } @article{fds272958, Author = {Sapyta, J and Goldston, DB and Erkanli, A and Daniel, SS and Heilbron, N and Mayfield, A and Treadway, SL}, Title = {Evaluating the predictive validity of suicidal intent and medical lethality in youth.}, Journal = {J Consult Clin Psychol}, Volume = {80}, Number = {2}, Pages = {222-231}, Year = {2012}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22250854}, Abstract = {OBJECTIVES: To examine whether suicidal intent and medical lethality of past suicide attempts are predictive of future attempts, the association between intent and lethality, and the consistency of these characteristics across repeated attempts among youth. METHOD: Suicide attempts in a 15-year prospective study of 180 formerly psychiatrically hospitalized adolescents (M(age at hospitalization) = 14.83; 51% female; 80% Caucasian) were characterized with the Subjective Intent Rating Scale and Lethality of Attempt Rating Scale. Anderson-Gill recurrent events survival models and generalized estimating equations were used to assess predictive validity. Generalized linear models were used to examine stability of characteristics across attempts. RESULTS: Neither intent nor lethality from the most recent attempt predicted future attempts. The highest level of intent and most severe lethality of attempts during the follow-up predicted subsequent attempts, but the degree to which highest intent and most severe lethality contributed to prediction after considering methods of suicide attempts, past number of attempts, or psychiatric diagnoses was mixed. Across successive attempts, there was little consistency in reported characteristics. Intent and lethality were related to each other only for attempts occurring in early adulthood. CONCLUSIONS: Highest intent and lethality were better predictors of future attempts than intent and lethality of the most recent attempt. However, these characteristics should be considered as predictors only within the context of other factors. For youth, clinicians should not infer true intent from the lethality of attempts, nor assume that characteristics of future suicide attempts will be similar to those of previous attempts.}, Doi = {10.1037/a0026870}, Key = {fds272958} } @article{fds272928, Author = {Esposito-Smythers, C and Miller, A and Weismoore, J and Doyle, O and Goldston, DB}, Title = {Suicide}, Volume = {3}, Pages = {319-329}, Publisher = {Elsevier}, Year = {2011}, Month = {December}, url = {http://dx.doi.org/10.1016/B978-0-12-373951-3.00137-X}, Abstract = {Adolescent suicidal behavior represents a significant public health problem. Suicide is currently the sixth leading cause of death among 5-14-year-olds and the third leading cause of death among 15-24-year-olds. Therefore, it is important to obtain knowledge about the development of adolescent suicidal behavior as well as how it is best assessed, prevented, and treated. This article begins with an overview of the epidemiology of suicidal behavior in the adolescent population as a whole as well as across gender, race, and ethnicity. Next, major theories of suicidal behavior are reviewed, including cognitive-behavioral, social-interpersonal, and psychological pain theories. A review of psychological, social, and cultural risk and protective factors associated with adolescent suicidal behavior follows the theoretical overview. Subsequently, current assessment approaches and commonly used assessment instruments for adolescent suicidal behavior are reviewed. This article concludes with a review of the state of the adolescent suicide intervention literature and recommendations for future research. © 2011 Copyright © 2011 Elsevier Inc. All rights reserved..}, Doi = {10.1016/B978-0-12-373951-3.00137-X}, Key = {fds272928} } @article{fds272951, Author = {van Tilburg, MAL and Spence, NJ and Whitehead, WE and Bangdiwala, S and Goldston, DB}, Title = {Chronic pain in adolescents is associated with suicidal thoughts and behaviors.}, Journal = {J Pain}, Volume = {12}, Number = {10}, Pages = {1032-1039}, Year = {2011}, Month = {October}, ISSN = {1526-5900}, url = {http://dx.doi.org/10.1016/j.jpain.2011.03.004}, Abstract = {UNLABELLED: Adults who suffer from chronic pain are at increased risk for suicide ideation and attempts, but it is not clear whether adolescents with chronic pain are similarly at elevated risk. This study investigates whether chronic pain is associated with an increase in suicidal ideation/attempts independent of depression in a population sample of adolescents. We analyzed data from the National Longitudinal Study of Adolescent Health, a longitudinal study of a nationally representative sample of adolescents in the United States (N = 9,970). Most chronic pain was related to suicide ideation/attempt both in the last year (odds ratio [OR] 1.3-2.1) and during the subsequent year (OR 1.2-1.8). After controlling for depressive symptoms, headaches (OR = 1.3 last year, OR = 1.2 subsequent year) and muscle aches (OR = 1.3 last year) remained associated with suicide ideation but not suicide attempt. These findings show that chronic pain in adolescence is a risk factor for suicide ideation; this effect is partly but not fully explained by depression. Youth with comorbid depression and chronic pain are at increased risk of thinking about and attempting suicide. Clinicians should be alert to suicide ideation/attempt and comorbid depression in this at-risk population. PERSPECTIVE: Adolescents who suffer from chronic pain are at increased risk for suicide ideation and attempt. Depressive symptoms account for the link between chronic pain and suicide attempt, but do not completely explain why adolescents with chronic pain show suicide ideation.}, Doi = {10.1016/j.jpain.2011.03.004}, Key = {fds272951} } @article{fds272950, Author = {Goldston, DB and Walrath, CM and McKeon, R and Puddy, RW and Lubell, KM and Potter, LB and Rodi, MS}, Title = {The Garrett Lee Smith memorial suicide prevention program.}, Journal = {Suicide and Life Threatening Behavior}, Volume = {40}, Number = {3}, Pages = {245-256}, Year = {2010}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20560746}, Abstract = {In response to calls for greater efforts to reduce youth suicide, the Garrett Lee Smith (GLS) Memorial Act has provided funding for 68 state, territory, and tribal community grants, and 74 college campus grants for suicide prevention efforts. Suicide prevention activities supported by GLS grantees have included education, training programs (including gatekeeper training), screening activities, infrastructure for improved linkages to services, crisis hotlines, and community partnerships. Through participation in both local- and cross-site evaluations, GLS grantees are generating data regarding the local context, proximal outcomes, and implementation of programs, as well as opportunities for improvement of suicide prevention efforts.}, Doi = {10.1521/suli.2010.40.3.245}, Key = {fds272950} } @article{fds272963, Author = {Heilbron, N and Compton, JS and Daniel, SS and Goldston, DB}, Title = {The Problematic Label of Suicide Gesture: Alternatives for Clinical Research and Practice.}, Journal = {Professional Psychology: Research and Practice}, Volume = {41}, Number = {3}, Pages = {221-227}, Year = {2010}, Month = {June}, ISSN = {0735-7028}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20640243}, Abstract = {Historically, certain terms used to describe psychopathology have evolved over time due to changing social and political contexts. This paper explores the importance of a clear and consistent language for characterizing suicide-related behaviors with a particular focus on the commonly used label "suicide gesture." The historical and contemporary uses of the term are explored, and clinical, research, and training implications are discussed. Clinicians and researchers are strongly encouraged to consider discontinuing the use of the term suicide gesture in light of its associated dismissive connotations and inconsistent application in clinical practice and research. In lieu of the term suicide gesture, recommendations are made regarding an increased emphasis by clinicians and researchers on more precise descriptions of suicidal behaviors and the functional assessment of suicide-related behaviors.}, Doi = {10.1037/a0018712}, Key = {fds272963} } @article{fds272961, Author = {Dew, RE and Daniel, SS and Goldston, DB and McCall, WV and Kuchibhatla, M and Schleifer, C and Triplett, MF and Koenig, HG}, Title = {A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients.}, Journal = {J Affect Disord}, Volume = {120}, Number = {1-3}, Pages = {149-157}, Year = {2010}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19450882}, Abstract = {OBJECTIVE: Previous research has uncovered relationships between religion/spirituality and depressive disorders. Proposed mechanisms through which religion may impact depression include decreased substance use and enhanced social support. Little investigation of these topics has occurred with adolescent psychiatric patients, among whom depression, substance use, and social dysfunction are common. METHOD: 145 subjects, aged 12-18, from two psychiatric outpatient clinics completed the Beck Depression Inventory-II (BDI-II), the Fetzer multidimensional survey of religion/spirituality, and inventories of substance abuse and perceived social support. Measures were completed again six months later. Longitudinal and cross-sectional relationships between depression and religion were examined, controlling for substance abuse and social support. RESULTS: Of thirteen religious/spiritual characteristics assessed, nine showed strong cross-sectional relationships to BDI-II score. When perceived social support and substance abuse were controlled for, forgiveness, negative religious support, loss of faith, and negative religious coping retained significant relationships to BDI-II. In longitudinal analyses, loss of faith predicted less improvement in depression scores over 6 months, controlling for depression at study entry. LIMITATIONS: Self-report data, clinical sample. CONCLUSIONS: Several aspects of religiousness/spirituality appear to relate cross-sectionally to depressive symptoms in adolescent psychiatric patients. Findings suggest that perceived social support and substance abuse account for some of these correlations but do not explain relationships to negative religious coping, loss of faith, or forgiveness. Endorsing a loss of faith may be a marker of poor prognosis among depressed youth.}, Doi = {10.1016/j.jad.2009.04.029}, Key = {fds272961} } @article{fds272956, Author = {Daniel, SS and Goldston, DB and Erkanli, A and Franklin, JC and Mayfield, AM}, Title = {Trait anger, anger expression, and suicide attempts among adolescents and young adults: a prospective study.}, Journal = {J Clin Child Adolesc Psychol}, Volume = {38}, Number = {5}, Pages = {661-671}, Year = {2009}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20183651}, Abstract = {Previous studies of the relationship between anger, anger expression, and suicidal behavior have been largely cross-sectional and have yielded mixed findings. In a prospective, naturalistic study, we examined how trait anger and anger expression influenced the likelihood of suicide attempts among 180 adolescents followed for up to 13.3 years after discharge from an inpatient psychiatry unit. Results showed that higher trait anger and anger expressed outwardly over the follow-up was related to increased likelihood of suicide attempts among boys. For girls, trait anger and both the inward and outward expression of anger moderated the risk for suicide attempts associated with major depression. These results are interpreted in light of theory regarding behavioral activation and behavioral inhibition systems.}, Doi = {10.1080/15374410903103494}, Key = {fds272956} } @article{fds272949, Author = {Daniel, SS and Goldston, DB}, Title = {Interventions for suicidal youth: a review of the literature and developmental considerations.}, Journal = {Suicide & Life Threatening Behavior}, Volume = {39}, Number = {3}, Pages = {252-268}, Year = {2009}, Month = {June}, ISSN = {0363-0234}, url = {http://dx.doi.org/10.1521/suli.2009.39.3.252}, Abstract = {Suicidal behavior is developmentally mediated, but the degree to which interventions for suicidal behaviors have been developmentally tailored has varied widely. Published controlled studies of psychosocial treatment interventions for reducing adolescent suicidal behavior are reviewed, with a particular emphasis on the developmental nuances of these interventions. In addition, developmental considerations important in the treatment of suicidal adolescents are discussed. There are insufficient data available from controlled trials to recommend one intervention over another for the treatment of suicidal youth, but interventions that are sensitive to the multiple developmental contexts have potential for greater effectiveness in reducing adolescent suicidal behavior.}, Doi = {10.1521/suli.2009.39.3.252}, Key = {fds272949} } @article{fds272957, Author = {Goldston, DB and Daniel, SS and Erkanli, A and Reboussin, BA and Mayfield, A and Frazier, PH and Treadway, SL}, Title = {Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among adolescents and young adults: developmental changes.}, Journal = {J Consult Clin Psychol}, Volume = {77}, Number = {2}, Pages = {281-290}, Year = {2009}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19309187}, Abstract = {The purpose of this prospective, naturalistic study was to examine the relationships between suicide attempts and contemporaneous psychiatric disorders, and developmental changes in these relationships from adolescence to young adulthood. The sample consisted of 180 adolescents, 12-19 years of age at hospitalization, repeatedly assessed for up to 13 years (n = 1,825 assessments). Semistructured psychiatric diagnostic instruments were administered at repeated assessments to assess psychiatric disorders and suicide attempts. After controlling for demographic variables and prehospitalization suicide attempts, most contemporaneous psychiatric disorders (major depressive disorder [MDD], dysthymic disorder, generalized anxiety disorder [GAD], panic disorder, attention-deficit/hyperactivity disorder [AD/HD], conduct disorder, and substance use disorder [SUD]) were related to increased risk of attempts. The relationship between suicide attempts and MDD, GAD, AD/HD, and SUD strengthened as participants got older. MDD, dysthymic disorder, GAD, and panic disorder were more commonly associated with repeat than 1st-time suicide attempts. In sum, most major psychiatric disorders are associated with increased risk for suicide attempts, but the strength of the relationships between these disorders and attempts changes over the course of development.}, Doi = {10.1037/a0014732}, Key = {fds272957} } @article{fds272962, Author = {Barksdale, CL and Walrath, CM and Compton, JS and Goldston, DB}, Title = {Caregiver strain and youth suicide attempt: Are they related?}, Journal = {Suicide & Life Threatening Behavior}, Volume = {39}, Number = {2}, Pages = {152-160}, Year = {2009}, Month = {April}, ISSN = {0363-0234}, url = {http://dx.doi.org/10.1521/suli.2009.39.2.152}, Abstract = {There are scant data documenting the relationship between caregiver strain and suicidal behavior among youth. This study includes data from the caregivers of 1,854 youth who received services through the Comprehensive Community Mental Health Services for Children and Their Families Program. Caregiver strain, family functioning, and youth functional impairment were assessed with the Caregiver Strain Questionnaire, Family Life Questionnaire, and Columbia Impairment Scale. Caregivers of suicidal and nonsuicidal youth differed in subjective internalizing strain (e.g., worry and guilt) and objective strain (e.g., constraints on activities). Differences in objective strain persisted even after controlling for family life and youth functional impairment.}, Doi = {10.1521/suli.2009.39.2.152}, Key = {fds272962} } @article{fds272959, Author = {Dew, RE and Daniel, SS and Armstrong, TD and Goldston, DB and Triplett, MF and Koenig, HG}, Title = {Religion/Spirituality and adolescent psychiatric symptoms: a review.}, Journal = {Child Psychiatry Hum Dev}, Volume = {39}, Number = {4}, Pages = {381-398}, Year = {2008}, Month = {December}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18219572}, Abstract = {The aim of the current article is to review the literature on religion and spirituality as it pertains to adolescent psychiatric symptoms. One hundred and fifteen articles were reviewed that examined relationships between religion/spirituality and adolescent substance use, delinquency, depression, suicidality, and anxiety. Ninety-two percent of articles reviewed found at least one significant (p < .05) relationship between religiousness and better mental health. Evidence for relationships between greater religiousness and less psychopathology was strongest in the area of teenage substance use. Methods of measuring religion/spirituality were highly heterogeneous. Further research on the relationship of religion/spirituality to delinquency, depression, suicidality, and anxiety is warranted. Measurement recommendations, research priorities, and clinical implications are discussed.}, Doi = {10.1007/s10578-007-0093-2}, Key = {fds272959} } @article{fds272960, Author = {Dew, RE and Daniel, SS and Goldston, DB and Koenig, HG}, Title = {Religion, spirituality, and depression in adolescent psychiatric outpatients.}, Journal = {J Nerv Ment Dis}, Volume = {196}, Number = {3}, Pages = {247-251}, Year = {2008}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18340262}, Abstract = {This study examines in a preliminary manner the relationship between multiple facets of religion/spirituality and depression in treatment-seeking adolescents. One hundred seventeen psychiatric outpatients aged 12 to 18 completed the brief multidimensional measure of religiousness/spirituality, the Beck Depression Inventory (BDI), a substance abuse inventory. Controlling for substance abuse and demographic variables, depression was related to feeling abandoned or punished by God (p < 0.0001), feeling unsupported by one's religious community (p = 0.0158), and lack of forgiveness (p < 0.001). These preliminary results suggest that clinicians should assess religious beliefs and perceptions of support from the religious community as factors intertwined with the experience of depression, and consider the most appropriate ways of addressing these factors that are sensitive to adolescents' and families' religious values and beliefs.}, Doi = {10.1097/NMD.0b013e3181663002}, Key = {fds272960} } @article{fds272967, Author = {Goldston, DB and Molock, SD and Whitbeck, LB and Murakami, JL and Zayas, LH and Hall, GCN}, Title = {Cultural considerations in adolescent suicide prevention and psychosocial treatment.}, Journal = {American Psychologist}, Volume = {63}, Number = {1}, Pages = {14-31}, Year = {2008}, Month = {January}, ISSN = {0003-066X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18193978}, Keywords = {Acculturation • Adolescent • Adolescent Behavior • Adolescent Psychology • Continental Population Groups • Culture* • Ethnic Groups • Humans • Mental Disorders • Sex Factors • Social Behavior • Stress, Psychological • Suicide • Suicide, Attempted • United States • complications • methods • prevention & control • prevention & control* • psychology • psychology* • statistics & numerical data • therapy • therapy* • trends}, Abstract = {Ethnic groups differ in rates of suicidal behaviors among youths, the context within which suicidal behavior occurs (e.g., different precipitants, vulnerability and protective factors, and reactions to suicidal behaviors), and patterns of help-seeking. In this article, the authors discuss the cultural context of suicidal behavior among African American, American Indian and Alaska Native, Asian American and Pacific Islander, and Latino adolescents, and the implications of these contexts for suicide prevention and treatment. Several cross-cutting issues are discussed, including acculturative stress and protective factors within cultures; the roles of religion and spirituality and the family in culturally sensitive interventions; different manifestations and interpretations of distress in different cultures; and the impact of stigma and cultural distrust on help-seeking. The needs for culturally sensitive and community- based interventions are discussed, along with future opportunities for research in intervention development and evaluation.}, Language = {eng}, Doi = {10.1037/0003-066X.63.1.14}, Key = {fds272967} } @article{fds272948, Author = {Esposito-Smythers, C and Goldston, DB}, Title = {Challenges and opportunities in the treatment of adolescents with substance use disorder and suicidal behavior.}, Journal = {Substance Abuse}, Volume = {29}, Number = {2}, Pages = {5-17}, Year = {2008}, ISSN = {0889-7077}, url = {http://dx.doi.org/10.1080/08897070802092835}, Abstract = {Many youth who present for substance abuse treatment report co-occurring suicidality. Therefore, it is important to learn about the characteristics of this population and effective treatment strategies. The purpose of this paper is to provide an overview of some of the key issues that arise when treating youth with substance abuse and co-occurring suicidality and to offer recommendations on how to approach these areas. Specifically, we discuss the potential utility of an integrated approach to treatment, and provide an overview of the characteristics of this treatment population, motivational and treatment engagement issues, the clinical management of suicidality in the context of treatment, and the effect of psychiatric comorbidity on treatment needs. We then discuss school, family, and peer issues that may arise as well as special considerations for the use of urine drug screens with this population. We conclude with recommendations for future treatment development research in this very important area.}, Doi = {10.1080/08897070802092835}, Key = {fds272948} } @article{fds272947, Author = {Conner, KR and Goldston, DB}, Title = {Rates of suicide among males increase steadily from age 11 to 21: Developmental framework and outline for prevention}, Journal = {Aggression and Violent Behavior}, Volume = {12}, Number = {2}, Pages = {193-207}, Publisher = {Elsevier BV}, Year = {2007}, Month = {March}, ISSN = {1359-1789}, url = {http://dx.doi.org/10.1016/j.avb.2006.07.002}, Abstract = {The paper has three purposes. First, explanations for the steady age-related increase in the rate of suicide among male youth from ages 11 to 21 are offered based on a review of epidemiological- and case-control evidence. It is concluded that depression and substance use disorders are major contributors to the age-related pattern in suicide. A general increased capacity for serious acts of aggression from ages 11 to 21 might also contribute to this pattern in suicide. Second, evidence that substance abuse and depression both contribute to, and are exacerbated by, difficulties in negotiating age-salient tasks is summarized. In this context, suicides among young males are posited to mark the endpoint of the bidirectional interplay of psychopathology and developmental difficulties. Third, informed by this developmental perspective, the authors make recommendations to reduce suicides in male youth, emphasizing strategies that may interrupt cycles of depression and/or substance abuse and developmental failure. Strategies to reduce the potential for fatalities, notably method restrictions, are also discussed. © 2006 Elsevier Ltd. All rights reserved.}, Doi = {10.1016/j.avb.2006.07.002}, Key = {fds272947} } @article{fds272971, Author = {Goldston, DB and Walsh, A and Mayfield Arnold and E and Reboussin, B and Sergent Daniel and S and Erkanli, A and Nutter, D and Hickman, E and Palmes, G and Snider, E and Wood, FB}, Title = {Reading problems, psychiatric disorders, and functional impairment from mid- to late adolescence.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {46}, Number = {1}, Pages = {25-32}, Year = {2007}, Month = {January}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17195726}, Keywords = {Adolescent • Adult • Anxiety Disorders • Attention Deficit Disorder with Hyperactivity • Comorbidity • Diagnostic and Statistical Manual of Mental Disorders • Dyslexia • Female • Follow-Up Studies • Humans • Male • Mood Disorders • Phobic Disorders • Prevalence • Schizophrenia • Severity of Illness Index • diagnosis • epidemiology*}, Abstract = {OBJECTIVE: To examine psychiatric morbidity and functional impairment of adolescents with and without poor reading skills during mid- to late adolescence. METHOD: The sample consisted of 188 adolescents, 94 with poor reading skills and 94 with typical reading skills, screened from a larger sample in the public schools at age 15. To assess psychiatric disorders, participants were assessed annually with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic Version (up to 4.5 years; maximum age, 20 years). Functional impairment was assessed with the Child and Adolescent Functional Assessment Scale. RESULTS: Adolescents with poor reading skills evidenced higher rates of current attention-deficit/hyperactivity, affective, and anxiety disorders, particularly social phobia and generalized anxiety disorder. Anxiety disorders but not affective disorders were related to reading status after controlling for attention-deficit/hyperactivity disorder. Adolescents with poor reading evidenced more functional impairment across multiple areas than youths with typical reading skills, even after considering the presence of comorbid attention-deficit/hyperactivity disorder. CONCLUSIONS: The increased psychiatric morbidity and functional impairment of adolescents with reading problems highlight the importance of developing interventions that help these youths address reading deficits and associated vulnerabilities during the last years of secondary school.}, Language = {eng}, Doi = {10.1097/01.chi.0000242241.77302.f4}, Key = {fds272971} } @article{fds272977, Author = {Goldston, DB and Reboussin, BA and Daniel, SS}, Title = {Predictors of suicide attempts: state and trait components.}, Journal = {Journal of Abnormal Psychology}, Volume = {115}, Number = {4}, Pages = {842-849}, Year = {2006}, Month = {November}, ISSN = {0021-843X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17100542}, Keywords = {Adolescent • Adult • Anxiety • Child • Depression • Female • Follow-Up Studies • Hospitalization • Humans • Intention • Male • Patient Discharge • Prospective Studies • Questionnaires • Severity of Illness Index • Suicide, Attempted • diagnosis • epidemiology* • prevention & control • psychology • psychology* • statistics & numerical data • statistics & numerical data*}, Abstract = {The authors examined the state and trait components of 3 predictors of suicide attempts (depression, hopelessness, and anxiety), and their relationship to suicidal behavior. Self-report questionnaire and interview data from 180 adolescents enrolled in a prospective naturalistic study were analyzed. Between 23% and 30% of the variance in the predictors was attributable to subjects' trait levels of these variables; the trait, as well as the state, components of the predictor variables were interrelated; and trait levels of these variables were consistently related to suicide attempts. To reduce long-term risk of suicide attempts, clinicians should focus not only on reducing short-term distress but also on reducing individuals' more enduring patterns (trait levels) of negative affectivity.}, Language = {eng}, Doi = {10.1037/0021-843X.115.4.842}, Key = {fds272977} } @article{fds272979, Author = {Foley, DL and Goldston, DB and Costello, EJ and Angold, A}, Title = {Proximal psychiatric risk factors for suicidality in youth: the Great Smoky Mountains Study.}, Journal = {Archives of General Psychiatry}, Volume = {63}, Number = {9}, Pages = {1017-1024}, Year = {2006}, Month = {September}, ISSN = {0003-990X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16953004}, Keywords = {Adolescent • Adolescent Behavior • Age Factors • Anxiety Disorders • Child • Comorbidity • Cross-Sectional Studies • Depressive Disorder • Female • Humans • Logistic Models • Male • Mental Disorders • North Carolina • Prevalence • Psychiatric Status Rating Scales • Risk Factors • Severity of Illness Index • Sex Distribution • Southeastern United States • Suicide • diagnosis • epidemiology • epidemiology* • psychology • statistics & numerical data • statistics & numerical data*}, Abstract = {CONTEXT: Psychiatric disorder is a major risk factor for suicidality but has poor positive predictive value. OBJECTIVES: To characterize proximal risks for suicidality associated with anxiety, depressive, disruptive behavior, and substance use disorders, and to test whether there are critical combinations of disorders that discriminate at-risk youth independent of severity of psychopathology. DESIGN: The Great Smoky Mountains Study, a representative sample of children and adolescents aged 9 to 16 years from the southeastern United States. Subjects and their parents were interviewed on multiple occasions from 1993 to 2000 about the subjects' recent psychiatric and suicidal history. SETTING: An epidemiological sample of youth. PARTICIPANTS: The sample included 1420 individual subjects with 6676 records across 8 waves of data collection. MAIN OUTCOME MEASURES: Wanting to die, suicidal ideation, suicide plans, or suicide attempt during the past 3 months. RESULTS: Eleven broad psychiatric profiles discriminated suicidal youth. Risk was greatest in association with current depression plus anxiety (specifically GAD [generalized anxiety disorder]) (odds ratio, 468.53) or depression plus a disruptive disorder (primarily ODD [oppositional-defiant disorder]) (odds ratio, 222.94). Unless comorbid, anxiety and substance use disorders were not proximally associated with suicidality. The severity of symptom-related impairment and, in some cases, total symptom load explained risk associated with all psychiatric profiles except depression plus anxiety, specifically GAD (adjusted odds ratio, 50.16). Severity of impairment and poverty defined by federal guidelines for families were both independent risk factors, irrespective of psychiatric profile. Suicidal youth without diagnosable disorders had subthreshold (mostly disruptive) disorders, disabling relationship difficulties, or psychiatric symptoms without associated impairment. CONCLUSIONS: Severity of symptom-related impairment and total symptom load explained most of the risk for suicidality associated with current psychiatric disorders. Only depression plus GAD discriminated at-risk youth independent of severity of psychopathology.}, Language = {eng}, Doi = {10.1001/archpsyc.63.9.1017}, Key = {fds272979} } @article{fds272972, Author = {Mandell, DS and Walrath, CM and Goldston, DB}, Title = {Variation in functioning, psychosocial characteristics, and six-month outcomes among suicidal youth in comprehensive community mental health services.}, Journal = {Suicide & Life Threatening Behavior}, Volume = {36}, Number = {3}, Pages = {349-362}, Year = {2006}, Month = {June}, ISSN = {0363-0234}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16805663}, Keywords = {Adult • Community Mental Health Services • Humans • Psychology • Social Behavior* • Suicide, Attempted • Time Factors • psychology* • statistics & numerical data* • utilization*}, Abstract = {In this study we compared the psychosocial (n = 7,896) and clinical (n = 4,664) characteristics and 6-month functional outcomes (n = 2,594) of suicidal and nonsuicidal youth. Repeat and previous attempters were more likely than first-time and never attempters to experience psychosocial problems and to be functionally impaired in a variety of domains. Differences in functional impairment persisted at 6 months. Among those who were not severely functionally impaired at baseline, repeat attempters were more likely to be severely impaired at 6 months. Subgroups of suicide attempters may present to treatment differently, have a different expression of problems over time, and have different treatment needs.}, Language = {eng}, Doi = {10.1521/suli.2006.36.3.349}, Key = {fds272972} } @article{fds272964, Author = {Chrisman, A and Egger, H and Compton, SN and Curry, J and Goldston, DB}, Title = {Assessment of Childhood Depression.}, Journal = {Child and Adolescent Mental Health}, Volume = {11}, Number = {2}, Pages = {111-116}, Publisher = {WILEY}, Year = {2006}, Month = {May}, ISSN = {1475-357X}, url = {http://dx.doi.org/10.1111/j.1475-3588.2006.00395.x}, Abstract = {Depression as a disorder in childhood began to be increasingly recognised in the 1970s. Epidemiologic community and clinic-based studies have characterised the prevalence, clinical course, and complications of this illness throughout childhood and adolescence into adulthood. This paper reviews two instruments for assessing depression in prepubertal children - the Dominic Interactive and The Preschool Age Psychiatric Assessment. Both instruments are useful in screening for psychiatric disorders and reliably identifying the presence of depressive symptoms in young children.}, Doi = {10.1111/j.1475-3588.2006.00395.x}, Key = {fds272964} } @article{fds272946, Author = {Kaminer, Y and Burleson, JA and Goldston, DB and Burke, RH}, Title = {Suicidal ideation among adolescents with alcohol use disorders during treatment and aftercare.}, Journal = {American Journal on Addictions}, Volume = {15 Suppl 1}, Number = {SUPPL. 1}, Pages = {43-49}, Year = {2006}, ISSN = {1055-0496}, url = {http://dx.doi.org/10.1080/10550490601006154}, Abstract = {The objectives of this study are to assess the magnitude and course of suicidal ideation during outpatient treatment and aftercare for adolescents with alcohol use disorders (AUD). One hundred seventy-seven adolescents meeting eligibility criteria, including no past 30-day suicidal behavior, participated in 9 weeks of outpatient cognitive-behavioral group therapy. Treatment completers were randomized into: (1) No-Active, (2) In-Person, or (3) Telephone aftercare conditions for a period of 12 weeks. No specific intervention for suicidal behavior was provided during the study. The Suicide Ideation Questionnaire (SIQ-JR, Reynolds, 1988) was administered at baseline, end of treatment, and end of aftercare. The results are as follows, a higher baseline suicidal ideation was associated with higher retention at the end of treatment and through aftercare. The In-Person Aftercare condition showed a significant decrease in suicidal ideation, relative to the No-Active Aftercare condition. There was a trend for similarly reduced severity of suicidal ideation in the Telephone Aftercare condition. In conclusion, the type of aftercare and resulting decrease in AUD may play a role in the reduction in suicidal ideation. The mechanism of change by which suicidal ideation is reduced in adolescents in treatment for AUD needs to be further explored.}, Doi = {10.1080/10550490601006154}, Key = {fds272946} } @article{fds272975, Author = {Daniel, SS and Walsh, AK and Goldston, DB and Arnold, EM and Reboussin, BA and Wood, FB}, Title = {Suicidality, school dropout, and reading problems among adolescents.}, Journal = {Journal of Learning Disabilities}, Volume = {39}, Number = {6}, Pages = {507-514}, Year = {2006}, ISSN = {0022-2194}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17165618}, Keywords = {Adolescent • Child • Child, Preschool • Dyslexia • Female • Humans • Male • Schools* • Student Dropouts • Suicide, Attempted • diagnosis • epidemiology* • statistics & numerical data*}, Abstract = {The purpose of this study was to examine the risk of suicidal ideation and suicide attempts and school dropout among youth with poor reading in comparison to youth with typical reading (n = 188) recruited from public schools at the age of 15. In a prospective naturalistic study, youth and parents participated in repeated research assessments to obtain information about suicide ideation and attempts, psychiatric and sociodemographic variables, and school dropout. Youth with poor reading ability were more likely to experience suicidal ideation or attempts and more likely to drop out of school than youth with typical reading, even after controlling for sociodemographic and psychiatric variables. Suicidality and school dropout were strongly associated with each other. Prevention efforts should focus on better understanding the relationship between these outcomes, as well as on the developmental paths leading up to these behaviors among youth with reading difficulties.}, Language = {eng}, Doi = {10.1177/00222194060390060301}, Key = {fds272975} } @article{fds272978, Author = {Arnold, EM and Goldston, DB and Walsh, AK and Reboussin, BA and Daniel, SS and Hickman, E and Wood, FB}, Title = {Severity of emotional and behavioral problems among poor and typical readers.}, Journal = {Journal of Abnormal Child Psychology}, Volume = {33}, Number = {2}, Pages = {205-217}, Year = {2005}, Month = {April}, ISSN = {0091-0627}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15839498}, Keywords = {Adolescent • Anxiety Disorders • Attention Deficit Disorder with Hyperactivity • Child • Child Behavior Disorders • Depression • Dyslexia • Female • Follow-Up Studies • Humans • Male • Mood Disorders • Psychological Tests • Severity of Illness Index • Socioeconomic Factors • diagnosis • epidemiology • epidemiology*}, Abstract = {The purpose of this study was to examine the severity of behavioral and emotional problems among adolescents with poor and typical single word reading ability (N = 188) recruited from public schools and followed for a median of 2.4 years. Youth and parents were repeatedly assessed to obtain information regarding the severity and course of symptoms (depression, anxiety, somatic complaints. aggression, delinquent behaviors, inattention), controlling for demographic variables and diagnosis or ADHD. After adjustment for demographic variables and ADHD, poor readers reported higher levels of depression, trait anxiety, and somatic complaints than typical readers, but there were no difference, in reported self-reported delinquent or aggressive behaviors. Parent reports indicated no difference, in depression, anxiety or aggression between the two groups but indicated more inattention, somatic complaints, and delinquent behaviors for the poor readers. School and health professionals should carefully assess youth with poor reading for behavioral and emotional symptoms and provide services when indicated.}, Language = {eng}, Doi = {10.1007/s10802-005-1828-9}, Key = {fds272978} } @article{fds272945, Author = {Erinoff, L and Anthony, JC and Brown, GK and Caine, ED and Conner, KR and Dougherty, DM and Glowinski, AL and Goldston, DB and Linehan, MM and Mann, JJ and Miczek, KA and Price, RK and Ries, RK and Roy, A and Sher, KJ and Tarter, RE and Thompson, EA and Wilcox, HD and Wines, JD and Yen, S}, Title = {Overview of workshop on drug abuse and suicidal behavior.}, Journal = {Drug and Alcohol Dependence}, Volume = {76 Suppl}, Number = {SUPPL.}, Pages = {S3-S9}, Year = {2004}, Month = {December}, ISSN = {0376-8716}, url = {http://dx.doi.org/10.1016/j.drugalcdep.2004.08.002}, Doi = {10.1016/j.drugalcdep.2004.08.002}, Key = {fds272945} } @article{fds272966, Author = {Goldston, DB}, Title = {Conceptual issues in understanding the relationship between suicidal behavior and substance use during adolescence.}, Journal = {Drug and Alcohol Dependence}, Volume = {76 Suppl}, Pages = {S79-S91}, Year = {2004}, Month = {December}, ISSN = {0376-8716}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15555819}, Keywords = {Attitude to Health* • Humans • Risk Factors • Substance-Related Disorders • Suicide, Attempted • epidemiology* • prevention & control* • psychology • statistics & numerical data*}, Abstract = {Alcohol and drug use are considered to be risk factors for suicidal behaviors in adolescence, but the precise nature of the relationship between suicidality and substance abuse, and the implications of this relationship for prevention and treatment interventions remain elusive. There are several conceptual issues that need to be addressed when considering the substance abuse-suicidality relationship. What are the most appropriate ways of defining suicidal behaviors? What are the best ways of assessing suicidal behavior and characterizing its course over time? Should adolescents who are suicidal be considered to be a single homogeneous population? What are the possible ways in which the course of substance abuse and suicidality over time are related? What factors potentially affect the trajectories of both substance abuse and suicidality? Does the relationship between substance abuse and suicidality change over time? And, to what extent can our knowledge of factors precipitating and maintaining the joint outcomes of suicidal and substance abuse behaviors be incorporated into interventions that target both? Careful consideration and exploration of these issues hopefully should improve our understanding the substance abuse-suicidality interrelationship, and ultimately the development of more effective prevention efforts and treatments for youths with both problems.}, Language = {eng}, Doi = {10.1016/j.drugalcdep.2004.08.009}, Key = {fds272966} } @article{fds272944, Author = {Daniel, SS and Goldston, DB and Harris, AE and Kelley, AE and Palmes, GK}, Title = {Review of literature on aftercare services among children and adolescents.}, Journal = {Psychiatric Services (Washington, D.C.)}, Volume = {55}, Number = {8}, Pages = {901-912}, Year = {2004}, Month = {August}, url = {http://dx.doi.org/10.1176/appi.ps.55.8.901}, Abstract = {OBJECTIVE: Psychiatric hospital lengths of stay have decreased for children and adolescents, in part because of the presumption that aftercare services in the community are effective and accessible. This review critically examines the literature that pertains to the rates of aftercare service use, the effectiveness of aftercare services, and predictors of aftercare service use. METHODS: Studies were selected on the basis of MEDLINE and PsychINFO computer searches, covering the period between January 1992 and August 2003. Reports that were selected (N=21) included data on outpatient aftercare service use among youths who were aged 18 years and younger and who were discharged from child and adolescent inpatient facilities. RESULTS AND DISCUSSION: A majority of youths received aftercare services after hospitalization, but many youths and families were not fully compliant with aftercare recommendations. Many youths and families continued to receive services up to three months after hospitalization. The literature documents only a small amount of evidence about the effectiveness of aftercare services, but the evidence suggested that aftercare services for youths with substance use problems may have beneficial effects. Few studies examined predictors of aftercare service use and discontinuation, but previous recent mental health service use and decreased family dysfunction appeared to be related to aftercare service use.}, Doi = {10.1176/appi.ps.55.8.901}, Key = {fds272944} } @article{fds272984, Author = {Arnold, EM and Goldston, DB and Ruggiero, A and Reboussin, BA and Daniel, SS and Hickman, EA}, Title = {Rates and predictors of rehospitalization among formerly hospitalized adolescents.}, Journal = {Psychiatric Services (Washington, D.C.)}, Volume = {54}, Number = {7}, Pages = {994-998}, Year = {2003}, Month = {July}, ISSN = {1075-2730}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12851436}, Keywords = {Adolescent • Adult • Child • Demography • Female • Follow-Up Studies • Hospitalization • Hospitals, Psychiatric • Humans • Male • Mental Disorders • Prospective Studies • Risk Factors • Suicide, Attempted • rehabilitation* • statistics & numerical data • statistics & numerical data*}, Abstract = {OBJECTIVE: The authors examined rates and predictors of rehospitalization among 180 adolescents followed up for up to 10.3 years after discharge from an inpatient psychiatric unit. METHODS: In this prospective, naturalistic study, demographic variables, including gender, race, and age, and psychiatric variables, including diagnoses, prehospitalization suicide attempts, and previous hospitalizations, were examined as potential predictors of rehospitalization. Information about rehospitalizations was repeatedly assessed and verified with treatment records. RESULTS: During the follow-up period, 79 adolescents (44 percent) had one or more rehospitalizations. By six months after discharge, 19 percent of the adolescents had been rehospitalized. The mean time to first rehospitalization was estimated to be 5.7 years. Univariate analyses revealed significant differences between adolescents who were rehospitalized and those who were not in terms of age, presence of an affective disorder, and presence of a comorbid psychiatric disorder. In the multivariate predictor model, age and the presence of an affective disorder were the only significant predictors of rehospitalization. CONCLUSIONS: Clinicians should examine risk of rehospitalization before discharge, especially for younger patients and those with depression. Future research must focus on methods of intervention for this high-risk group.}, Language = {eng}, Doi = {10.1176/appi.ps.54.7.994}, Key = {fds272984} } @article{fds272983, Author = {Goldston, DB and Reboussin, BA and Kancler, C and Daniel, SS and Frazier, PH and Harris, AE and Kelley, AE and Reboussin, DM}, Title = {Rates and predictors of aftercare services among formerly hospitalized adolescents: a prospective naturalistic study.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {42}, Number = {1}, Pages = {49-56}, Year = {2003}, Month = {January}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12500076}, Keywords = {Adolescent • Adolescent Health Services • Adult • Aftercare • Child • Female • Forecasting • Health Services Accessibility* • Humans • Logistic Models • Male • Mental Disorders • Mental Health Services • North Carolina • Prospective Studies • Survival Analysis • Time Factors • Utilization Review • rehabilitation* • utilization*}, Abstract = {OBJECTIVE: To examine rates and predictors of aftercare use, lengths of service use, and predictors of the duration of aftercare service use among 180 adolescents monitored for up to 8.1 years after discharge from an inpatient psychiatry unit. METHOD: Drawing upon the Anderson-Newman model of service use, severity of illness, enabling, and predisposing factors assessed during the hospitalization were examined as potential predictors of service use. Information about outpatient mental health specialty services after hospitalization was assessed repeatedly and verified with treatment records. RESULTS: Seventy-three percent of adolescents received aftercare within the first month after discharge, and 92% eventually received outpatient services. Fifty-seven percent of adolescents remained in treatment 6 months after initiation of services. Psychiatric comorbidity, prior service use, and presence of a biological parent or grandparent in the home were related to initial service use. Psychiatric comorbidity and history of repeated suicide attempts were related to longer duration, and older age and minority group status were related to shorter duration of aftercare service use. CONCLUSIONS: Most adolescents receive aftercare services, but there are certain groups that are relatively less likely to access or remain in services. Interventions to decrease the barriers to care in such groups may be beneficial.}, Language = {eng}, Doi = {10.1097/00004583-200301000-00010}, Key = {fds272983} } @article{fds137014, Title = {Goldston DB. Measuring suicidal behavior and risk in children and adolescents. American Psychological Association Press: Washington, DC. 2003.}, Year = {2003}, Key = {fds137014} } @article{fds272982, Author = {Goldston, DB and Daniel, SS and Reboussin, BA and Reboussin, DM and Frazier, PH and Harris, AE}, Title = {Cognitive risk factors and suicide attempts among formerly hospitalized adolescents: a prospective naturalistic study.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {40}, Number = {1}, Pages = {91-99}, Year = {2001}, Month = {January}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11195570}, Keywords = {Adolescent • Adult • Affect • Child • Cognition* • Female • Hospitalization • Humans • Male • Patient Discharge • Problem Solving* • Prospective Studies • Risk Factors • Suicide, Attempted • psychology*}, Abstract = {OBJECTIVE: To examine the relationship between cognitive variables and time until suicide attempts among 180 adolescents who were monitored for as much as 6.9 years after discharge from an inpatient psychiatry unit. METHOD: In a prospective naturalistic study, adolescents were assessed at the time of their psychiatric hospitalization and semiannually thereafter. Suicidal behavior at index hospitalization and over the follow-up period was assessed with semistructured psychiatric diagnostic interviews. At hospitalization, cognitive risk factors were assessed with a problem-solving task and with questionnaires assessing hopelessness, expectations for posthospitalization suicidal behavior, reasons for living, and dysfunctional attitudes. RESULTS: Expectations about future suicidal behavior were related to posthospitalization suicide attempts. Among youths with previous suicide attempts, higher levels of hopelessness were associated with increased risk, and greater survival and coping beliefs were associated with decreased risk for posthospitalization suicide attempts. Hopelessness and survival and coping beliefs were not related to posthospitalization attempts among adolescents without prior suicidal behavior, and hopelessness was not predictive after controlling for overall severity of depression. CONCLUSIONS: Expectations for suicidal behavior, hopelessness, and survival and coping beliefs provide important prognostic information about later suicidal behavior and should be targeted in interventions with suicidal youths.}, Language = {eng}, Doi = {10.1097/00004583-200101000-00021}, Key = {fds272982} } @article{fds272943, Author = {Fitzgerald, M}, Title = {Impulsivity and suicide.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {38}, Number = {8}, Pages = {939-940}, Year = {1999}, Month = {August}, url = {http://dx.doi.org/10.1097/00004583-199908000-00002}, Doi = {10.1097/00004583-199908000-00002}, Key = {fds272943} } @article{fds272980, Author = {Goldston, DB and Daniel, SS and Reboussin, DM and Reboussin, BA and Frazier, PH and Kelley, AE}, Title = {Suicide attempts among formerly hospitalized adolescents: a prospective naturalistic study of risk during the first 5 years after discharge.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {38}, Number = {6}, Pages = {660-671}, Year = {1999}, Month = {June}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10361783}, Keywords = {Adolescent • Adolescent Behavior* • Female • Follow-Up Studies • Forecasting • Hospitalization • Humans • Male • North Carolina • Prospective Studies • Risk Assessment • Risk Factors • Statistics as Topic • Suicide, Attempted • Virginia • epidemiology • statistics & numerical data*}, Abstract = {OBJECTIVE: To examine risk for suicide attempts among 180 consecutively referred adolescents during the first 5 years after discharge from an inpatient psychiatry unit. METHOD: In a prospective naturalistic study, adolescents were assessed at psychiatric hospitalization and semiannually thereafter for up to 5 years with semistructured psychiatric diagnostic interviews and self-report questionnaires. RESULTS: Approximately 25% of the adolescents attempted suicide and no adolescents completed suicide within the first 5 years after discharge. The first 6 months to 1 year after discharge represented the period of highest risk. The number of prior attempts was the strongest predictor of posthospitalization attempts. Affective disorders by themselves did not predict later suicide attempts but were related to posthospitalization attempts when accompanied by a history of past suicide attempts. Independent of psychiatric diagnoses, severity of depressive symptoms and trait anxiety also predicted suicide attempts. Similar to the effect with affective disorders, depressive symptoms were most strongly related to posthospitalization suicidality among adolescents with a prior history of suicide attempts. CONCLUSIONS: Particularly among youths with prior suicidal behavior, clinicians should be alert to the above constellation of psychiatric predictors of posthospitalization suicidal behavior.}, Language = {eng}, Doi = {10.1097/00004583-199906000-00012}, Key = {fds272980} } @article{fds272985, Author = {Goldston, DB and Daniel, SS and Reboussin, BA and Reboussin, DM and Kelley, AE and Frazier, PH}, Title = {Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {37}, Number = {9}, Pages = {924-932}, Year = {1998}, Month = {September}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9735612}, Keywords = {Adolescent • Adolescent Behavior* • Adolescent, Hospitalized • Adult • Child • Female • Humans • Male • Mental Disorders • North Carolina • Recurrence • Retrospective Studies • Statistics • Suicide, Attempted* • classification • diagnosis* • psychology • statistics & numerical data • statistics & numerical data*}, Abstract = {OBJECTIVE: To compare psychiatric diagnoses of hospitalized adolescents who (a) have made previous but no recent suicide attempts, (b) have recently made their first suicide attempt, (c) have recently made a second or subsequent attempt, or (d) have never made an attempt. METHOD: Semistructured psychiatric diagnostic interviews were used to determine psychiatric diagnoses and history of recent and previous suicidal behavior of 269 consecutively admitted adolescents to an inpatient psychiatric facility. Forty-nine previously suicidal youths, 28 first-time attempters, and 33 repeat attempters were compared with 159 nonsuicidal youths in prevalence of Axis I psychiatric disorders and psychiatric comorbidity with affective disorder. RESULTS: Previous attempters and repeat attempters both reported more affective disorders, whereas first-time attempters reported more adjustment disorders than nonsuicidal youths. Previous attempters and nonsuicidal youths reported the most externalizing disorders. CONCLUSIONS: Previous attempters on an inpatient unit have multiple psychiatric problems. Like repeat attempters, they often are depressed, but like nonsuicidal youths, they also exhibit significant externalizing behaviors. Interventions with these adolescents should focus not only on immediate presenting problems, but also on ameliorating their long-term risk of posthospitalization suicidal behavior.}, Doi = {10.1097/00004583-199809000-00012}, Key = {fds272985} } @article{fds272942, Author = {Goldston, DB}, Title = {Erratum: Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents (Journal of American Academy of Child And Adolescent 36 (1528-1536))}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {37}, Number = {7}, Pages = {795}, Publisher = {Elsevier BV}, Year = {1998}, Month = {January}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/00004583-199807000-00025}, Doi = {10.1097/00004583-199807000-00025}, Key = {fds272942} } @article{fds272981, Author = {Goldston, DB and Kelley, AE and Reboussin, DM and Daniel, SS and Smith, JA and Schwartz, RP and Lorentz, W and Hill, C}, Title = {Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {36}, Number = {11}, Pages = {1528-1536}, Year = {1997}, Month = {November}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9394937}, Keywords = {Adolescent • Adult • Child • Diabetes Mellitus, Type 1 • Family Characteristics • Female • Humans • Male • Mental Disorders • Prevalence • Risk Factors • Self Concept • Suicide, Attempted • Treatment Refusal • epidemiology • psychology*}, Abstract = {OBJECTIVE: To examine (1) the 1-year and lifetime prevalence of suicidal thoughts and behavior among adolescents with insulin-dependent diabetes mellitus (IDDM), (2) the relationship between suicidal thoughts and serious noncompliance with the medical regimen, and (3) factors including psychiatric disorder, self-efficacy expectations, and hopelessness that might mediate the relationship between suicidal thoughts and noncompliance. METHOD: Semistructured and structured interview instruments and self-report questionnaires were used to determine history of suicidal thoughts and behavior, serious noncompliance with the medical regimen, current psychiatric disorder, hopelessness, and self-efficacy expectations among 91 adolescents attending outpatient clinic appointments. RESULTS: The rate of suicidal ideation among the diabetic adolescents was higher than expected, but the rate of suicide attempts was comparable with that reported for the general population. Suicidal thoughts were strongly associated with serious noncompliance with the medical regimen. Duration of IDDM and psychiatric diagnosis were related to both suicidal ideation within the previous year and lifetime suicidal ideation. Diagnosable psychiatric disorder and not living in a two-parent home were related to noncompliance with medical treatment. CONCLUSIONS: Suicidal thoughts and serious noncompliance with the medical regimen are strongly associated among diabetic teenagers, and psychiatric disorder is a common correlate of both.}, Doi = {10.1016/S0890-8567(09)66561-8}, Key = {fds272981} } @article{fds272940, Author = {Kovacs, M and Goldston, D and Obrosky, DS and Bonar, LK}, Title = {Psychiatric disorders in youths with IDDM: rates and risk factors.}, Journal = {Diabetes Care}, Volume = {20}, Number = {1}, Pages = {36-44}, Year = {1997}, Month = {January}, ISSN = {0149-5992}, url = {http://dx.doi.org/10.2337/diacare.20.1.36}, Abstract = {OBJECTIVE: To determine prevalence rates, associated features and risk factors for psychiatric disorders subsequent to the diagnosis of IDDM in youths. RESEARCH DESIGN AND METHODS: Using a longitudinal, naturalistic design, 92 youths from 8 to 13 years old at onset of IDDM were followed from their initial diagnosis. They were repeatedly assessed by semistructured interview and diagnosed by operational criteria. RESULTS: By the 10th year of IDDM and the mean age of 20 years, an estimated 47.6% of the sample developed psychiatric disorder. Major depressive, conduct, and generalized anxiety disorders were the most prevalent, and major depression had a significantly higher estimated rate (27.5%) than each other disorder. The highest incidence rates were during the 1st year of the medical condition. Initial maternal psychopathology increased the risk of psychiatric disorder in the subjects, and maternal depression was a specific risk factor for depression in the subjects. Earlier psychiatric disorder in the subjects also increased the risk of later disorder. CONCLUSIONS: The results converge with findings from other studies, suggesting elevated psychiatric morbidity in contemporary samples of young people with IDDM. The morbidity partly reflects the high incidence of major depression in adolescence and generalized anxiety disorder in young adulthood. Monitoring the psychological status of young patients and their mothers may help to identify diabetic children at risk for psychiatric disorder and facilitate prevention or treatment efforts. Monitoring may be particularly beneficial during the 1st year of the IDDM.}, Doi = {10.2337/diacare.20.1.36}, Key = {fds272940} } @article{fds272941, Author = {Kovacs, M and Obrosky, DS and Goldston, D and Drash, A}, Title = {Major depressive disorder in youths with IDDM. A controlled prospective study of course and outcome.}, Journal = {Diabetes Care}, Volume = {20}, Number = {1}, Pages = {45-51}, Year = {1997}, Month = {January}, ISSN = {0149-5992}, url = {http://dx.doi.org/10.2337/diacare.20.1.45}, Abstract = {OBJECTIVE: To determine whether IDDM affects the course of major depressive disorder (MDD) in youths. RESEARCH DESIGN AND METHODS: The study samples include 24 youths with IDDM (of a group of 92) who developed MDD during a longitudinal follow-up of 10 years, on average, since onset of the medical condition, and 30 depressed psychiatric control subjects, matched on relevant variables. Both groups were repeatedly assessed by semistructured interviews and diagnosed by operational criteria. RESULTS: In diabetic subjects, median time to recovery from the first episode of MDD was 6.4 months; by 12 months from onset, 69% of the youths will have recovered. Within 2 years of recovery, 32% were at risk for a new episode; by 6.5 years, altogether 47% are estimated to have a recurrence. Only 37.5% of diabetic subjects received treatment for the first episode of depression, and 50% received treatment for the second episode. Overall rates of recovery and recurrence were indistinguishable in the diabetic and psychiatric control groups. However, young women with diabetes were at nine times greater risk for recurrent depression than their male counterparts, and diabetic subjects eventually spent more time being depressed than the control subjects. CONCLUSIONS: The course characteristics of MDD in young diabetic subjects and psychiatric control subjects appear to be similar in several regards. However, the eventual propensity of diabetic youths for more protracted depressions and the higher risk of recurrence among young diabetic women suggest that the mental health of patients with IDDM should be closely monitored. The findings confirm that depression is undertreated among patients in the primary health care sector.}, Doi = {10.2337/diacare.20.1.45}, Key = {fds272941} } @article{fds272973, Author = {Goldston, DB and Daniel, S and Reboussin, DM and Kelley, A and Ievers, C and Brunstetter, R}, Title = {First-time suicide attempters, repeat attempters, and previous attempters on an adolescent inpatient psychiatry unit.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {35}, Number = {5}, Pages = {631-639}, Year = {1996}, Month = {May}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8935210}, Keywords = {Adaptation, Psychological • Adolescent • Anxiety Disorders • Crisis Intervention • Depressive Disorder • Female • Humans • Male • Patient Admission* • Personality Assessment • Recurrence • Risk Factors • Suicide, Attempted • diagnosis • prevention & control • psychology • psychology* • therapy}, Abstract = {OBJECTIVE: To compare clinical characteristics of hospitalized adolescents who (1) have recently made their first suicide attempt, (2) have recently made a second or subsequent attempt, (3) have made previous but no recent attempts, or (4) have never made an attempt. METHOD: Semistructured psychiatric diagnostic interviews were used to determine history of recent and previous suicidal behavior among 225 consecutively admitted adolescents to an inpatient psychiatric facility. Twenty-seven first-time attempters, 32 repeat attempters, and 40 previously suicidal youths were compared with 126 nonsuicidal youths in terms of severity of self-reported depressive symptoms, state anxiety, trait anxiety, state anger, and trait anger. RESULTS: Repeat attempters and previous attempters both reported more depressive symptomatology and trait anxiety than did nonsuicidal youths. In addition, youths with a previous history of suicide attempts, but no recent attempts, evidenced more trait anger than all other groups. First-time suicide attempters reported levels of distress that were intermediate to the other groups. CONCLUSIONS: Repeat attempters and previous attempters in hospital settings both report more distress than do nonsuicidal youths. Interventions should focus not only on resolution of immediate crises, but also on youths' ability to cope with ongoing difficulties that engender depression and chronic anxiety.}, Doi = {10.1097/00004583-199605000-00018}, Key = {fds272973} } @article{fds272969, Author = {Goldston, DB and Kovacs, M and Obrosky, DS and Iyengar, S}, Title = {A longitudinal study of life events and metabolic control among youths with insulin-dependent diabetes mellitus.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {14}, Number = {5}, Pages = {409-414}, Year = {1995}, Month = {September}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7498111}, Keywords = {Adaptation, Psychological • Adolescent • Blood Glucose • Child • Diabetes Mellitus, Type 1 • Female • Follow-Up Studies • Hemoglobin A, Glycosylated • Humans • Life Change Events* • Longitudinal Studies • Male • Patient Compliance • Psychophysiologic Disorders • Sick Role* • Somatoform Disorders • blood • metabolism • metabolism* • psychology • psychology*}, Abstract = {In a study of school-age children with new-onset insulin-dependent diabetes mellitus (IDDM), life stress, metabolic control (glycosylated hemoglobin), and psychiatric and psychosocial variables were assessed repeatedly for up to 6 years. Life stress was defined as the number of undesirable life events and extent of life change necessitated by all life events. In univariate longitudinal analyses, total life change units were related to metabolic control, with a trend for number of undesirable events to be associated with metabolic control. In multivariate analyses, metabolic control was related to life change units, whether the glycosylated hemoglobin was in the 1st year of IDDM, IDDM duration, and the diagnosis of pervasive noncompliance with medical regimen. The relationship of life stress to metabolic control among youths with diabetes in significant but clinically modest and may be partially mediated by serious noncompliance with the medical regimen.}, Doi = {10.1037//0278-6133.14.5.409}, Key = {fds272969} } @article{fds272974, Author = {Goldston, DB and Kovacs, M and Ho, VY and Parrone, PL and Stiffler, L}, Title = {Suicidal ideation and suicide attempts among youth with insulin-dependent diabetes mellitus.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {33}, Number = {2}, Pages = {240-246}, Year = {1994}, Month = {February}, ISSN = {0890-8567}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8150796}, Keywords = {Adaptation, Psychological* • Adolescent • Adult • Child • Diabetes Mellitus, Type 1 • Female • Follow-Up Studies • Humans • Longitudinal Studies • Male • Personality Assessment • Risk Factors • Sick Role* • Suicide, Attempted • psychology*}, Abstract = {OBJECTIVE: To investigate the prevalence and correlates of suicidal behaviors among youth with insulin-dependent diabetes mellitus (IDDM) for up to 12 years after disease onset. METHOD: The occurrence of suicidal ideation and suicide attempts was assessed shortly after disease onset and repeatedly thereafter as part of a longitudinal study of diabetic children. Initial psychiatric status and symptomatology, characteristics of the medical illness, and sociodemographic variables were considered as potential correlates of suicidal behaviors. RESULTS: Young patients evidenced higher than expected rates of suicidal ideation, but relatively few attempted suicide over the follow-up. Among those who did attempt suicide, diabetes-related methods commonly were used. Suicidal ideation shortly after IDDM onset was related only to concurrent severity of depressive symptoms. Suicidal ideation over the follow-up was associated with later noncompliance with the medical regimen. CONCLUSIONS: Clinicians should be alert to the possibility of suicidal ideation among youth with IDDM because of the prevalence of those cognitions, the potential lethality of attempts due to insulin misuse, and the relationship of suicidal thoughts to later noncompliance with the medical regimen.}, Doi = {10.1097/00004583-199402000-00013}, Key = {fds272974} } @article{fds272938, Author = {Kovacs, M and Goldston, D and Gatsonis, C}, Title = {Suicidal behaviors and childhood-onset depressive disorders: a longitudinal investigation.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {32}, Number = {1}, Pages = {8-20}, Year = {1993}, Month = {January}, url = {http://dx.doi.org/10.1097/00004583-199301000-00003}, Abstract = {In this longitudinal study, the rates and correlates of suicidal ideation and suicide attempts were determined among outpatient youths with depressive disorders and youths with other psychiatric disorders. At study entry, about 66% of the subjects evidenced suicidal ideation and 9% already attempted suicide. The rate of ideation remained fairly stable over time, whereas the rate of attempts reached 24% by the average age of 17 years. Major depressive and dysthymic disorders were associated with significantly higher rates of suicidal behaviors than were adjustment disorder with depressed mood and nondepressive disorders. In the presence of affective disorders, comorbid conduct and/or substance use disorders further increased the risk of suicide attempts.}, Doi = {10.1097/00004583-199301000-00003}, Key = {fds272938} } @article{fds272937, Author = {Kovacs, M and Goldston, D and Obrosky, DS and Iyengar, S}, Title = {Prevalence and predictors of pervasive noncompliance with medical treatment among youths with insulin-dependent diabetes mellitus.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {31}, Number = {6}, Pages = {1112-1119}, Year = {1992}, Month = {November}, url = {http://dx.doi.org/10.1097/00004583-199211000-00020}, Abstract = {School-age children were assessed longitudinally for up to 9 years, after the onset of their insulin-dependent diabetes mellitus (IDDM), to determine the time-dependent risk of the psychiatric diagnosis of noncompliance with medical treatment and to examine protective and risk factors. The cumulative risk for this diagnosis over the 9 years was .45. Noncompliance tended to emerge in middle adolescence and was found to be protracted. Social competence, self-esteem, and aspects of family functioning at IDDM onset and initial psychiatric status did not predict noncompliance. However, noncompliance was associated with having major psychiatric disorder later in the course of IDDM.}, Doi = {10.1097/00004583-199211000-00020}, Key = {fds272937} } @article{fds272939, Author = {Kovacs, M and Goldston, D and Iyengar, S}, Title = {Intellectual Development and Academic Performance of Children With Insulin-Dependent Diabetes Mellitus: A Longitudinal Study}, Journal = {Developmental Psychology}, Volume = {28}, Number = {4}, Pages = {676-684}, Publisher = {American Psychological Association (APA)}, Year = {1992}, Month = {January}, ISSN = {0012-1649}, url = {http://dx.doi.org/10.1037/0012-1649.28.4.676}, Abstract = {Eighty-seven school-age children with insulin-dependent diabetes mellitus (IDDM) were assessed repeatedly over the first 6 years of their IDDM to determine the effects of the medical disorder on intellectual development and academic performance. At the initial diagnosis, verbal and nonverbal intellectual performance and school grades were in the average ranges. Over time, verbal performance and school grades declined, whereas nonverbal intellectual performance improved slightly. Duration of IDDM was found to be related to the outcome variables, but the degree of metabolic control was not. Analyses of longitudinal data for a 6-year interval on a demographically closely matched post hoc comparison group revealed parallel but less pronounced trends in verbal and nonverbal intellectual performance but not in school grades.}, Doi = {10.1037/0012-1649.28.4.676}, Key = {fds272939} } @article{fds272936, Author = {Kovacs, M and Goldston, D}, Title = {Cognitive and social cognitive development of depressed children and adolescents.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {30}, Number = {3}, Pages = {388-392}, Year = {1991}, Month = {May}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/00004583-199105000-00006}, Abstract = {Depressed juveniles show evidence of functional impairment in various cognitive and social domains. Actual school performance seems to be more consistently affected by depression than cognitive and intellectual abilities. In addition, depressed youth appear to be less socially adept than nondepressed peers, although depression does not consistently impair social-cognitive abilities. Indications that depressed youth show mild declines in tested verbal performance over time and that residual problems in social functioning persist after symptomatic recovery suggest that major depression may have negative effects on development in childhood.}, Doi = {10.1097/00004583-199105000-00006}, Key = {fds272936} } @article{fds272934, Author = {Kovacs, M and Iyengar, S and Goldston, D and Stewart, J and Obrosky, DS and Marsh, J}, Title = {Psychological functioning of children with insulin-dependent diabetes mellitus: a longitudinal study.}, Journal = {Journal of Pediatric Psychology}, Volume = {15}, Number = {5}, Pages = {619-632}, Year = {1990}, Month = {October}, url = {http://dx.doi.org/10.1093/jpepsy/15.5.619}, Abstract = {Assessed school-age youth repeatedly over the first 6 years of their insulin-dependent diabetes mellitus (IDDM) to determine self-perceived psychological adjustment. After the first year of IDDM, Ss exhibited a mild increase in depressive symptoms. Anxiety decreased for boys but increased for girls over the duration of IDDM. In contrast, self-esteem remained stable regardless of rehospitalizations or degree of metabolic control. Ss' adjustment shortly after IDDM onset, as reflected by levels of depression, anxiety, and self-esteem, were predictors of later adjustment. In general, Ss found the implications of IDDM more upsetting and the regimen more difficult with time, and girls were more upset by their illness than boys. The degree to which children were upset by the implications and management of IDDM varied as a function of their anxiety and depression.}, Doi = {10.1093/jpepsy/15.5.619}, Key = {fds272934} } @article{fds272932, Author = {Kovacs, M and Iyengar, S and Goldston, D and Obrosky, DS and Stewart, J and Marsh, J}, Title = {Psychological functioning among mothers of children with insulin-dependent diabetes mellitus: a longitudinal study.}, Journal = {Journal of Consulting and Clinical Psychology}, Volume = {58}, Number = {2}, Pages = {189-195}, Year = {1990}, Month = {April}, ISSN = {0022-006X}, url = {http://dx.doi.org/10.1037//0022-006x.58.2.189}, Abstract = {Mothers of children with newly diagnosed insulin-dependent diabetes mellitus (IDDM) were assessed repeatedly over a period of 6 years in order to determine the psychological correlates of managing this chronic illness. Both maternal depression and overall emotional distress after the 1st year of the IDDM increased slightly with illness duration and were also influenced by other factors. Mothers' adjustment shortly after their children were diagnosed with IDDM was a strong predictor of their long-term emotional symptomatology. However, mothers' symptoms over time were not related to medical aspects of IDDM (i.e., the extent of the children's metabolic control, number of rehospitalizations, or their compliance with the medical regimen) and were also unrelated to the levels of depression or anxiety reported by their children. Mothers generally found it easier to cope with the IDDM the longer their children had the illness. However, the degree to which mothers perceived the IDDM to be bothersome or difficult to manage at any given point in time was associated with their overall levels of emotional distress.}, Doi = {10.1037//0022-006x.58.2.189}, Key = {fds272932} } @article{fds272935, Author = {Goldston, DB and O'Hara, MW and Schartz, HA}, Title = {Reliability, Validity, and Preliminary Normative Data for the Inventory to Diagnose Depression in a College Population}, Journal = {Psychological Assessment}, Volume = {2}, Number = {2}, Pages = {212-215}, Publisher = {American Psychological Association (APA)}, Year = {1990}, Month = {January}, ISSN = {1040-3590}, url = {http://dx.doi.org/10.1037/1040-3590.2.2.212}, Abstract = {The inventory to Diagnose Depression (IDD; Zimmerman, Coryell, Corenthal, & Wilson, 1986) was designed to assess both the diagnosis of major depressive episode and the severity of depressive symptoms. When used with a college population, the IDD was a stable and internally consistent measure of depressive symptomatology. IDD total scores correlated significantly with other commonly used depression inventories, and a principal-components analysis revealed a general depression factor associated with IDD responses. Last, the IDD yield diagnoses of major depressive episode that compared favorably with interview-derived diagnoses, and preliminary normative data for the IDD in a population of college students are reported.}, Doi = {10.1037/1040-3590.2.2.212}, Key = {fds272935} } @article{fds272968, Author = {Goldston, DB and Turnquist, DC and Knutson, JF}, Title = {Presenting problems of sexually abused girls receiving psychiatric services.}, Journal = {Journal of Abnormal Psychology}, Volume = {98}, Number = {3}, Pages = {314-317}, Year = {1989}, Month = {August}, ISSN = {0021-843X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2768667}, Keywords = {Adolescent • Child • Child Abuse, Sexual • Child Behavior Disorders • Child, Preschool • Female • Humans • Psychotherapy* • Referral and Consultation* • Risk Factors • psychology*}, Abstract = {Twenty-three behaviors among those suggested in the literature to be associated with sexual abuse were studied in 195 girls, ages 2-18 years, who were consecutive admissions to three Midwestern mental health agencies. Results indicated that sexually inappropriate behaviors, sleep disturbance, depressed mood, and delinquent behavior occurred more frequently in young abuse victims than in clinic comparisons. Sexually inappropriate behaviors and running away appeared more often in older sexually abused girls, than they appeared in older clinic comparisons. These comparisons of the presenting problems of sexually abused and nonabused girls suggested there are few behavioral "markers" of sexual abuse in clinical samples and that sexual abuse may not be a unique contributing factor in the ontogeny of childhood psychopathology.}, Doi = {10.1037//0021-843x.98.3.314}, Key = {fds272968} } @article{fds272931, Author = {Kovacs, M and Kass, RE and Schnell, TM and Goldston, D and Marsh, J}, Title = {Family functioning and metabolic control of school-aged children with IDDM.}, Journal = {Diabetes Care}, Volume = {12}, Number = {6}, Pages = {409-414}, Year = {1989}, Month = {June}, url = {http://dx.doi.org/10.2337/diacare.12.6.409}, Abstract = {The relationship of two aspects of family life to metabolic control were examined as part of a longitudinal study of school-aged children with newly diagnosed insulin-dependent diabetes mellitus (IDDM). Glycosylated hemoglobin level was the primary index of metabolic control; weight-adjusted insulin dosage served as an indirect index. Neither the quality of family life nor aspects of the parents' marriage predicted the child's metabolic control over the next 3-4 mo, and they were also unrelated to concurrent weight-adjusted insulin dosage. Longitudinal data spanning a 6-yr period of the child's diabetes also failed to reveal an association between aspects of family life and metabolic control. The significance of the findings are discussed in light of the sample's characteristics and possible methodological constraints.}, Doi = {10.2337/diacare.12.6.409}, Key = {fds272931} } @article{fds272933, Author = {Shaklee, H and Goldston, D}, Title = {Development in causal reasoning: information sampling and judgment rule}, Journal = {Cognitive Development}, Volume = {4}, Number = {3}, Pages = {269-281}, Publisher = {Elsevier BV}, Year = {1989}, Month = {January}, ISSN = {0885-2014}, url = {http://dx.doi.org/10.1016/0885-2014(89)90009-9}, Abstract = {The present study investigated development in the ability to sample and use data about probabilistic relationships in order to test causal hypotheses. Third-grade, seventh-grade, and college students were asked to sample cards representing observations of two potentially related events and then to judge the causal relationship between those events. Overall accuracy of causal judgment was low (67-70% correct), with more errors on the noncontingent than on the two contingent relationships. Causal judgment accuracy improved with age across problem types. Biased information sampling was associated with poor accuracy of causal judgment in a pattern which suggested that subjects judged causal relationships according to the rate of the target outcome when the possible cause was present, with little attention to the same proportions when that cause was absent. © 1989.}, Doi = {10.1016/0885-2014(89)90009-9}, Key = {fds272933} } @article{fds272970, Author = {Goldston, DB and Richman, CL}, Title = {Imagery, encoding specificity, and prose recall in 6-year-old children.}, Journal = {Journal of Experimental Child Psychology}, Volume = {40}, Number = {3}, Pages = {395-405}, Year = {1985}, Month = {December}, ISSN = {0022-0965}, url = {http://www.ncbi.nlm.nih.gov/pubmed/4078543}, Keywords = {Child • Cues • Female • Form Perception* • Humans • Imagination* • Male • Memory* • Mental Recall* • Pattern Recognition, Visual* • Speech Perception*}, Abstract = {Partial pictures depict only selected portions of prose passages. Partial pictures hypothetically aid retention by inducing young children to generate imagery for nonpictured prose. Results from two hundred eighty-eight 6-year-old children indicated that (a) partial pictures at study facilitate recall, (b) identical study and retrieval prompts facilitate recall, and (c) imagery instructions and training do not affect retention. Partial pictures apparently help children to encode information more efficiently at study, but there is no evidence that young children generate images with the aid of the partial picture cues, nor that they have a retrieval deficit for these images as suggested by M. Ruch and J. Levin.}, Doi = {10.1016/0022-0965(85)90073-6}, Key = {fds272970} } @article{fds272976, Author = {Goldston, DB and Hinrichs, JV and Richman, CL}, Title = {Subjects' expectations, individual variability, and the scanning of mental images.}, Journal = {Memory & Cognition}, Volume = {13}, Number = {4}, Pages = {365-370}, Year = {1985}, Month = {July}, ISSN = {0090-502X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/4079752}, Keywords = {Form Perception* • Humans • Imagination* • Individuality* • Male • Reaction Time* • Set (Psychology)*}, Doi = {10.3758/bf03202504}, Key = {fds272976} } %% Chapters in Books @misc{fds370887, Author = {Tunno, AM and Pane Seifert and HT and Cheek, S and Goldston, DB}, Title = {The Intersection of Trauma and Substance Use in Adolescent Populations}, Pages = {1533-1554}, Booktitle = {Handbook of Interpersonal Violence and Abuse Across the Lifespan: A Project of the National Partnership to End Interpersonal Violence Across the Lifespan (NPEIV)}, Year = {2021}, Month = {January}, ISBN = {9783319899985}, url = {http://dx.doi.org/10.1007/978-3-319-89999-2_34}, Abstract = {In the current chapter, the authors discuss the intersection of trauma and substance use difficulties among youth. The current statistics, signs, and symptoms of trauma exposure and substance use in adolescent populations are presented, followed by a discussion regarding the interplay between said symptoms. The authors also describe the importance of screening and assessment for this clinical population and then focus on integrated treatment models when working with youth who demonstrate both traumatic stress and substance use difficulties.}, Doi = {10.1007/978-3-319-89999-2_34}, Key = {fds370887} } @misc{fds359849, Author = {Goldston, DB and Tunno, AM and Esposito-Smythers, C}, Title = {Treatment of adolescents who have co-occurring substance misuse and suicidal behaviours}, Pages = {441-449}, Booktitle = {Substance Misuse and Young People: Critical Issues}, Year = {2019}, Month = {January}, ISBN = {9781000001747}, url = {http://dx.doi.org/10.4324/9780429284304-27}, Abstract = {This chapter discusses the degree to which suicidal behaviour co-occurs with substance abuse for adolescents, and possible reasons for this interrelationship. An integrated relapse prevention (RP) approach may be advantageous for patients in underscoring the relationship between substance use and STBs and how a common or complementary set of skills can be used to address both sets of problems. Namely, there are few established integrated RP approaches and patients with both sets of problems are often referred to separate providers and agencies to address each problem. Not only may this be burdensome for patients, but it increases the chances of lack of communication and coordination, including the possibility of contradictory treatment recommendations from each provider. Clinically, the treatment of suicidal youths is often much more difficult when youths are abusing substances. Likewise, treatment of substance use problems in adolescence can be considerably more difficult when youths are experiencing serious suicidal thoughts and engaging in suicidal behaviours.}, Doi = {10.4324/9780429284304-27}, Key = {fds359849} } @misc{fds348091, Author = {Goldston, DB and Daniel, SS and Mathias, CW and Dougherty, DM}, Title = {Suicidal and nonsuicidal self-harm behaviors in adolescent substance use disorders}, Pages = {323-354}, Booktitle = {Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors}, Year = {2011}, Month = {January}, ISBN = {020384372X}, url = {http://dx.doi.org/10.4324/9780203843727-20}, Abstract = {Suicide deaths and suicidal behaviors among adolescents are a significant public health burden. They often occur in the context of treatable mental health and substance use problems (Beautrais, 2003; Brent et al., 1988; Shaffer et al., 1996), are associated with a large number of productive years lost to society, and significantly impact the lives of suicide survivors, often in traumatic ways (Jordan amp McMenamy, 2004). Nonlethal suicidal behaviors are associated with increased risk for additional nonlethal suicidal behavior (Goldston et al., 1999; Joiner et al., 2005) and increased rates of suicide death (Lonnqvist amp Ostamo, 1991), and are a major reason for child psychiatric hospitalizations and emergency room presentations (Peterson, Zhang, Santa Lucia, King, amp Lewis, 1996). Nonsuicidal self-harm behavior also has been an area of increasing public health concern and appears to be related to significant psychological distress among young people (Nixon, Cloutier, amp Aggarwal, 2002; Nock amp Prinstein, 2004, 2005).}, Doi = {10.4324/9780203843727-20}, Key = {fds348091} } | |
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