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David Brian Goldston

Professor in Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry
Box 3527 Med Ctr, Durham, NC 27710
Lakeview Pavilion, 2608 Erwin Road, 3rd Floor, Duke Child & Family Study Center, Durham, NC 27705

Selected Publications


Multi-dimensional predictors of first drinking initiation and regular drinking onset in adolescence: A prospective longitudinal study.

Journal Article Dev Cogn Neurosci · October 2024 Early adolescent drinking onset is linked to myriad negative consequences. Using the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) baseline to year 8 data, this study (1) leveraged best subsets selection and Cox Proportional H ... Full text Link to item Cite

Identifying high school risk factors that forecast heavy drinking onset in understudied young adults.

Journal Article Dev Cogn Neurosci · August 2024 Heavy alcohol drinking is a major, preventable problem that adversely impacts the physical and mental health of US young adults. Studies seeking drinking risk factors typically focus on young adults who enrolled in 4-year residential college programs (4YCP ... Full text Link to item Cite

Social Support and Social Stress Among Suicidal Inpatients at Military Treatment Facilities: A Multidimensional Investigation.

Journal Article J Nerv Ment Dis · May 1, 2024 The associations between social support and stress with internalizing symptoms (depressive symptoms and hopelessness) and hazardous drinking were tested in an inpatient sample of suicidal military personnel. Baseline data from a randomized clinical trial w ... Full text Link to item Cite

Experiential Avoidance, Pain, and Suicide Risk in a National Sample of Gulf War Veterans.

Journal Article Arch Suicide Res · 2024 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 tha ... Full text Link to item Cite

Brain structural covariance network features are robust markers of early heavy alcohol use.

Journal Article Addiction · January 2024 BACKGROUND AND AIMS: Recently, we demonstrated that a distinct pattern of structural covariance networks (SCN) from magnetic resonance imaging (MRI)-derived measurements of brain cortical thickness characterized young adults with alcohol use disorder (AUD) ... Full text Link to item Cite

Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV: Perspectives of mental health professionals in Tanzania.

Journal Article PLOS Glob Public Health · 2024 People living with HIV (PLWH) experience unique stressors that contribute to emotional distress, and PLWH are more than twice as likely to die by suicide when compared to the general population. In countries like Tanzania, there is a relatively high burden ... Full text Link to item Cite

Cognitive inflexibility and suicidal ideation among adolescents following hospitalization: The moderating role of life stress.

Journal Article J Affect Disord · October 15, 2023 BACKGROUND: Cognitive inflexibility has recently been investigated as potential vulnerability factor for suicidal ideation (SI), but the context in which it may convey risk is unclear. Life stress has also been reliably associated with SI among adolescents ... Full text Link to item Cite

Associations between alcohol use and sex-specific maturation of subcortical gray matter morphometry from adolescence to adulthood: Replication across two longitudinal samples.

Journal Article Dev Cogn Neurosci · October 2023 Subcortical brain morphometry matures across adolescence and young adulthood, a time when many youth engage in escalating levels of alcohol use. Initial cross-sectional studies have shown alcohol use is associated with altered subcortical morphometry. Howe ... Full text Link to item Cite

Brief Report: Task-Shifting "Gold Standard" Clinical Assessment and Safety Planning for Suicide Risk Among People Living With HIV: A Feasibility and Fidelity Evaluation in Tanzania.

Journal Article J Acquir Immune Defic Syndr · August 15, 2023 BACKGROUND: Suicide is a leading cause of death among people living with HIV (PLWH) worldwide, with suicide deaths occurring twice as frequently among PLWH than among the general public. In Tanzania, resources for mental health care are sorely lacking, wit ... Full text Link to item Cite

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 Article School Ment Health · June 2023 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 assessme ... Full text Link to item Cite

The Garrett Lee Smith Memorial Act: A Description and Review of the Suicide Prevention Initiative.

Journal Article Annu Rev Clin Psychol · May 9, 2023 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 prev ... Full text Link to item Cite

Post-Admission Cognitive Therapy for a Transgender Service Member With a Recent Suicidal Crisis: A Case Study of Gender-Affirming Care

Journal Article Cognitive and Behavioral Practice · May 1, 2023 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 ... Full text Cite

A scoping review of counseling interventions for suicide prevention in Africa: Few studies address this life-saving aspect of mental health treatment.

Journal Article J Affect Disord · May 1, 2023 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; nonethe ... Full text Link to item Cite

Risk for depression tripled during the COVID-19 pandemic in emerging adults followed for the last 8 years.

Journal Article Psychol Med · April 2023 BACKGROUND: 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 ... Full text Link to item Cite

Hurricane Florence and suicide mortality in North Carolina: a controlled interrupted time-series analysis.

Journal Article Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · April 2023 BackgroundNatural 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, ... Full text Cite

Effectiveness of a targeted brief intervention for recent suicide attempt survivors: a randomised controlled trial protocol.

Journal Article BMJ Open · March 3, 2023 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 ... Full text Link to item Cite

Help-seeking among psychiatrically hospitalized military personnel at risk for suicide.

Journal Article Suicide Life Threat Behav · February 2023 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 in ... Full text Link to item Cite

Cannabis use and suicide risk among Gulf War veterans.

Journal Article Death Stud · 2023 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 f ... Full text Link to item Cite

Adolescent alcohol use is linked to disruptions in age-appropriate cortical thinning: an unsupervised machine learning approach.

Journal Article Neuropsychopharmacology · January 2023 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 u ... Full text Link to item Cite

Protocol for a pilot randomized controlled trial of a telehealth-delivered counseling intervention to reduce suicidality and improve HIV care engagement in Tanzania.

Journal Article PLoS One · 2023 OBJECTIVE: Suicidal ideation is strikingly common among people living with HIV (PLWH) worldwide, leading to higher burden of disease, poor HIV care engagement, and loss of life. In low- and middle-income countries such as Tanzania, mental health resources ... Full text Link to item Cite

Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania.

Journal Article Glob Ment Health (Camb) · 2023 In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Su ... Full text Link to item Cite

Earlier Bedtime and Effective Coping Skills Predict a Return to Low-Risk of Depression in Young Adults during the COVID-19 Pandemic.

Journal Article Int J Environ Res Public Health · August 18, 2022 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 an ... Full text Link to item Cite

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 Article Addict Behav · August 2022 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 ... Full text Link to item Cite

Innovations in suicide prevention research (INSPIRE): a protocol for a population-based case-control study.

Journal Article Inj Prev · June 14, 2022 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 i ... Full text Link to item Cite

Adolescent Binge Drinking Is Associated With Accelerated Decline of Gray Matter Volume.

Journal Article Cerebral cortex (New York, N.Y. : 1991) · June 2022 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 ... Full text Cite

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers' perspectives.

Journal Article Psychol Trauma · May 2022 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 ... Full text Link to item Cite

Adaptive Treatment for Youth With Substance Use and Depression: Early Depression Response and Short-term Outcomes.

Journal Article J Am Acad Child Adolesc Psychiatry · April 2022 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 de ... Full text Link to item Cite

Understanding the clinical characteristics of lesbian, gay, and bisexual military service members and adult beneficiaries within an inpatient psychiatric sample.

Journal Article Suicide Life Threat Behav · April 2022 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 ... Full text Link to item Cite

Perceived changes in social interactions following military psychiatric hospitalization for a suicidal crisis.

Journal Article Mil Psychol · 2022 UNLABELLED: 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 ... Full text Link to item Cite

A latent class analysis of physical, emotional, and sexual abuse history among suicidal inpatients.

Journal Article J Psychiatr Res · October 2021 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 ... Full text Link to item Cite

Coping in the Aftermath of Youth's Suicidal Behaviors: A Comparison of Black Mothers and White Mothers

Journal Article Family Relations · February 1, 2021 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 treatmen ... Full text Cite

Evaluating Suicide Risk Using the Reasons for Dying-Reasons for Living (RFD-RFL) Index in a Military Psychiatric Inpatient Setting.

Journal Article Psychiatry Res · January 2021 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 ... Full text Link to item Cite

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 Article Gen Hosp Psychiatry · 2021 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 ... Full text Link to item Cite

Feasibility of an Integrated Treatment Approach for Youth with Depression, Suicide Attempts, and Substance Use Problems.

Journal Article Evid Based Pract Child Adolesc Ment Health · 2021 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 pr ... Full text Link to item Cite

A Trauma-Informed Approach to Youth Suicide Prevention and Intervention

Journal Article Evidence-Based Practice in Child and Adolescent Mental Health · January 1, 2021 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 practi ... Full text Cite

Implementing Trauma Informed Suicide Prevention Care in Schools: Responding to Acute Suicide Risk

Journal Article Evidence-Based Practice in Child and Adolescent Mental Health · January 1, 2021 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-in ... Full text Cite

A Community Call to Action: Use of Quality Improvement Strategies to Address Youth Suicides

Journal Article Evidence-Based Practice in Child and Adolescent Mental Health · January 1, 2021 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 ( ... Full text Cite

Quality Improvement for Acute Trauma-Informed Suicide Prevention Care: Introduction to Special Issue

Journal Article Evidence-Based Practice in Child and Adolescent Mental Health · January 1, 2021 Full text Cite

"Lock and Protect": Development of a Digital Decision Aid to Support Lethal Means Counseling in Parents of Suicidal Youth.

Journal Article Front Psychiatry · 2021 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 ... Full text Link to item Cite

The Intersection of Trauma and Substance Use in Adolescent Populations

Chapter · January 1, 2021 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 discu ... Full text Cite

Social rejection, popularity, peer victimization, and self-injurious thoughts and behaviors among adolescents: A systematic review and meta-analysis.

Journal Article Clin Psychol Rev · December 2020 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. ... Full text Link to item Cite

Exploring patterns and predictors of suicidal ideation among pregnant and postpartum women living with HIV in Kilimanjaro, Tanzania.

Journal Article AIDS · September 1, 2020 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 ... Full text Link to item Cite

Hazardous drinking and clinical correlates among suicidal patients receiving psychiatric inpatient care at military medical settings.

Journal Article Addict Behav · March 2020 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-Admiss ... Full text Link to item Cite

A hospital-based treatment of suicide attempt patients with problematic alcohol use: Rationale and treatment development.

Journal Article Gen Hosp Psychiatry · 2020 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 eff ... Full text Link to item Cite

Social Rejection and Suicidal Ideation and Attempts among Adolescents Following Hospitalization: a Prospective Study.

Journal Article J Abnorm Child Psychol · January 2020 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 ... Full text Link to item Cite

Suicide, Self-Harm, & Traumatic Stress Exposure: A Trauma-Informed Approach to the Evaluation and Management of Suicide Risk.

Journal Article Evid Based Pract Child Adolesc Ment Health · 2020 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 Sub ... Full text Link to item Cite

Long-term impact of the Garrett Lee Smith Youth Suicide Prevention Program on youth suicide mortality, 2006-2015.

Journal Article J Child Psychol Psychiatry · October 2019 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 impleme ... Full text Link to item Cite

SCREENING TOOLS IN THE EMERGENCY DEPARTMENT

Conference Journal of the American Academy of Child & Adolescent Psychiatry · October 2019 Full text Cite

Examining the Unanticipated Adverse Consequences of Youth Suicide Prevention Strategies: A Literature Review with Recommendations for Prevention Programs.

Journal Article Suicide Life Threat Behav · August 2019 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 pres ... Full text Link to item Cite

Treatment of adolescents who have co-occurring substance misuse and suicidal behaviours

Chapter · January 1, 2019 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 t ... Full text Cite

The Link between Posttraumatic Stress Disorder and Functionality among United States Military Service Members Psychiatrically Hospitalized Following a Suicide Crisis.

Journal Article Healthcare (Basel) · August 7, 2018 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 individua ... Full text Link to item Cite

An Economic Evaluation of the Garrett Lee Smith Memorial Suicide Prevention Program.

Journal Article Suicide Life Threat Behav · February 2018 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 ... Full text Link to item Cite

Adult Associations of Childhood Suicidal Thoughts and Behaviors: A Prospective, Longitudinal Analysis.

Journal Article J Am Acad Child Adolesc Psychiatry · November 2017 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 ... Full text Link to item Cite

Prospective Study of Major Loss Life Events and Risk for Suicidal Thoughts and Behaviors Among Adolescents and Young Adults.

Journal Article Suicide Life Threat Behav · August 2017 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 a ... Full text Link to item Cite

"Don't wait for it to rain to buy an umbrella:" The transmission of values from African American fathers to sons

Journal Article Psychology of Men and Masculinity · October 1, 2016 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 ... Full text Cite

Developmental Trajectories of Suicidal Thoughts and Behaviors From Adolescence Through Adulthood.

Journal Article J Am Acad Child Adolesc Psychiatry · May 2016 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 w ... Full text Link to item Cite

Two Studies of Connectedness to Parents and Suicidal Thoughts and Behavior in Children and Adolescents.

Journal Article J Clin Child Adolesc Psychol · 2016 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 assoc ... Full text Link to item Cite

Effect of the Garrett Lee Smith Memorial Suicide Prevention Program on Suicide Attempts Among Youths.

Journal Article JAMA Psychiatry · November 2015 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 whet ... Full text Link to item Cite

Identifying and Referring Youths at Risk for Suicide Following Participation in School-Based Gatekeeper Training.

Journal Article Suicide Life Threat Behav · August 2015 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 associat ... Full text Link to item Cite

Unheard Voices: African American Fathers Speak about their Parenting Practices.

Journal Article Psychol Men Masc · July 1, 2015 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' ... Full text Link to item Cite

Impact of patients' psychiatric hospitalization on caregivers: a systematic review.

Journal Article Psychiatr Serv · May 1, 2015 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 artic ... Full text Link to item Cite

Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality.

Journal Article Am J Public Health · May 2015 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 th ... Full text Link to item Cite

"You gotta have a good help mate": African American fathers' Co-parenting experiences

Journal Article Psychology of Men and Masculinity · January 1, 2014 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 perspect ... Full text Cite

Parent and child psychopathology and suicide attempts among children of parents with alcohol use disorder.

Journal Article Arch Suicide Res · 2014 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 ... Full text Link to item Cite

Suicide risk protocols: addressing the needs of high risk youths identified through suicide prevention efforts and in clinical settings.

Journal Article Suicide Life Threat Behav · April 2013 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 gu ... Full text Link to item Cite

Associations between suicidal high school students' help-seeking and their attitudes and perceptions of social environment.

Journal Article J Youth Adolesc · October 2012 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 p ... Full text Link to item Cite

Reading and motivation in adolescent poor readers

Journal Article · August 1, 2012 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 grad ... Cite

Hopelessness and Lack of Connectedness to Others as Risk Factors for Suicidal Behavior Across the Lifespan: Implications for Cognitive-Behavioral Treatment

Journal Article Cognitive and Behavioral Practice · May 1, 2012 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 ... Full text Cite

Working With Suicidal Clients: Not Business as Usual

Journal Article Cognitive and Behavioral Practice · May 1, 2012 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. ... Full text Cite

Working With the Suicidal Client Who Also Abuses Substances.

Journal Article Cogn Behav Pract · May 2012 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 cogniti ... Full text Link to item Cite

SPECIAL SERIES Working With Suicidal Clients: Not Business as Usual Introduction

Journal Article COGNITIVE AND BEHAVIORAL PRACTICE · May 1, 2012 Link to item Cite

Evaluating the predictive validity of suicidal intent and medical lethality in youth.

Journal Article J Consult Clin Psychol · April 2012 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 ... Full text Link to item Cite

Suicide

Journal Article · December 1, 2011 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 knowled ... Full text Cite

Chronic pain in adolescents is associated with suicidal thoughts and behaviors.

Journal Article J Pain · October 2011 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 wi ... Full text Link to item Cite

Suicidal and nonsuicidal self-harm behaviors in adolescent substance use disorders

Chapter · January 1, 2011 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 associate ... Full text Cite

The Problematic Label of Suicide Gesture: Alternatives for Clinical Research and Practice.

Journal Article Prof Psychol Res Pr · June 1, 2010 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 par ... Full text Link to item Cite

The Garrett Lee Smith memorial suicide prevention program.

Journal Article Suicide Life Threat Behav · June 2010 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 preve ... Full text Link to item Cite

A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients.

Journal Article J Affect Disord · January 2010 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 investigat ... Full text Link to item Cite

Trait anger, anger expression, and suicide attempts among adolescents and young adults: a prospective study.

Journal Article J Clin Child Adolesc Psychol · September 2009 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 ... Full text Link to item Cite

Interventions for suicidal youth: a review of the literature and developmental considerations.

Journal Article Suicide Life Threat Behav · June 2009 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 s ... Full text Link to item Cite

Caregiver strain and youth suicide attempt: Are they related?

Journal Article Suicide Life Threat Behav · April 2009 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 C ... Full text Link to item Cite

Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among adolescents and young adults: developmental changes.

Journal Article J Consult Clin Psychol · April 2009 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 consis ... Full text Link to item Cite

Religion/Spirituality and adolescent psychiatric symptoms: a review.

Journal Article Child Psychiatry Hum Dev · December 2008 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 adolesce ... Full text Link to item Cite

Religion, spirituality, and depression in adolescent psychiatric outpatients.

Journal Article J Nerv Ment Dis · March 2008 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 ... Full text Link to item Cite

Cultural considerations in adolescent suicide prevention and psychosocial treatment.

Journal Article Am Psychol · January 2008 Featured Publication 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 ... Full text Link to item Cite

Challenges and opportunities in the treatment of adolescents with substance use disorder and suicidal behavior.

Journal Article Subst Abus · 2008 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 o ... Full text Link to item Cite

Rates of suicide among males increase steadily from age 11 to 21: Developmental framework and outline for prevention

Journal Article Aggression and Violent Behavior · March 1, 2007 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 an ... Full text Cite

Reading problems, psychiatric disorders, and functional impairment from mid- to late adolescence.

Journal Article J Am Acad Child Adolesc Psychiatry · January 2007 Featured Publication 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 read ... Full text Link to item Cite

Predictors of suicide attempts: state and trait components.

Journal Article J Abnorm Psychol · November 2006 Featured Publication 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 pr ... Full text Link to item Cite

Proximal psychiatric risk factors for suicidality in youth: the Great Smoky Mountains Study.

Journal Article Arch Gen Psychiatry · September 2006 Featured Publication 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, a ... Full text Link to item Cite

Variation in functioning, psychosocial characteristics, and six-month outcomes among suicidal youth in comprehensive community mental health services.

Journal Article Suicide Life Threat Behav · June 2006 Featured Publication 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 attempt ... Full text Link to item Cite

Assessment of Childhood Depression.

Journal Article Child Adolesc Ment Health · May 2006 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 adolesce ... Full text Link to item Cite

Suicidality, school dropout, and reading problems among adolescents.

Journal Article J Learn Disabil · 2006 Featured Publication 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 prospect ... Full text Link to item Cite

Suicidal ideation among adolescents with alcohol use disorders during treatment and aftercare.

Journal Article Am J Addict · 2006 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, includi ... Full text Link to item Cite

Severity of emotional and behavioral problems among poor and typical readers.

Journal Article J Abnorm Child Psychol · April 2005 Featured Publication 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 ... Full text Link to item Cite

Conceptual issues in understanding the relationship between suicidal behavior and substance use during adolescence.

Journal Article Drug Alcohol Depend · December 7, 2004 Featured Publication 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 interve ... Full text Link to item Cite

Overview of workshop on drug abuse and suicidal behavior.

Journal Article Drug Alcohol Depend · December 7, 2004 Full text Link to item Cite

Review of literature on aftercare services among children and adolescents.

Journal Article Psychiatr Serv · August 2004 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 perta ... Full text Link to item Cite

Rates and predictors of rehospitalization among formerly hospitalized adolescents.

Journal Article Psychiatr Serv · July 2003 Featured Publication 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, in ... Full text Link to item Cite

Rates and predictors of aftercare services among formerly hospitalized adolescents: a prospective naturalistic study.

Journal Article J Am Acad Child Adolesc Psychiatry · January 2003 Featured Publication 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: Draw ... Full text Link to item Cite

Cognitive risk factors and suicide attempts among formerly hospitalized adolescents: a prospective naturalistic study.

Journal Article J Am Acad Child Adolesc Psychiatry · January 2001 Featured Publication 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 st ... Full text Link to item Cite

Impulsivity and suicide.

Journal Article J Am Acad Child Adolesc Psychiatry · August 1999 Full text Link to item Cite

Suicide attempts among formerly hospitalized adolescents: a prospective naturalistic study of risk during the first 5 years after discharge.

Journal Article J Am Acad Child Adolesc Psychiatry · June 1999 Featured Publication 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 h ... Full text Link to item Cite

Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit.

Journal Article J Am Acad Child Adolesc Psychiatry · September 1998 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 ... Full text Link to item Cite

Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents.

Journal Article J Am Acad Child Adolesc Psychiatry · November 1997 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 regi ... Full text Link to item Cite

Major depressive disorder in youths with IDDM. A controlled prospective study of course and outcome.

Journal Article Diabetes Care · January 1997 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 year ... Full text Link to item Cite

Psychiatric disorders in youths with IDDM: rates and risk factors.

Journal Article Diabetes Care · January 1997 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 ... Full text Link to item Cite

First-time suicide attempters, repeat attempters, and previous attempters on an adolescent inpatient psychiatry unit.

Journal Article J Am Acad Child Adolesc Psychiatry · May 1996 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 ... Full text Link to item Cite

A longitudinal study of life events and metabolic control among youths with insulin-dependent diabetes mellitus.

Journal Article Health Psychol · September 1995 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 de ... Full text Link to item Cite

Suicidal ideation and suicide attempts among youth with insulin-dependent diabetes mellitus.

Journal Article J Am Acad Child Adolesc Psychiatry · February 1994 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 ... Full text Link to item Cite

Suicidal behaviors and childhood-onset depressive disorders: a longitudinal investigation.

Journal Article J Am Acad Child Adolesc Psychiatry · January 1993 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 evidence ... Full text Link to item Cite

Prevalence and predictors of pervasive noncompliance with medical treatment among youths with insulin-dependent diabetes mellitus.

Journal Article J Am Acad Child Adolesc Psychiatry · November 1992 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 examin ... Full text Link to item Cite

Intellectual Development and Academic Performance of Children With Insulin-Dependent Diabetes Mellitus: A Longitudinal Study

Journal Article Developmental Psychology · January 1, 1992 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 ini ... Full text Cite

Cognitive and social cognitive development of depressed children and adolescents.

Journal Article J Am Acad Child Adolesc Psychiatry · May 1991 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 appea ... Full text Link to item Cite

Psychological functioning of children with insulin-dependent diabetes mellitus: a longitudinal study.

Journal Article J Pediatr Psychol · October 1990 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 ... Full text Link to item Cite

Psychological functioning among mothers of children with insulin-dependent diabetes mellitus: a longitudinal study.

Journal Article J Consult Clin Psychol · April 1990 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 ... Full text Link to item Cite

Reliability, Validity, and Preliminary Normative Data for the Inventory to Diagnose Depression in a College Population

Journal Article Psychological Assessment · January 1, 1990 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 stab ... Full text Cite

Presenting problems of sexually abused girls receiving psychiatric services.

Journal Article J Abnorm Psychol · August 1989 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 inappr ... Full text Link to item Cite

Family functioning and metabolic control of school-aged children with IDDM.

Journal Article Diabetes Care · June 1989 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 o ... Full text Link to item Cite

Development in causal reasoning: information sampling and judgment rule

Journal Article Cognitive Development · January 1, 1989 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 ... Full text Cite

Imagery, encoding specificity, and prose recall in 6-year-old children.

Journal Article J Exp Child Psychol · December 1985 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 ( ... Full text Link to item Cite