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Evaluation ViewAttendees 3

Suicide and Self-Injury
Symposia

Symposium 02 - Affect Heterogeneity Across Self-injurious Thoughts and Behaviors via Ecological Momentary Assessment

Friday, November 15, 2024
8:30 AM – 9:30 AM EST
Location: Grand Ballroom F, Level 5, Downtown Marriott
CE: 1

Keywords: Self-Injury, Vulnerable Populations, Emotion
Level of Familiarity: Moderate to advanced
Recommended Readings: Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner, T. E., Jr. (2009). An exploration of the emotional cascade model in borderline personality disorder. Journal of Abnormal Psychology, 118(2), 375–387. https://doi.org/10.1037/a0015711,   Bresin, K. (2014). Five indices of emotion regulation in participants with a history of nonsuicidal self-injury: A daily diary study. Behavior therapy, 45(1), 56-66.,   Mann, J. J., & Michel, C. A. (2016). Prevention of firearm suicide in the United States: what works and what is possible. American journal of psychiatry, 173(10), 969-979.,   ,  

Self-injurious thoughts and behaviors (SITBs) encompass a wide range of dysregulated behaviors and cognitions such as nonsuicidal self-injury, suicidal ideation, and suicide attempts. Although SITBs are common across many forms of psychopathology, certain individuals may be more vulnerable to SITBs. For instance, individuals immediately following a psychiatric emergency department visit or those with a minoritized sexual orientation and/or gender identity are more likely to engage in SITBs than others (Manges et al., 2023; Chartrand et al., 2022). Additionally, empirical research suggests that indivdiual’s with access to firearms are more likely to die by suicide than those who do not have access to firearms (Mann et al., 2016). Diagnostically, borderline personality disorder is in part characterized by SITBs (Weatherford et al., 2024). Due to the increased likelihood and lethality of SITB engagement in these populations, research exploring the mechanisms of this association are of upmost importance.

Affect may be a mechanism in which engagement in SIT is heightened. Affect is a complex psychological construct that may be explored in a plethora of ways. It may be assessed through individual feeling states (e.g., happy, sad, numb, etc.), a dichotomy of positive affect and negative affect, or affect/emotion dynamics (i.e., intensity, variance, inertia, and differentiation). Theories of SITBs posit that engagement in those behaviors increase during high states of negative affect (Selby & Joiner, 2009; Kleiman et al., 2014); however, less work has been done to understand how characterizing affect influences our understanding of the association between affect and SITBs.
This symposium aims to explore the heterogeneity of affect across SITBs in a variety of vulnerable populations via ecological momentary assessment (EMA). Most research exploring this association does so through cross-sectional study designs. EMA studies may offer unique insight as to the short-term effects and dynamics of affect on SITBs, better informing interventions to address momentary vulnerabilities to SITB engagement. As such, the results presented will offer multiple perspectives on the role of momentary affect across SITBs in vulnerable populations. This may inform interventions for those specific populations and offer direction for future research to better understand the role of affect across SITBs.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Explore the heterogeneity of affect across a range SITBs.
  2. Evaluate the importance of EMA in exploring the role of emotions in SITBS.
  3. Explain the importance of emotion dynamics in relation to SITBs.
  4. Describe the importance of the association between emotions and SITBS in vulnerable populations.
  5. List the clinical implications of the association between emotion and SITBs.

Presentations:

  • 8:30 AM – 9:30 AM EST
    (SYM 2) Differences in Emotion Regulation Indices in Participants with a History of Nonsuicidal Self-injury (NSSI) Based on Sexual and Gender Minority (SGM) Identity

    Speaker: Michaela Ahrenholtz, B.S. (she/her/hers) – University of Louisville

    Co-author: Konrad Bresin, Ph.D. (he/him/his) – University of Louisville

  • 8:30 AM – 9:30 AM EST
    (SYM 2) How Emotional Numbness Relates to Lifetime History of and Daily Engagement in Non-suicidal Self Injury

    Speaker: Caitlin P. Gregory, M.S. (She/They) – University of Arkansas

    Co-author: Bree Westfall, B.S. (she/her/hers) – University of Arkansas

    Co-author: Regina E. Schreiber, M.A. – University of Arkansas

    Co-author: Jennifer Veilleux, Ph.D. (she/her/hers) – University of Arkansas

  • 8:30 AM – 9:30 AM EST
    (SYM 2) Latent Profiles of Momentary Affective Dynamics in Suicidal Young Adults: Role of Affective Intensity and Instability in Understanding Suicide Risk

    Speaker: Nadia Al-Dajani, Ph.D. (she/her/hers) – The University of Louisville

    Co-author: Alejandra Arango, PhD (she/her/hers) – University of Michigan, Michigan Medicine

    Co-author: Valerie Micol, MS – University of Michigan

    Co-author: Amanda Jiang, BA (she/her/hers) – University of Louisville

    Co-author: Victor Hong, MD (he/him/his) – University of Michigan, Michigan Medicine

    Co-author: Ewa Czyz, PhD (she/her/hers) – University of Michigan, Michigan Medicine

  • 8:30 AM – 9:30 AM EST
    (SYM 2) Heterogeneity in Momentary Affective Experiences Related to Suicidal States in a Non-clinical Sample of Adult Handgun Owners and Non-owners Recruited from the Community

    Speaker: Melanie L. Bozzay, Ph.D. (she/her/hers) – The Ohio State University

    Co-author: Craig Bryan, ABPP, Psy.D. (he/him/his) – The Ohio State University

    Co-author: Samantha Daruwala, PhD – The Ohio State University Wexner Medical Center

    Co-author: Jonathan Butner, PhD – The University of Utah

    Co-author: Jeffrey Tabares, PhD – The Ohio State University

    Co-author: Stephanie Gorka, PhD – The Ohio State University