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Evaluation ViewAttendees 10

Suicide and Self-Injury
Symposia

Symposium 50 - Identify, and Addressing, Suicide Risk Across Adolescence and Adulthood

Friday, November 15, 2024
2:30 PM – 4:00 PM EST
Location: Grand Ballroom F, Level 5, Downtown Marriott
CE: 1.5

Keywords: Suicide, Assessment, Treatment
Level of Familiarity: Basic to moderate
Recommended Readings: Nock, M. K., Ramirez, F., & Rankin, O. (2019). Advancing our understanding of the who, when, and why of suicide risk. JAMA Psychiatry, 76(1), 11-12. https://doi.org/10.1001/jamapsychiatry.2018.3164,   Fox, K. R., Huang, X., Guzmán, E. M., Funsch, K. M., Cha, C. B., Ribeiro, J. D., & Franklin, J. C. (2020). Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research. Psychological Bulletin, 146(12), 1117-1145. https://www.doi.org/10.1037/bul0000305,   Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187-232. https://www.doi.org/10.1037/bul0000084,   Kleiman, E. M., Bentley, K. H., Glenn, C. R., Liu, R. T., & Rizvi, S. L. (2022). Building on the past 50 years, not starting over: A balanced interpretation of meta-analyses, reviews, and commentaries on treatments for suicide and self-injury. General Hospital Psychiatry, 74, 18-21. https://www.doi.org/10.1016/j.genhosppsych.2021.11.002,   Platt, J. M., Pamplin, J. R., Gimbrone, C., Rutherford, C., Kandula, S., Olfson, M., Gould, M. S., Martínez-Alés, G., Shaman, J., & Keyes, K. (2022). Racial disparities in spatial and temporal youth suicide clusters. Journal of the American Academy of Child & Adolescent Psychiatry, 61(9), 1131-1140. https://www.doi.org/10.1016/j.jaac.2021.12.012

Suicide is a leading cause of death among adolescents and adults. Significant strides have been made in the identification, and mitigation of, suicide risk. Nevertheless, meta-analytic findings suggest that additional research is needed to pinpoint who is at greatest risk and how to intervene most effectively. Our research team noted several limitations in extant work that provided avenues for novel research that furthers our ability to tailor intervention efforts. First, research with adolescents often highlights the importance of processes embedded within social networks (e.g., social contagion) in predicting suicide-related outcomes. However, little is known about how such processes impact suicide-specific treatment outcomes. Second, while sleep disturbances are an established risk factor for suicide, few studies have examined how sleep disturbances are related to suicidal ideation among adults with a history of a recent suicide attempt, a group at heightened risk for re-attempting. Third, while individuals experiencing trauma-related psychopathology (e.g., posttraumatic stress disorder) are at heightened risk for suicidal behavior, there is limited research on biological treatment targets for this high-risk group. Fourth, research with racially minoritized groups is sorely needed to understand the interpersonal and structural factors that may account for disparities in suicide risk relative to their non-racially minoritized peers. Fifth, existing research has noted the importance of adapting suicide interventions by age of participant, though few intervention studies have directly tested age as a moderator of treatment outcomes.

This symposium aims to extend our existing knowledge of suicide risk assessment and intervention by presenting novel research with adolescents and adults. First, Dr. Ian Cero will describe the use of agent-based modeling to examine how external social network processes moderate individual psychotherapy outcomes, with a focus on suicide risk. Second, Dr. Annamarie Defayette will report on the impact of sleep disturbances on suicide risk in a clinical sample of adults enrolled in an intervention study. Drs. Margaret Davis and Jennifer Loya will then describe biological and psychosocial factors that increase suicide risk among adults with trauma histories and racially minoritized groups, respectively. Fifth, Dr. Ana Rabasco will report on how age moderates outcomes in one of the largest intervention studies for suicide among adults recruited from emergency departments. Finally, our Discussant, Dr. Christine Cha, a leading expert on suicide prevention, will integrate the presentations and expand on their implications for advancing the identification, and mitigation of, suicide risk among adolescents and adults.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Describe multiple biopsychosocial factors that influence suicide risk among teens and adults.
  2. Recognize at least one moderator of treatment outcomes among teens and adults.
  3. Identify at least two factors that widen disparities for suicide risk among marginalized groups.
  4. Describe the value of using various levels of assessment (i.e., from neuronal to interpersonal to systemic).
  5. Name at least one clinical implication of findings (e.g., assessing for social determinants of health).

Presentations:

  • 2:30 PM – 4:00 PM EST
    (SYM 50) Social Network Context as a Moderator of Intervention Effectiveness

    Speaker: Ian Cero, Ph.D. – University of Rochester School of Medicine

  • 2:30 PM – 4:00 PM EST
    (SYM 50) Sleep Disturbance Is Related to Ongoing Suicidal Ideation Among Adults with a Recent Suicide Attempt

    Speaker: Annamarie B. Defayette, Ph.D. (she/her/hers) – University of Rochester School of Medicine

    Co-author: Anthony Pisani, PhD (he/him/his) – University of Rochester Medical Center

    Co-author: Wilfred Pigeon, PhD – University of Rochester Medical Center

    Co-author: Jolynn Jones, MA – Brigham Young University

    Co-author: Catherine Quintana, BA (she/her/hers) – University of Rochester Medical Center

    Co-author: Joshua McElliott, BS (he/him/his) – University of Rochester Medical Center

  • 2:30 PM – 4:00 PM EST
    (SYM 50) Kappa Opioid Receptor as a Novel Biomarker for Suicide Risk in Trauma-related Psychopathology: Preliminary Results from an [11C]EKAP PET Imaging Study

    Speaker: Margaret T. Davis, Ph.D. (she/her/hers) – Yale University School of Medicine

    Co-author: Emily R. Weiss, Ph.D. (she/her/hers) – Yale University School of Medicine

    Co-author: Ashley Wagner, B.S. – Yale University School of Medicine

    Co-author: Irina Esterlis, Ph.D. – Yale University School of Medicine

    Co-author: David Matuskey, M.D. – Yale University School of Medicine

    Co-author: Ansel Hillmer, Ph.D. – Yale University School of Medicine

  • 2:30 PM – 4:00 PM EST
    (SYM 50) Exploring the Pattern of Associations Between Protective Factors and Ever Attempting Suicide Among Individuals from Historically Marginalized Communities

    Speaker: Jennifer M. Loya, B.S., M.A., Ph.D. (she/her/hers) – Yale School of Medicine

    Co-author: Maria Crouch, PhD – Yale School of Medicine

    Co-author: Terra Osterberg, B.A. – James J. Peters VA Medical Center

    Co-author: Margaret T. Davis, Ph.D. (she/her/hers) – Yale University School of Medicine

  • 2:30 PM – 4:00 PM EST
    (SYM 50) Examining the Effectiveness of a Suicide Prevention Program Across Adulthood for Patients Following an Emergency Department Visit

    Speaker: Ana Rabasco, Ph.D. (she/her/hers) – Brown University

    Co-author: Sarah Arias, Ph.D. – Butler Hospital & Brown University

    Co-author: Lauren M. Weinstock, Ph.D. – Alpert Medical School of Brown University

    Co-author: Ivan Miller, PhD – Brown University

    Co-author: Edwin Boudreaux, PhD – UMass Medical School

    Co-author: Carlos Camargo, Jr., MD, DrPH – Massachusetts General Hospital, Harvard Medical School

    Co-author: Lisa M. Horowitz, M.P.H., Ph.D. – National Institute of Mental Health, NIH

    Co-author: Jeff Bridge, PhD – Center for Suicide Prevention and Research

    Co-author: Tesia Shi, B.S. – National Institute of Mental Health

    Co-author: Ritika Merai, B.A. – National Institute of Mental Health

    Co-author: Brandon A. Gaudiano, Ph.D. – Alpert Medical School of Brown University