Symposium 39 - Longitudinal Predictors of Self-injurious Thoughts and Behaviors Among Clinical Populations Across the Lifespan

Chair(s)

• RL

  Roberto Lopez, Jr., M.A.

  George Mason University
  Fairfax, Virginia

Discussant(s)

• HS

  Heather Schatten, Ph.D. (she/her/hers)

  Assistant Professor (Research)
  Butler Hospital & Brown University
  Providence, Rhode Island

Presenter(s)

• LS

  Lauren Seibel, M.A. (she/her/hers)

  Graduate Student
  George Mason University
  Fairfax, Virginia
• RL

  Roberto Lopez, Jr., M.A.

  George Mason University
  Fairfax, Virginia
• EE

  Erika Esposito, M.A. (she/her/hers)

  University of Rochester
  New Hyde Park, New York
• 

  Katherine Maultsby, M.A. (she/her/hers)

  Doctoral Student
  George Mason University
  Arlington, Virginia
• AR

  Ana Rabasco, Ph.D. (she/her/hers)

  Student
  Brown University
  Providence, Rhode Island

Self-injurious thoughts and behaviors (SITB), such as non-suicidal self-injury (NSSI), suicidal ideation (SI), and suicide attempts (SA), are a leading public health concern. Interventions have been developed to address SITB, though over one third of youth receiving mental health services will go on to make an SA. Similarly, over half of adults who made an SA in a 12-month period received mental health services. To bolster the effectiveness of existing interventions, additional culturally and developmentally sensitive research on predictors of SITB is needed. Our team has identified specific gaps in extant literature. First, existing research has noted a positive relation between anxiety symptoms and SI. Yet, it is unclear whether specific anxiety symptoms may be uniquely related to SI and what mechanisms may underlie this relation, particularly among youth recently discharged from psychiatric hospitalization. Second, prior research with similar samples has demonstrated a link between NSSI and impulsivity within the context of negative affect (i.e., negative urgency). Experimental work from social psychology has demonstrated that interpersonal challenges and the resulting negative affect can magnify the relation between negative urgency and impulsive behavior. However, few studies have examined whether such a relation predicts NSSI, which is often conceptualized as an impulsive behavior. Third, due to minority stress, sexual and gender minority (SGM) youth are at greater risk of SITB relative to non-SGM peers. However, extant research has relied almost exclusively on retrospective report over large follow-up periods to document this risk. Fourth, partial hospital programs (PHP) are often used as a “step down” service from inpatient care. Nevertheless, little is known about the factors that may influence trajectories of SITB risk over the course of PHP. Fifth, while extant work suggests that adults with severe mental illness (SMI) are at increased risk for suicide, there is limited understanding of prospective risk among this group and the efficacy of suicide prevention treatments among people with SMI. 
The aim of this symposium is to address gaps in our understanding SITB risk by presenting longitudinal work among treatment-seeking youth and adults. Presenter 1 will describe mechanisms underlying the 12-month relation between anxiety-related symptoms and SI in a group of youth recruited following hospitalization. Using a similar sample, Presenter 2 will report on prospective relations between negative urgency, interpersonal problems, and NSSI. Presenter 3 will describe real-time relations between interpersonal stress and SI among SGM (versus non-SGM) youth recruited following hospitalization. Presenter 4 will report on sociodemographic and clinical predictors of SI and depressive symptom severity trajectories among youth enrolled in two community-based PHP. Presenter 5 will report on longitudinal relations between SMI and suicidal behavior among adults recruited from various emergency departments. Our Discussant will synthesize the presentations and elaborate on their implications for identifying, and addressing, barriers to building a life experienced as worth living among individuals across the lifespan.

Presentations:

• (SYM 39) Adolescent Social and Generalized Anxiety Disorder Symptoms as Predictors of Suicidal Ideation: Longitudinal Mediation Modeling
  

  Speaker: Lauren Seibel, M.A. (she/her/hers) – George Mason University

  Co-author: Katherine D. Maultsby, M.A. (she/her/hers) – George Mason University

  Co-author: Roberto Lopez Jr, M.A. (he/him/his) – George Mason University

  Co-author: Jennifer Wolff, Ph.D. (she/her/hers) – Alpert Medical School of Brown University

  Co-author: Anthony Spirito, ABPP, Ph.D. (he/him/his) – Alpert Medical School of Brown University

  Co-author: Christianne Esposito-Smythers, Ph.D. – George Mason University
• (SYM 39) Relations Between Negative Urgency, Interpersonal Problems, and Non-suicidal Self-injury: An 18-month Investigation with High-risk Youth
  

  Speaker: Roberto Lopez, Jr., M.A. – George Mason University

  Co-author: Richard Liu, Ph.D. (he/him/his) – Massachusetts General Hospital, Harvard Medical School
• (SYM 39) Examining the Impact of Sexual and Gender Minority Identity on the Association Between Interpersonal Stress and Suicide Ideation in Youth
  

  Speaker: Erika C. Esposito, M.A. (she/her/hers) – University of Rochester

  Co-author: Erika C. Esposito, M.A. (she/her/hers) – University of Rochester

  Co-author: John Kai Kellerman, M.S. (he/him/his) – Rutgers University

  Co-author: Emeyln Auad, B.A. (she/her/hers) – Old Dominion university

  Co-author: Evan Kleiman, Ph.D. (he/him/his) – Rutgers University

  Co-author: Elizabeth Handley, PhD – Mt. Hope Family Center, University of Rochester

  Co-author: Cassie Glenn, Ph.D. (she/her/hers) – Old Dominion University
• (SYM 39) Trajectories of Adolescent Suicidal Ideation and Depressive Symptoms During Partial Hospitalization: Clinical and Demographic Characteristics as Predictors of Change
  

  Speaker: Katherine D. Maultsby, M.A. (she/her/hers) – George Mason University

  Co-author: Roberto Lopez Jr, M.A. (he/him/his) – George Mason University

  Co-author: Lauren Seibel, M.A. (she/her/hers) – George Mason University

  Co-author: Sonia Thomas, M.D. – Inova Kellar

  Co-author: Rick Leichtweis, Ph.D. (he/him/his) – Inova Kellar

  Co-author: Christianne Esposito-Smythers, Ph.D. – George Mason University
• (SYM 39) Longitudinal Risk of Suicidal Behaviors in People with Severe Mental Illness Following an Emergency Department Visit with versus Without Suicide Prevention Treatment
  

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

  Co-author: Sarah Arias, PhD – Brown University

  Co-author: Madeline Benz, Ph.D. – Brown University & Butler Hospital

  Co-author: Lauren Weinstock, PhD – Brown University

  Co-author: Ivan Miller, PhD – Butler Hospital & Brown Medical School

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

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

  Co-author: Brandon Gaudiano, PhD – Brown University