Symposium 8 - Recovery from suicidal thoughts in behaviors during adolescence: Definitions in diverse datasets

Friday, November 17, 2023

8:30 AM – 10:00 AM PST

Location: Skykomish (604), Level 6

CE: 1.5

Keywords: Suicide, Self-Injury, Recovery
Level of Familiarity: Moderate
Recommended Readings: Berk MS, Gallop R, Asarnow JR, Adrian M, Avina C, Hughes JL, Korslund KE, McCauley E. Trajectories of Treatment Response and Nonresponse in Youth at High Risk for Suicide. J Am Acad Child Adolesc Psychiatry. 2022 Sep;61(9):1119-1130. doi: 10.1016/j.jaac.2022.01.010. Epub 2022 Feb 2. PMID: 35122952; PMCID: PMC9343478., Oppenheimer, C. W., Glenn, C. R., & Miller, A. B. (2022). Future directions in suicide and self-injury revisited: Integrating a developmental psychopathology perspective. Journal of Clinical Child & Adolescent Psychology, 51(2), 242-260., Asarnow, J. R., Berk, M. S., Bedics, J., Adrian, M., Gallop, R., Cohen, J., ... & McCauley, E. (2021). Dialectical behavior therapy for suicidal self-harming youth: emotion regulation, mechanisms, and mediators. Journal of the American Academy of Child & Adolescent Psychiatry, 60(9), 1105-1115., Adrian, M., Blossom, J. B., Chu, P. V., Jobes, D., & McCauley, E. (2021). Collaborative assessment and management of suicidality for teens: A promising frontline intervention for addressing adolescent suicidality. Practice Innovations.7(2), 154–167.,

Chair(s)

MA

Molly Adrian, Ph.D. (she/her/hers)

Associate Professor
University of Washington
Seattle, Washington

Discussant(s)

David Jobes, ABPP, Ph.D. (he/him/his)

Professor of Psychology
The Catholic University of America
Washington, District of Columbia

Presenter(s)

TG

Tina Goldstein, Ph.D. (she/her/hers)

Associate Professor
University of Pittsburgh School of Medicine
Pittsburgh, PA, Pennsylvania
Michele Berk, Ph.D. (she/her/hers)

Assistant Professor
Stanford University
STANFORD, California
SD

Sarah Danzo, Ph.D. (she/her/hers)

University of Washington
Seattle, Washington

Suicide is a leading cause of death for those aged 10-34 in the United States and a major public health concern among adolescents and young adults (AYA; Hedegaard et al., 2018). Importantly, suicides among AYA have increased over the last two decades with more deaths in 2017 than in any other year since 2000 (Miron et al., 2019). This trend emphasizes the critical need to identify factors that contribute to recovery, remission, and relapse of suicidal thoughts and behaviors (STB). Although research on risk factors for suicide is extensive, the field struggles to understand the course of STB and critical transitions to promote recovery over the course of development (Franklin et al., 2017; Large, Corderoy, & McHugh, 2021; Oppenheimer et al., 2022). Recent reviews outlining the research needs in suicide prevention have called for a developmental psychopathology approach that captures how STB develop and change over time (Oppenheimer, Glenn, & Miller, 2022). Fluctuations in STB suicide risk status are not well understood, even in high-risk groups (Franklin et al., 2017). The goal of the symposium is to bring together several studies focused on the etiology and treatment of STB, present the definitions utilized to identify recovery, remission, relapse and recurrence, and discuss strategies to promote recovery from STB during this developmental period.

Learning Objectives:

At the end of the session, the learner will be able to:

Present an overview of the definitions used in suicide prevention literature for recovery, remission, relapse and response.
Describe the data from longitudinal and clinical trial data around recovery, relapse, and remission.
Discuss the influence of definitions on our understanding of the experience and treatment of suicidality across adolescence.
Understand the implications of recovery definitions on outcomes.
Appreciate the approaches used to date for recovery from suicidality.