Category: Suicide and Self-Injury
Ki Eun (Kay) Shin, Ph.D.
Assistant Professor
Long Island University - Post
Brookville, New York
Christine Cha, Ph.D.
Assistant Professor
Teachers College, Columbia University
New York, New York
Matthew Nock, Ph.D.
Professor
Harvard University
Cambridge, Massachusetts
Ki Eun (Kay) Shin, Ph.D.
Assistant Professor
Long Island University - Post
Brookville, New York
Christine Cha, Ph.D.
Assistant Professor
Teachers College, Columbia University
New York, New York
Daniel Coppersmith, M.A.
PhD Candidate
Harvard University
CAMBRIDGE, Massachusetts
Jaclyn Kearns, M.A.
University of Rochester
Rochester, New York
Despite increased prioritization of suicide research, we still lack etiological understanding and precise, actionable targets for mitigating suicidal thoughts and behaviors. A promising way to advance the field is to employ intensive longitudinal assessment such as ecological momentary assessment, daily diary, and ambulatory assessment. Temporally intensive measurements can facilitate more fine-grained, precise understanding of psychological processes associated with suicide risk by capturing those processes as they unfold in real time, in individuals’ daily life. Intensive longitudinal assessments are also critical to informing prediction of short-term, within-day suicide risk. Prior longitudinal studies have focused on predicting suicidal ideation occurring months or years later. However, suicidal ideation rapidly and dramatically changes even within a day, necessitating identification of risk factors that increase suicidal ideation occurring within a span of minutes or hours. A promising solution is to shift toward studying temporally proximal and conceptually novel psychological precipitants of suicidal thoughts and behaviors as experienced in real-time. To that end, this symposium features a series of exemplary studies featuring intensive longitudinal assessment of psychological processes pertaining to cognitive, affective, and arousal/regulatory functioning and their associations with concurrent and short-term suicidal outcomes.
The first presentation will discuss intra-daily experiences and fluctuations in prospection, or future-oriented thoughts, among suicidal adolescents. This is the first investigation to capture how suicidal adolescents imagine the future throughout the day and how this relates to fluctuations in suicidal thought. The second presentation examines daily fluctuations in suicide-related prospection, or predictions that suicidal individuals make about their own likelihood of considering suicide in the future. This study reveals that suicidal adults tend to overestimate the severity of their future suicidal thoughts, and the anticipated severity of suicidal thoughts predicts the actual frequency of future suicidal thoughts. The third presentation will discuss the patterns of within- and between-day emotion dynamics among anxious and depressed adults with and without suicidality. Findings will provide insights on emotional vulnerabilities uniquely associated with suicidality beyond the effects of comorbid internalizing disorders. The fourth presentation is based on a multimodal real-time monitoring study which examines sleep problems as proximal risk factors for the next-day suicidal ideation among adolescents. This study will clarify whether anhedonia and cognitive flexibility function as mechanisms linking sleep problems to elevated suicidal ideation. Finally, we are extremely fortunate to have a senior faculty member, who has pioneered the application of real-time monitoring assessments to suicidal individuals, as our discussant to share his reflections about this exciting direction of suicide research.
Presenter: Ki Eun (Kay) Shin, Ph.D. – Long Island University - Post
Co-author: Christine B. Cha, Ph.D. – Teachers College, Columbia University
Co-author: Michelle G. Newman, Ph.D. – Penn State University
Presenter: Christine B. Cha, Ph.D. – Teachers College, Columbia University
Co-author: Ki Eun (Kay) Shin, Ph.D. – Long Island University - Post
Co-author: Neha Parvez, M.A. – Teachers College, Columbia University
Co-author: Rachel J. Nam, PhD – Teachers College, Columbia University
Presenter: Daniel Coppersmith, M.A. – Harvard University
Co-author: Adam Jaroszewski, Ph.D. – Massachusetts General Hospital
Co-author: Samuel Gershman, Ph.D. – Harvard University
Co-author: Christine B. Cha, Ph.D. – Teachers College, Columbia University
Co-author: Alexander Millner, Ph.D. – Harvard University
Co-author: Rebecca G Fortgang, Ph.D. – Harvard University
Co-author: Evan M. Kleiman, PhD – Rutgers, The State university of new jersey
Co-author: Matthew Nock, Ph.D. – Harvard University
Presenter: Jaclyn C. Kearns, M.A. – University of Rochester
Co-author: Catherine Glenn, Ph.D. – Old Dominion University
Co-author: Evan M. Kleiman, PhD – Rutgers, The State university of new jersey
Co-author: Kinjal Patel, BA – Old Dominion University
Co-author: Yeates Conwell, MD – University of Rochester Medical Center
Co-author: Linda Alpert-Gillis, PhD – University of Rochester Medical Center
Co-author: Wilfred Pigeon, PhD – University of Rochester Medical Center