Prospection in suicidal teens: Identifying a novel and malleable cognitive risk factor

自杀青少年的展望：识别一种新颖且可塑的认知风险因素

• 批准号: 10580100
• 负责人: Christine B. Cha
• 金额: $ 44.04万
• 依托单位: COLUMBIA UNIVERSITY TEACHERS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-03-01 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10580100
• 关键词: Address; Adolescence; Adolescent; Affect; Affective; Area; Cessation of life; Clinical; Cognition; Cognitive; Data; Development; Distress; Ecological momentary assessment; Etiology; Event; Feeling suicidal; Future; Goals; Growth; Hour; Intervention; Knowledge; Laboratories; Life; Link; Longitudinal Studies; Measures; Mental Depression; Pattern; Positioning Attribute; Public Health; Recording of previous events; Recurrence; Research; Risk Factors; Role; Sampling; Severities; Specific qualifier value; Specificity; Suicide; Suicide attempt; Teenagers; Testing; Thinking; Time; Work; Youth; clinical care; clinically significant; cognitive process; design; experience; improved; innovation; insight; negative affect; neglect; novel; preempt; prevent; psychologic; reducing suicide; response; spatiotemporal; standard care; suicidal; suicidal adolescent; suicidal behavior; suicidal individual; suicidal morbidity; suicidal risk; theories; therapy design

PROJECT SUMMARY Suicidal ideation is an immensely distressing experience that often emerges in adolescence, recurs over time, and is difficult to treat. It is also one of the most potent risk factors for subsequent suicide attempt and death. Reducing suicidal ideation among adolescents may not only preempt the transition to suicidal behaviors but also alleviate distress during a time of critical growth. There are several barriers to advancing research and clinical care in this area. First, there have been limited studies of the prediction of near-term suicidal ideation. Second, previously studied psychological precipitants of suicidal ideation pertain to a desire for death when in fact suicidal ideation involves a deliberation between death and continued life. Third, most psychological precipitants have been captured using single time-point assessments that have limited ecological validity. In response to these barriers, a long-term goal of this line of research is to produce real-world strategies to mitigate suicidal thinking among adolescents. The immediate goal of this proposed R15 renewal is to examine in suicidal adolescents a candidate psychological precipitant of suicidal ideation: prospection specificity, or the degree of detail and spatiotemporal localization with which adolescents imagine future events. The central hypothesis is that poor prospection specificity will predict near-term increases in suicidal ideation. We will test how adolescents’ prospection specificity is associated with subsequent suicidal ideation and whether negative affect exacerbates this association. Using ecological momentary assessment (EMA), the proposed renewal will uncover the everyday experiences of future thinking among recently suicidal and nonsuicidal adolescents (n = 160) across 14 days. Specific Aims are to: (1) compare real-time experiences of prospection between recently suicidal and nonsuicidal adolescents; (2) test whether real-time prospection specificity predicts subsequent, near-term changes in suicidal ideation; and (3) test whether the interaction between negative affect and prospection specificity predicts near-term changes in suicidal ideation. This proposal is innovative because it: (a) features the rare prediction of near-term suicidal ideation (i.e., within minutes or hours); (b) targets a historically neglected component of life-and-death deliberations; (c) uses the most ecologically valid depiction of prospection specificity ever administered to suicidal adolescents; (d) posits the clinical significance of prospection specificity at an earlier point in life than previously assumed; and (e) integrates the study of prospection specificity with affective functioning. Findings from this project will improve our understanding of how prospection operates in real-time among suicidal adolescents, introduce a potential psychological precipitant of suicidal ideation, and broaden our understanding of affective contexts in which these near-term predictions occur. These significant knowledge gains will inform whether, when, and in which contexts we can intervene on this proximal precipitant of suicidal ideation outside of standard treatment settings.

项目摘要 自杀思想是一种非常令人痛苦的经历，经常在青少年中出现，随着时间的流逝而复发， 并且很难治疗。它也是随后自杀企图和死亡的最潜在危险因素之一。 减少青少年的自杀思想不仅可以使自杀行为过渡，而且还可以 在临界增长时期，还可以减轻困扰。进行研究和 该领域的临床护理。首先，对近期自杀思想的预测进行了有限的研究。 其次，以前研究过自杀观念的心理降水剂与对死亡的渴望有关 事实自杀的想法涉及死亡与持续生活之间的审议。第三，最心理 使用具有有限生态有效性的单个时间点评估捕获了沉淀物。在 对这些障碍的反应，这一研究的长期目标是制定现实世界的策略 减轻青少年的自杀思维。该提议的R15续订的直接目标是检查 在自杀青少年中 青少年想象未来事件的细节程度和时空定位。中央 假设是，较差的前景特异性将预测自杀思想的近期增加。我们将测试 青少年的前景特异性如何与随后的自杀思想相关联以及是否负面 影响加剧这种关联。使用生态瞬时评估（EMA），拟议的更新将 在最近的自杀和非青少年中揭示未来思维的每一天的经历（n = 160）在14天内。具体目的是：（1）比较最近之间的实时勘探经验 自杀和非青少年； （2）测试随后的实时预测特异性预测是否随后进行 自杀想法的近期变化； （3）测试负面影响和 自杀思想的近期变化预测。该提议具有创新性，因为它： （a）以近期自杀想法的罕见预测（即在几分钟或小时内）； （b）针对a 历史上被忽视的生命和死亡审议的组成部分； （c）使用最有效的描述 对自杀青少年的勘探特异性； （d）提出的临床意义 生命早期比以前假定的牙齿特异性； （e）整合 具有情感功能的假期特异性。该项目的发现将提高我们对 潜在客户在自杀青少年中的实时运作方式，引入潜在的心理 自杀思想的催化剂，并扩大了我们对这些近期这些情感环境的理解 发生预测。这些重要的知识收益将告知我们是否可以，何时以及在哪些情况下 在标准治疗环境之外进行自杀思想的近端降水剂进行干预。

项目成果

Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R): Reliability, Validity, and Inter-Informant Agreement in an Adolescent Sample.

• DOI: 10.1080/15374416.2021.1901229
• 发表时间: 2022-07
• 期刊: Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
• 作者: Gratch I;Fernandes SN;Bell KA;Pollak OH;Fox KR;Tezanos K;Ebo T;Cha CB
• 通讯作者: Cha CB