Psychiatry-Interpersonal and Biological Processes最新文献

{"title":"Personality and Psychiatric Disorders among Employees of New York City Workplaces Affected by the 9/11 Attacks on the World Trade Center.","authors":"Maria E Reynolds,&nbsp;Josh M Raitt,&nbsp;Ala Üstyol,&nbsp;Rachel Zettl,&nbsp;C Robert Cloninger,&nbsp;Carol S North","doi":"10.1080/00332747.2021.1989933","DOIUrl":"https://doi.org/10.1080/00332747.2021.1989933","url":null,"abstract":"<p><strong>Objective: </strong>Personality is associated with psychopathology after disasters, but its association with the portion of postdisaster psychopathology that is incident remains unclear. It is also unclear whether any particular attributes of personality are associated with resistance to the persistence or recurrence of preexisting psychopathology after disasters. This exploratory study of employees of workplaces affected by the September 11, 2001, attacks on the World Trade Center in New York City examined the specific relationships of personality variables (specifically, novelty seeking, harm avoidance, reward dependence, persistence, self-directedness, cooperativeness, and self-transcendence) to incident postdisaster psychiatric disorders and resistance to the persistence/recurrence of preexisting psychiatric disorders after the disaster.</p><p><strong>Methods: </strong>Approximately 3 years after the 9/11 attacks, 379 employees were recruited from 8 selected affected workplaces (3 in the World Trade Center towers, 5 at varied distances in the geographic area). Lifetime predisaster and postdisaster psychiatric disorders were assessed retrospectively with the Diagnostic Interview Schedule for <i>DSM-IV</i>, disaster experience details were collected with the Disaster Supplement, and personality was assessed with the Temperament and Character Inventory.</p><p><strong>Results: </strong>Underdeveloped executive functioning (low self-directedness and/or low cooperativeness) was associated with incident postdisaster psychopathology, and components of resilience (low harm avoidance, high self-directedness, and high persistence) were associated with postdisaster resistance to persistence/recurrence of preexisting psychiatric illness.</p><p><strong>Conclusions: </strong>Personality is related to both incident and persistent/recurrent portions of postdisaster psychopathology, not clearly distinguished in previous research. Personality variables related to executive functioning and resilience may aid in assessing risk and developing treatments to prevent disaster-related psychopathology.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 1","pages":"38-55"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916964/pdf/nihms-1751734.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9225739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Externalizing and Suicidal Behavior in Children Who Set Fires: Analysis of a 40 Year Birth Cohort Study.","authors":"Nichola Tyler,&nbsp;James A Foulds,&nbsp;Bhubaneswor Dhakal,&nbsp;Joseph M Boden","doi":"10.1080/00332747.2022.2045845","DOIUrl":"https://doi.org/10.1080/00332747.2022.2045845","url":null,"abstract":"<p><strong>Objective: </strong>Firesetting in children is thought to be an indicator of severe conduct problems in young people. However, no research has examined whether childhood firesetting is also associated with increased risk of externalizing and suicidal behaviors in adulthood.</p><p><strong>Method: </strong>Data were obtained from a longitudinal study (<i>n</i> = 1265). Childhood firesetting/conduct problems (7-10 years) were derived from an assessment of antisocial behavior. Externalizing/suicidal behavior was derived from the Composite International Diagnostic Interview and the Self-Report Delinquency Inventory. Generalized estimating equation (GEE) models estimated associations between childhood firesetting and adult substance use disorders, criminal offending, and suicidal ideation, adjusting for childhood conduct problems and other confounding factors. Associations between childhood and adult firesetting (age 18-40 years) were examined using cross-tabulation (χ²).</p><p><strong>Results: </strong>Five percent of children reported firesetting (7-10 years). Childhood firesetting appeared to increase the risk of adult firesetting; however, in most cases adult firesetting was not associated with childhood firesetting (χ² (1) = 4.15, <i>p</i> = .0417). Childhood firesetting was a risk marker for adult externalizing/suicidal behavior; however, the effect was relatively weak (IRR = 1.51; 95% CI: 1.11-2.05). Children with conduct problems who also engaged in firesetting were found to be at substantially higher risk of later externalizing/suicidal behavior (IRR = 2.84; 95% CI: 1.24-6.49).</p><p><strong>Conclusion: </strong>This study found that childhood firesetting is a risk marker for adult externalizing/suicidal behavior, not an independent risk factor. It may be more useful for clinicians to focus on child conduct problems generally, rather than focussing on firesetting behavior.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 4","pages":"373-386"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10708841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Heterogeneity of Stepped Collaborative Care Treatment Response Trajectories after Adolescent Sports Injury Concussion.","authors":"Robert J Hilt,&nbsp;Carolyn A McCarty,&nbsp;Frederick P Rivara,&nbsp;Jin Wang,&nbsp;Lyscha A Marcynyszyn,&nbsp;Sara P D Chrisman,&nbsp;Ashleigh M Johnson,&nbsp;Douglas F Zatzick","doi":"10.1080/00332747.2021.2004784","DOIUrl":"10.1080/00332747.2021.2004784","url":null,"abstract":"<p><p><i>Objective</i>: Few clinical trials of posttraumatic interventions have utilized symptom trajectory modeling to explore heterogeneity of treatment responses. The goal of this investigation was to conduct a secondary analysis of a randomized clinical trial of stepped collaborative care for adolescents with sports and recreational related concussion and persistent symptoms of >1 month.<i>Method</i>: Trajectory modeling was used to examine the impact of randomization to the intervention as well as demographic, clinical, and injury characteristics on adolescent post-concussive symptom trajectories. Two hundred male and female adolescents were assessed >1 month after a concussion, and then 3-, 6- and 12-months later with a standardized measure of concussive symptoms, the Health and Behavior Inventory (HBI). Multinomial logistic regression was used to compare the association between intervention, demographic, clinical and injury characteristics with trajectory group membership.<i>Results</i>: Four post-concussive symptom trajectories emerged: recovery, remitting, low-persistent, and high-persistent. In adjusted analyses randomization to the intervention condition was associated with significantly greater odds of HBI recovery trajectory group membership (OR 3.29 95% CI 1.06-10.28). Female gender and prior concussion history were associated with significantly greater odds of high-persistent trajectory group membership relative to all other trajectories. Greater odds of high-persistent versus recovery group trajectory membership was observed for adolescents with a pre-injury history of anxiety and/or depressive disorders.<i>Conclusions</i>: Stepped collaborative care was associated with an increased odds of recovery versus high-persistent post-concussive symptom trajectories, while readily identifiable baseline characteristics were associated high-persistent symptoms. Future post-concussive clinical trials and practice improvement efforts could incorporate these observations.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 3","pages":"270-281"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9360192/pdf/nihms-1766978.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39779462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pragmatic Clinical Trial Approach to Assessing and Monitoring Suicidal Ideation: Results from A National US Trauma Care System Study.","authors":"Allison Engstrom, Kathleen Moloney, Jefferson Nguyen, Lea Parker, Michelle Roberts, Rddhi Moodliar, Joan Russo, Jin Wang, Hannah Scheuer, Douglas Zatzick","doi":"10.1080/00332747.2021.1991200","DOIUrl":"10.1080/00332747.2021.1991200","url":null,"abstract":"<p><strong>Objective: </strong>Few investigations have comprehensively described methods for assessing and monitoring suicidal ideation in pragmatic clinical trials of mental health services interventions. This investigation's goal was to assess a collaborative care intervention's effectiveness in reducing suicidal ideation and describe suicide monitoring implementation in a nationwide protocol.</p><p><strong>Method: </strong>The investigation was a secondary analysis of a stepped wedge cluster randomized trial at 25-Level I trauma centers. Injury survivors (N = 635) were randomized to control (n = 370) and intervention (n = 265) conditions and assessed at baseline hospitalization and follow-up at 3-, 6- and 12-months post-injury. The Patient Health Questionnaire (PHQ-9) item-9 was used to evaluate patients for suicidal ideation. Mixed model regression was used to assess intervention versus control group changes in PHQ-9 item-9 scores over time and associations between baseline characteristics and development of suicidal ideation longitudinally. As part of the study implementation process assessment, suicide outreach call logs were also reviewed.</p><p><strong>Results: </strong>Over 50% of patients endorsed suicidal ideation at ≥1 assessment. Intervention patients relative to control patients demonstrated reductions in endorsements of suicidal ideation that did not achieve statistical significance (F[3,1461] = 0.74, <i>P</i> = .53). The study team completed outreach phone calls, texts or voice messages to 268 patients with PHQ-9 item-9 scores ≥1 (n = 161 control, n = 107 intervention).</p><p><strong>Conclusions: </strong>Suicide assessment and monitoring can be feasibly implemented in large-scale pragmatic clinical trials. Intervention patients demonstrated less suicidal ideation over time; however, these comparisons did not achieve statistical significance. Intensive pragmatic trial monitoring may mask treatment effects by providing control patients a supportive intervention.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT02655354.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 1","pages":"13-29"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916972/pdf/nihms-1751704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9579320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Just-in-Time Adaptive Interventions (JITAIs) for Suicide Prevention: Tempering Expectations.","authors":"Craig J Bryan,&nbsp;Heather Wastler,&nbsp;Nicholas Allan,&nbsp;Lauren R Khazem,&nbsp;M David Rudd","doi":"10.1080/00332747.2022.2132775","DOIUrl":"https://doi.org/10.1080/00332747.2022.2132775","url":null,"abstract":"on suicide prevention intervention development and refinement. on understanding the mechanisms for suicide risk individuals recently diagnosed with a psychotic disorder, and her long-term goal is to develop and test just-in-time interventions for this high risk population. is on identifying unique drivers of suicide risk in the disability community, Veterans, and military personnel and improving the efficacy, accessibility, and reach of suicide prevention assessments and interventions for these populations. in the assessment and treatment of suicide risk.","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 4","pages":"341-346"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10421681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Race, Gender and Sexuality: Ancient to Present.","authors":"Jonathan Lebolt","doi":"10.1080/00332747.2022.2132777","DOIUrl":"https://doi.org/10.1080/00332747.2022.2132777","url":null,"abstract":"On March 19, 2022, the Center for the Study of Race, Ethnicity and Culture (CSREC) at the Washington School of Psychiatry presented Race, Gender and Sexuality: From the Ancient Mediterranean to Contemporary Intersectionality via Zoom. Addressing structural racism in the discipline of classics, the rhetorical question was asked, when did classics become White, indicating that today’s racial categories did not exist in the Greco-Roman world, where sexual orientation and gender identity were also more fluid than is commonly believed. Addressing America’s propensity for erasing the cultures White Europeans “found,” challenged the hegemony of the Greco-Roman in American mores, affirming the resilience of indigenous cultures by pointing to the resurgence of Mayan Quechua, now a lingua franca in Latin America. How did this hegemony evolve? The “discovery” of Pompeii, Herculaneum and the Apollo Belvedere ushered in the Enlightenment/neo-classical idealization of what were perceived to be classical forms–accurately, in the case of neo-classical buildings such as America’s capitol, but inaccurately in the case of Whitened sculptures that were originally polychromous. For example, Titian’s Andromeda is White, but she was actually from modern-day Ethiopia. Ironically, in light of contemporary racism and sexism, men in the art of the classical era, at a time and place when men were viewed as superior, were portrayed as darker than women. White Europeans constructed race by positing biological difference to serve ends of conquest and domination, whereas recent scientific scholarship evinces less than .01% variability attributable to “race.” We learned that classicist Frank Snowden’s revelation that dark-skinned Africans, generically labelled “Ethiops,” were valued in antiquity. Most slaves were what we would today call White, though xenophobia—viewing other cultures as “barbaric”—was rampant. Alluding to the whitewashing of Ancient Egypt— Elizabeth Taylor as Cleopatra, for example— Stark credited Fred Wilson’s busts of Nefertiti in various shades of darkness. Emphasizing the importance of more recent and accu-","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 4","pages":"435-437"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10710764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Practice and Attitudes to Referral for Mental Health Needs among Practitioners in Northern India.","authors":"Sudha Mishra,&nbsp;Sujita Kar","doi":"10.1080/00332747.2021.1989855","DOIUrl":"https://doi.org/10.1080/00332747.2021.1989855","url":null,"abstract":"To the Editor, Since time immemorial, stigma is closely associated with mental illnesses. Due to stigma, misconceptions about mental illnesses as well as lack of awareness, a large proportion of patients with mental illnesses remain untreated or consult traditional healers, which attribute to a large treatment gap as found in the recent National Mental Health Survey 2015–16, sponsored by the Government of India Gururaj et al. (2016a). Due to stigma, in most parts of the world, non-psychiatrist practitioners treat patients with mental illness, and antidepressants are commonly over-prescribed medications Kar (2015). Over the past few decades, a new subspecialty has emerged which works at the interface of psychiatry and other medical disciplines. It is known as consultationliaison psychiatry, and it intends to deliver collaborative care for patients having medical illnesses with psychiatric co-morbidities Chen et al. (2016). Consultation-liaison service improves mental health care for up to three months; also improves client satisfaction and medication adherence Grover et al. (2014). A cross-sectional study was conducted on non-psychiatric practitioners in a city in North India. The study participants were general medical practitioners (nonpsychiatric medical practitioners). To be included in a study, the participant must be a medical practitioner (clinician) with a minimum MBBS degree. Written informed consent was taken from the participants. Study participants were evaluated on a semistructured questionnaire that intends to assess attitudes and practices about mental illnesses. Approximately 200 medical practitioners were approached during the survey, but only 61 (30%) were responded. Consented and completed in all respects. Most of the participants, 44 (72.14%), were male, and 17 (27.86%) were female. The specific difficulty reported for not giving consent by the practitioners is lack of time. Among participants, nearly 98% dealt with patients with psychiatric illness, out of which nearly 30% treated the patient. More than half (63.93%) of practitioners refer the patient to the psychiatric department, whereas 36.07% of practitioners had treated the patient with psychiatric problems by themselves. Particularly 88.52%practictioners referring the patient to psychiatrists, and more than 91.8%reported psychiatric problems are associated with medical illness. More than 42.62% prescribe psychotropic medication, out of which benzodiazepine is","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 4","pages":"433-434"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10358021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduced Expression of Emotion: A Red Flag Signalling Conversion to Psychosis in Clinical High Risk for Psychosis (CHR-P) Populations.","authors":"Jone Bjornestad,&nbsp;Tore Tjora,&nbsp;Johannes H Langeveld,&nbsp;Inge Joa,&nbsp;Jan Olav Johannessen,&nbsp;Michelle Friedman-Yakoobian,&nbsp;Wenche Ten Velden Hegelstad","doi":"10.1080/00332747.2021.2014383","DOIUrl":"https://doi.org/10.1080/00332747.2021.2014383","url":null,"abstract":"<p><p><i>Objective</i>: In this hypothesis-testing study, which is based on findings from a previous atheoretical machine-learning study, we test the predictive power of baseline \"reduced expression of emotion\" for psychosis.<i>Method</i>: Study participants (N = 96, mean age 16.55 years) were recruited from the Prevention of Psychosis Study in Rogaland, Norway. The Structured Interview for Prodromal Syndromes (SIPS) was conducted 13 times over two years. Reduced expression of emotion was added to positive symptoms at baseline (P1-P5) as a predictor of psychosis onset over a two-year period using logistic regression.<i>Results</i>: Participants with a score above zero on expression of emotion had over eight times the odds of conversion (OR = 8.69, <i>p</i> < .001). Data indicated a significant dose-response association. A model including reduced expression of emotion at baseline together with the positive symptoms of the SIPS rendered the latter statistically insignificant.<i>Conclusions</i>: The study findings confirm findings from the previous machine-learning study, indicating that observing reduced expression of emotion may serve two purposes: first, it may add predictive value to psychosis conversion, and second, it is readily observable. This may facilitate detection of those most at risk within the clinical high risk of psychosis population, as well as those at clinical high risk. A next step could be including this symptom within current high-risk criteria. Future research should consolidate these findings.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 3","pages":"282-292"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39779464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meta-Analysis of the Effect of Psychotherapy in an Inpatient Setting: Examining the Moderating Role of Diagnosis and Therapeutic Approach.","authors":"Yael Cohen-Chazani,&nbsp;Michal Lavidor,&nbsp;Eva Gilboa-Schechtman,&nbsp;David Roe,&nbsp;Ilanit Hasson-Ohayon","doi":"10.1080/00332747.2022.2062660","DOIUrl":"https://doi.org/10.1080/00332747.2022.2062660","url":null,"abstract":"<p><strong>Objective: </strong>The current meta-analysis investigates the efficacy of psychotherapy during psychiatric hospitalization and examines the moderating role of diagnosis and therapeutic approach.</p><p><strong>Methods: </strong>We conducted systematic searches in literature databases, including PubMed, PsycInfo, and Google Scholar. In total, 37 samples were included for the meta-analysis with a total of 4,443 patients. The primary outcome was the standardized mean differences in clinical status measured by symptomatic and functional measures.</p><p><strong>Results: </strong>The meta-analysis of 22 samples without a control group resulted in the upper end of the medium effect size for the overall effect of treatment during psychiatric hospitalization that included psychotherapy (k = 22, Cohen's d = 0.70, and 95% Cl 0.36 to 1.04). The meta-analysis of 15 samples with a control group resulted in the upper end of the low effect size for the contribution of psychotherapy to the improvement of patients' clinical status measured by symptomatic and functional measures (k = 15, Cohen's d = 0.43, and 95% CI 0.06 to 0.81). No significant effects were uncovered for psychotherapy orientation. Diagnosis was found to moderate the contribution of psychotherapy in an inpatient setting to the improvement of patients' clinical condition.</p><p><strong>Conclusion: </strong>Psychotherapy during psychiatric hospitalization may be an effective treatment. Across the various samples, psychotherapy has a moderate effect on the reduction of psychiatric symptoms beyond the overall effect of ward treatment.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 4","pages":"399-417"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10727363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Entering the Brave New World of Just-In-Time Adaptive Interventions for Suicide Prevention.","authors":"Marjan Ghahramanlou-Holloway","doi":"10.1080/00332747.2022.2132774","DOIUrl":"https://doi.org/10.1080/00332747.2022.2132774","url":null,"abstract":"Just-In-Time Adaptive Interventions (JITAIs) for suicide prevention, using mobile health (mHealth) technologies including wearables, are the focus of an article recently written by Coppersmith et al. (2022) in Psychiatry: Interpersonal and Biological Processes. As a clinical psychologist with nearly two decades of professional experience in treating individuals with suicidal thoughts and behaviors (STBs), training mental health providers in the delivery of evidence-informed and evidencebased suicide-focused care, and conducting research to advance suicide prevention and intervention science, I am eager to write this commentary to share some of my thoughts on the topic. Before doing so, I must commend my colleagues for offering an informative, comprehensive, and captivating seminal manuscript which I am confident will be well-cited and relied upon in the years to come. As we collectively enter the brave new world of JITAIs for suicide prevention and evolve our thinking and practices in the use of technology and its applications, several important considerations must be taken into account. These are highlighted below. “STAY HUNGRY. STAY FOOLISH.”","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"85 4","pages":"336-340"},"PeriodicalIF":2.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10421683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}