202477 Using existing data to comprehensively assess risk and protective factors for adolescent suicide

Monday, November 9, 2009: 8:55 AM

Manfred H. M. van Dulmen, PhD , Psychology, Kent State University, Kent, OH
  
The goal of this presentation is to present an innovative methodological approach for public health researchers. This methodological approach focuses on conducting comprehensive analyses across large-scale existing data-sets. In the current project we applied this approach to the study of risk for adolescent suicide. We used empirical evidence and a theoretical framework, the interpersonal-psychological theory (Joiner, 2004), to guide the identification of risk factors and analyses across data-sets. The interpersonal-psychological theory (Joiner, 2004) proposes that (a) pain tolerance, (b) thwarted belongingness, and (c) burdensomeness are three core dimensions underlying risk for suicide. Based on the interpersonal-psychological theory and empirical evidence, we operationalized risk factors for suicide across four large scale longitudinal data-sets. These data-sets include the National Longitudinal Study of Adolescent Health (AddHealth), NICHD Study of Early Child Care (NICHD SECC), the National Study of Child and Adolescent Well Being (NSCAW), and the Behavioral Health and Juvenile Justice Project (BHJJ). These data-sets include information on individual and contextual risk factors for suicide in community-bases samples (AddHealth and NICHD SECC) as well as youth in high-risk settings (child welfare system, NSCAW: juvenile justice system, BHJJ). Each of these data-sets are uniquely situated to provide information on prospective risk factors underlying suicide starting in middle childhood (NICHD SECC, NSCAW) and moving through adolescence (AddHealth, NICHD SECC, NSCAW, BHJJ), and into early adulthood (AddHealth). In this presentation we will describe how we synthesize results across these four longitudinal data-sets and the implications of these analyses for suicide prevention practice

Learning Objectives:
Demonstrate how to use existing data to comprehensively analyze and describe risk and protective factors for adolescent suicide

Keywords: Suicide, Methodology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Principal Investigator/Program Director (Last, First, Middle): BIOGRAPHICAL SKETCH Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2. Follow this format for each person. DO NOT EXCEED FOUR PAGES. NAME Manfred H. M. van Dulmen POSITION TITLE Assistant Professor of Psychology eRA COMMONS USER NAME mvandul EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.) INSTITUTION AND LOCATION DEGREE (if applicable) YEAR(s) FIELD OF STUDY Catholic University Brabant, Tilburg (Netherlands) 1st year exam 1991-1992 Sociology Free University of Amsterdam, Amsterdam (Netherlands) Drs (M.A. equiv) 1992 - 1996 Psychology University of Minnesota, Twin Cities PhD 1996 - 2001 Family Social Science A. Positions and Honors Positions and Employment 2001 – 2004 University of Minnesota (Institute of Child Development): Research Associate, Instructor 2004 – Present Kent State University (Psychology): Assistant Professor 2004 – Present Kent State University (Institute for the Study and Prevention of Violence): Faculty Affiliate Other Professional Experiences 2002 – 2004 Member, National Council on Family Relations Advisory Board Sourcebook Project 2002 – Present Vice-Chair National Council on Family Relations Committee on Statistical Formatting for Journals 2006 – Present Editorial Board Advisory Member Monographs of the Society for Research on Child Development 2007 European Science Foundation (ESF) Ad-Hoc Reviewer Honors and Awards 1995 Foundation of the Ladies from Renswoude at Delft: Scholarship 1996 Foundation of the Free University of Amsterdam: Fellow 1996 – 2000 Foundation of the Ladies from Renswoude at the Hague: Scholarship 1998 University of Minnesota, College of Human Ecology: Outstanding student of the year award 1998 University of Minnesota, Department of Family Social Science: Neubeck award 2000 National Council on Family Relations: Research and theory section paper award for an outstanding student-originated contribution to family research and theory 2004 Recognition of exceptional service to the Journal of Marriage and the Family Selected Publications Van Dulmen, M. H. M., Grotevant, H. D., Dunbar, N., Miller, B. C., Bailey, B., Christensen, M., Fan, X. (2002). Connecting national survey data with DSM-IV criteria. Journal of Adolescent Health, 31 (6), 475 - 481. Gunnar, M. R., Sebanc, A. M., Tout, K., Donzella, B. & van Dulmen, M. H. M. (2003). Peer rejection, temperament, and cortisol activity in preschoolers. Developmental Psychobiology, 43, 346 – 358 Acock, A., Van Dulmen, M. H. M., Allen, K., & Piercy, F. (2004). Contemporary and emerging research methods in studying families. In V. Bengtson, A. Acock, K. Allen, P. Dilworth-Anderson, & D. Klein (Eds.), Sourcebook of Marriage and Family Theory and Research. Thousand Oaks, CA: Sage Publications. Masche, J. G., & van Dulmen, M. H. M. (2004). Advances in disentangling age, cohort, and time effects: No quadrature of the circle, but a help. Developmental Review, 24, 322 – 342. Burt, K., B. van Dulmen, M. H. M., Carlivati, J., Egeland, B., Sroufe, L. A., Forman, D., Appleyard, K., & Carlson, E. (2005). Mediating links between maternal depression and offspring psychopathology: The importance of independent data. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46 (5), 490 - 499. Appleyard, K., Egeland, B., & van Dulmen, M. H. M., Sroufe, L. A. (2005). When more is not better: the role of multiple risks in child behavior outcomes. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46 (3), 235 - 245. Grotevant, H. D., van Dulmen, M., Dunbar, N., Nelson-Christinedaughter, J., Christensen, M., Fan, X., & Miller, B. C. (2006). Antisocial behavior of adoptees and nonadoptees: Prediction from early history and adolescent relationships. Journal of Research on Adolescence, 16 (1), 105-131. Collins, W. A. & van Dulmen, M. H. M. (2006). Friendships and romantic relationships in emerging adulthood. In J. J. Arnett & J. Tanner (Ed.), Emerging adulthood: Scientific perspectives (pp. 219 – 234). Washington, DC: APA. Collins, W. A., van Dulmen, M. H. M., & Egeland, B. (2006). The significance of middle childhood peer competence for work and relationships in early adulthood. In A. Huston (Ed.), Successful pathways from middle childhood to adulthood. Washington, DC: APA. Collins, W. A., & van Dulmen, M. H. M. (2006). “The course of true love(s)….”: Origins and pathways in the development of romantic relationships. In A. Crouter & A. Booth (Eds.), Romance and Sex in Adolescence and Emerging Adulthood: Risks and Opportunities (pp. 63 – 86). Mahwah, NJ: Lawrence Erlbaum Associates. Ong, A. D., & van Dulmen, M. H. M. (2006). Oxford Handbook of Methods in Positive Psychology. New York, NY: Oxford University Press. Dunbar, N. D., van Dulmen, M. H. M., Ayers-Lopez, S., Berge, J. M., Christian, C., Gossmann, G., Henney, S. M., Mendenhall, T. J., Grotevant, H. D., McRoy, R. G. (2006). Processes linked to contact changes in adoptive kinship networks. Family Process, 45 (4), 449 - 464. Obradovic, J., van Dulmen, M. H. M., Yates, T. M., Carlson, E. A., Egeland, B. (2006). Developmental assessment of competence from early childhood through middle adolescence. Journal of Adolescence, 29 (6), 857 – 889 van Dulmen, M. H. M., & Ong, A. (2006). New Methodological directions in the study of adolescent competence and adaptation. Journal of Adolescence, 29 (6), 851 – 856. Gunnar, M. R., van Dulmen, M. H. M., & The International Adoption Project Team (2007). Behavior problems in post-institutionalized internationally adopted children. Development and Psychopathology, 19 (1), 129 – 148. Ostrowski, S. A., Christopher, N. C., van Dulmen, M. H. M., & Delahanty, D. L. (2007). Psychophysiological responses and subsequent PTSD symptoms following a child’s traumatic event. Journal of Traumatic Stress, 20, 677 – 687 Karazsia, B. T., van Dulmen, M. H. M., Wildman, B. G. (2008). Confirmatory factor analysis of Arnold et al.’s parenting scale across race, age, and sex. Journal of Child and Family Studies, 17, 500 – 516. van Dulmen, M. H. M., Belliston, L. M., Flannery, D. J., & Singer, M. (2008). Confirmatory factor analysis of the recent exposure to violence scale across three samples from middle childhood through adolescence. Children & Schools, 30, 93 - 102. van Dulmen, M. H. M., Goncy, E. A. Haydon*, K. C., Collins, W. A. (2008). Distinctiveness of adolescent and emerging adulthood romantic relationship features in predicting externalizing behavior problems. Journal of Youth and Adolescence, 37, 336 - 345 Irish, L., Ostrowski, S. A., Fallon, W., Spoonster, E., van Dulmen, M., Sledjeski, E., & Delahanty, D. (2008). Trauma history characteristics and subsequent PTSD symptoms in motor vehicle accident victims. Journal of Traumatic Stress, 21, 377 – 384. Karazsia, B. T., & van Dulmen, M. H. M. (2008). Regression models for count data: Illustrations using longitudinal predictions of childhood injury. Journal of Pediatric Psychology, 33, 1076 - 1084. van Dulmen, M. H. M., Goncy, E., Vest, A., Flannery D. J. (2009). Group based trajectory modeling of externalizing behavior problems from childhood through adulthood: Exploring discrepancies in the empirical findings. In J. Savage (Ed.), The development of persistent criminality. New York, NY: Oxford University Press. B. Research Support Ongoing Research Support R01 van Dulmen (PI) 9/1/2008 – 8/31/2011 CDC CE01395-01 Prospective Risk and Protective Factors for Suicide and Co-Occurring Risk Behaviors The purpose of this study is to investigate risk and protective factors for suicidal behavior across childhood and adolescents among individuals in different developmental contexts and with varying levels of risk exposure. Role: Principal Investigator R01 Gunstad (PI) 9/1/2008 – 8/31/2012 NHLBI HL089311-01 Cognitive Benefits of Cardiac Rehabilitation in Heart Failure This study prospectively investigates the cognitive effects of cardiac rehabilitation in patients with heart failure and aims to clarify the etiology and reversibility of cognitive dysfunction in persons with heart failure. Role: Co-Investigator R01 Collins (PI) 6/15/07 – 6/14/2012 NICHD HD054860-01 The Developmental Construction of Adult Competence This study is a longitudinal-developmental study of individuals from birth to age 35, examining processes of normative continuity and change in attaining competence in close relationships, parenting, and work roles. Role: Co-Investigator (PI on Subaward) R01 Contreras (PI) 7/1/06 – 6/30/10 NICHD HD046554-01 Maternal Behavior among Puerto Rican Adolescent Mothers The goal of this proposal is to examine 1) how social support variables relate to the quality of mainland Puerto Rican adolescent mothers’ maternal behaviors; 2) how these indices of parenting predict the cognitive, emotional, and behavioral outcomes of their young children; and 3) how the mothers’ acculturation level moderates the above relations. Role: Co-Investigator 1U79 Hussey (PI) 9/30/03 – 9/29/09 SAMSHA 56055-01 Tapestry The objective of this project is to investigate the dynamics of system of care development in Cuyahoga County from three perspectives: 1) the macro perspective looking at how large child serving systems develop coordinated planning, governance, and service delivery structures to better serve youth with severe emotional disturbances; 2) the individual systems level and the challenges that child serving systems experience in coordinating care and implementing effective, evidence-based services; and 3) the individual perspective, examining changes in youth and family behavioral functioning over time. Role: Paid Consultant Completed Research Support (Last 3 years) R21 Hughes (PI) 9/30/06 – 8/30/08 NCCAM AT0026398-01-A2 Mindfulness-based Stress Reduction for High Blood Pressure The goal of this study is to evaluate the feasibility, safety, and possible efficacy of mindfulness-based stress reduction (MBSR) as a complementary treatment for high blood pressure (BP) in untreated pre-hypertensive patients using a randomized design. Role: Paid Consultant R01 Crick (PI) 12/1/04 – 11/30/06 NICHD HD046629-01 Transition to Kindergarten and Relational Aggression The primary objective of this investigation is to examine the utility of preschool relational aggression and relational victimization for understanding children's adaptation to kindergarten (social-psychological adjustment and academic adjustment). Role: Paid Consultant CE Hussey (PI) 12/1/05 – 8/31/06 SAMSHA 0400252-02 Strengthening Communities Youth The objective of this project is to improve access to services, facilitate early identification, and decrease the time from identification to treatment among youth in the juvenile justice system. Role: Paid Consultant
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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