Time filter

Source Type

Washington, DC, United States

Horowitz L.,U.S. National Institutes of Health | Ballard E.,U.S. National Institutes of Health | Ballard E.,Catholic University of America | Teach S.J.,Childrens National Medical Center | And 5 more authors.
Pediatric Emergency Care | Year: 2010

Objective: Screening children for suicide risk when they present to the emergency department (ED) with nonpsychiatric complaints could lead to better identification and treatment of high-risk youth. Before suicide screening protocols can be implemented for nonpsychiatric patients in pediatric EDs, it is essential to determine whether such efforts are feasible. Methods: As part of an instrument validation study, ED patients (10-21 years old) with both psychiatric and nonpsychiatric presenting complaints were recruited to take part in suicide screening. Clinically significant suicidal thoughts, as measured by the Suicidal Ideation Questionnaire, and suicidal behaviors were assessed, as well as patient opinions about suicide screening. Recruitment rates for the study as well as impact on length of stay were assessed. Results: Of the 266 patients and parents approached for the study, 159 (60%) agreed to participate. For patients entering the ED for nonpsychiatric reasons (n = 106), 5.7% (n = 6) reported previous suicidal behavior, and 5.7% (n = 6) reported clinically significant suicidal ideation. There were no significant differences for mean length of stay in the ED for nonpsychiatric patients with positive triggers and those who screened negative (means, 382 [SD, 198] and 393 [SD, 166] minutes, respectively; P = 0.80). Ninety-six percent of participants agreed that suicide screening should occur in the ED. Conclusions: Suicide screening of nonpsychiatric patients in the ED is feasible in terms of acceptability to parents, prevalence of suicidal thoughts and behaviors, practicality to ED flow, and patient opinion. Future endeavors should address brief screening tools validated on nonpsychiatric populations. © 2010 by Lippincott Williams & Wilkins. Source

Chafetz M.D.,Independent Practice | Prentkowski E.,Indiana University | Rao A.,Psychiatric Institute of Washington
Archives of Clinical Neuropsychology | Year: 2011

Social Security Disability Determinations Service (DDS) claimants are seeking compensation for an inability to work (Chafetz, 2010). These usually low-functioning claimants fail Symptom Validity Tests (SVTs) at high rates (Chafetz, 2008), typically over 40. In contrast, claimants for the Rehabilitation Service in Louisiana (LRS) are seeking to work. Individuals referred by the Department of Child and Family Services (DCFS) are seeking reunification with their children. All three groups consisted of equivalently low-IQ claimants when considering only those who passed SVTs. Only the DDS group failed SVTs at high rates, whereas LRS claimants failed at minimal rates and DCFS claimants did not fail. Thus, intrinsic motivation explains effort in this particular study of low-functioning claimants: those seeking to work or to look good to reunify with their children pass SVTs at high rates. © The Author 2011. Published by Oxford University Press. All rights reserved. Source

Turkus J.A.,Psychiatric Institute of Washington
Journal of Trauma and Dissociation | Year: 2013

This article proposes a multifaceted model for the professional development of trauma therapists throughout their professional careers. Education, clinical practice, research, and self-reflection are critical, interacting components of this model for the competent practice of trauma psychotherapy. The International Society for the Study of Trauma and Dissociation (ISSTD), through its members, professional literature, trainings, and meetings, provides expertise in this area of mental health. ISSTD, in facing its responsibility for educational leadership, has developed a core curriculum of knowledge and a standard of training. © 2013 Copyright Taylor & Francis Group, LLC. Source

Woodland M.H.,Superior Court of the District of Columbia Child Guidance Clinic | Andretta J.R.,Superior Court of the District of Columbia Child Guidance Clinic | Moore J.A.,Western Michigan University | Bennett M.T.,Psychiatric Institute of Washington | And 2 more authors.
Journal of Forensic Psychology Practice | Year: 2014

In this study, confirmatory factor analyses were used to examine scores on the Millon Adolescent Clinical Inventory (MACI) in adolescent, African American males in a forensic setting (N = 496; Mage= 15.96, SDage= 1.32). Results from the study do not support the model proposed by Millon and suggest the MACI may not yield valid or reliable scores in forensic populations of adolescent, African American males. Because MACI scores could be misleading in African American males, the authors argue that the MACI and other trait-scales not validated in this group be used with extreme caution—especially in settings where African Americans are disproportionately represented. © , Copyright © Taylor & Francis Group, LLC. Source

Discover hidden collaborations