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

Award Number: R15MH113076
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/01/2018
PERIOD OF PERFORMANCE END DATE: 01/31/2027

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


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2023	TEACHERS COLLEGE COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	000	2	1/31/2026	COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	TEACHERS COLLEGE COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	000	2	9/5/2024	COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $461,364 )
2023	2023	TEACHERS COLLEGE COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	003	2	9/22/2023	COMPETING CONTINUATION	$123
2023	2023	TEACHERS COLLEGE, COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	001	2	2/7/2023	COMPETING CONTINUATION	$440,445
2023	2018	TEACHERS COLLEGE COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	002	1	9/22/2023	NEW	-$123
2023	2018	TEACHERS COLLEGE COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	000	1	11/17/2022	NEW	$20,919
														Subtotal = $461,364

Issue Date FY: 2022 ( Subtotal = -$20,919 )
2022	2018	TEACHERS COLLEGE, COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	001	1	4/25/2022	NEW	$0
2022	2018	TEACHERS COLLEGE, COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	000	1	3/11/2022	NEW	$0
2022	2018	TEACHERS COLLEGE, COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	002	1	7/5/2022	NEW	-$20,919
														Subtotal = -$20,919

Issue Date FY: 2018 ( Subtotal = $429,738 )
2018	2018	TEACHERS COLLEGE, COLUMBIA UNIVERSITY	525 W 120TH ST	NEW YORK	NY	10027	NEW YORK	USA	Mental Health Research Grants	000	1	2/20/2018	NEW	$429,738
														Subtotal = $429,738

Grand Total All Awards = $870,183

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

Award Number: R15MH113076

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/01/2018

PERIOD OF PERFORMANCE END DATE: 01/31/2027

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