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1.  Parent and Child Psychopathology and Suicide Attempts among Children of Parents with Alcohol Use Disorder 
Parents with psychopathology such as alcohol use disorder (AUD) that confers risk for suicide attempt (SA) may have children who are more likely to develop such psychopathology and to attempt suicide, suggesting that risk may be “transmitted” from parents to children. We examined this phenomenon during the transition from childhood to adolescence, when risk for SA increases dramatically. A cohort of 418 children were examined at average age 9.4 (range 7–14) years at enrollment (Time 1, childhood) and approximately five years later, prior to reaching age 18 (Time 2, adolescence). One or both biological parents, oversampled for AUD, were also interviewed. Structural equation models (SEM) examined father-child, mother-child, and either/both parent-child associations. The primary outcome was SA over follow-up among offspring, assessed at Time 2. As hypothesized, parental antisocial personality disorder predicted conduct disorder symptoms in offspring both during childhood and adolescence (parent-child model, father-child model) and maternal AUD predicted conduct disorder symptoms during childhood (mother-child model). However, we did not find evidence to support transmission of depression from parents to offspring either during childhood or adolescence, and parent psychopathology did not show statistically significant associations with SA during adolescence. In conclusion, we conducted a rare study of parent-to-child “transmission” of risk for SA that used a prospective research design, included diagnostic interviews with both parents and offspring, and examined the transition from childhood to adolescence, and the first such study in children of parents with AUD. Results provided mixed support for hypothesized parent-child associations.
PMCID: PMC4059391  PMID: 24716789
adolescent; parent; suicide attempt; alcohol use disorder; risk factor
2.  Does the Health Status of Intimate Partner Violence Victims Warrant Pharmacies as Portals for Public Health Promotion? 
To explore whether the health status of intimate partner violence (IPV) victims warrants pharmacies to be portals for public health promotion. Specific objectives included: 1) Identify prevalence of IPV including Domestic Violence and Sexual Assault (DV/SA) in a community sample; 2) Describe characteristics and correlates of DV/SA relative to those who did not report DV/SA; and 3) Explore whether DV/SA status is related to mental health medication use.
A secondary analysis of a countywide random telephone survey, the Monroe County Adult Health Survey 2006 (MCAHS), which collects prevalence data on health behaviors and health status indicators.
Upstate New York
English and Spanish speaking respondents under 65 years of age answering four questions to assess DV/SA.
Main Outcome Measure
To determine whether those reporting DV/SA are at increased odds for mental health medication use controlling for other socio-demographic and health related variables.
The survey response rate was 30.3% with 1,881 respondents fitting inclusion. Those reporting DV/SA were almost twice as likely to utilize mental health medications. However, when controlling for other variables, only poor mental and physical health were significant in increasing the odds of mental health medication use.
Analyses suggest DV/SA victims in a community sample do utilize mental health medications. When controlling for other variables, they report worse physical and mental health. If pharmacies are suitable portals for DV/SA outreach, curricula would need to provide the knowledge and skills needed to take an active role in this public health promotion.
PMCID: PMC4161009  PMID: 20199963
Community Pharmacy; Domestic Violence; Sexual Assault
3.  Assessing Danger: What Judges Need To Know 
Family court review  2012;50(1):150-158.
Every day, judges are faced with decisions regarding intimate partner violence (IPV) victims' requests for protection orders, custody arrangements, and visitation schedules. To make informed decisions, judges must understand victims' risk for future violence. This mixed method study explores the extent to which protection order petitions (n=169) communicate victims' current danger and future risk of violence. Methods included interviews coupled with an archival review of court petitions. Findings suggest judges are inadequately prepared to render decisions to improve victim safety in the absence of standardized risk assessments. The Danger Assessment provides an evidence-based solution to routinize intake interviews with victims petitioning the court.
PMCID: PMC3364605  PMID: 22661908
4.  Detection of depression in older adults by family and friends: distinguishing mood disorder signals from the noise of personality and everyday life 
The capacity of friends and family member informants to make judgments about the presence of a mood disorder history in an older primary care patient has theoretical, clinical, and public health significance. This study examined the accuracy of informant-reported mood disorder diagnoses in a sample of primary care patients aged 65 years or older. We hypothesized that the accuracy (sensitivity and specificity) of informant reports would vary with the patient's personality.
Hypotheses were tested in 191 dyads consisting of patients and their friends or relatives (informants) recruited from primary care settings. Gold-standard mood disorder diagnoses were established at consensus conferences based on a review of medical charts and data collected in a structured interview with the patient. Patients completed an assessment battery that included the NEO-Five Factor Inventory.
Sensitivity and specificity of informant-derived mood disorder diagnoses were related to patient personality. Sensitivity of informant-derived lifetime mood disorder diagnoses was compromised by higher Extraversion and higher Agreeableness. Specificity of informant-derived lifetime mood disorder diagnoses was compromised by lower Agreeableness and higher Conscientiousness.
Patient personality has implications for the accuracy of mood disorder histories provided by friends and family members. Given that false negatives can have grave consequences, we recommend that practitioners be particularly vigilant when interpreting collateral information about their extraverted, agreeable patients.
PMCID: PMC3032027  PMID: 20880426
personality; depression; informants; primary care

Results 1-4 (4)