Kathryn R. Fox
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Author Swipe
View article: Exploring Parents’ Immediate Reactions to Digital Suicide Risk Alerts: Descriptive Study
Exploring Parents’ Immediate Reactions to Digital Suicide Risk Alerts: Descriptive Study Open
Background Youth suicide is a critical public health crisis. Subscription-based parental digital monitoring apps have emerged to monitor youths’ web-based activities and promptly alert parents in case of detected suicide risk. Parents’ res…
View article: Quality and Characteristics of Self-Guided Electronic Suicide Safety Plans Among Adolescents
Quality and Characteristics of Self-Guided Electronic Suicide Safety Plans Among Adolescents Open
Objective: Safety planning interventions (SPIs) may prevent suicidal behavior among adolescents, but many adolescents in need do not receive an SPI. Self-guided digital SPIs could reach many vulnerable youth, but the quality of adolescents…
View article: 50 years of child and adolescent suicide prevention interventions: A review of randomized controlled trials and their moderators and mediators
50 years of child and adolescent suicide prevention interventions: A review of randomized controlled trials and their moderators and mediators Open
Suicidal thoughts and behaviors (STBs) in youth are prevalent and impairing, but available psychosocial treatments are difficult to access and show limited efficacy. Prevention strategies are interventions intended to be implemented during…
View article: "My Family Won't Let Me." Adolescent-Reported Barriers to Accessing Mental Health Care
"My Family Won't Let Me." Adolescent-Reported Barriers to Accessing Mental Health Care Open
Depression is the leading cause of disability among adolescents. Fewer than 50% of youth with depression access mental healthcare services. Leveraging a mixed-methods approach, this pre-registered study characterized youths’ self-reported …
View article: Effectiveness of an online single-session minority stress intervention: No evidence for variation by structural stigma, internalized stigma, or social support
Effectiveness of an online single-session minority stress intervention: No evidence for variation by structural stigma, internalized stigma, or social support Open
In the United States, the experience of minority stress among LGBTQ+ youth varies across regions with high and low levels of stigma (e.g., laws, policies, and cultural norms that limit the lives of individuals with stigmatized identities).…
View article: Effectiveness of an Online Single-Session Minority Stress Intervention: No Evidence for Variation by Structural Stigma, Internalized Stigma, or Social Support
Effectiveness of an Online Single-Session Minority Stress Intervention: No Evidence for Variation by Structural Stigma, Internalized Stigma, or Social Support Open
In the United States, the experience of minority stress among LGBTQ+ youth varies across regions with high and low levels of stigma (e.g., laws, policies, and cultural norms that limit the lives of individuals with stigmatized identities).…
View article: Effectiveness of an Online Single-Session Minority Stress Intervention: No Evidence for Variation by Structural Stigma, Internalized Stigma, or Social Support
Effectiveness of an Online Single-Session Minority Stress Intervention: No Evidence for Variation by Structural Stigma, Internalized Stigma, or Social Support Open
In the United States, the experience of minority stress among LGBTQ+ youth varies across regions with high and low levels of stigma (e.g., laws, policies and cultural norms that limit the lives of individuals with stigmatized identities). …
View article: Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context
Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context Open
Adolescents may hesitate to disclose their SITBs to their therapists for many reasons; prioritizing the therapeutic relationship and working collaboratively with adolescents could be instrumental in not only fostering disclosure but also a…
View article: Effectiveness of an Online Single-Session Minority Stress Intervention: No Evidence for Variation by Structural Stigma, Internalized Stigma, or Social Support
Effectiveness of an Online Single-Session Minority Stress Intervention: No Evidence for Variation by Structural Stigma, Internalized Stigma, or Social Support Open
In the United States, the experience of minority stress among LGBTQ+ youth varies across regions with high and low levels of stigma (e.g., laws, policies and cultural norms that limit the lives of individuals with stigmatized identities). …
View article: Accessibility and Utility of an Electronic Self-Guided Safety Plan for Adolescents
Accessibility and Utility of an Electronic Self-Guided Safety Plan for Adolescents Open
This study provides initial support for adolescent use of electronic self-guided safety plans. Next steps include updating this intervention based on youth feedback and testing the effectiveness of this tool using gold standard research me…
View article: Exploring Parents’ Immediate Reactions to Digital Suicide Risk Alerts (Preprint)
Exploring Parents’ Immediate Reactions to Digital Suicide Risk Alerts (Preprint) Open
BACKGROUND Youth suicide is a critical public health crisis. Subscription-based parental digital monitoring apps have emerged to monitor youths’ online activities and promptly alert parents in the case of detected suicide risk. Parents’ r…
View article: A Digital, Minority Stress-Focused Single-Session Intervention Benefits Multiply-Minoritized Sexual Minority Adolescents
A Digital, Minority Stress-Focused Single-Session Intervention Benefits Multiply-Minoritized Sexual Minority Adolescents Open
Objective. Leveraging data from a previously-conducted randomized trial, we examined whether Project RISE— a digital single-session intervention (SSI) focused on minority stress—was associated with equal improvements in levels of internali…
View article: "My Family Won't Let Me." Adolescent-Reported Barriers to Accessing Mental Health Care
"My Family Won't Let Me." Adolescent-Reported Barriers to Accessing Mental Health Care Open
Depression is the leading cause of disability among adolescents. Fewer than 50% of youth with depression access mental healthcare services. Leveraging a mixed-methods approach, this pre-registered study characterized youths’ self-reported …
View article: "My Family Won't Let Me." Adolescent-Reported Barriers to Accessing Mental Health Care
"My Family Won't Let Me." Adolescent-Reported Barriers to Accessing Mental Health Care Open
Depression is the leading cause of disability among adolescents. Fewer than 50% of youth with depression access mental healthcare services. Leveraging a mixed-methods approach, this pre-registered study characterized youths’ self-reported …
View article: Multi-Level Interventions that Protect and Promote Youth Autonomy Could Reduce Depression at Scale
Multi-Level Interventions that Protect and Promote Youth Autonomy Could Reduce Depression at Scale Open
Depression is a major public health problem among adolescents and pre-adolescents in the United States (US). Clinical scientists have spent considerable resources designing and testing depression interventions. However, due to low access t…
View article: Disclosures of self‐injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation
Disclosures of self‐injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation Open
Self‐injurious thoughts and behaviors (SITBs), including suicidal thoughts, suicide attempts, and nonsuicidal self‐injury, are highly prevalent among adolescents. Identifying adolescents at risk for SITBs relies on their disclosure, and th…
View article: Key Challenges and Potential Strategies for Engaging Youth with Lived Experience in Clinical Science
Key Challenges and Potential Strategies for Engaging Youth with Lived Experience in Clinical Science Open
Centering the perspectives of youth with lived experience (YWLE) in psychopathology is critical to engaging in impactful clinical research to improve youth mental health outcomes. Over the past decade there has been a greater push in clini…
View article: Neighborhood resources, discrimination, and mental health treatment access for youth engaging in self-injury.
Neighborhood resources, discrimination, and mental health treatment access for youth engaging in self-injury. Open
Past research has suggested that structural and discrimination-related barriers might undermine access to mental health treatment in youth experiencing self-injurious thoughts and behaviors, but their relative impacts on treatment access i…
View article: Ecological-Systems Contributors to Internalizing Symptoms in a US Sample of Adolescents During the COVID-19 Pandemic
Ecological-Systems Contributors to Internalizing Symptoms in a US Sample of Adolescents During the COVID-19 Pandemic Open
These findings have important implications for understanding multi-level contributors to adolescent mental health, which may inform research, practice, and policy.
View article: Randomized evaluation of an online single-session intervention for minority stress in LGBTQ+ adolescents
Randomized evaluation of an online single-session intervention for minority stress in LGBTQ+ adolescents Open
RISE appears to be an acceptable and useful online SSI for LGBTQ+ adolescents, with potential to reduce internalized stigma in both the short- and longer-term. Future directions include evaluating effects of Project RISE over longer follow…
View article: Adolescents’ Beliefs About What Symptoms Constitute Depression: Are More Expansive Definitions Helpful or Harmful?
Adolescents’ Beliefs About What Symptoms Constitute Depression: Are More Expansive Definitions Helpful or Harmful? Open
Purpose. What symptoms do adolescents think constitute “depression”? In a mental health literacy framework, knowing more of depression’s symptoms (per formal psychiatric diagnostic criteria) is adaptive, as it helps people identify and see…
View article: Adolescents’ Beliefs About What Symptoms Constitute Depression: Are More Expansive Definitions Helpful or Harmful?
Adolescents’ Beliefs About What Symptoms Constitute Depression: Are More Expansive Definitions Helpful or Harmful? Open
Purpose. What symptoms do people think constitute “depression”? In a mental health literacy framework, knowing more of depression’s nine core symptoms (per formal psychiatric diagnostic criteria) is thought to help people identify and seek…
View article: Depression Beliefs Among High-Symptom Adolescents: Correlates, Parent-Child Agreement, and Stability Over Time
Depression Beliefs Among High-Symptom Adolescents: Correlates, Parent-Child Agreement, and Stability Over Time Open
Beliefs about the cause and timeline of depression inform how people manage depression, and are important predictors of clinical outcomes. However, more research is needed to understand the relationship between these variables, especially …
View article: Predicting Transdiagnostic Symptom Change across Diverse Demographic Groups in Single-Session Interventions for Adolescent Depression
Predicting Transdiagnostic Symptom Change across Diverse Demographic Groups in Single-Session Interventions for Adolescent Depression Open
Youths with marginalized identities experience minority stress, a construct linked to more severe transdiagnostic (cross-disorder) psychopathology. Financial, geographical, and temporal barriers limit access to psychological care for these…
View article: Randomized Evaluation of an Online Single-Session Intervention for Minority Stress in LGBTQ+ Adolescents
Randomized Evaluation of an Online Single-Session Intervention for Minority Stress in LGBTQ+ Adolescents Open
Background. LGBTQ+ youth face myriad adverse health outcomes due to minority stress, creating a need for accessible, mechanism-targeted interventions to mitigate these minority stress-related risk factors. We tested the effectiveness and a…