Dr. Spirito is Professor and Director of the Division of Clinical Psychology in the Department of Psychiatry and Human Behavior. He conducts treatment research with depressed, suicidal, and substance-using adolescents and their parents.
| Peters JR, Mereish EH, Solomon JB, Spirito AS, Yen S. "Suicide Ideation in Adolescents Following Inpatient Hospitalization: Examination of Intensity and Lability Over 6 Months." Suicide and Life-Threatening Behavior, 2019. |
| McManama O’Brien, Kimberly H., Aguinaldo, Laika D., White, Erina, Sellers, Christina M., Spirito, Anthony. "A Brief Alcohol Intervention During Inpatient Psychiatric Hospitalization for Suicidal Adolescents." Cognitive and Behavioral Practice, vol. 25, no. 1, 2018, pp. 22-31. |
| Sellers CM, McManama O'Brien KH, Hernandez L, Spirito A. "Adolescent Alcohol Use: The Effects of Parental Knowledge, Peer Substance Use, and Peer Tolerance of Use." Journal of the Society for Social Work and Research, vol. 9, no. 1, 2018, pp. 69-87. |
| Ranney ML, Pittman SK, Dunsiger S, Guthrie KM, Spirito A, Boyer EW, Cunningham RM. "Emergency department text messaging for adolescent violence and depression prevention: A pilot randomized controlled trial." Psychological Services, vol. 15, no. 4, 2018, pp. 419-428. |
| Ranney, Megan L., Pittman, Sarah K., Dunsiger, Shira, Guthrie, Kate M., Spirito, Anthony, Boyer, Edward W., Cunningham, Rebecca M. "Emergency department text messaging for adolescent violence and depression prevention: A pilot randomized controlled trial." Psychological Services, vol. 15, no. 4, 2018, pp. 419-428. |
| Mello, Michael J., Bromberg, Julie R., Baird, Janette, Wills, Hale, Gaines, Barbara A., Lapidus, Garry, Ranney, Megan L., Parnagian, Christina, Spirito, Anthony. "Feasibility and Acceptability of an Electronic Parenting Skills Intervention for Parents of Alcohol-Using Adolescent Trauma Patients." Telemedicine and e-Health, 2018. |
| McManama O'Brien KH, Sellers CM, Battalen AW, Ryan CA, Maneta EK, Aguinaldo LD, White E, Spirito A. "Feasibility, acceptability, and preliminary effects of a brief alcohol intervention for suicidal adolescents in inpatient psychiatric treatment." Journal of Substance Abuse Treatment, vol. 94, 2018, pp. 105-112. |
| Mello MJ, Becker SJ, Bromberg J, Baird J, Zonfrillo MR, Spirito A. "Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers-a type III hybrid effectiveness-implementation trial." Implementation science : IS, vol. 13, no. 1, 2018, pp. 35. |
| Ranney ML, Bromberg J, Hozey A, Casper TC, Mello MJ, Spirito A, Chun TH, Linakis JG, Pediatric Emergency Care Applied Research Network. "Problem Behaviors and Psychological Distress Among Teens Seen in a National Sample of Emergency Departments." Academic Pediatrics, vol. 18, no. 6, 2018, pp. 650-654. |
| Yurasek, Ali M., Brick, Leslie, Nestor, Bridget, Hernandez, Lynn, Graves, Hannah, Spirito, Anthony. "The Effects of Parent, Sibling and Peer Substance Use on Adolescent Drinking Behaviors." Journal of Child and Family Studies, vol. 28, no. 1, 2018, pp. 73-83. |
| Thorsen, Margaret M., Patena, John V., Guthrie, Kate Morrow, Spirito, Anthony, Ranney, Megan L. "Using High-Risk Adolescents′ Voices to Develop a Comprehensible Cognitive Behavioral Therapy–Based Text-Message Program." Behavioral Medicine, vol. 44, no. 2, 2018, pp. 89-99. |
| Ranney, Megan, Pittman, Sarah, Dunsiger, Shira, Guthrie, Kate, Spirito, Anthony, Boyer, Edward, Cunningham, Rebecca. "45 Reducing peer violence and depressive symptoms among at-risk youth through an ed-initiated text-message intervention." Oral presentations, 2017. |
| Spirito, Anthony, Hernandez, Lynn, Marceau, Kristine, Cancilliere, Mary Kathryn, Barnett, Nancy P., Graves, Hannah R., Rodriguez, Ana Maria, Knopik, Valerie S. "Effects of a brief, parent-focused intervention for substance using adolescents and their sibling." Journal of Substance Abuse Treatment, vol. 77, 2017, pp. 156-165. |
| Kelly, Lourah M., Becker, Sara J., Wolff, Jennifer C., Graves, Hannah, Spirito, Anthony. "Interactive Effect of Parent and Adolescent Psychiatric Symptoms on Substance Use among Adolescents in Community Treatment." Community Mental Health Journal, vol. 53, no. 4, 2017, pp. 383-393. |
| Bromberg JR, Spirito A, Chun T, Mello MJ, Casper TC, Ahmad F, Bajaj L, Brown KM, Chernick LS, Cohen DM, Fein J, Horeczko T, Levas MN, McAninch B, Monuteaux M, Mull CC, Grupp-Phelan J, Powell EC, Rogers A, Shenoi RP, Suffoletto B, Vance C, Linakis JG, Pediatric Emergency Care Applied Research Network. "Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study." Pediatric Emergency Care , 2017. |
| Spirito, Anthony, Hernandez, Lynn, Cancilliere, Mary Kathryn, Graves, Hannah R., Rodriguez, Ana Maria, Operario, Don, Jones, Richard, Barnett, Nancy P. "Parent and Adolescent Motivational Enhancement Intervention for Substance-Using, Truant Adolescents: A Pilot Randomized Trial." Journal of Clinical Child & Adolescent Psychology, 2017, pp. 1-13. |
| Kelly, Lourah M., Becker, Sara J., Spirito, Anthony. "Parental monitoring protects against the effects of parent and adolescent depressed mood on adolescent drinking." Addictive Behaviors, vol. 75, 2017, pp. 7-11. |
| Boekamp, John R., Liu, Richard T., Martin, Sarah E., Mernick, Lauren R., DeMarco, Mia, Spirito, Anthony. "Predictors of Partial Hospital Readmission for Young Children with Oppositional Defiant Disorder." Child Psychiatry & Human Development, vol. 49, no. 4, 2017, pp. 505-511. |
| Yen S, Ranney ML, Tezanos KM, Chuong A, Kahler CW, Solomon JB, Spirito A. "Skills to Enhance Positivity in Suicidal Adolescents: Results From an Open Development Trial." Behavior Modification, 2017, pp. 145445517748559. |
| Becker SJ, Hernandez L, Spirito A, Conrad S. "Technology-assisted intervention for parents of adolescents in residential substance use treatment: protocol of an open trial and pilot randomized trial." Addiction science & clinical practice, vol. 12, no. 1, 2017, pp. 1. |
| Wolff JC, Davis S, Liu RT, Cha CB, Cheek SM, Nestor BA, Frazier EA, Schaffer MM, Spirito A. "Trajectories of Suicidal Ideation among Adolescents Following Psychiatric Hospitalization." Journal of Abnormal Child Psychology, vol. 46, no. 2, 2017, pp. 355-363. |
| Duarté-Vélez, Yovanska, Jones, Richard N., Spirito, Anthony. "Understanding Suicidal Ideation in Latino/a Adolescents Living in Puerto Rico." Archives of Suicide Research, 2017, pp. 1-15. |
| Ranney ML, Freeman JR, Connell G, Spirito A, Boyer E, Walton M, Guthrie KM, Cunningham RM. "A Depression Prevention Intervention for Adolescents in the Emergency Department." Journal of Adolescent Health, vol. 59, no. 4, 2016, pp. 401-10. |
| Jelalian, Elissa, Jandasek, Barbara, Wolff, Jennifer C., Seaboyer, Lourah M., Jones, Richard N., Spirito, Anthony. "Cognitive-Behavioral Therapy Plus Healthy Lifestyle Enhancement for Depressed, Overweight/Obese Adolescents: Results of a Pilot Trial." Journal of Clinical Child & Adolescent Psychology, 2016, pp. 1-10. |
| Duarté-Vélez Y, Torres-Dávila P, Spirito A, Polanco N, Bernal G. "Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors." Psychotherapy, vol. 53, no. 1, 2016, pp. 45-56. |
| Duarté-Vélez, Yovanska, Torres-Dávila, Paloma, Spirito, Anthony, Polanco, Norka, Bernal, Guillermo. "Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors." Psychotherapy, vol. 53, no. 1, 2016, pp. 45-56. |
| Becker, Sara J., Midoun, Miriam M., Zeithaml, Valarie A., Clark, Melissa A., Spirito, Anthony. "Dimensions of treatment quality most valued by adolescent substance users and their caregivers." Professional Psychology: Research and Practice, vol. 47, no. 2, 2016, pp. 120-129. |
| Seymour, Karen E., Jones, Richard N., Cushman, Grace K., Galvan, Thania, Puzia, Megan E., Kim, Kerri L., Spirito, Anthony, Dickstein, Daniel P. "Emotional face recognition in adolescent suicide attempters and adolescents engaging in non-suicidal self-injury." European Child & Adolescent Psychiatry, vol. 25, no. 3, 2016, pp. 247-59. |
| Becker, Sara J., Jones, Richard N., Hernandez, Lynn, Graves, Hannah R., Spirito, Anthony. "Moderators of Brief Motivation-Enhancing Treatments for Alcohol-Positive Adolescents Presenting to the Emergency Department." Journal of Substance Abuse Treatment, vol. 69, 2016, pp. 28-34. |
| Ranney ML, Patena JV, Nugent N, Spirito A, Boyer E, Zatzick D, Cunningham R. "PTSD, cyberbullying and peer violence: prevalence and correlates among adolescent emergency department patients." General Hospital Psychiatry, vol. 39, 2016, pp. 32-8. |
| Spirito A, Bromberg JR, Casper TC, Chun TH, Mello MJ, Dean JM, Linakis JG, Pediatric Emergency Care Applied Research Network. "Reliability and Validity of a Two-Question Alcohol Screen in the Pediatric Emergency Department." PEDIATRICS, vol. 138, no. 6, 2016. |
| Skeer MR, Yantsides KE, Eliasziw M, Tracy MR, Carlton-Smith AR, Spirito A. "Sociodemographic characteristics associated with frequency and duration of eating family meals: a cross-sectional analysis." SpringerPlus, vol. 5, no. 1, 2016, pp. 2062. |
| Hernandez L, Cancilliere MK, Graves H, Chun TH, Lewander W, Spirito A. "Substance Use and Depressive Symptoms Among Adolescents Treated in a Pediatric Emergency Department." Journal of Child & Adolescent Substance Abuse, vol. 25, no. 2, 2016, pp. 124-133. |
| Martin SE, Liu RT, Mernick LR, DeMarco M, Cheek SM, Spirito A, Boekamp JR. "Suicidal thoughts and behaviors in psychiatrically referred young children." Psychiatry Research, vol. 246, 2016, pp. 308-313. |
| Skeer, Margie R., Yantsides, Konstantina E., Eliasziw, Misha, R. Carlton-Smith, Allison, R. Tracy, Migdalia, Spirito, Anthony. "Testing a Brief Substance Misuse Preventive Intervention for Parents of Pre-Adolescents: Feasibility, Acceptability, Preliminary Efficacy." Journal of Child and Family Studies, vol. 25, no. 12, 2016, pp. 3739-3748. |
| Ranney ML, Thorsen M, Patena JV, Cunningham RM, Boyer EW, Walton MA, Spirito A, Zatzick DF, Morrow K. "You need to get them where they feel it": Conflicting Perspectives on How to Maximize the Structure of Text-Message Psychological Interventions for Adolescents." Proceedings of the ... Annual Hawaii International Conference on System Sciences. Annual Hawaii International Conference on System Sciences, vol. 2015, 2015, pp. 3247-3255. |
| Frazier, Elisabeth A., Liu, Richard T., Massing-Schaffer, Maya, Hunt, Jeffrey, Wolff, Jennifer, Spirito, Anthony. "Adolescent but Not Parent Report of Irritability Is Related to Suicidal Ideation in Psychiatrically Hospitalized Adolescents." Archives of Suicide Research, vol. 20, no. 2, 2015, pp. 280-289. |
| Kim, Kerri L., Cushman, Grace K., Weissman, Alexandra B., Puzia, Megan E., Wegbreit, Ezra, Tone, Erin B., Spirito, Anthony, Dickstein, Daniel P. "Behavioral and emotional responses to interpersonal stress: A comparison of adolescents engaged in non-suicidal self-injury to adolescent suicide attempters." Psychiatry Research, vol. 228, no. 3, 2015, pp. 899-906. |
| Hernandez L, Rodriguez AM, Spirito A. "Brief Family-Based Intervention for Substance Abusing Adolescents." Child and Adolescent Psychiatric Clinics of North America, vol. 24, no. 3, 2015, pp. 585-99. |
| Spirito, Anthony, Wolff, Jennifer C., Seaboyer, Lourah M., Hunt, Jeffrey, Esposito-Smythers, Christianne, Nugent, Nicole, Zlotnick, Caron, Miller, Ivan. "Concurrent Treatment for Adolescent and Parent Depressed Mood and Suicidality: Feasibility, Acceptability, and Preliminary Findings." Journal of Child and Adolescent Psychopharmacology, vol. 25, no. 2, 2015, pp. 131-139. |
| Spirito, Anthony, Hernandez, Lynn, Cancilliere, Mary Kathryn, Graves, Hannah, Barnett, Nancy. "Improving Parenting and Parent-Adolescent Communication to Delay or Prevent the Onset of Alcohol and Drug Use in Young Adolescents with Emotional/Behavioral Disorders: A Pilot Trial." Journal of Child & Adolescent Substance Abuse, vol. 24, no. 5, 2015, pp. 308-322. |
| Spirito A, Hernandez L, Cancilliere MK, Graves H, Knopik VS, Barnett N. "Improving Parenting and Parent-Adolescent Communication to Delay or Prevent the Onset of Alcohol and Drug Use in Young Adolescents with Emotional/Behavioral Disorders: A Pilot Trial." Journal of Child & Adolescent Substance Abuse, vol. 24, no. 5, 2015, pp. 308-322. |
| Gomez J, Becker S, O'Brien K, Spirito A. "Interactive Effect of Child Maltreatment and Substance Use on Depressed Mood Among Adolescents Presenting to Community-Based Substance Use Treatment." Community Ment Health J, vol. 51, no. 7, 2015, pp. 833-40. |
| Liu, Richard T., Jones, Richard N., Spirito, Anthony. "Is Adolescent Suicidal Ideation Continuous or Categorical? A Taxometric Analysis." Journal of Abnormal Child Psychology, vol. 43, no. 8, 2015, pp. 1459-66. |
| O'Brien, Kimberly H. McManama, Hernandez, Lynn, Spirito, Anthony. "Parental Monitoring Affects the Relationship Between Depressed Mood and Alcohol-Related Problems in Adolescents." Substance Abuse, vol. 36, no. 1, 2015, pp. 82-4. |
| Yen, Shirley, Kuehn, Kevin, Tezanos, Katherine, Weinstock, Lauren M., Solomon, Joel, Spirito, Anthony. "Perceived Family and Peer Invalidation as Predictors of Adolescent Suicidal Behaviors and Self-Mutilation." Journal of Child and Adolescent Psychopharmacology, vol. 25, no. 2, 2015, pp. 124-130. |
| Becker, S. J., Spirito, A., Vanmali, R. "Perceptions of 'Evidence-Based Practice among the consumers of adolescent substance use treatment." Health Education Journal, vol. 75, no. 3, 2015, pp. 358-369. |
| Yen S, Kuehn K, Melvin C, Weinstock LM, Andover MS, Selby EA, Solomon JB, Spirito A. "Predicting Persistence of Nonsuicidal Self-Injury in Suicidal Adolescents." Suicide and Life-Threatening Behavior, vol. 46, no. 1, 2015, pp. 13-22. |
| Kim, Kerri L., Galvan, Thania, Puzia, Megan E., Cushman, Grace K., Seymour, Karen E., Vanmali, Roshani, Jones, Richard N., Spirito, Anthony, Dickstein, Daniel P. "Psychiatric and Self-Injury Profiles of Adolescent Suicide Attempters versus Adolescents Engaged in Nonsuicidal Self-Injury." Suicide and Life-Threatening Behavior, vol. 45, no. 1, 2015, pp. 37-50. |
| Dickstein DP, Puzia ME, Cushman GK, Weissman AB, Wegbreit E, Kim KL, Nock MK, Spirito A. "Self-injurious implicit attitudes among adolescent suicide attempters versus those engaged in nonsuicidal self-injury." Journal of Child Psychology and Psychiatry, vol. 56, no. 10, 2015, pp. 1127-36. |
| Hernandez, Lynn, Cancilliere, Mary Kathryn, Graves, Hannah, Chun, Thomas H., Lewander, William, Spirito, Anthony. "Substance Use and Depressive Symptoms Among Adolescents Treated in a Pediatric Emergency Department." Journal of Child & Adolescent Substance Abuse, vol. 25, no. 2, 2015, pp. 124-133. |
| Abar CC, Hernandez L, Rodriguez AM, Spirito A. "Trajectories of Adolescent Alcohol Use in the Year Following a Brief Alcohol Intervention." Journal of Studies on Alcohol and Drugs, vol. 76, no. 5, 2015, pp. 710-20. |
| Hernandez L, Salas-Wright CP, Graves H, Cancilliere MK, Spirito A. "A confirmatory approach to understanding the four-factor structure of the Adolescent Drinking Index: Evidence for a brief version." Journal of Substance Abuse Treatment, vol. 47, no. 3, 2014, pp. 239-44. |
| Ranney ML, Choo EK, Cunningham RM, Spirito A, Thorsen M, Mello MJ, Morrow K. "Acceptability, language, and structure of text message-based behavioral interventions for high-risk adolescent females: a qualitative study." Journal of Adolescent Health, vol. 55, no. 1, 2014, pp. 33-40. |
| O'Brien KH, Singer JB, LeCloux M, Duarté-Vélez Y, Spirito A. "Acute behavioral interventions and outpatient treatment strategies with suicidal adolescents." International journal of behavioral and consultation therapy, vol. 9, no. 3, 2014, pp. 19-25. |
| Becker, Sara J., Swenson, Rebecca R., Esposito-Smythers, Christianne, Cataldo, Andrea M., Spirito, Anthony. "Barriers to seeking mental health services among adolescents in military families." Professional Psychology: Research and Practice, vol. 45, no. 6, 2014, pp. 504-513. |
| Rizzo, Christie J., Esposito-Smythers, Christianne, Swenson, Lance, Hower, Heather M., Wolff, Jennifer, Spirito, Anthony. "Dating Violence Victimization, Dispositional Aggression, and Nonsuicidal Self-Injury among Psychiatrically Hospitalized Male and Female Adolescents." Suicide and Life-Threatening Behavior, vol. 44, no. 3, 2014, pp. 338-351. |
| Cardemil EV, O'Donnell EH, Esposito-Smythers C, D'Eramo KS, Derrick BE, Spirito A, Grant KE, Lambert SF. "Depressive symptoms in low-income, urban adolescents: cognitive and contextual factors." Journal of prevention & intervention in the community, vol. 42, no. 3, 2014, pp. 183-95. |
| McManama O'Brien KH, Becker SJ, Spirito A, Simon V, Prinstein MJ. "Differentiating adolescent suicide attempters from ideators: examining the interaction between depression severity and alcohol use." Suicide and Life-Threatening Behavior, vol. 44, no. 1, 2014, pp. 23-33. |
| Yen S, Fuller AK, Solomon J, Spirito A. "Follow-up treatment utilization by hospitalized suicidal adolescents." Journal of Psychiatric Practice, vol. 20, no. 5, 2014, pp. 353-62. |
| Liu RT, Case BG, Spirito A. "Injection drug use is associated with suicide attempts but not ideation or plans in a sample of adolescents with depressive symptoms." Journal of Psychiatric Research, vol. 56, 2014, pp. 65-71. |
| Allwood MA, Esposito-Smythers C, Swenson LP, Spirito A. "Negative cognitions as a moderator in the relationship between PTSD and substance use in a psychiatrically hospitalized adolescent sample." Journal of Traumatic Stress , vol. 27, no. 2, 2014, pp. 208-16. |
| Wolff JC, Frazier EA, Esposito-Smythers C, Becker SJ, Burke TA, Cataldo A, Spirito A. "Negative cognitive style and perceived social support mediate the relationship between aggression and NSSI in hospitalized adolescents." Journal of Adolescence, vol. 37, no. 4, 2014, pp. 483-91. |
| Liu RT, Frazier EA, Cataldo AM, Simon VA, Spirito A, Prinstein MJ. "Negative life events and non-suicidal self-injury in an adolescent inpatient sample." Archives of Suicide Research, vol. 18, no. 3, 2014, pp. 251-8. |
| Gallagher M, Prinstein MJ, Simon V, Spirito A. "Social anxiety symptoms and suicidal ideation in a clinical sample of early adolescents: examining loneliness and social support as longitudinal mediators." Journal of Abnormal Child Psychology, vol. 42, no. 6, 2014, pp. 871-83. |
| Wolff, Jennifer, Esposito-Smythers, Christianne, Becker, Sara, Seaboyer, Lourah, Rizzo, Christie, Lichtenstein, David, Spirito, Anthony. "Social-Cognitive Moderators of the Relationship between Peer Victimization and Suicidal Ideation among Psychiatrically Hospitalized Adolescents." Journal of Aggression, Maltreatment & Trauma, vol. 23, no. 3, 2014, pp. 268-285. |
| Ranney ML, Choo EK, Spirito A, Mello MJ. "Adolescents' preference for technology-based emergency department behavioral interventions: does it depend on risky behaviors?." Pediatric Emergency Care , vol. 29, no. 4, 2013, pp. 475-81. |
| Yen S, Gagnon K, Spirito A. "Borderline personality disorder in suicidal adolescents." Personality and mental health, vol. 7, no. 2, 2013, pp. 89-101. |
| Wolff J, Frazier EA, Esposito-Smythers C, Burke T, Sloan E, Spirito A. "Cognitive and social factors associated with NSSI and suicide attempts in psychiatrically hospitalized adolescents." Journal of Abnormal Child Psychology, vol. 41, no. 6, 2013, pp. 1005-13. |
| Linakis JG, Bromberg J, Baird J, Nirenberg TD, Chun TH, Mello MJ, Jackson KM, Spirito A. "Feasibility and acceptability of a pediatric emergency department alcohol prevention intervention for young adolescents." Pediatric Emergency Care , vol. 29, no. 11, 2013, pp. 1180-8. |
| Yen S, Weinstock LM, Andover MS, Sheets ES, Selby EA, Spirito A. "Prospective predictors of adolescent suicidality: 6-month post-hospitalization follow-up." Psychological Medicine, vol. 43, no. 5, 2013, pp. 983-93. |
| Mansoor B, Rengasamy M, Hilton R, Porta G, He J, Spirito A, Emslie GJ, Mayes TL, Clarke G, Wagner KD, Shamseddeen W, Birmaher B, Ryan N, Brent D. "The bidirectional relationship between body mass index and treatment outcome in adolescents with treatment-resistant depression." Journal of Child and Adolescent Psychopharmacology, vol. 23, no. 7, 2013, pp. 458-67. |
| Selby EA, Yen S, Spirito A. "Time varying prediction of thoughts of death and suicidal ideation in adolescents: weekly ratings over 6-month follow-up." Journal of Clinical Child & Adolescent Psychology, vol. 42, no. 4, 2013, pp. 481-95. |
| Lipschitz JM, Yen S, Weinstock LM, Spirito A. "Adolescent and caregiver perception of family functioning: relation to suicide ideation and attempts." Psychiatry research, vol. 200, no. 2-3, 2012, pp. 400-3. |
| McMakin DL, Olino TM, Porta G, Dietz LJ, Emslie G, Clarke G, Wagner KD, Asarnow JR, Ryan ND, Birmaher B, Shamseddeen W, Mayes T, Kennard B, Spirito A, Keller M, Lynch FL, Dickerson JF, Brent DA. "Anhedonia predicts poorer recovery among youth with selective serotonin reuptake inhibitor treatment-resistant depression." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 51, no. 4, 2012, pp. 404-11. |
| Maalouf, Fadi T., Porta, Giovanna, Vitiello, Benedetto, Emslie, Graham, Mayes, Taryn, Clarke, Gregory, Wagner, Karen D., Asarnow, Joan Rosenbaum, Spirito, Anthony, Keller, Martin, Birmaher, Boris, Ryan, Neal, Shamseddeen, Wael, Iyengar, Satish, Brent, David. "Do sub-syndromal manic symptoms influence outcome in treatment resistant depression in adolescents? A latent class analysis from the TORDIA study." Journal of Affective Disorders, vol. 138, no. 1-2, 2012, pp. 86-95. |
| McQuaid EL, Spirito A. "Integrating research into clinical internship training bridging the science/practice gap in pediatric psychology." J. Pediatr. Psychol., vol. 37, no. 2, 2012, pp. 149-57. |
| Nargiso JE, Becker SJ, Wolff JC, Uhl KM, Simon V, Spirito A, Prinstein MJ. "Psychological, peer, and family influences on smoking among an adolescent psychiatric sample." Journal of Substance Abuse Treatment, vol. 42, no. 3, 2012, pp. 310-8. |
| Becker SJ, Nargiso JE, Wolff JC, Uhl KM, Simon VA, Spirito A, Prinstein MJ. "Temporal relationship between substance use and delinquent behavior among young psychiatrically hospitalized adolescents." Journal of Substance Abuse Treatment, vol. 43, no. 2, 2012, pp. 251-9. |
| Becker SJ, Spirito A, Hernandez L, Barnett NP, Eaton CA, Lewander W, Rohsenow DJ, Monti PM. "Trajectories of adolescent alcohol use after brief treatment in an Emergency Department." Drug and Alcohol Dependence, vol. 125, no. 1-2, 2012, pp. 103-9. |
| Esposito-Smythers C, Walsh A, Spirito A, Rizzo C, Goldston DB, Kaminer Y. "Working With the Suicidal Client Who Also Abuses Substances." Cognitive and Behavioral Practice, vol. 19, no. 2, 2012, pp. 245-255. |
| Jelalian E, Spirito A, Rasile D, Nobile C. "Behavioral factors associated with self-reported injury in young adolescent males." International journal of adolescent medicine and health, vol. 13, no. 2, 2011, pp. 155-68. |
| Chun TH, Spirito A, Rakowski W, D'Onofrio G, Woolard RH. "Beliefs and practices of pediatric emergency physicians and nurses regarding counseling alcohol-using adolescents: can counseling practice be predicted?." Pediatric Emergency Care , vol. 27, no. 9, 2011, pp. 812-25. |
| Spirito A, Esposito-Smythers C, Wolff J, Uhl K. "Cognitive-behavioral therapy for adolescent depression and suicidality." Child and Adolescent Psychiatric Clinics of North America, vol. 20, no. 2, 2011, pp. 191-204. |
| Lynch FL, Dickerson JF, Clarke G, Vitiello B, Porta G, Wagner KD, Emslie G, Asarnow JR Jr, Keller MB, Birmaher B, Ryan ND, Kennard B, Mayes T, DeBar L, McCracken JT, Strober M, Suddath RL, Spirito A, Onorato M, Zelazny J, Iyengar S, Brent D. "Incremental cost-effectiveness of combined therapy vs medication only for youth with selective serotonin reuptake inhibitor-resistant depression: treatment of SSRI-resistant depression in adolescents trial findings." Arch Gen Psychiatry, vol. 68, no. 3, 2011, pp. 253-62. |
| Spirito A, Sindelar-Manning H, Colby SM, Barnett NP, Lewander W, Rohsenow DJ, Monti PM. "Individual and family motivational interventions for alcohol-positive adolescents treated in an emergency department: results of a randomized clinical trial." Archives of Pediatrics & Adolescent Medicine, vol. 165, no. 3, 2011, pp. 269-74. |
| Vitiello, Benedetto, Emslie, Graham, Clarke, Gregory, Wagner, Karen Dineen, Asarnow, Joan R., Keller, Martin B., Birmaher, Boris, Ryan, Neal D., Kennard, Betsy, Mayes, Taryn L., DeBar, Lynn, Lynch, Frances, Dickerson, John, Strober, Michael, Suddath, Robert, McCracken, James T., Spirito, Anthony, Onorato, Matthew, Zelazny, Jamie, Porta, Giovanna, Iyengar, Satish, Brent, David A. "Long-term outcome of adolescent depression initially resistant to selective serotonin reuptake inhibitor treatment: a follow-up study of the TORDIA sample." J. Clin. Psychiatry, vol. 72, no. 03, 2011, pp. 388-396. |
| Esposito-Smythers C, Wolff J, Lemmon KM, Bodzy M, Swenson RR, Spirito A. "Military youth and the deployment cycle: emotional health consequences and recommendations for intervention." Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), vol. 25, no. 4, 2011, pp. 497-507. |
| Spirito A, Simon V, Cancilliere MK, Stein R, Norcott C, Loranger K, Prinstein MJ. "Outpatient psychotherapy practice with adolescents following psychiatric hospitalization for suicide ideation or a suicide attempt." Clinical child psychology and psychiatry, vol. 16, no. 1, 2011, pp. 53-64. |
| Topor DR, Swenson LP, Liguori GM, Spirito A, Lowenhaupt EA, Hunt JI. "Problematic video game use scale: initial psychometric properties with psychiatrically hospitalized adolescents." J. Clin. Psychiatry, vol. 72, no. 12, 2011, pp. 1611-5. |
| Asarnow JR, Porta G, Spirito A, Emslie G, Clarke G, Wagner KD, Vitiello B, Keller M, Birmaher B, McCracken J, Mayes T, Berk M, Brent DA. "Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 50, no. 8, 2011, pp. 772-81. |
| Esposito-Smythers C, Spirito A, Kahler CW, Hunt J, Monti P. "Treatment of co-occurring substance abuse and suicidality among adolescents: a randomized trial." Journal of Consulting and Clinical Psychology, vol. 79, no. 6, 2011, pp. 728-39. |
| Fairlie, Anne M., Chun, Thomas H., Hernández, Lynn, Sindelar-Manning, Holly, Eaton, Cheryl A., Lewander, William, Spirito, Anthony. "Alcohol Use History Differentiates Adolescents Treated in the Emergency Department After an Alcohol-Related Incident." Pediatric Emergency Care , vol. 26, no. 6, 2010, pp. 417-423. |
| Lichtenstein DP, Spirito A, Zimmermann RP. "Assessing and treating co-occurring disorders in adolescents: examining typical practice of community-based mental health and substance use treatment providers." Community Ment Health J, vol. 46, no. 3, 2010, pp. 252-7. |
| Hernandez L, Eaton CA, Fairlie AM, Chun TH, Spirito A. "Ethnic group differences in substance use, depression, peer relationships, and parenting among adolescents receiving brief alcohol counseling." Journal of Ethnicity in Substance Abuse, vol. 9, no. 1, 2010, pp. 14-27. |
| Epstein JA, Spirito A. "Gender-specific risk factors for suicidality among high school students." Archives of Suicide Research, vol. 14, no. 3, 2010, pp. 193-205. |
| Prinstein MJ, Heilbron N, Guerry JD, Franklin JC, Rancourt D, Simon V, Spirito A. "Peer influence and nonsuicidal self injury: longitudinal results in community and clinically-referred adolescent samples." Journal of Abnormal Child Psychology, vol. 38, no. 5, 2010, pp. 669-82. |
| Rizzo CJ, Esposito-Smythers C, Spirito A, Thompson A. "Psychiatric and Cognitive Functioning in Adolescent Inpatients with Histories of Dating Violence Victimization." Journal of Aggression, Maltreatment & Trauma, vol. 19, no. 5, 2010, pp. 565-583. |
| Chun TH, Spirito A, Hernández L, Fairlie AM, Sindelar-Manning H, Eaton CA, Lewander WJ. "The significance of marijuana use among alcohol-using adolescent emergency department patients." Academic Emergency Medicine, vol. 17, no. 1, 2010, pp. 63-71. |
| Emslie, Graham J., Mayes, Taryn, Porta, Giovanna, Vitiello, Benedetto, Clarke, Greg, Wagner, Karen Dineen, Asarnow, Joan Rosenbaum, Spirito, Anthony, Birmaher, Boris, Ryan, Neal, Kennard, Betsy, DeBar, Lynn, McCracken, James, Strober, Michael, Onorato, Matthew, Zelazny, Jamie, Keller, Marty, Iyengar, Satish, Brent, David. "Treatment of Resistant Depression in Adolescents (TORDIA): Week 24 Outcomes." American Journal of Psychiatry, vol. 167, no. 7, 2010, pp. 782-791. |
| Esposito-Smythers C, Spirito A, Rizzo C, McGeary JE, Knopik VS. "Associations of the DRD2 TaqIA polymorphism with impulsivity and substance use: preliminary results from a clinical sample of adolescents." Pharmacology Biochemistry and Behavior, vol. 93, no. 3, 2009, pp. 306-12. |
| Garvey KA, Penn JV, Campbell AL, Esposito-Smythers C, Spirito A. "Contracting for safety with patients: clinical practice and forensic implications." The journal of the American Academy of Psychiatry and the Law, vol. 37, no. 3, 2009, pp. 363-70. |
| Kennard BD, Clarke GN, Weersing VR, Asarnow JR, Shamseddeen W, Porta G, Berk M, Hughes JL, Spirito A, Emslie GJ, Keller MB, Wagner KD, Brent DA. "Effective components of TORDIA cognitive-behavioral therapy for adolescent depression: preliminary findings." Journal of Consulting and Clinical Psychology, vol. 77, no. 6, 2009, pp. 1033-41. |
| Larkin GL, Beautrais AL, Spirito A, Kirrane BM, Lippmann MJ, Milzman DP. "Mental health and emergency medicine: a research agenda." Academic Emergency Medicine, vol. 16, no. 11, 2009, pp. 1110-9. |
| Brent, David A., Emslie, Graham J., Clarke, Greg N., Asarnow, Joan, Spirito, Anthony, Ritz, Louise, Vitiello, Benedetto, Iyengar, Satish, Birmaher, Boris, Ryan, Neal D., Zelazny, Jamie, Onorato, Matthew, Kennard, Betsy, Mayes, Taryn L., DeBar, Lynn L., McCracken, James T., Strober, Michael, Suddath, Robert, Leonard, Henrietta, Porta, Giovanna, Keller, Martin B. "Predictors of Spontaneous and Systematically Assessed Suicidal Adverse Events in the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) Study." American Journal of Psychiatry, vol. 166, no. 4, 2009, pp. 418-426. |
| Epstein JA, Spirito A. "Risk factors for suicidality among a nationally representative sample of high school students." Suicide and Life-Threatening Behavior, vol. 39, no. 3, 2009, pp. 241-51. |
| Spirito A, Abebe KZ, Iyengar S, Brent D, Vitiello B, Clarke G, Wagner KD, Asarnow J, Emslie G, Keller M. "Sources of site differences in the efficacy of a multisite clinical trial: the Treatment of SSRI-Resistant Depression in Adolescents." Journal of Consulting and Clinical Psychology, vol. 77, no. 3, 2009, pp. 439-50. |
| Goldstein BI, Shamseddeen W, Spirito A, Emslie G, Clarke G, Wagner KD, Asarnow JR, Vitiello B, Ryan N, Birmaher B, Mayes T, Onorato M, Zelazny J, Brent DA. "Substance use and the treatment of resistant depression in adolescents." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 48, no. 12, 2009, pp. 1182-92. |
| Asarnow JR, Emslie G, Clarke G, Wagner KD, Spirito A, Vitiello B, Iyengar S, Shamseddeen W, Ritz L, Mccracken J, Strober M, Suddath R, Leonard H, Porta G, Keller M, Brent D. "Treatment of selective serotonin reuptake inhibitor-resistant depression in adolescents: predictors and moderators of treatment response." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 48, no. 3, 2009, pp. 330-9. |
| Esposito-Smythers C, Penn JV, Stein LA, Lacher-Katz M, Spirito A. "A Test of Problem Behavior and Self-Medication Theories in Incarcerated Adolescent Males." Journal of Child & Adolescent Substance Abuse, vol. 17, no. 4, 2008, pp. 41. |
| Sindelar-Manning H, Lewander W, Chun T, Barnett N, Spirito A. "Emergency department detection of adolescents with a history of alcohol abuse and alcohol problems." Pediatric Emergency Care , vol. 24, no. 7, 2008, pp. 457-61. |
| Prinstein MJ, Nock MK, Simon V, Aikins JW, Cheah CS, Spirito A. "Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization." Journal of Consulting and Clinical Psychology, vol. 76, no. 1, 2008, pp. 92-103. |
| Chun TH, Sindelar-Manning H, Eaton CA, Lewander WJ, Spirito A. "Parental factors influence teen alcohol use after an emergency department visit." Pediatric Emergency Care , vol. 24, no. 10, 2008, pp. 668-72. |
| Swenson LP, Spirito A, Dyl J, Kittler J, Hunt JI. "Psychiatric correlates of nonsuicidal cutting behaviors in an adolescent inpatient sample." Child Psychiatry Hum Dev, vol. 39, no. 4, 2008, pp. 427-38. |
| Brent D, Emslie G, Clarke G, Wagner KD, Asarnow JR, Keller M, Vitiello B, Ritz L, Iyengar S, Abebe K, Birmaher B, Ryan N, Kennard B, Hughes C, DeBar L, McCracken J, Strober M, Suddath R, Spirito A, Leonard H, Melhem N, Porta G, Onorato M, Zelazny J. "Switching to another SSRI or to venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression: the TORDIA randomized controlled trial." JAMA, vol. 299, no. 8, 2008, pp. 901-13. |
| McGeary JE, Esposito-Smythers C, Spirito A, Monti PM. "Associations of the dopamine D4 receptor gene VNTR polymorphism with drug use in adolescent psychiatric inpatients." Pharmacology Biochemistry and Behavior, vol. 86, no. 2, 2007, pp. 401-6. |
| Boergers J, Hart C, Owens JA, Streisand R, Spirito A. "Child sleep disorders: associations with parental sleep duration and daytime sleepiness." Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), vol. 21, no. 1, 2007, pp. 88-94. |
| Monti PM, Barnett NP, Colby SM, Gwaltney CJ, Spirito A, Rohsenow DJ, Woolard R. "Motivational interviewing versus feedback only in emergency care for young adult problem drinking." Addiction, vol. 102, no. 8, 2007, pp. 1234-43. |
| Eltz M, Evans AS, Celio M, Dyl J, Hunt J, Armstrong L, Spirito A. "Suicide probability scale and its utility with adolescent psychiatric patients." Child Psychiatry Hum Dev, vol. 38, no. 1, 2007, pp. 17-29. |
| Swenson LP, Esposito-Smythers C, Hunt JI, Hollander BL, Dyl J, Rizzo CJ, Steinley DL, Spirito A. "Validation of the Children's Interview for Psychiatric Syndromes (ChIPS) with psychiatrically hospitalized adolescents." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 46, no. 11, 2007, pp. 1482-90. |
| Spirito A, Esposito-Smythers C. "Attempted and completed suicide in adolescence." Annual review of clinical psychology, vol. 2, 2006, pp. 237-66. |
| Esposito-Smythers C, Spirito A, Uth R, LaChance H. "Cognitive behavioral treatment for suicidal alcohol abusing adolescents: development and pilot testing." The American Journal on Addictions, vol. 15 Suppl 1, 2006, pp. 126-30. |
| Fairlie AM, Sindelar HA, Eaton CA, Spirito A. "Utility of the AUDIT for screening adolescents for problematic alcohol use in the emergency department." International journal of adolescent medicine and health, vol. 18, no. 1, 2006, pp. 115-22. |
| Colby SM, Monti PM, O'Leary Tevyaw T, Barnett NP, Spirito A, Rohsenow DJ, Riggs S, Lewander W. "Brief motivational intervention for adolescent smokers in medical settings." Addictive Behaviors, vol. 30, no. 5, 2005, pp. 865-74. |
| Hunt JI, Dyl J, Armstrong L, Litvin E, Sheeran T, Spirito A. "Frequency of manic symptoms and bipolar disorder in psychiatrically hospitalized adolescents using the K-SADS Mania Rating Scale." Journal of Child and Adolescent Psychopharmacology, vol. 15, no. 6, 2005, pp. 918-30. |
| Penn JV, Esposito C, Stein LA, Lacher-Katz M, Spirito A. "Juvenile Correctional Workers' Perceptions of Suicide Risk Factors and Mental Health Issues of Incarcerated Juveniles." Journal of Correctional Health Care, vol. 11, no. 4, 2005, pp. 333-346. |
| Donaldson D, Spirito A, Esposito-Smythers C. "Treatment for adolescents following a suicide attempt: results of a pilot trial." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 44, no. 2, 2005, pp. 113-20. |
| Esposito-Smythers C, Jobes DA, Lester D, Spirito A. "A case study on adolescent suicide: Tim." Archives of Suicide Research, vol. 8, no. 2, 2004, pp. 187-97. |
| Spirito A, Monti PM, Barnett NP, Colby SM, Sindelar H, Rohsenow DJ, Lewander W, Myers M. "A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency department." The Journal of Pediatrics, vol. 145, no. 3, 2004, pp. 396-402. |
| Sindelar HA, Barnett NP, Spirito A. "Adolescent alcohol use and injury. A summary and critical review of the literature." Minerva pediatrica, vol. 56, no. 3, 2004, pp. 291-309. |
| Esposito-Smythers C, Spirito A. "Adolescent substance use and suicidal behavior: a review with implications for treatment research." Alcoholism: Clinical and Experimental Research, vol. 28, no. 5 Suppl, 2004, pp. 77S-88S. |
| Sindelar HA, Abrantes AM, Hart C, Lewander W, Spirito A. "Motivational interviewing in pediatric practice." Current problems in pediatric and adolescent health care, vol. 34, no. 9, 2004, pp. 322-39. |
| D'Eramo KS, Prinstein MJ, Freeman J, Grapentine WL, Spirito A. "Psychiatric diagnoses and comorbidity in relation to suicidal behavior among psychiatrically hospitalized adolescents." Child Psychiatry Hum Dev, vol. 35, no. 1, 2004, pp. 21-35. |
| Esposito C, Spirito A, Boergers J, Donaldson D. "Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts." Suicide and Life-Threatening Behavior, vol. 33, no. 4, 2003, pp. 389-99. |
| Barnett NP, Monti PM, Spirito A, Colby SM, Rohsenow DJ, Ruffolo L, Woolard R. "Alcohol use and related harm among older adolescents treated in an emergency department: the importance of alcohol status and college status." J. Stud. Alcohol, vol. 64, no. 3, 2003, pp. 342-9. |
| Spirito A, Valeri S, Boergers J, Donaldson D. "Predictors of continued suicidal behavior in adolescents following a suicide attempt." Journal of Clinical Child & Adolescent Psychology, vol. 32, no. 2, 2003, pp. 284-9. |
| Stanton C, Spirito A, Donaldson D, Boergers J. "Risk-taking behavior and adolescent suicide attempts." Suicide and Life-Threatening Behavior, vol. 33, no. 1, 2003, pp. 74-9. |
| Spirito A, Brown RT, D'Angelo E, Delamater A, Rodrigue J, Siegel L. "Society of pediatric psychology task force report: recommendations for the training of pediatric psychologists." J. Pediatr. Psychol., vol. 28, no. 2, 2003, pp. 85-98. |
| Penn JV, Esposito CL, Schaeffer LE, Fritz GK, Spirito A. "Suicide attempts and self-mutilative behavior in a juvenile correctional facility." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 42, no. 7, 2003, pp. 762-9. |
| Spirito A, Overholser J. "The suicidal child: assessment and management of adolescents after a suicide attempt." Child and Adolescent Psychiatric Clinics of North America, vol. 12, no. 4, 2003, pp. 649-65, vi. |
| Nash JM, Collins BN, Loughlin SE, Solbrig M, Harvey R, Krishnan-Sarin S, Unger J, Miner C, Rukstalis M, Shenassa E, Dubé C, Spirito A. "Training the transdisciplinary scientist: a general framework applied to tobacco use behavior." Nicotine & Tobacco Research, vol. 5 Suppl 1, 2003, pp. S41-53. |
| Spirito A, Boergers J, Donaldson D, Bishop D, Lewander W. "An intervention trial to improve adherence to community treatment by adolescents after a suicide attempt." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 41, no. 4, 2002, pp. 435-42. |
| D'Amico EJ, Barnett NP, Monti PM, Colby SM, Spirito A, Rohsenow DJ. "Does alcohol use mediate the association between alcohol evaluations and alcohol-related problems in adolescents?." Psychology of Addictive Behaviors, vol. 16, no. 2, 2002, pp. 157-60. |
| Spirito A. "Group treatment plus usual care decreased the risk of deliberate self harm in adolescents who repeatedly harm themselves." Evidence Based Mental Health, vol. 5, no. 2, 2002, pp. 55. |
| Perez-Smith A, Spirito A, Boergers J. "Neighborhood predictors of hopelessness among adolescent suicide attempters: preliminary investigation." Suicide and Life-Threatening Behavior, vol. 32, no. 2, 2002, pp. 139-45. |
| Colby SM, Barnett NP, Eaton CA, Spirito A, Woolard R, Lewander W, Rohsenow DJ, Monti PM. "Potential biases in case detection of alcohol involvement among adolescents in an emergency department." Pediatric Emergency Care , vol. 18, no. 5, 2002, pp. 350-4. |
| Barnett NP, Lebeau-Craven R, O'Leary TA, Colby SM, Rohsenow DJ, Monti PM, Woolard R, Spirito A. "Predictors of motivation to change after medical treatment for drinking-related events in adolescents." Psychology of Addictive Behaviors, vol. 16, no. 2, 2002, pp. 106-12. |
| Stein LA, Colby SM, O'Leary TA, Monti PM, Rohsenow DJ, Spirito A, Riggs S, Barnett NP. "Response distortion in adolescents who smoke: a pilot study." Journal of Drug Education, vol. 32, no. 4, 2002, pp. 271-86. |
| Spirito A, Stanton C, Donaldson D, Boergers J. "Treatment-as-usual for adolescent suicide attempters: implications for the choice of comparison groups in psychotherapy research." Journal of Clinical Child & Adolescent Psychology, vol. 31, no. 1, 2002, pp. 41-7. |
| Spirito A, Barnett NP, Lewander W, Colby SM, Rohsenow DJ, Eaton CA, Monti PM. "Risks associated with alcohol-positive status among adolescents in the emergency department: a matched case-control study." The Journal of Pediatrics, vol. 139, no. 5, 2001, pp. 694-9. |
| Guertin T, Lloyd-Richardson E, Spirito A, Donaldson D, Boergers J. "Self-mutilative behavior in adolescents who attempt suicide by overdose." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 40, no. 9, 2001, pp. 1062-9. |
| Jelalian E, Alday S, Spirito A, Rasile D, Nobile C. "Adolescent motor vehicle crashes: the relationship between behavioral factors and self-reported injury." Journal of Adolescent Health, vol. 27, no. 2, 2000, pp. 84-93. |
| Spirito A, Jelalian E, Rasile D, Rohrbeck C, Vinnick L. "Adolescent risk taking and self-reported injuries associated with substance use." Am J Drug Alcohol Abuse, vol. 26, no. 1, 2000, pp. 113-23. |
| Owens J, Spirito A, Marcotte A, McGuinn M, Berkelhammer L. "Neuropsychological and Behavioral Correlates of Obstructive Sleep Apnea Syndrome in Children: A Preliminary Study." Sleep & breathing = Schlaf & Atmung, vol. 4, no. 2, 2000, pp. 67-78. |
| Chung T, Colby SM, Barnett NP, Rohsenow DJ, Spirito A, Monti PM. "Screening adolescents for problem drinking: performance of brief screens against DSM-IV alcohol diagnoses." J. Stud. Alcohol, vol. 61, no. 4, 2000, pp. 579-87. |
| Owens JA, Spirito A, McGuinn M. "The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children." Sleep, vol. 23, no. 8, 2000, pp. 1043-51. |
| Monti PM, Colby SM, Barnett NP, Spirito A, Rohsenow DJ, Myers M, Woolard R, Lewander W. "Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department." Journal of Consulting and Clinical Psychology, vol. 67, no. 6, 1999, pp. 989-94. |
| Colby SM, Monti PM, Barnett NP, Rohsenow DJ, Weissman K, Spirito A, Woolard RH, Lewander WJ. "Brief motivational interviewing in a hospital setting for adolescent smoking: a preliminary study." Journal of Consulting and Clinical Psychology, vol. 66, no. 3, 1998, pp. 574-8. |
| Barnett NP, Spirito A, Colby SM, Vallee JA, Woolard R, Lewander W, Monti PM. "Detection of alcohol use in adolescent patients in the emergency department." Academic Emergency Medicine, vol. 5, no. 6, 1998, pp. 607-12. |
| Boergers J, Spirito A, Donaldson D. "Reasons for adolescent suicide attempts: associations with psychological functioning." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 37, no. 12, 1998, pp. 1287-93. |
| Owens J, Opipari L, Nobile C, Spirito A. "Sleep and daytime behavior in children with obstructive sleep apnea and behavioral sleep disorders." PEDIATRICS, vol. 102, no. 5, 1998, pp. 1178-84. |
| Zlotnick C, Donaldson D, Spirito A, Pearlstein T. "Affect regulation and suicide attempts in adolescent inpatients." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 36, no. 6, 1997, pp. 793-8. |
| Owens J, Spirito A, Nobile C, Arrigan M. "Incidence of parasomnias in children with obstructive sleep apnea." Sleep, vol. 20, no. 12, 1997, pp. 1193-6. |
| McQuaid EL, Spieth LE, Spirito A. "The pediatric psychologist's role in differential diagnosis: vocal-cord dysfunction presenting as asthma." J. Pediatr. Psychol., vol. 22, no. 5, 1997, pp. 739-48. |
| Fritz GK, Yeung A, Wamboldt MZ, Spirito A, McQuaid EL, Klein R, Seifer R. "Conceptual and methodologic issues in quantifying perceptual accuracy in childhood asthma." J. Pediatr. Psychol., vol. 21, no. 2, 1996, pp. 153-73. |
| Fritz GK, McQuaid EL, Spirito A, Klein RB. "Symptom perception in pediatric asthma: relationship to functional morbidity and psychological factors." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 35, no. 8, 1996, pp. 1033-41. |
| Spirito A. "Who's treating adolescent suicide attempters?." Crisis, vol. 17, no. 3, 1996, pp. 105-7. |
| Spirito A, Stark LJ, Gil KM, Tyc VL. "Coping with everyday and disease-related stressors by chronically ill children and adolescents." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 34, no. 3, 1995, pp. 283-90. |
| Fritz G, Spirito A, Yeung A, Klein R, Freedman E. "A pictorial visual analog scale for rating severity of childhood asthma episodes." J Asthma, vol. 31, no. 6, 1994, pp. 473-8. |
| Spirito A, Lewander WJ, Levy S, Kurkjian J, Fritz G. "Emergency department assessment of adolescent suicide attempters: factors related to short-term follow-up outcome." Pediatric Emergency Care , vol. 10, no. 1, 1994, pp. 6-12. |
| Spirito A, Bond A, Kurkjian J, Devost L, Bosworth T, Brown LK. "Gender differences among adolescent suicide attempters." Crisis, vol. 14, no. 4, 1993, pp. 178-84. |
| Spirito A, Plummer B, Gispert M, Levy S, Kurkjian J, Lewander W, Hagberg S, Devost L. "Adolescent suicide attempts: outcomes at follow-up." The American journal of orthopsychiatry, vol. 62, no. 3, 1992, pp. 464-8. |
| Spirito A, Overholser J, Hart K. "Cognitive characteristics of adolescent suicide attempters." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 30, no. 4, 1991, pp. 604-8. |
| Stark LJ, Spirito A, Lewis AV, Hart KJ. "Encopresis: behavioral parameters associated with children who fail medical management." Child Psychiatry Hum Dev, vol. 20, no. 3, 1990, pp. 169-79. |
| Stark LJ, Owens-Stively J, Spirito A, Lewis A, Guevremont D. "Group behavioral treatment of retentive encopresis." J. Pediatr. Psychol., vol. 15, no. 5, 1990, pp. 659-71. |
| Ruggiero L, Spirito A, Bond A, Coustan D, McGarvey S. "Impact of social support and stress on compliance in women with gestational diabetes." Diabetes care, vol. 13, no. 4, 1990, pp. 441-3. |
| Spirito A, Hart K, Overholser J, Halverson J. "Social skills and depression in adolescent suicide attempters." Adolescence, vol. 25, no. 99, 1990, pp. 543-52. |
| Stark LJ, Spirito A, Williams CA, Guevremont DC. "Common problems and coping strategies. I: Findings with normal adolescents." Journal of Abnormal Child Psychology, vol. 17, no. 2, 1989, pp. 203-12. |
| Spirito A, Overholser J, Stark LJ. "Common problems and coping strategies. II: Findings with adolescent suicide attempters." Journal of Abnormal Child Psychology, vol. 17, no. 2, 1989, pp. 213-21. |
| Spirito A, Faust D, Myers B, Bechtel D. "Clinical utility of the MMPI in the evaluation of adolescent suicide attempters." Journal of Personality Assessment, vol. 52, no. 2, 1988, pp. 204-11. |
| Spirito A, Stark LJ, Hart KJ, Fristad M. "Overt behavior of adolescent suicide attempters hospitalized on a general pediatrics floor." Journal of adolescent health care : official publication of the Society for Adolescent Medicine, vol. 9, no. 6, 1988, pp. 491-4. |
| Brem AS, Brem FS, McGrath M, Spirito A. "Psychosocial characteristics and coping skills in children maintained on chronic dialysis." Pediatric Nephrology, vol. 2, no. 4, 1988, pp. 460-5. |
| Spirito A, Hewett K, Stark LJ. "The application of behavior therapy in oncology." Advances in psychosomatic medicine, vol. 18, 1988, pp. 66-81. |
| Spirito A, Williams CA, Stark LJ, Hart KJ. "The Hopelessness Scale for Children: psychometric properties with normal and emotionally disturbed adolescents." Journal of Abnormal Child Psychology, vol. 16, no. 4, 1988, pp. 445-58. |
| Spirito A, Russo DC, Masek BJ. "Behavioral interventions and stress management training for hospitalized adolescents and young adults with cystic fibrosis." General Hospital Psychiatry, vol. 6, no. 3, 1984, pp. 211-8. |
| Saylor CF, Finch AJ Jr, Spirito A, Bennett B. "The children's depression inventory: a systematic evaluation of psychometric properties." Journal of Consulting and Clinical Psychology, vol. 52, no. 6, 1984, pp. 955-67. |
| Finch AJ Jr, Spirito A, Garrison S, Marshall P. "Developmental differences in Bender-Gestalt recall of children with learning and behavior problems." Perceptual and motor skills, vol. 56, no. 1, 1983, pp. 87-90. |
| Finch AJ Jr, Spirito A, Brophy CJ. "Reflection-impulsivity and WISC-R performance in behavior-problem children." The Journal of psychology, vol. 111, no. 2d Half, 1982, pp. 217-21. |
| Finch AJ Jr, Spirito A, Kendall PC, Mikulka PJ. "Multidimensionality of the Nowicki-Strickland locus of control scale for adults." Journal of Personality Assessment, vol. 45, no. 2, 1981, pp. 151-4. |
Dr. Spirito has been conducting research in adolescent suicidality and depression for 25 years. Working with a postdoctoral fellow, he published the first randomized trial of individual therapy with adolescents who attempt suicide. He also conducted an intervention trial designed to improve treatment attendance in this population. He was also site CBT supervisor for a large multisite study, "The Treatment of Resistant Depression in Adolescence". He conducted three treatment development studies to determine if new approaches will increase the efficacy of depression treatments for adolescents. The first trial examined whether concurrently treating the depressed parent of a depressed teen will improve outcomes for the adolescent. The second study examined whether the addition of an exercise component to a CBT protocol will improve depression outcomes in overweight adolescents treated with CBT. And the third trial tested an integrated approach for treating conduct problems in depressed adolescents. He recently completed a large RCT testing a combined parent/adolescent treatment protocol for adolescents with Major Depression and at least one other risk factor: a prior suicide attempt, susbtance abuse, and/or nonsuicidal self injury.
With respect to alcohol and substance use treatment research, he has used individual motivational interventions with adolescents who presented to the Emergency Department (ED) with an alcohol-related admission. In an extension of the original work, he broadened the scope of the brief intervention to include a parent motivational intervention. He recently completed a study using this parent motivational approach, the Family Check-Up, with families who have teenage siblings in which one has been identified after an alcohol-related incident. He recently completed a study using both an individual adolescent motivational interview and the Family Check-up to address marijuana, sexual risk behavior, and school attendance in high school students who are truant from school. He also recently completed two prevention studies: One that modified the Family Check-Up for a protocol designed to prevent the onset of substance use in middle schoolers receiving mental health treatment while the other tested an alcohol prevention program with middle schoolers being treated in the ED for an injury. He also recently completed a 16 site alcohol screening study in Pediatric Emergency Departments.
With respect to combined treatments for depression, suicidality, and alcohol/drug use, he collaborated on a study of an integrated CBT protocol for adolescents with alcohol use disorders, MDD, and suicidality. He also transported this integrated protocol to the community to test whether the protocol is effective when delivered by licensed mental health counselors in a community mental health clinic. A larger RCT with this population was recently completed.
He is currently conducting brief interventions for suicidal and substance using adolescents in the juvenile justice system.
Ongoing PI studies
1R34DA042247-01A1 Spirito/Hernandez (Multiple PIs) 04/15/17 – 02/29/20
NIDA
Computer-Assisted Brief Intervention Protocol for Marijuana Using Juvenile Offenders
This R34 investigation is designed to determine whether it is feasible to provide a computer-based intervention for marijuana using juvenile offenders and if feasible, is there an indication it will reduce marijuana use in these youth.
R34MH114307 Spirito/Kemp (Multiple PIs) 07/01/2018 – 06/30/2020
NIMH
Screening and Brief Intervention for Suicidality and Nonsuicidal Self-Injury Among Youth in the Juvenile Justice System
This study will examine the feasibility of a training program designed to teach non-mental health juvenile justice staff how to conduct safety planning with youth in the juvenile justice system who are at risk for suicide and hurting themselves.
R01DA045396 (Spirito) 07/01/2018 – 06/30/2023
NIDA
Brief Individual and Parent Interventions for Marijuana Misuse in Truant Adolescents
The goal of this application is to find out if a brief, motivation-building approach with parents and teens who have been involved in the juvenile justice system results in better outcomes for marijuana use and truancy than standard educational information.
R34MH115457 Spirito (PI) 07/01/18 – 06/30/21
NIMH
Reducing the Duration of Untreated Illness Among Youth in Juvenile Justice with Psychosis-Spectrum Disorders
This study will examine the feasibility of identifying youth in the juvenile justice system with thought disturbances and referring them to a specialized state program serving youth with these thinking problems.
R21MH115514 Spirito/ Boekamp (MPIs) 07/01/18 – 06/30/20
NIMH
Suicidal Thoughts and Behaviors in Young Children: Cognitive, Behavioral and Affective Risk Factors
This study will examine the thoughts, actions and feelings of very young children, 4 to 7 years old, admitted to a psychiatric day treatment program, who make comments to their parents about wanting to die or kill themselves.
Recent substance use publications include:
Spirito, A, Hernandez, L, Marceau, K, Cancilliere, MK, Barnett N, Graves, Rodriguez, A, & Knopik, V (2017). Effects of a brief, parent-focused intervention for substance using adolescents and their sibling. Journal of Substance Abuse Treatment,77, 156 – 165. PMC5420332
Spirito, A., Hernandez, L., Cancilliere, M. K., Graves, H., Rodriguez, AM, Operario, D, Jones, R, & Barnett, N. (in press) Parent and adolescent motivational enhancement intervention for substance using, truant adolescents: A pilot randomized trial Journal of Clinical Child and Adolescent Psychology PMC in process
Spirito, A; Bromberg, J; Casper, C.; Chun, T; Mello, M; Dean, J.M; Linakis, J (2016). Reliability and Validity of a Two-Question Alcohol Screen in the Pediatric Emergency Department. Pediatrics, 138(6). PMC5127060
Becker, S, Jones, R, Hernandez, L, Graves, H, & Spirito, A. (in press). Moderators of Brief Motivation-
Enhancing Treatments for Alcohol-Positive Adolescents Presenting to the Emergency Department. Journal of
Substance Abuse Treatment PMC in process
ED Research with Substance Abusing Adolescents
Dr. Spirito has examined characteristics of adolescents who receive treatment in the ED for an alcohol-related incident. He is currently MPI on a multisite screening study testing the predictive validity of the two question NIAAA screen for youth alcohol abuse.
Barnett, M.P., Spirito, A., Colby, S.M., Vallee, J.A., Woolard, R., Lewander, W., & Monti, P.M. (1998) Detection of alcohol use in adolescent patients in the Emergency Department. Academic Emergency Medicine, 5, 607-612.
Fairlie, A.M., Chun, T.H., Hernandez, L., Sindelar-Manning, H., Eaton, C.A., Lewander, W., & Spirito, A. (2010). Alcohol use history differentiates adolescents treated in the Emergency Department following an alcohol-related incident. Pediatric Emergency Care, 26, 417-423 PMC3708259
Chun, T.H., Spirito, A., Hernandez, L, Fairlie, A.M., Sindelar-Manning, H., Eaton, C.A., & Lewander W.J. (2010). The significance of marijuana use among alcohol-using adolescent Emergency Department patients. Academic Emergency Medicine, 17, 63-71. PMC 3049922
Becker, S. J.,Spirito, A., Hernandez, L., Barnett, N. P., Eaton, C. A., Lewander, W.,Rohsenow, D. J., & Monti, P. M. (2012). Trajectories of adolescent alcohol use after brief treatment in an emergency department. Drug and Alcohol Dependence, 125, 103 – 109. PMC3419330
Brief Interventions for Adolescent Substance Use in the ED
Dr. Spirito has been conducting alcohol and substance use treatment research for 15 years. Most have been brief interventions with adolescents and their parents. He has used individual motivational interventions with adolescents who presented to the ED with an alcohol-related admission. In an extension of the original work, he broadened the scope of the brief intervention to include a parent motivational intervention. He recently completed testing an alcohol prevention program with middle school students being treated in the ED for an injury that involved providing brief advice to parents
Monti, P., Colby, S., Barnett, N., Spirito, A., Rohsenow, D., Myers, M., Woolard, R., Lewander, W. (1999). Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. Journal of Consulting and Clinical Psychology, 67, 989-994.
Spirito, A., Monti, P., Barnett, N., Colby, S., Sindelar, H., Rohsenow, D.,Lewander, W, Myers, M. (2004). A randomized clinical trial of a brief motivational intervention for alcohol positive adolescents treated in an emergency department. Journal of Pediatrics, 145, 396-402. PMID: 15343198
Spirito, A., Sindelar-Manning, H., Colby, S., Barnett, W., Lewander, W., Rohsenow,D., & Monti, P. (2011). Individual and family motivational interventions for alcohol-positive adolescents treated in an Emergency Department: Results of a Randomized Clinical Trial. Archives of Pediatric and Adolescent Medicine, 165, 269-274. PMC3690344
Linakis JG, Bromberg J, Baird JR, Nirenberg T, Chun TH, Mello MJ, Jackson KM, Spirito A (2013). Feasibility and acceptability of a pediatric emergency department (PED) alcohol prevention intervention for young adolescents. Pediatric Emergency Care, 29(11):1180-1188. PMID: 24168879 PMCID in process
Substance Use Intervention and Prevention Studies
Dr. Spirito just completed a study using a parent motivational approach, the Family Check-Up, as well as an individual MI, with families who have teenage siblings in which one has been identified after an alcohol-related incident. He also recently used both an individual adolescent motivational interview and the Family Check-up to address marijuana, sexual risk behavior, and school attendance in high school students who are truant from school. Manuscripts from these two studies are currently under review. He has also modified the Family Check-Up for a protocol designed to prevent the onset of substance use in middle schoolers receiving mental health treatment.
Spirito, A., Hernandez, L., Cancilliere, M. K., Graves, H., Knopik, V., Barnett, N. (in press).Improving parenting and parent-teen communication to delay or prevent the onset of alcohol and drug use in young adolescents with emotional/behavioral disorders: A pilot trial. Journal of Child and Adolescent Substance Abuse PMCID in process
Adolescents with co-occurring mental health and substance use problems
Dr. Spirito and colleagues have been examining the characteristics of adolescents with comorbid substance use, depression, and suicidality.
Esposito, C., & Spirito, A. (2004). Adolescent substance use and suicidal behavior: A review with implications for treatment research. Alcoholism: Clinical and Experimental Research, 28, 775-785
Becker, S. J., Nargiso, J., Wolff, J., Uhl, J., Simon, V., Spirito, A., & Prinstein, M. (2012). Temporal relationship between substance use and delinquent behavior among young psychiatrically hospitalized adolescents. Journal of Substance Abuse Treatment, 43, 251- 259 PMC 3368082
Esposito, C., Spirito, A., Rizzo, C., McGeary, J., & Knopik, V (2009). Associations of the DRD2 Taq A polymorphism with impulsivity and substance use. Pharmacology, Biochemistry, and Behavior, 93, 306-312 (NIHMS 106960). PMC 2706288
Liu, R., Case, Br., & Spirito, A., (in press). Injection drug use is associated with suicide attempts but not ideation or plans in a sample of adolescents with depressive symptoms. Journal of Psychiatric Research PMCID in process
Treatment of Adolescents with Comorbid Mental Health and Substance Use Disorders
Dr. Spirito and colleagues were one of the first groups to develop an integrated CBT protocol for adolescents with alcohol use disorders, MDD, and suicidality. He is now testing the comparative efficacy of this protocol versus standard care in a community clinic. He is also testing this same protocol in an efficacy trial comparing the intensive treatment protocol versus standard care.
Esposito-Smythers, C., LaChance, H., & Spirito, A. (2006). Cognitive-behavioral treatment for suicidal alcohol abusing adolescents: Development and pilot testing. American Journal on Addictions, 15, 126-130
Esposito-Smythers, C. Spirito, A., Hunt,J., Kahler, C., & Monti, P. (2011) Treatment of co-occurring substance abuse and suicidality among adolescents: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 79, 728-739. PMC3226923
Esposito-Smythers, C.,Walsh, A.,Spirito,A., Rizzo, C., Goldston, D., & Kaminer, Y. (2012). Working with the
suicidal client who also abuses substances. Cognitive and Behavioral Practice,19, 245-255. PMC3510478
Goldstein, B.I., Shamseddeen, W., Spirito, A., Emslie, G. Clarke, G., Wagner, K.D., Arsarnow, J.R., Vitiello, B., Ryan, N., Birmaher, B., Mayes T., Onorato, M., Zelazny, J., Brent, D.A. (2009). Substance use and the treatment of resistant depression in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 1182-1192. PMC2895963
List of Published Work in MyBibliography:
http://www.ncbi.nlm.nih.gov/sites/myncbi/1ty9vmCbzVDkd/bibliography/47998047/public/?sort=date&direction=ascending
| Year | Degree | Institution |
|---|---|---|
| 1981 | PhD | Virginia Commonwealth University |
| 1975 | BA | Cornell University |
| Postdoctoral Fellow | Harvard Medical School, Children's Hospital Medical Center, behavioral psychology | 1981-1982 | Boston, MA |
Outstanding Teaching Award in Clinical Psychology, Department of Psychiatry Brown Medical School, 1997-1998
Research Mentor Award, Department of Psychiatry, Brown Medical School, 2001.
President, Society of Pediatric Psychology, 2002.
Martin P. Levin Mentorship Award, Society of Pediatric Psychology, 2005.
President, Section on Clinical Emergencies and Crises, Society of Clinical Psychology, American Psychological Association, 2009
President, Society of Clinical Child and Adolescent Psychology, American Psychological Association , 2010
Faculty Mentor Award, Department of Psychiatry, Brown University,2010
Research Mentor Award, Center for Alcohol and Addiction Studies, Brown University, 2010
Distinguished Career Award, Society of Clinical Child and Adolescent Psychology, 2015
Dean’s Award for Faculty Research Mentoring in the Division of Biology and Medicine, 2018
| Name | Title |
|---|---|
| Becker, Sara | Associate Professor of Behavioral and Social Sciences, Associate Professor of Psychiatry and Human Behavior |
| Dickstein, Daniel | Professor of Psychiatry and Human Behavior, Professor of Pediatrics |
| Hernandez, Lynn | Adjunct Associate Professor of Behavioral and Social Sciences |
| Hunt, Jeffrey | Professor of Psychiatry and Human Behavior |
| Jelalian, Elissa | Professor of Psychiatry and Human Behavior, Professor of Pediatrics |
| Jones, Rich | Professor of Psychiatry and Human Behavior, Professor of Neurology |
| Kemp, Kathleen | Assistant Professor of Psychiatry and Human Behavior (Research) |
| Linakis, James | Professor of Emergency Medicine, Professor of Pediatrics |
| Liu, Richard | Associate Professor of Psychiatry and Human Behavior (Research) |
| Mello, Michael | Professor of Emergency Medicine, Professor of Medical Science, Professor of Health Services, Policy and Practice |
| Nugent, Nicole | Associate Professor of Psychiatry and Human Behavior, Associate Professor of Emergency Medicine |
| Ranney, Megan | Associate Professor of Emergency Medicine, Assistant Dean of Brown Institute for Translational Sciences, Director of Brown Institute for Translational Sciences, Associate Professor of Health Services, Policy and Practice |
| Stout, Robert | Adjunct Professor of Psychiatry and Human Behavior |
| Wolff, Jennifer | Associate Professor of Psychiatry and Human Behavior, Clinician Educator |
| Yen, Shirley | Adjunct Associate Professor of Psychiatry and Human Behavior |
American Psychological Association (APA)
Society of Clinical Child and Adolescent Psychology, APA
Society of Pediatric Psychology, APA
Society of Clinical Psychology, APA
Association for Behavioral and Cognitive Therapies
American Association of Suicidology
| Certification | American Board of Clinical Child and Adolescent Psychology, Clinical child and adolescent psychology | 2003- | |
| License | Rhode Island | 1985- | #274 |
| Licensed Psychologist | Massachusetts | 1982-2002 |
| Affiliate Staff. Rhode Island Hospital, 2001-Present |
| Director of Psychology. Rhode Island Hospital, 1996-2001 |
| Staff. Rhode Island Hospital, 1996-Present |
| Director of Psychology. Rhode Island Hospital, 1989-1996 |
| Staff Psychologist. Dana-Farber Cancer Institute, 1982-1984 |
| Staff Psychologist. Children's Hospital Medical Center, 1982-1984 |
