Rocky Mountain MIRECC for Suicide Prevention: Sarra Nazem PhD - MIRECC / CoE
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Rocky Mountain MIRECC for Suicide Prevention: Sarra Nazem PhD

Rocky Mountain MIRECC for Veteran Suicide Prevention

Updated: 1 November 2019

Biography

Sarra NazemSarra Nazem, PhD
Title: Clinical Research Psychologist
Contact:
720-810-1724
sarra.nazem@va.gov
 
Fellowship Training Faculty
Accepting Fellowship Applications for 2020-2022 Training Year
 
Dr. Sarra Nazem earned her Ph.D. in Clinical Psychology from West Virginia University in 2013 following the completion of a clinical internship at the VA Palo Alto. She then joined the Rocky Mountain MIRECC as a fellow in the VA Advanced Fellowship Program in Mental Illness Research & Treatment. After completing her fellowship in 2015, Dr. Nazem joined the Rocky Mountain MIRECC staff as a Clinical Research Psychologist.
Dr. Nazem's research, teaching, education, and clinical specialization is focused within the field of suicidology. Her research program utilizes innovative methods (e.g., development of pioneering assessment tools, leveraging of technology) to provide empirical data informative to both upstream and downstream suicide prevention approaches. She has conducted studies that inform our understanding of the mechanisms underlying the development of the acquired capability to inflict lethal self-injury, as well as studies examining the association between suicidal behaviors and factors such as TBI, chronic pain, insomnia, nightmares, and incarceration. Dr. Nazem is currently finishing data collection for two randomized controlled trials examining the use of a computerized cognitive behavioral therapy for insomnia in two Veteran populations.
In addition to her research, Dr. Nazem is overseeing the national efforts behind the development of suicide postvention resources for the VA and is a consultant for the VA Suicide Risk Management Consultation Service, where she specializes in older adult and suicide postvention consultation. She serves on both the Rocky Mountain Regional VAMC Internship Training Committee and the MIRECC Post-Doctoral Training Committee where she supervises and mentors interns and fellows. Dr. Nazem also holds an academic appointment with the Departments of Psychiatry and Physical Medicine and Rehabilitation at the University of Colorado School of Medicine.
Year of Licensure: 2015
Clinical and Research Interests: Suicide risk assessment and consultation; Suicide Postvention; Posttraumatic Stress Disorder; Geropsychology; Acquired capability of suicide; Behavioral assessment of suicide; Sleep and suicide
Statement about Research Program: Dr. Nazem's research program has focused on the identification of risk factors for suicidal behavior, with a specific emphasis on factors associated with the acquired capability to enact lethal self-injury. Dr. Nazem has developed a new set of suicide-specific stimuli (Self-Directed Violence Picture System: SDVPS) that will serve as a new tool by which researchers can begin to gather additional empirical evidence on the construct of fearlessness about death and dying. Future projects include the development of experimental paradigms to assess objective measurements of suicide risk and examining the role of suicidal imagery in fearlessness about death and dying. In addition to investigating underlying mechanisms of suicide risk, Dr. Nazem has a secondary interest in the association between sleep disorders and suicide risk. In April 2017, Dr. Nazem received a grant from the Military Suicide Research Consortium (MSRC) to study a computerized cognitive behavioral therapy for insomnia in OEF/OIF/OND Veterans. Dr. Nazem has also received funds from the Veterans Health Administration (VHA) to conduct similar research in a rural Veteran population.
Available Project(s) for Fellows: Dr. Nazem is seeking a Fellow that would be interested in working on projects that extend the validation of the SDVPS to samples at risk for self-directed violence (e.g., recent suicide attempters) and who are interested in collaboratively developing new behavioral paradigms that incorporate the SDVPS. In addition, Fellows that are also interested in the association between sleep and suicide, as well as developing and disseminating suicide postvention resources, are encouraged to apply.
Throughout the course of fellowship, Fellows would be invited to work with Dr. Nazem on several manuscripts including: examining the association between various behavioral indices of suicide risk (e.g., Death/Suicide IAT, Suicide Stroop) and the SDVPS; exploring the association between suicide risk factors and fearlessness about death/self-directed violence history; assisting in analyzing secondary outcomes of her RCT data.
Sarra's MSRC profile

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Media

Rocky Mountain Short Takes on Suicide Prevention: Postvention 101

1 April 2019

Postvention is Prevention; join our host Dr. Sarra Nazem as she and Dr. Jack Jordan lay a foundation for understanding what suicide postvention is, what it entails, who it is for, and why it is essential to a comprehensive suicide prevention plan. Jack Jordan, PhD is a clinical psychologist, grief therapist and published researcher in the field.

Check out Dr. Jordan’s resource recommendations – resources include books, research articles, online support organizations, services and groups.

Listen to the Postvention 101 podcast

Resources

Additional postvention resources for survivors of a suicide loss can be found at these sites:

Check out future episodes in the podcast series at:
https://www.mirecc.va.gov/visn19/education/media/#PostventionPodcasts

Contact the Uniting for Suicide Postvention team to inquire about postvention resources or potential consultation services – Sarra.Nazem@va.gov

 

Rocky Mountain Short Takes on Suicide Prevention: Sleeping Well as an Upstream Approach to Suicide Prevention

14 December 2016

Could improved sleep potentially help prevent individuals from developing suicidal thoughts or behaviors sometime in the future? Rocky Mountain MIRECC Psychologist Sarra Nazem talks with Adam about her clinical work and research into evidence-based insomnia treatments as it relates to decreasing suicide risk. This topic is particularly relevant for providers working with Veterans and military, who experience sleep disturbances at increasingly high levels in the past decade. The good news: though insomnia is highly prevalent among Vets and military, it is also highly treatable. EB interventions such as SHUTi (Sleep Health Using the Internet) capitalize on a combination of high effectiveness and wide accessibility. Join Sarra and Adam as they discuss improving sleep as a way to increase hopefulness, and improve outcomes for other co-morbid conditions.

Supporting material:

The podcast is approximately 25 minutes long.

You can subscribe to the RM Short Takes Podcast on iTunes, Google Play or your favorite podcasts tool.

Categories: Suicide Prevention, Sleep

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Recent Publications

Borges LM, Nazem S, Matarazzo BB, Barnes SM, Wortzel HS. Therapeutic Risk Management: Chain Analysis of Suicidal Ideation and Behavior. J Psychiatr Pract. 2019 Jan;25(1):46-53. doi: 10.1097/PRA.0000000000000358. PubMed PMID: 30633732.

Barnes SM, Monteith LL, Forster JE, Nazem S, Borges LM, Stearns-Yoder KA, Bahraini NH. Developing Predictive Models to Enhance Clinician Prediction of Suicide Attempts Among Veterans With and Without PTSD. Suicide Life Threat Behav. 2018 Sep 11. doi: 10.1111/sltb.12511. [Epub ahead of print] PubMed PMID: 30206955.

Barnes, S.M., Monteith, L.L., Forster, J.E., Nazem, S., Borges, L.M., Stearns-Yoder, K.A., & Bahraini, N.H. (2018). Developing predictive models to enhance clinician prediction of suicide attempts among veterans with and without PTSD. Suicide and Life-Threatening Behavior. https://doi.org/10.1111/sltb.12511

Erin K. Poindexter PhD, Sarra Nazem PhD, Sean M. Barnes PhD, and Trisha A. Hostetter MPH, with Phillip N. Smith PhD. Veteran Participation in Intensive Suicide Research Protocols: Evaluating Iatrogenic Effects Across Three Studies. Read more

Barnes, S. M., Nazem, S., Monteith, L. L., & Bahraini, N. B. (In Press). Suicidal Crises: The Clinical and Research Implications of Overlooking the Role of Suicidal Reactivity. In U. Kumar (Ed.), Handbook of Suicidal Behavior.

Nazem S, Forster JE, Brenner LA. Initial Validation of the Self-Directed Violence Picture System (SDVPS). Psychol Assess. 2017 Feb 16. doi: 10.1037/pas0000448. [Epub ahead of print] PubMed PMID: 28206783.

Nazem, S. (2015). Review of relational suicide assessment: Risks, resources, and possibilities for safety. Journal of Psychiatric Practice, 21, 396-397.

Poindexter, E. P., Nazem, S., & Forster, J. E. (2017). Painful and Provocative Event-Types and Fearlessness about Death among Veterans: Exploratory Factor Analysis. Journal of Affective Disorders, 208, 528-534.

Signoracci, G., Nazem, S., & Brenner, L. A. (2017). Suicide risk assessment and intervention: Considerations for rehabilitation providers. In M. Budd, S. Hough, W. Stiers, & S. Wegener (Eds.), Practical psychology in medical rehabilitation (pp. 241-251). Switzerland: Springer International Publishing. 10.1007/978-3-319-34034-0_27

Nazem, S., Matarazzo, B., & Wortzel, H. (2016). Optimizing collaboration and achieving standard of care: A model for therapeutic risk management of the suicidal patient. American Academy of Psychiatry and the Law Newsletter, 41, 25-27).

Nazem, S., Forster, J. E., Brenner, L. A., & Matthews, E. E. (2016). Actigraphic and sleep diary measures in Veterans with traumatic brain injury: Discrepancy in selected sleep parameters. Journal of Head Trauma Rehabilitation, 31, 136-146.

Gerolimatos, L. A., Ciliberti, C. M., Gregg, J. J., Nazem, S., Bamonti, P. M., Cavanagh, C. E., & Edelstein, B. A. (in press). Development and preliminary evaluation of the anxiety in cognitive impairment and dementia (ACID) scales. International Psychogeriatrics.

Vanderploeg, R. D., Nazem, S., Brenner, L. A., Belanger, H. G., Donnell, A. J., & Scott, S. G. (in press). Suicidal ideation among Florida National Guard Members: Combat deployment and non-deployment risk and protective factors. Archives of Suicide Research.

Nazem, S., Lonnquist, E., Monteith, L. L., & Brenner, L. A. (2014). Traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) as risk factors for suicidal thoughts and behaviors. In T. Hudzik & K. Cannon (Eds.), Suicide: Phenomenology and Biology.

Nadorff, M. R., Salem, T., Winer, E. S., Lamis, D. A., Nazem, S., & Berman, M. E. (2014). Explaining alcohol use and suicide risk: A moderated mediation involving insomnia symptoms and gender. Journal of Clinical Sleep Medicine, 10, 1317-1323.

Nazem, S., Spitzer, E. G., Brenner, L. A., & Bahraini, N. H. (2014). Beyond categorical classifications: The importance of identifying post-trauma symptom trajectories and associated negative outcomes. The Journal of Clinical Psychiatry, 75, e947-e949.

Nadorff, M. R., Anestis, M. D., Nazem, S., Harris, H. C., & Winer, E. S. (2014). Sleep disorders and the interpersonal-psychological theory of suicide: Independent pathways to suicidality? Journal of Affective Disorders, 152-154, 505-512.

Nadorff, M., Nazem, S., & Fiske, A. (2013). Insomnia symptoms, nightmares and suicide risk: Duration of sleep disturbance matters. Journal of Suicide and Life-Threatening Behavior, 43, 139-149.

Friedlander, A., Nazem, S., Fiske, A., Nadorff, M., & Smith, M. (2012). Self-concealment and suicidal behaviors. Journal of Suicide and Life-Threatening Behavior, 42, 332-340.

Nadorff, M., Nazem, S., & Fiske, A. (2010). Insomnia symptoms, nightmares, and suicidal ideation in a college student sample. Sleep, 34, 93-98.

Weintraub, D., Mavandadi, S., Mamikonyan, E., Siderowf, A., Duda, J., Hurtig, H. H., Colcher, A., Horn, S., Nazem, S., Ten Have, T., & Stern, M. B. (2010). Atomoxetine for the treatment of depression and other neuropsychiatric symptoms in Parkinson’s disease: A randomized, double-blind, placebo-controlled study. Neurology, 75, 448-455.

Hoops, S., Nazem, S., Siderowf, A., Duda, J., Xie, S., Stern, M., & et al. (2009). Validity of the MoCA and MMSE in the detection of MCI and dementia in Parkinson’s disease. Neurology, 73, 1738-1745.

Mavandadi, S., Nazem, S., Ten Have, T., Siderowf, A., Duda, J., Stern, M. B., & et al. (2009). Use of latent variable modeling to delineate psychiatric and cognitive profiles in Parkinson’s disease without global cognitive impairment. American Journal of Geriatric Psychiatry, 17, 986-995.

Nazem, S., Siderowf, A. D., Duda, J. E., Ten Have, T., Colcher, A., Horn, S., & et al. (2009). Montreal cognitive assessment (MoCA) performance in Parkinson’s disease patients with “intact” global cognition. Journal of the American Geriatrics Society, 57, 304-308.

Nazem, S., Siderowf, A. D., Duda, J. E., Brown, G. K., Ten Have, T., Stern, M. B., & et al. (2008). Suicidal and death ideation in Parkinson's disease. Movement Disorders, 23, 1573-1579.

 
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