Current research at UCSF
DBT-informed caregiver risk management to achieve a Zero Suicide system: A pilot stuy (Sabrina M. Darrow, PhD)
Continuing the work of our team to refine a telehealth workshop for caregivers of youth at risk of self-harm. This study is the next step in the iterative development of this intervention as we integrate this intervention into our system’s Zero Suicide effort, gather stakeholder perspectives, and explore potential adaptations needed for successful implementation systemwide.
Recently completed projects
Gathering stakeholder perspectives and modeling emotion regulation to predict youth suicidal behaviors (Sabrina M. Darrow, PhD)
This study is using data collected during Dialectical Behavior Therapy for Adolescents (DBT-A) to develop models of dynamic near-time predictors of youth suicide and identify patterns of change to improve DBT-A. Stakeholders, including those with lived experience of self-harm, suicide, and DBT, are involved throughout the study to increase the utility of the results in real-world settings.
Recent publications
Haack, LM, Pfiffner, LJ, Darrow, SM, Lai, J, Beltran, DKA, Beltran, JUM, Candil, EM, Garcia, KD, Guerror, MFA, Saldana, DML, Valdez, MEU, & Jimenez, EAA (2023). Enhancing accessibility and scalability of school-based programs to improve youth attention and behavior: open feasibility trial of the remote CLS-R-FUERTE program in Mexico. School Psychology. Advance online publication. https://dx.doi.org/10.1037/spq0000580
Haack, LM, Pfiffner, LJ, Darrow, SM, Lai, J Alcaraz Beltrán, DK, Martinez Beltran, JU, Candil, EM, García, KD, Arriaga-Guerrero, MF, Saldaña, DML, Valdez , ME, & Araujo, EJ (2024). Implementation and Evaluation of a Remote School Clinician Training and ADHD/ODD Intervention Program in Mexico: an 8-School Randomized Controlled Trial of CLS-R-FUERTE. Journal of Technology in Behavioral Science, 9. https://doi.org/10.1007/s41347-023-00367-6
Haack, LM, Armstrong, CC, Travis, K, Aguilera, A, & Darrow, SM (2024). Let’s Text! Piloting the HealthySMS text messaging system adjunct to adolescent group cognitive behavioral therapy in the context of COVID-19. Journal for Medical Internet Research Mental Health. Feb 19;11:e49317. doi: 10.2196/49317. PMID: 38373030; PMCID: PMC10912989.
Kahhale, I., Farrisse, K., Das, A., McPhee, J., Galán, C.A., Scholars for Elevating Equity and Diversity (SEED), & Park, A. (2024). Recognizing the Impact of Race-Based Stress and Trauma on Youth: Implications for Research and Clinical Practice. Journal of American Academy of Child and Adolescent Psychiatry. https://doi.org/10.1016/j.jaac.2024.03.022
Tymofiyeva, O, Ho, T, Connolly, CG, Gorrell, S, Rampersaud, R, Darrow, SM, Max JE, & Yang, TT. (2024). Examining putamen resting-state connectivity markers of suicide attempt history in depressed adolescents. Frontiers in Psychiatry. 2024 Jun 6;15:1364271. doi: 10.3389/fpsyt.2024.1364271. PMID: 38903634; PMCID: PMC11187256
Shaller, EAL (2025) Therapy-interfering behavior in DBT. Guilford Press
Shaller, E.A.L. (2019) 5 Tips for practicing irreverence: A guide to becoming the ultimate irreverence champion. DBT Bulletin, 2(1), 10-11.
O’Grady, S.M., Haft, S.L., Shaller, E.A.L. & Liu, N.H. (2022) Cultural adaptations of dialectical behavior therapy: Clinical recommendations. DBT Bulletin, 6(2), 4-7.
Haft, S., O’Grady, S.M., Shaller, E.A.L., & Liu, N.H. (2022). Cultural adaptations of dialectical behavior therapy: A systematic review. Journal of Counseling and Clinical Psychology.
Gonzales, L., Darrow, SM., Maliken, A, Piatigorsky, A., Shaller, E., Stuart, B. and Todd, N. (2018). DBT for Youth: Who Drops Out of Family-based Programs? Dialectical Behavior Therapy Newsletter, 1, 1.
Haack, L. & Maliken, A. (2020). Risky behaviors associated with ADHD. Attention: Living well with ADHD, 4 – 5.
Tollefsen, TK, Darrow, SM, Lohne, V, & Berg-Nielsen, TS (2020). Experiences with using an idiographic assessment in primary mental health care services for adolescents. International Journal of Qualitative Studies on Health and Well-Being, 15(1).
Figueroa, C, Hernandez-Ramos, R, Boone, C, Gomez-Pathak, L, Yip, V. Luo, T, Sierra, V, Xu, J, Chakraborty, B, Darrow, SM, Aguilera, A. (2020, online). A text-messaging protocol study to help cope with social distancing: clinical trial protocol for Stay Well at Home study. Journal of Medical Internet Research Research Protocols. Doi:10.2196/23592
Tollefsen, TK, Darrow, SM, Neumer, SP, & Berg-Nielsen (2020). Adolescents' mental health concerns, reported with an idiographic assessment tool. BMC Psychology, 8(117).
Zalewski, M, Maliken, AC, Lengua, LJ, Martin, CG, Roos, LE, and Everett, Y (2020). Integrating dialectical behavior therapy with child and parent training interventions: A narrative and theoretical review. Clinical Psychology Science and Practice,
Armstrong, CC, Odukoya, E, Sundarmurthy, K, Darrow, SM (2021). Youth and provider perspectives on behavior-tracking mobile applications: A qualitative analysis. Journal of Medical Internet Research Mental Health, 8(4).
Aguilera, A, Hernandez-Ramos, R, Haro-Ramos, AY, Boone, CE, Luo, TF, Xu, J, Chakraborty, B, Karr, C, Darrow, SM, Figueroa, CA (2021). A text messaging intervention (StayWell at Home) to counteract depression and anxiety during COVID-19 social distancing: pre-post study. JMIR Mental Health, 8(11):e25298.
Darrow, SM, Maliken, AC, Piatigorsky, A, Stuart, BK, Todd, N, Yaeger, AM, Londahl-Shaller, EA. (2022). Effectiveness of the family-based model of dialectical behavior therapy for both suicidal adolescents and young adults in an academic medical center. Journal of Clinical Psychology, 78, 1422-1435
Darrow, SM, Pelot, M, Naeger, S, Ostrow, L (2022) User perspectives on professional support and service use during psychiatric medication discontinuation. Community Mental Health Journal, 58, 1416-1424.
Tolin, D, Sain, K, Davis, E, Gilliam, C, Hannan, S, Springer, K, Stubbing, J, George, J, Jean, A, Goldblum, R, Katz, B, Everhardt, K, Darrow, SM, Ohr, E, Young, M, Serchuk, M. (2023) The DIAMOND-KID: Psychometric Properties of a Structured Diagnostic Interview for DSM-5 Anxiety, Mood, and Obsessive-Compulsive and Related Disorders in Children and Adolescents. Assessment. https://doi.org/10.1177/10731911221143994
Vogel, EA, Hashemi, R, Ramo, DE, Darrow, SM, Costello, C, Prochaska, JJ (2023). Adolescents' perceptions of nicotine vaping-related social media content. Psychology of Popular Media. https://doi.org/10.1037/ppm0000452
Darrow, SM, Ironside, M, Armstrong, CC, Travis, K, Aguilera, A, & Haack, LM (2023). Feasibility and acceptability of augmenting therapy for youth with automated text messaging during COVID-19. Evidence-Based Practice in Child & Adolescent Mental Health, 8(3) 335-347. https://doi.org/10.1080/23794925.2023.2224112
Darrow, SM, Pizzagalli, DA, Smoke, M, Mathew, SJ, Numberger, J, Linsanby, SH, Iosifescu, D, Murrough, JW, Yang, H, Weiner, RD, Sanacora, G, Keefe, RSE, Song, A, Goodman, W, Whitton, AE, Potter, WZ, Krystal, AD (2023). Using latent class analyses to classify subjects with anhedonia based on reward-related measures obtained in the FAST-MAS study. Journal of Affective Disorders. 339:584-592. doi: 10.1016/j.jad.2023.07.081
Haack, LM, Pfiffner, LJ, Darrow, SM, Lai, J, Beltran, DKA, Beltran, JUM, Candil, EM, Garcia, KD, Guerror, MFA, Saldana, DML, Valdez, MEU, & Jimenez, EAA (under review). Enhancing accessibility and scalability of school-based programs to improve youth attention and behavior: open feasibility trial of the remote CLS-R-FUERTE program in Mexico. School Psychology.
Recent presentations
Haack, L. M., Darrow, S., Pfiffner, L., Arriaga Guerrero, M. F., UrquÍdez Valdez, M. E., Alcaraz Beltrán, D. K., Delgado García, K., Villaseñor Palma, K., & Araujo Jimenez, E. (accepted for 2025, June). Using the RE-AIM and EPIS frameworks implement and evaluate a school clinician training and ADHD Intervention program for children across Mexico: Barriers and facilitators to CLS-A-FUERTE “Adoption” and “Reach”. In L. Haack (Chair)’s Culturally and Contextually Adapting Mental Health Services to Reach Underserved Youth Populations Globally. Symposium accepted to the 21st biannual meeting of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), Vancouver, Canada.
Shaller, E.A.L., Stuart, B.K., Maliken, A.C., Yaeger, A.M., & Liu, N.H. (2025) Becoming a Clinician Educator: A (Slightly More) Stable and Fulfilling Path in an Unstable Time. Panel Discussion at the 59th annual meeting of the Association for Cognitive and Behavioral Therapies. New Orleans, LA.
Haft, S.L., Shaller, E.A.L., Maliken, A.C.. Vijay, A., & Yaeger, A.M. (2025) Embracing Dialectics ‘til the End - Live Demonstration of Effective Termination Strategies in DBT for Adolescents. Workshop given at the 59th annual meeting of the Association for Cognitive and Behavioral Therapies. New Orleans, LA.
Packwood, K, Shaller, EAL, Darrow, SM (2025) A real relationship between equals: How to leverage lived experience to improve clinical outcomes. Workshop given at the annual meeting for the International Society for the Improvement and Teaching of Dialectical Behavior Therapy. New Orleans, LA.
Shaller, E.A.L. (2024) Master Clinician Seminar: Managing therapy-interfering behavior in DBT and beyond. Seminar given at the 58th annual meeting of the Association for Cognitive and Behavioral Therapies. Philadelphia, PA.
Shaller, E.A.L., Maliken, A.C.. Vijay, A., Yaeger, A.M., & Haft, S.L. (2024) How did they agree to this?! A live demonstration of orientation and commitment in DBT-A. Workshop given at the 58th annual meeting of the Association for Cognitive and Behavioral Therapies. Philadelphia, PA.
Shaller, E.A.L., Liu, N.H., Stuart, B.K., Maliken, A.C., & Yaeger, A.M. (2023) Becoming a clinician educator: Reasons being a tenure-track dropout can be an excellent career path. Panel Discussion at the 57th annual meeting of the Association for Cognitive and Behavioral Therapies. Seattle, WA.
Maliken, A.C., Yaeger, A.M., Vijay, A. Shaller, E.A.L., & Haft, S.L. (2023) The Dance of DBT-A: A live, annotated role-play of multiple DBT providers in an adolescent session. Workshop at the 57th annual meeting of the Association for Cognitive and Behavioral Therapies. Seattle, WA.
Forsythe Cox, V., Cooper, C., Suara, Z., Marfo, N.Y., Cooney., E., & Shaller, E.A.L. (2020) Doing the best we can and doing better: The path to anti-racism in DBT. Featured, invited workshop given at the 25th annual meeting of the International Society for the Improvement and Teaching of Dialectical Behavior Therapy, Virtual (due to COVID-19).
Gorraiz, M., Shaller, E.A.L., Maliken, A.C., & Yaeger, A.M. (2019). Which way do you go? A live, annotated demonstration of acceptance and change in adolescent DBT. Clinical Grand Rounds given at the 53rd annual meeting of the Association for Behavioral and Cognitive Therapies, Atlanta, GA.
Anamkath, N.S., Darrow, S.M.*, Loondahl-Shaller, E.A., Ozer, E., Piatigorsky, A., Stuart, B., Todd, N., & Yaeger, A.M. (November 2015). Preliminary validation of the measure of adolescent skills confidence (MASC). Poster presented at the annual conference for the International Society for the Improvement and Teaching of Dialectical Behavior Therapy, Chicago, IL
Shaller, E., Darrow, SM, Maliken, A. Todd, N. & Piatigorsky, A. (November 2017). Family therapy in Dialectical Behavior Therapy for Adolescents. Workshop presented at the annual meeting for the International Society for the Improvement and Teaching of Dialectical Behavior Therapy. San Diego, CA.
Reeves, J. & Darrow, SM. (May 2018). Preliminary examination of intraindividual dynamics between suicidal ideation, self-harm urges, and emotions in early sessions of dialectical behavior therapy for adolescents. Poster presented at the annual meeting for the Association of Psychological Science.
Shaller, E., Yaeger, A., Maliken, A.C., & Gorraiz, M. (November 2018). #DBT: A live, Annotated Demonstration of DBT with an Adolescent. Mini workshop at The Association for Cognitive and Behavioral Therapy Annual Convention. Washington, D.C.
Haack, L., Darrow, SM, Figueroa, C. Aguilera, A. (October 2019). Let's Text! Improving Engagement in Mental Health Services. Symposium presented at UCSF Sharecase, San Francisco, CA.
Gorraiz, M., Shaller, E., Maliken, A.C., & Yaeger, A. (November 2019). Which way do you go? A live, annotated demonstration of acceptance and change in adolescent DBT. Clinical Grand Rounds at The Association for Cognitive and Behavioral Therapy Annual Convention, Atlanta, GA.
Haack, L., Libby, A., Maliken, A., Moreno, G., Todd, N., & Parsons, A. (2020). Preventing provider burnout via the Ekstasis Peer Consultation model. University of California San Francisco Education Showcase. (Conference canceled.)
Darrow, S.M., Maliken, A.C., Haack, L.M., Buckelew, S.M., & Koren, M.K. (March 2020). Risky Business: Effectively assessing adolescent mental health risk related behaviors. Workshop for the Society for Adolescent Health and Medicine Annual Meeting, San Diego, CA. (Conference canceled.)
Reeves, JW, Tollefsen, TK, Fisher, AJ, & Darrow, SM (November 2020). Using routine outcome monitoring data to identify the timing and proximal risk factors of suicidal ideation. In Reeves, J.W. & Bosley, H.G. (Chairs), Advances in idiographic clinical science: Highlighting the clinical utility of the person-specific approach. Symposium presented at the 54th annual conference for the Association for Behavioral and Cognitive Therapies, Philadelphia, PA.
Reeves, JW, Tollefsen, TK, Fisher, AJ, & Darrow, SM (November 2020). Personalized short-term prediction of suicidal ideation and self-harm urges. In Park, E. (Chair), Novel approaches to explore proximal risk for suicide and self-injury. Symposium presented at the 54th annual conference for the Association for Behavioral and Cognitive Therapies, Philadelphia, PA.
Darrow, SM & Armstrong, CC (January 2021). Using Clinical Data to Improve Mental Health Services for Suicidal Adolescents. Poster presented via Twitter for UCSF's 1st Annual Health Services Research Symposium, San Francisco, CA.
Haack, L.M., Libby, A., Maliken, A.C., Moreno, G., Todd, N., & Prasad, S. (February 2021). Preventing provider burnout to enhance outcomes for high-risk adolescent patients: Introduction and demonstration of the Ekstasis Peer Consultation model. Workshop for the Society for Adolescent Health and Medicine Annual Meeting, Virtual Conference.
Sandel, D, Pelot, M, Ironside, M, & Darrow, SM (November 2021) Harnessing client self-monitoring for clinical science research: An example from adolescent DBT diary cards. Poster presented at the virtual annual meeting for the Association for Behavioral and Cognitive Therapies.
Maliken, A.C., Gorraiz, M., Yaeger, A., & Shaller, E. (November 2021). Movement, speed and flow: A live, annotated demonstration of dialectical and stylistic strategies in adolescent DBT. Mini workshop at The Association for Cognitive and Behavioral Therapy Annual Convention. Virtual Conference.
Swan, A, Parsons, A, Libby, A, Maliken, A, Jou, J, Haack, L, Moreno, G, Todd, N, & Darrow, SM (November 2022) Lessons learned providing CBT for child and adolescent anxiety via telehealth: A provider survey of barriers, facilitators, and quality of care during the Covid-19 global pandemic and beyond. Poster presented at the 56th annual convention for the Association of Behavioral and Cognitive Therapies, New York, NY.
Maliken, A, Darrow, SM, Fordwood, S, Jou, J, Todd, N, & Shaller, E (November 2022) How phone coaching in DBT-A will change (not ruin) your life. Workshop presented at the annual meeting for the International Society for the Improvement and Teaching of Dialectical Behavior Therapy. New York, NY.
Yaeger, A.M., Maliken, A.C., Gorraiz, M., Shaller, E., & Vijay, A. (November 2022). How can I possibly validate everyone: A live, annotated demonstration of family therapy in DBT-A. Mini workshop at The Association for Cognitive and Behavioral Annual Convention. New York, NY.