Dr. Lindsay Bornheimer's research program focuses on understanding and preventing suicide death among adults experiencing serious mental illness, with a specific focus on psychosis and schizophrenia. Her work aims to examine suicide risk and protective factors, advance theories of suicide, develop and test behavioral interventions, and increase the utility and scalability of evidence-informed interventions in mental health care. As an intervention and implementation science researcher by training with expertise in cognitive behavioral therapy, she is particularly focused on the adaptation and implementation of cognitive-behavioral approaches in the treatment of serious mental illness and suicide prevention. Bornheimer is currently the principal investigator of a NIMH R34 to modify and test the feasibility, acceptability and preliminary effectiveness of a cognitive-behavioral suicide prevention-focused intervention tailored to adults diagnosed with schizophrenia spectrum disorders in community mental health (R34MH123609). Additionally, she is the site principal investigator of a NIMH R01 to develop and evaluate the feasibility of a simulated assessment tool of cognitive behavioral therapy sills for mental health service providers (R01MH112625).
Bornheimer was trained in a pre-doctoral fellowship at the McSilver Institute for Poverty Policy and Research at New York University and completed a post-doctoral fellowship at the Brown School of Social Work of Washington University in St. Louis. As a licensed clinical social worker, she has over ten years of experience in psychotherapy with individuals, couples and families in both public and private settings. She completed her clinical training at the New York State Psychiatric Institute and New York Presbyterian Hospital and receives training in cognitive behavioral therapy from the Beck Institute.
Bornheimer is also an assistant professor in the University of Michigan Department of Psychiatry and a faculty member of the Depression Center, Injury Prevention Center, and Treatment Innovation and Dissemination Research group.
Risk factors for suicidal ideation and attempt among adults diagnosed with schizophrenia spectrum and other psychotic disorders; serious mental illness; depression; suicide prevention; intervention development, implementation, and evaluation; cognitive-behavioral therapy; evidence-based practice; structural equation modeling and longitudinal data analysis
|(734) firstname.lastname@example.org||3792 SSWB||University of Michigan|
School of Social Work
1080 S. University Ave.
Ann Arbor, MI 48109
|2016||PhD||Social Work||New York University, New York, NY|
|2009||MSW||Social Work||Columbia University, New York, NY|
|2007||BA||Psychology||Drew University, Madison, NJ|
|Evaluating a tailored Cognitive Behavioral Therapy for AYA cancer patients||Zhang, Anao (PI)
Bradley Zebrack, Lindsay Bornheimer (Co-Is)
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Evaluating a tailored Cognitive Behavioral Therapy for AYA cancer patients
July 2019 - June 2021
Background: Depression and anxiety are detrimental to the treatment and recovery of AYA cancer patients, yet poorly treated due to: (1) psychotherapies not tailored for AYA patients’ needs, (2) low access to mental health providers trained to work with AYA patients, and (3) low compliance to face-to-face psychotherapy. Methods: This study will use a mixed-method randomized controlled trial among 50 participants who report (sub)clinical depression and/or anxiety at CS Mott Children’s Hospital, University of Michigan. Participants will be randomly assigned to receive either clinician-assisted, computer-based CBT (treatment group) or stand-alone, computer-based CBT (control group). Baseline, post-intervention, and one-month follow-up assessment will be conducted to determine the effectiveness of clinician-assisted C-CBT versus C-CBT only. Participants from both treatment group (n=10) and control group (n=10) will be invited for a qualitative interview regarding their experiences of receiving the psychotherapy. Analysis: Quantitative analysis will include descriptive statistics, analysis of co-variance, and treatment effect size. Qualitative analysis will involve thematic coding and constant comparative to derive patterns and themes.
|Feasibility, acceptability, and preliminary effectiveness of a cognitive-behavioral suicide prevention-focused intervention tailored to adults diagnosed with schizophrenia spectrum disorders||Bornheimer, Lindsay
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Feasibility, acceptability, and preliminary effectiveness of a cognitive-behavioral suicide prevention-focused intervention tailored to adults diagnosed with schizophrenia spectrum disorders
August 2020 - August 2023
Suicide is among the leading causes of death for adults with schizophrenia, with risk estimates being over eight times greater than among the general population. While research has largely focused on depression and hopelessness, there is growing support for the role that symptoms of psychosis (e.g. hallucinations) play in suicide risk. Further, this high suicide rate continues to be a major public health concern given the paucity of evidence-based interventions to reduce suicidality in this population. We propose to modify and evaluate the acceptability and preliminary effectiveness of Cognitive Behavioral Suicide Prevention for psychosis (CBSPp), a promising intervention requiring protocol and implementation modifications to increase its utility in community mental health (CMH). The following modifications will be pursued given feedback from clients and providers: 1) modify and shorten treatment; 2) develop a hybrid technology-assisted provider training; and, 3) develop a between-session client text booster. Further innovations will be informed by engagement with stakeholders (clients, staff, providers, directors, and leaders) in CMH to review and gain feedback on the protocol. We will then test acceptability, feasibility, fidelity, and preliminary effectiveness of the modified CBSPp. Accordingly, the study aims to: 1) modify CBSPp for clients with schizophrenia spectrum and other psychotic disorders (SSPD) receiving CMH services, and 2) evaluate the feasibility and preliminary effectiveness of modified CBSPp in a randomized trial in comparison to services-as-usual (SAU). Aim 1 will involve: 1) the development of a hybrid technology-assisted CBSPp provider training, text boosters; 2) in-depth qualitative interviews to evaluate all CBSPp materials and delivery protocol with stakeholders, including 15 adults with SSPD and suicidal ideation and/or attempt (SI/A) within 3 months of screening and 10 CMH staff, providers, directors, and leaders); 3) CBSPp protocol and delivery, hybrid provider training, and text booster modifications with input from an expert panel of scholars; 4) an open pilot trial with 8 clients and 2 providers using modified CBSPp; 5) qualitative interviews with CBSPp delivery providers (n=2) and 5 staff, leaders, and directors in CMH to explore provider experiences and organizational impact of CBSPp implementation at the research site (Washtenaw County Community Mental Health; WCCMH); and, 6) final modifications prior to the Aim 2 trial. Aim 2 will involve a trial to test preliminary effectiveness and implementation of modified CBSPp (versus services as usual; SAU) among adults with SSPD and SI/SA within 3 months of screening (n=60). A 4-wave design will include quantitative assessments at baseline (T1), mid-test (T2), post-test (T3), and follow-up (T4) with in-depth qualitative interviews at T4 for a random sample of adults in the CBSPp group (n=10). Providers (n=8) will be trained to deliver CBSPp and be assessed T1-T4 to evaluate the implementation process, including in-depth qualitative interviews at T4. We will monitor fidelity, acceptability, usability, and feasibility of the modified CBSPp. This proposal is in response to RFA-MH-18-706, Pilot Effectiveness Trials for Treatment, Preventative and Services Interventions, and follows NIMH’s strategic plan to develop ways to tailor existing and new interventions to optimize outcomes (3.2) and test interventions for effectiveness in community practice (3.3).
|Promoting Community Conversations about Research to end Native Youth Suicide in Rural Alaska - Firearm Mortality Supplement||Wexler, Lisa (PI)
Richard Tolman, Lindsay Bornheimer (Co-Is)
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Promoting Community Conversations about Research to end Native Youth Suicide in Rural Alaska - Firearm Mortality Supplement
Suicide rates in Alaska are almost double the national rate, and data show access to a firearm triples individual risk of death by suicide and 60% of suicide fatalities due to firearms. Restriction of lethal means for suicide is one of the most effective prevention strategies, yet, the field lacks consensus regarding the skills and knowledge that mental health providers require to facilitate firearms means restriction and deploying means restriction interventions across settings and situations remains a challenge, specifically in remote areas such as in many Alaskan communities. Guided by Social Cognitive Theory, the present study narrows research gaps by investigating the facilitative (e.g., practice skills, inter-professional relationships with first responders, community attitudes) and psychological factors (e.g., self-efficacy, outcome expectations) of effective firearm-related suicide risk assessment and intervention among mental health providers. We propose to explore community member and mental health provider perspectives to identify the knowledge and skills needed to effectively prepare mental health providers to work towards firearm lethal means reduction and firearm safety. The study aims to: 1) explore how community members and service providers discuss suicide, lethal means restrictions, and attitudes towards firearm-related suicide risk assessment and intervention in Alaskan Native (AN) communities; and, 2) identify the determinants of mental health providers’ assessment and intervention in reducing firearm-related suicide risk in Alaska. Aim 1 will involve content analysis of secondary qualitative interview (n=12) and community-based learning circle (n=54) data collected by the PI (Wexler) in a prior NIMH-funded study which examined the meanings assigned to suicide by medical and mental health workers, the health systems that shape practices of care, and the AN communities these systems serve. Aim 2 will involve conduct key-informant interviews with field supervisors (n~10) who oversee mental health providers in rural Alaska to investigate the facilitative and psychological factors that promote perceived effective assessment and intervention in firearm-related suicide encounters. Data will be analyzed inductively and iteratively using thematic analysis and the constant comparative approach to identify emergent themes with input from a Local Steering Committee in Alaska. Study findings will contribute to increased understandings of the identified key determinants that are required as a foundation for effective firearm-related suicide risk assessment and intervention; and thus, form the basis of future means-restriction training for mental health providers.
University of Michigan
School of Social Work
1080 South University Avenue
Ann Arbor, MI 48109-1106