April 2015
Sarah Fischer
Curriculum Vita
MSN 3FS, DKH, 4400 University Drive
George Mason University
703-993-5635Fairfax, VA,
Professional Positions
Assistant Professor, Clinical Psychology, University of Georgia 2007 – 2012
Adjunct Professor of Psychology, University of Georgia 2012 – Present
Fellow, Institute for Behavioral Research, University of Georgia2008 – 2012
Assistant Professor, Clinical Psychology, George Mason University 2012 - Present
License Number: 0810004695 (State of Virginia)
Education & Training
University of Kentucky, Lexington, Kentucky, 40506-0044
- Ph.D., Clinical Psychology2006
- M.S., Clinical Psychology 2002
- B.A., Magna Cum Laude1999
University of Chicago Medical Center, Chicago, IL
- Postdoctoral Training, Eating Disorders Program, 2006 – 2007
- Internship, 2005 – 2006
Honors
- Otis Singletary Fellowship1999
- Quality Achievement Award1999-2002
- Research Challenge Trust Fund Fellowship 2002, 2003
- Pre-doctoral Research Award 2003
- Harris Dissertation Award 2003
- NIMH/AED Junior Investigator
Travel Fellowship2007
- Supervision Award (UGA)2008
- Outstanding Contribution to the
- Clinical Psychology Program (UGA)2008
- Clinical Training Award (UGA) 2011
- Phi Beta Kappa
Professional Affiliations
- Research Society on Alcoholism (RSA)
- Academy for Eating Disorders (AED)
*Assessment and Diagnosis Special Interest Group Co-Chair 2012-2014
- Eating Disorders Research Society (EDRS)
Grants (Chronological)
Role: Principal Investigator.
National Institute on Alcohol Abuse and Alcoholism, 5 F31 AA014469-02,
“The Role of Trait Urgency and Expectancies in Problem Drinking and Binge Eating”, 2003-2005.
$60,176 direct costs
Role: Principal Investigator
University of Georgia Research Foundation Grant,
“Trait Urgency as a Longitudinal Predictor of Substance Abuse and Eating Disorder Symptoms in College Women”, awarded 2007; funded 2008-2009.
$6,000
Role: Consultant
National Institute on Alcohol Abuse and Alcoholism (1 RO1 AA016166),
"Developmental Transitions and Risk for Alcohol Use ", 2008-2013.
$1,909,471 direct costs. Gregory Smith, Principal Investigator.
Role: Co-Investigator
University of Georgia Research Foundation Grant
"Testing the effects of computerized attention modification training in individuals withborderline personality disorder symptoms"; awarded 2008; funded 2009-2010.
$8,000. Joshua Miller, Principal Investigator
Role: Principal Investigator
National Eating Disorders Association Laureate Young Investigator's Grant
"Dialectical Behavior Therapy for Adolescent Bulimia Nervosa and Co-Occurring Deliberate Self Injury and Depression"; awarded and funded 2009 -2010.
$10,000
Role: Principal Investigator
National Institute of Health Clinical Research Loan Repayment Grant
"Risk and Prevention for Alcohol Use and Abuse in Emerging Adult Women"
Awarded and funded 2009-2011;
Renewal awarded and funded 2011-2013.
Role: Principal Investigator
University of Georgia Research Foundation Grant; awarded 2009; funded 2010
"The Effects of Stress on the Reward System Response to Food Cues and Craving in Obesity"
$6,200
Role: Co-Investigator 04/01/13-02/29/16
R34 DA034823 Chaplin (PI)
National Institute of Drug Abuse Total Direct Costs: $450,000.00
“Reducing Stress with Parenting Focused Mindfulness to Prevent Youth Substance Abuse”
This study proposes to test the effects of a parenting focused mindfulness intervention on reducing bio-behavioral arousal in parent child interactions and preventing substance use.
Role: Co-Investigator 01/09/14-06/30/15
R01MH087520 Brown, PI
“Integrated Mental Health Treatment and HIV Prevention for Court Involved Youth”
National Institute of Mental Health Total Direct Costs: $3,849,664.00
Aim: Compare the relative efficacy of an integrated mental health treatment and HIV prevention program to standard-of-care mental health treatment for 150 youth receiving mental health evaluations through the RI Family Court, Juvenile Mental Health Clinic.
Dates of grant:7/1/10-6/30/15
PI/Co-Investigators: Larry Brown, M.D. (PI), Sarah Fischer, Ph.D., Marina Tolou-Shams, Ph.D., Wendy Hadley, Ph.D., & Ronald Seifer, PhD.
Grants Submitted/Under Review
2009
Using fMRI to Understand Effects of Stress and Food Cues on Cue Reactivity in Obesity 1R01DK085538-01
Role: Principal Investigator; Co-Investigators L. Stephen Miller, James MacKillop, Suzanne Thomas
Scored: 60; unfunded
2010
Neuroimaging of Stress Effects & Limbic Response to Cues & Consumption in Obesity
1R01HL109380-01
Role: Principal Investigator; Co-Investigators L. Stephen Miller, James MacKillop
Scored: 33; unfunded
2011
Effects of Psychosocial Stress and Neural Processing of Food Cues on Consumption
1R01HL116028-01
Role: Principal Investigator; Co-Investigators L. Stephen Miller, James MacKillop
Unscored
2013
Gender Moderation of Pathways to Substance Abuse in Inmates Post-Release
1R01DA038061-01
Role: Principal Investigator; Co-Investigators June Tangney, Jeffrey Stuewig
Unscored
Grant Supported Positions
2006
Role: Study Therapist
Effectiveness of Family-Based Versus Individual Psychotherapy in Treating
Adolescents with Anorexia Nervosa, R01, NIMH (NCT00149786).
PIs: Daniel le Grange, Ph.D. (The University of Chicago), James D. Lock, M.D., Ph.D. (Stanford University)
2006
Role: Project Coordinator
Ecological Momentary Assessment of Anorexia Nervosa, 2RO1 MH05967404
PIs: Stephen Wonderlich, Ph. D. (Neuropsychiatric Institute, Fargo, ND), Scott Crow, M. D. (University of Minnesota), Daniel le Grange, Ph. D. (The University of Chicago)
Publications
Journals (n = 46) ** indicates student first author; * indicates student co-author
1. Fischer, S., Smith, G. T., & Anderson, K. G. (2003). Clarifying the role of impulsivity in bulimia nervosa. The International Journal of Eating Disorders, 33, 406-411.
2. Fischer, S., Smith, G. T., Anderson, K. G.,& Flory, K. H. (2003). Expectancy influences the operation of personality on behavior. Psychology of Addictive Behaviors, 17(2), 108-114.
3. Anderson, K. G., Smith, G. T., & Fischer, S. (2003). Women and acquired preparedness: Personality and learning implications for alcohol use. Journal of Studies on Alcohol, 64 (3), 384-392.
4. Smith, G.T., Fischer, S., & Fister, S. M. (2003). Incremental validity principles of test construction. Psychological Assessment, 15(4), 467-477.
5. Fischer, S., & Smith, G. T. (2004). Deliberation affects risk taking beyond sensation seeking. Personality and Individual Differences, 36(3), 527-537.
Reprinted in Clinician’s Research Digest, 22 (June 2004).
6. Fischer, S., Anderson, K. G., & Smith, G. T. (2004). Coping with distress by eating or drinking: The role of trait urgency and expectancies. Psychology of Addictive Behaviors, 18, 269-274.
7. Smith, G. T., Cyders, M., Fischer, S., & Simmons, J. (2004). Integrating dispositional and psychosocial learning risk factors for bulimia nervosa. Revista de Psicologia Conductal: Revista Internacional de Psicologia Clinica y de la Salud. (Journal of Behavioral Psychology: International Journal of Clinical and Health Psychology), 12, 463-489.
8. Anderson, K. G., Smith, G. T., McCarthy, D. M., Fischer, S. M., Fister, S., Grodin, D., Boerner, L. M., & Hill, K. K. (2005). Elementary school drinking: The role of temperament and learning. Psychology of Addictive Behaviors, 19, 21-27.
9. Baer, R., Fischer, S., & Huss, D. (2005). An Application of Mindfulness Based Cognitive Therapy to Binge Eating: A Case Study. Cognitive and Behavioral Practice, 12, 351-358.
10. Baer, R., Fischer, S., & Huss, D. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational Emotive and Cognitive Behavior Therapy, 23, 281-300.
11. Bocchieri-Ricciardi, L., Chen, E. Y., Munoz, D., Fischer, S., Dymek-Valentine,M.,
Alverdy, J. C., & le Grange, D. (2006). Pre-surgery binge eating status: Effect on eating behavior and weight outcome after gastric bypass. Obesity Surgery,16, 1198-1204.
12. Annus, A., Smith. G. T., Fischer, S., Williams, S. M., & Hendricks, M. (2007). Associations among family and peer food-related experiences, learning about eating and dieting, and the development of eating disorders. International Journal of Eating Disorders, 40, 179-186.
13. Cyders, M. A., Smith, G. T., Spillane, N. S., Fischer, S., Annus, A. M., & Peterson, C. (2007).Integration of impulsivity and positive mood to predict risky behavior: Development and validation of a measure of positive urgency. Psychological Assessment, 19, 107-118.
14. Smith, G. T., Fischer, S., Cyders, M. A., Annus, A. M., Spillane, N. S., & McCarthy, D. M. (2007). On the validity and utility of discriminating among impulsivity-like traits. Assessment, 14, (2), 155-170.
15. Fischer, S., Chen, E. Y., Katterman, S., Roehrig, M., Bocchieri-Ricciardi, L., Munoz, D., Alverdy, J. C., Dymek-Valentine, M., & le Grange, D. (2007). Emotional eating in a morbidly obese bariatric surgery seeking population. Obesity Surgery,17 (6) 782-788.
16. Chen, E. Y., Bocchieri-Ricciardi, L., Munoz, D., Fischer, S., Katterman, S., Roerhig, M., Dymek- Valentine, M., le Grange, D., & Alverdy, J. C. (2007). Depressed mood in class III obesity predicted by weight related stigma. Obesity Surgery, 17, 673-675.
17. Fischer, S., Smith, G. T., Annus, A. M., & Hendricks, M. (2007). The relationship of neuroticism and urgency to negative consequences of alcohol use in women with bulimic symptoms. Personality and Individual Differences, 43, 1199-1209.
18. Munoz, D., Lal, M., Chen, E., Mansour, M., Fischer, S., Roherig, M., Sanchez-Johnsen, L., Dymek-Valentine, M., Alverdy, J., & le Grange, D. (2007). Why patients seek bariatric surgery: A qualitative and quantitative analysis. Obesity Surgery, 17, 1487-1491.
19. Munoz, D., Chen, E., Fischer, S., Roerhig, M., Sanchez-Johnson, L., Alverdy, J.,
Dymek, M., & le Grange, D. (2007). Considerations for the use of the Beck
Depression Inventory in weight-loss surgery seeking patients. Obesity Surgery,
17, 1097-1011.
20. Fischer, S., & Le Grange, D. (2007). Co-morbidity and high risk behaviors in
treatment seeking adolescents with bulimia nervosa. International Journal
of Eating Disorders, 40, 751-753.
21. Fischer, S. & Smith, G. T. (2008). Binge eating, problem drinking, and pathological gambling: Linked by common pathways to impulsive behavior. Personality and Individual Differences,44, 789-800.
22. Fischer, S., Smith, G. T., & Cyders, M. A. (2008). Another look at impulsivity: A meta analytic review of trait impulsivity and its association with bulimic symptoms. Clinical Psychology Review, 28, 1413-1425.
23. Marino, J., Ertlet, T., Wonderlich, S., Crosby, R., Lancaster, K., Mitchell, J., Fischer, S. Doyle, P., le Grange, D., Peterson, C. & Crow, S. (2009). Caffeine, artificial sweetener, and fluid intake in anorexia nervosa. International Journal of Eating Disorders.
*24. Fischer, S., Stojek, M., & Hartzell, E. (2010). Effects of multiple forms of childhood abuse and adult sexual assault on current eating disorder symptoms. Eating Behaviors, 11,190-192.
25. Munoz, D. Chen, E. Y., Fischer, S., Sanchez-Johnson, L., Roherig, M., Dymek-Valentine, M., Alverdy, J. C., & le Grange, D. (2010). Changes in desired body shape after bariatric surgery. Eating Disorders: The Journal of Treatment and Prevention, 18, 347-354.
**26. Stojek, M., Fischer, S., & Collins, B. (2010). Thinness and restricting expectancies mediate the relationship of ethnic identity and bulimic symptoms. Personality and Individual Differences, 49, 102-106.
**27. Maples, J., Collins, B., Miller, J. D., Fischer, S., & Seibert, A. (2011). Differences between grandiose and vulnerable narcissism and eating disorders in young women. Eating Behaviors, 83-85.
*28. Fischer, S., Settles, R., Collins, B., Gunn, R., & Smith, G. T. (2012). The role of negative urgency and expectancies in problem drinking and disordered eating: testing a model of co- morbidity in pathological and at-risk samples.Psychology of Addictive Behaviors, 26, 112- 123.
**29. Flowers, K., Levenesque, M., & Fischer, S. (2012). The relationship between eating disorder symptoms and racial identity among African American women in college. Journal of Black Psychology, 38, 290-312.
30. Settles, R., Fischer, S., Cyders, M. A., Combs, J. L., Gunn, R. L., & Smith, G. T. (2012) Urgency: A personality predictor of externalizing behavior characterized by neuroticism, low conscientiousness, and disagreeableness. Journal of Abnormal Psychology, 121, 160-172.
**31. Burns, E. E., & Fischer, S., Jackson, J., & Harding, H. (2012). Deficits in emotion regulation mediate the relationship between childhood abuse and later eating disorder symptoms. Child Abuse and Neglect, 36, 32-39.
**32. Mouilso, E., Fischer, S., & Calhoun, K. (2012). A prospective study of alcohol use and sexual assault among first-year college women. Violence and Victims, 27, (78-94).
**33. Peterson, C., & Fischer, S.,(2012). A prospective study of the influence of the UPPS model of impulsivity on the co-occurrence of bulimia nervosa and non-suicidal self -injury.Eating Behaviors, 13, 335-341.
**34. Taylor, J., Peterson, C. M., & Fischer, S. (2012). Motivations for self -injury, affect, and impulsivity: A comparison of individuals with current self-injury to individuals with a history of self-injury. Suicide and Life-Threatening Behavior, 42, 602-613.
**35.Stojek, M. M. & Fischer, S. (2013). Impulsivity and motivations to consume alcohol: A prospective study of risk for dependence in young adult women.Alcoholism: Clinical and Experimental Research, 37, 292-299.
*36.Fischer, S., Peterson, C. M., & McCarthy, D. M. (2013). A prospective test of the influence of negative urgency and expectancies on binge eating and purging.Psychology of Addictive Behaviors, 27, 294-300.
**37. Davis, K. R. & Fischer, S.(2013).The influence of trait anger, trait anxiety, and negative
urgency ondisordered eating. Personality and Individual Differences, 54, 307-310.
**38. Stojek, M. & Fischer, S. (2013). Thinness expectancies and restraint in black and white
women: A prospective study. Eating Behaviors,14, 269-273.
**39. Emery, R. L., King, K. M., Fischer, S., & Davis, K. R. (2013). The moderating role of negative urgency on the prospective association between dietary restraint and binge eating. Appetite, 71, 113-119.
** 40. Davis-Becker, K., Peterson, C. M., & Fischer, S. (2014). The relationship of trait urgency and negativeaffect to disordered eating in men and women. Personality and Individual Differences, 56, 9-14.
**41. Collins, B., Fischer, S., Stojek, M., & Davis, K. R. (2014). Thought suppression moderates the relationship between recent sexual assault and increases in eating disorder symptoms: A
prospective study. Journal of Adolescence, 37, 113-121.
**42. Peterson, C. M., Davis-Becker, K., & Fischer, S. (2014). The interactive role of depression, distresstolerance, and negative urgency on non-suicidal self-injury. Personality and Mental Health, 8, 151-160.
**43. Stojek, M. Fischer, S., Murphy, C., & MacKillop, J. (2014). The role of delay discounting and negativeurgency in dysregulated eating among heavy drinkers. Appetite, 80, 81-88.
**44. Garner, A., Davis-Becker, K., & Fischer, S. (2014). The relationship between thinness expectancies and compensatory exercise in eating pathology. Eating Behaviors, 15, 335-338.
*45. Fischer, S. & Peterson, C. M. (2015). Dialectical behavior therapy for adolescent binge eating, purging, suicidal behavior, and non-suicidal self-injury: A pilot study. Psychotherapy, 52, 78- 92.
**46. Peterson, C. M., Fischer, S., & Young-Hyman, D. (in press). A comprehensive risk model for disordered eating in youth with type 1 diabetes. Journal of Pediatric Psychology.
Book Chapters (n = 8) * indicates student/advisee co-author
47. Fischer, S., Smith, G. T., Spillane, N., & Cyders, M. A. (2005) Urgency: Individual
differences in reaction to mood and implications for addiction. In Clark, A. (Ed.) The Psychology of Moods, pp 85-107. New York: Novascience Press.
48. Fischer, S., Smith, G. T., & Cyders, M. A. (2006). Integrating personality
and environmental risk factors for bulimia nervosa. In P. I. Swain (Ed.),
Anorexia Nervosa and Bulimia Nervosa: New Research. New York: Nova Science Publishers, pp. 159-183.
49. Spillane, N. S., Smith, G. T., & Fischer, S. (2006). Advancing behavioral ecological
theories of problem drinking by considering reservation dwelling American
Indians. In Yoshido, R. (Ed.), Trends in Alcohol Abuse and Alcoholism Research.
New York: Nova Science Publishers.
50. Fischer, S., Celio-Doyle, A., & le Grange, D. (2009). Cognitive behavioral therapy for eating disorders in childhood and adolescence. In McKay, D., & Storch, E. (Eds). Cognitive Behavior Therapy for Refractory Cases in Children and Adolescents.Springer Publishing. NY: NY, pp. 259-291.
**51. Reed-Knight, B. E., & Fischer, S. (2011). Treatment of narcissistic personality disorder symptoms in a dialectical behavior therapy framework: A discussion and case example. Campbell, W. K., & Miller, J. D. (Eds.). Handbook of Narcissism and Narcissistic Personality Disorder. Hoboken, NJ: Wiley, pp. 467-475.
**52. Breithaupt, L., Fischer, S., Marino, J., & Gaydusek, D. (in press). Anorexia nervosa. McKay, D., Abramowitz, J., & Storch, E. (Eds.). Mechanisms of Syndromes and Treatment for Psychological Problems.
*53. Fischer, S., Davis-Becker, K., & Breithaupt, L. (in press). Bulimia nervosa. McKay, D., Abramowitz, J., & Storch, E. (Eds.). Mechanisms of Syndromes and Treatment for Psychological Problems.
54. Esposito-Smythers, C. & Fischer, S. (in press).Anxious adolescent in the emergency room: Misuse ofprescription medications. Commentaries: Psychotherapeutic perspective. In P. Jensen & C. Gallanter (Eds.),DSM-V Casebook and Treatment Guide for Child Mental Health.Arlington, VA: American Psychiatric Publishing, Inc.
Unpublished Technical Reports
Lynam, D., Smith, G. T., Cyders, M. A., Fischer, S., & Whiteside, S. P. (2007). The UPPS-P: A
multi-dimensional measure of risk for impulsive behavior.
Manuscripts Under Review
*Fischer, S., Collins, B., MacKillop, J., Farraco, C., & Miller, L. S. Neuroimaging of Stress Effects on Limbic System Response to Food Cues in Obese and Healthy Weight Adults: An Initial Investigation.
**Stojek, M., Fischer, S. & MacKillop, J. Stress, Cues, and Eating Behavior: Using Addiction Paradigms to Understand Motivations for Food.
**Peterson, C. M., Young-Hyman, D., Fischer, S., Markowitz, J., Muir, A., & Laffel, L. Examination of psychosocial and physiological risk for bulimic symptoms in youth with type 1 diabetes.
Presentations at Scientific Meetings (n = 60)
Fischer, S., Smith, G. T., & Anderson, K. G. (2001, June). Personality Influences the
Operation of Expectancies. Poster presented at the annual meeting of the Research Society on Alcoholism, Montreal, Canada.
Boerner, L., Anderson, K. G., Fischer, S., & Smith, G. T. (2001, August). Trait
Inhibition and Learning: Testing the Acquired Preparedness Model. Poster presented at the annual meeting of the American Psychological Association, San Francisco, CA.
Fischer, S., Anderson, K. G., Fister, S., & Smith, G. T. (2001, August). Clarifying the
Role of Impulsivity in Bulimia Nervosa. Poster presented at the annual meeting of theAmerican Psychological Association, San Francisco, CA.
Fischer, S. & Smith, G. T. (2002, June). Deliberation Affects Risk Taking Beyond
Sensation Seeking. Poster presented at the annual meeting of the Research Society on Alcoholism, San Francisco, CA.
Fischer, S., Anderson, K. G., Smith, G. T. & Helton, E. (2002, November). Coping with
Distress by Eating or Drinking: The Role of Trait Urgency and Expectancies. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Reno, NV.
Fischer, S., & Smith, G. T. (2003, June). The role of urgency in alcohol use and addictive behaviors. Poster presented at the annual meeting of the Research Society on Alcoholism, Fort Lauderdale, FL.
Huss, D., Fischer, S., & Baer, R. (2003, November) Mindfulness based cognitive therapy applied to binge eating: A case study. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Boston, MA.
Fischer, S., Baer, R., Huss, D., Fister, S., & Spillane, N. (2004, May) Mindfulness based cognitive therapy for binge eating: An uncontrolled pilot study. Poster presented at the annual meeting of the Academy for Eating Disorders, Orlando, FL.
Fischer, S., Smith, G. T., & Cyders, M. (2004, June). Sensation seeking versus urgency as risk factors for drinking and gambling. Poster presented at the annual meeting of the Research Society on Alcoholism, Vancouver, BC.
Fischer, S., Smith, G. T., & Cyders, M. (2004, November). Impulsivity: Construct validity of four types and implications for co-morbidity of gambling, drinking, and binge eating. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy, New Orleans, LA.
Cyders, M. A., Smith, G. T., Spillane, N. S., Fischer, S., & Annus, A. M. (2005, June). Development and validation of a measure of positive urgency and its relation to drinking behaviors. Poster presented at the annual meeting of the Research Society on Alcoholism, Santa Barbara, CA.
Fischer, S., Smith, G. T., Cyders, M. A., Spillane, N. S., Annus, A. M., & Hendricks, M.
(2005, June). Integrating dispositional and learning risk factors for addictive
behaviors. Poster presented at the annual meeting of the Research Society on
Alcoholism, Santa Barbara, CA.
Fischer, S., Smith, G. T., Hendricks, M., & Annus, A. M. (June, 2006) The Role of Trait
Urgency and Expectancies in Problem Drinking and Binge Eating. Paper
presented at the annual meeting of the Academy for Eating Disorders,
Barcelona, Spain.
Bocchieri-Ricciardi, L., Chen, E. Y., Munoz, D., Fischer, S., Dymek-Valentine,M.,
Alverdy, J. C., & le Grange, D. (June, 2006) A prospective investigation of pre-surgical binge eating status on eating behavior and weight outcome in gastric bypass patients. Paper presented at the annual meeting of the Academy for Eating Disorders, Barcelona, Spain.
Smith, G. T., Fischer, S., Cyders, M. A., Annus, A. M., & Spillane, N. S. (2007, July). Toward a comprehensive model of multiple dispositions to rash action. Paper presented at the annual meeting of the Research Society on Alcoholism, Chicago, IL.
Fischer, S. Smith, G. T., & Cyders, M. (May 2007). Another look at impulsivity: A
meta-analytic review of impulsivity constructs and their relation to bulimic
symptoms. Poster presented at the annual meeting of the Academy for Eating
Disorders, Baltimore, MD.
Fischer, S., Miller, J. D., Smith, G. T. (May 2008). Structural Models of Impulsivity and
their role in the co—occurrence of bulimic symptoms and substance abuse.
Poster presented at the annual meeting of the Academy for Eating Disorders,
Seattle, WA.
Munoz, D., Lal, M., Chen, E. Y., Mansour, M., Sanchez-Johnson, L., Fischer, S.,
Roherig, M., & le Grange, D. (May 2008). Reasons for seeking weight loss
surgery. Poster presented at the annual meeting of the Academy for Eating
Disorders, Baltimore, MD.
Fischer, S., & McCarthy, D. M. (June 2008). The relationship of impulsivity, anger, and
borderline personality disorder on alcohol use and deliberate self harm over time. Poster presented at the annual meeting of the Research Society on Alcoholism, Washington, D. C.