Adjunct Faculty
Adjunct faculty typically have an academic or research appointment at another institution and contribute or collaborate with one or more School of Medicine faculty members or programs.
Adjunct rank detailsDavid Tolin, PhD, ABPP
Adjunct Professor of Psychiatry, Yale Department of PsychiatryAbout
Research
Publications
2025
Gender Minority Stress Themes and Suicide Prevention for Adult Transgender Inpatients: A Content Analysis of Brief Cognitive-Behavioral Therapy
Stubbing J, Everhardt K, Rice T, Saunders L, Tolin D, Rudd M, Diefenbach G. Gender Minority Stress Themes and Suicide Prevention for Adult Transgender Inpatients: A Content Analysis of Brief Cognitive-Behavioral Therapy. Psychology Of Sexual Orientation And Gender Diversity 2025 DOI: 10.1037/sgd0000830.Peer-Reviewed Original ResearchSuicide prevention treatmentsMinority stressBrief cognitive-behavioral therapyCognitive-behavioral therapyElevated suicide riskGender minority stressTransgender participantsCase formulationSuicide riskNegative eventsTransgender clientsSources of resilienceSuicide preventionEvidence-based modelTrained cliniciansStress themesSuicideTreatment sessionsPreventive treatmentTransgender peopleTransgender individualsExternal eventsGender dysphoriaTransgenderContent analysisState of the Science: Hoarding Disorder and Its Treatment
Tolin D, Worden B, Levy H. State of the Science: Hoarding Disorder and Its Treatment. Behavior Therapy 2025, 56: 667-679. PMID: 40541370, DOI: 10.1016/j.beth.2025.03.002.Peer-Reviewed Original ResearchConceptsCognitive-behavioral therapyCognitive-behavioral modelHoarding DisorderReview current theoretical modelsAddiction modelEvidence of efficacyBiopsychosocial modelAttachment modelDisordersCultural modificationsAddictionState-of-the-scienceResearch directionsState-of-the-science reviewTreatmentInterventionPredictive Validity and Treatment Sensitivity of the Death-Implicit Association Test (D-IAT) During Inpatient Treatment and Across a 6-Month Follow-Up Period
Levy H, Lord K, Rice T, Sain K, Stubbing J, Diefenbach G, Tolin D. Predictive Validity and Treatment Sensitivity of the Death-Implicit Association Test (D-IAT) During Inpatient Treatment and Across a 6-Month Follow-Up Period. Cognitive Therapy And Research 2025, 1-10. DOI: 10.1007/s10608-024-10564-z.Peer-Reviewed Original ResearchDeath Implicit Association TestSuicidal thoughtsInpatient treatmentFrequency of suicidal behaviorAssociation TestCognitive-behavioral therapyHigh risk of suicidePsychiatric inpatient unitTreatment sensitivitySample of inpatientsRisk of suicideImplicit cognitionSuicidal behaviorSuicide riskPredictive validitySuicide preventionDetect treatment effectsInpatient unitSuicideFollow-up periodPeriod post-dischargeInpatientsTreatment effectsThoughtsInpatient admissionsThe effect of inpatient brief cognitive-behavioral therapy for suicide prevention on post-discharge emergency department utilization: Secondary analysis of a randomized clinical trial
Diefenbach G, Collett S, Black S, Rudd M, Gueorguieva R, Tolin D. The effect of inpatient brief cognitive-behavioral therapy for suicide prevention on post-discharge emergency department utilization: Secondary analysis of a randomized clinical trial. General Hospital Psychiatry 2025, 93: 73-79. PMID: 39837259, DOI: 10.1016/j.genhosppsych.2025.01.007.Peer-Reviewed Original ResearchConceptsSubstance use disordersBrief cognitive-behavioral therapyCognitive-behavioral therapyED visitsSuicide preventionSecondary analysisEmergency departmentSuicide-related ED visitsHistory of suicide attemptsEmergency department utilizationElectronic medical record reviewPost-discharge emergency departmentMedical record reviewED utilizationPsychiatric readmissionTreatment effectsSuicide attemptsUse disorderRecord reviewSelf-ReportRandomized clinical trialsGeneralized linear modelVisitsSuicidePost-discharge ED visitsWhat Is Science-Based Therapy?
Tolin D, Hupp S. What Is Science-Based Therapy? 2025, 1-10. DOI: 10.1017/9781009086264.002.Peer-Reviewed Original ResearchPostscript
Boness C, Hupp S, Tolin D. Postscript. 2025, 399-405. DOI: 10.1017/9781009086264.023.Peer-Reviewed Original Research
2024
Brief Cognitive Behavioral Therapy for Suicidal Inpatients
Diefenbach G, Lord K, Stubbing J, Rudd M, Levy H, Worden B, Sain K, Bimstein J, Rice T, Everhardt K, Gueorguieva R, Tolin D. Brief Cognitive Behavioral Therapy for Suicidal Inpatients. JAMA Psychiatry 2024, 81: 1177-1186. PMID: 39259550, PMCID: PMC11391362, DOI: 10.1001/jamapsychiatry.2024.2349.Peer-Reviewed Original ResearchBrief cognitive behavioral therapyCognitive behavioral therapySubstance use disordersSuicidal ideationBehavioral therapySuicide attemptsFollow-up assessmentUse disorderOccurrence of suicide attemptsPsychiatric readmissionRates of psychiatric readmissionSuicide prevention treatmentsEffect of treatment conditionPrivate psychiatric hospitalTreatment effectsSuicidal inpatientsSuicide riskSuicidal crisisPsychiatric hospitalIndividual sessionsIdeationSuicide reattemptsPost Hoc AnalysisSelf-ReportBlinded interviewersA Psychometric Evaluation of the Parenting Anxious Kids Rating Scale (PAKRS-PR) in a Sample of Families with Clinically Anxious Children
DiFonte M, Sain K, Tolin D. A Psychometric Evaluation of the Parenting Anxious Kids Rating Scale (PAKRS-PR) in a Sample of Families with Clinically Anxious Children. Child Psychiatry & Human Development 2024, 1-10. PMID: 39589720, DOI: 10.1007/s10578-024-01793-0.Peer-Reviewed Original ResearchSessions of cognitive behavioral therapyPsychometric evaluationTreatment-seeking sampleCognitive behavioral therapyAssociated with treatment responseTreatment outcome measuresParent-child dyadsSpecialty outpatient clinicAnxiogenic parentingSample of familiesAnxiety severityBehavioral therapyConvergent validityTotal scalePsychometric propertiesRating ScaleItem levelTotal scoreSubscalesWarmth/supportTreatment responseCronbach's aOutcome measuresParentsAnxietyChanges in hoarding-related beliefs and associated neural changes during a simulated discarding task after cognitive-behavioral treatment for hoarding disorder
Knowles K, Stevens M, Levy H, Tolin D. Changes in hoarding-related beliefs and associated neural changes during a simulated discarding task after cognitive-behavioral treatment for hoarding disorder. Journal Of Psychiatric Research 2024, 180: 473-481. PMID: 39547046, PMCID: PMC11606758, DOI: 10.1016/j.jpsychires.2024.11.017.Peer-Reviewed Original ResearchCognitive-behavioral therapyHoarding-related beliefsFunctional magnetic resonance imagingHoarding DisorderNeural activityMaladaptive beliefsCourse of CBTGroup cognitive-behavioral therapyLeft anterior cingulate cortexLeft middle frontal gyrusAssociated with cognitive changesCognitive-behavioral treatmentAssociated with increased activityAnterior ventral insulaAnterior cingulate cortexMiddle frontal gyrusInferior temporal lobeLeft middle insulaCognitive-behavioralAssociated with specific changesFrontal gyrusCingulate cortexMiddle insulaNeural regionsVentral insulaA Proposed Definition of Psychological Treatment and Its Relation to Empirically Supported Treatments
Tolin D, Grasso D, Boness C, Beck J, Keane T, Leichsenring F, Olatunji B, Otto M, Weinand J. A Proposed Definition of Psychological Treatment and Its Relation to Empirically Supported Treatments. Clinical Psychology Science And Practice 2024 DOI: 10.1037/cps0000220.Peer-Reviewed Original ResearchSociety of Clinical PsychologyPsychological treatmentAmerican Psychological AssociationMental health professionalsMechanisms of changeClinical psychologyPsychological AssociationInterpersonal processesPsychological scienceCore assumptionsPersonsHealth professionalsTaskInterventionPsychologyFunctional outcomesTask ForcePractice guidelinesTreatmentProposed definitionsMisuseClinical practice guidelinesScientific understandingAmericanThinking