As a sociologist, I am interested in Suicide, Mental health services, and technology.

I am a Portland, OR-based researcher and Sociology Doctoral student at the University of California San Francisco, working with the wonderful Dr. Howard Pinderhughes. I have content expertise in opioids, chronic pain, mental health, mental health crisis services, crisis text, suicidal ideation, stigmatization & discrimination, and social determinants of health. I have methods expertise in study design, mixed methods, and qualitative methods including in-depth interviewing, text-based interviewing, online focus groups, grounded theory, and thematic analysis.

My research has been featured in Health Sociology Review, the Journal of Addiction Medicine, the Journal of Ambulatory Care Management, the International Journal of Qualitative Methods, and the Journal of Integrative and Complementary Medicine.

My work spans three areas of investigation:

Suicide & Mental Health

My first area of investigation focuses on improving mental health services for marginalized populations. I have led two studies exploring suicide-related help-seeking among marginalized individuals. In the CPFSS study, I used Constructivist Grounded Theory to interview 20 participants, highlighting the stigmatizing impacts of chronic pain and suicidality. In the CONDUIT study, supported by the AHRQ R36 Dissertation Grant and UCSF Fletcher Jones Fellowship, I spoke with 39 young adults to find that young adults tempered suicidal disclosure given fear of escalation, perceived and reacted to perceptions of healthcare scarcity, and evolved mental health crisis service use over time as they gained experienced and maturity.

Health Services & Technology

Second, my work aims to understand and improve health services via policy and technological advancement. I have interviewed and conducted online focus groups with diverse healthcare providers to understand the implementation of a novel policy to reduce opioid prescribing. I have also studied young adults’ use of crisis text services, finding that young adults engage with crisis text services to exert control within what is perceived as a chaotic and opaque mental health crisis system. I am eager to pursue future work with particular interest in perceptions and experiences related to integrating technological remote tools with in-person care, how perceptions of privacy impact willingness to engage with technological services, and how artificial intelligence (AI) can be leveraged to improve care.

Research Methods

As technological tools advance it is crucial that social scientists level these tools to advance methodology. I have published a case study describing the use of asynchronous online focus groups for health care research and am currently writing in a manuscript comparing text-based interviewers to phone and Zoom interviews. For future work, I aim to explore the use of AI-assisted qualitative data analysis, comparing traditional to AI-enabled methods.

In my spare time, I can be found rock climbing, reading fiction, working on knees or some other deceptively hard-to-draw body part in an art class, baking something with a ridiculous amount of sugar, or most wonderfully, hangin’ with my fam.

Alma Thomas

Books that HAVE BEEN a big deal for me

The Culture of Pain (1991) David Morris

The Body Silent: The Different World of the Disabled (2001) Robert Murphy

Buddhism for Mothers (2003) Sarah Napthali

Unequal Childhoods: Class, Race, and Family Life (2003) Annette Lareau

Medical Apartheid (2006) Harriet A. Washington

Saving the Modern Soul: Therapy, Emotions, and the Culture of Self-Help (2008) Eva Illouz

The Pastoral Clinic (2010) Angela Garcia

Addiction by Design (2012) Natasha D. Schull

Feminist, Queer, Crip (2013) Allison Kafer

Life Beside Itself (2014) Lisa Stevenson

A Little Life (2015) Hanya Yanagihara

Kids These Days: The Making of Millennials (2017) Malcolm Harris

How to Do Nothing: Resisting the Attention Economy (2019) Jenny Odell

Life Under Pressure: The Social Roots of Suicide & What to Do About Them (2024) Anna Mueller and Seth Abrutyn

What I’m currently reading

Pressed for Time: The Acceleration of Life in Digital Capitalism (2016) Judy Wacjman

up next

The Body Multiple (2002) Annemarie Mol

Agnes Martin

ACTIVE RESEARCH PROJECTS

Unraveling crisis text services: Crisis text service use among young adults with suicidal ideation

Role: PI

Funded by: Agency for Healthcare Research & Quality (2022-2025)

Research question: How do young people view the role of crisis text services in managing suicidal thoughts?

Study design: A mixed methods studying including (1) A web-based survey n = 118; (2) Qualitative in-depth interviews (n = 39)

Sample: Adults aged 18-24 who have experienced suicidal thoughts

Advising Team: Howard Pinderhughes (UCSF), Janet Shim (UCSF), Erin McCauley (UCSF), Alan Teo (Oregon Health & Science University), Hannah Szlyk (University of Washington - St Louis), Matthew Goldman (San Francisco Department of Public Health)

Mentorship team: Rachel Gold, Danielle Good, Jessica Harrison, Mel Jeske, Selam Kidane, Anna Steeves-Reece


Navigating the Interface between AI and Medical Education

Role: Qualitative Analyst

Funded by: Macy Foundation (2024)

Timeline: 2024

Research question: How is AI being integrated into medical education and medicine?

Study design: A qualitative interview study.

Sample: ~20 medical student, medical school administrators, and AI researchers

Study team: Dr. Christy Boscardin, Dr. Brian Gin, Kate LaForge

Yayoi Kusama

SELECTED PUBLICATIONS

“Just because I’m smiling doesn’t mean I’m not in pain”: Navigating the Layered Stigma of Chronic Pain and Suicidality in Social Worlds.

LaForge, K. 2024. “Just because I’m smiling doesn’t mean I’m not in pain”: Navigating the Layered Stigma of Chronic Pain and Suicidality in Social Worlds’. Health Sociology Review.

 

Clinician Perspectives on Referring Medicaid Back Pain Patients to Integrative and Complementary Medicine: A Qualitative Study

LaForge, K., Gray, M., Livingston, C. J., Leichtling, G., & Choo, E. K. 2023. Clinician Perspectives on Referring Medicaid Back Pain Patients to Integrative and Complementary Medicine: A Qualitative Study. Journal of Integrative and Complementary Medicine, 29(1), 55-60.

 

Using Asynchronous Focus Groups to Collect Data from Healthcare Professionals

LaForge, K, Mary Gray, Erin Stack, Catherine J. Livingston, and Christi Hildebran. 2022. “Using Asynchronous Focus Groups to Collect Data from Healthcare Professionals.” International Journal of Qualitative Methods.21:16094069221095658

 

Knowledge, attitudes, and behaviors related to the fentanyl-adulterated drug supply among people who use drugs in Oregon.

LaForge, K., Stack, E., Shin, S., Pope, J., Larsen, J. E., Leichtling, G., ... & Korthuis, P. T. 2022. Knowledge, attitudes, and behaviors related to the fentanyl-adulterated drug supply among people who use drugs in Oregon. Journal of Substance Abuse Treatment, 141, 108849.

 

Let’s talk!

E-mail me at kate.laforge@ucsf.edu.

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