Working Together to Make Sense of the Past: Mothers' and Children's Use of Internal States Language in Conversations about Traumatic and Nontraumatic Events

Mother-child conversations about a devastating tornado and about 2 nontraumatic events were examined to determine whether there were (a) differences in use of internal states language when talking about traumatic and nontraumatic events and (b) similarities in mothers' and children's use of internal states language. At Session 1, which took place 4 months after the tornado, with conversational length controlled, there was no evidence of differential use of internal states language as a function of event for mothers or children. At Session 2, which took place 6 months later (10 months after the tornado), older children's narratives about the tornado were more saturated with internal states language, relative to their narratives about nontornado events. For both the traumatic and the nontraumatic events, there were cross-lagged correlations between maternal use of emotion language at Session 1 and children's use of emotion language at Session 2. The pattern of findings is consistent with the suggestion that mother-child conversations are one context for the socialization of language about emotional experiences.     

Conséquences d’une catastrophe naturelle touchant le lieu de travail sur l’épuisement professionnel : Le cas du personnel d’un hôpital gériatrique

The Hautmont tornado has occurred on august 03, 2008, in the North of France. It was caused major destructions in this town and particularly in this city hospital. A tornado is a major natural phenomenon that causes destructions and disasters. In the literature, natural disaster and their destructive consequences are associated with psycho-traumatic disorders, among which is posttraumatic stress. The purpose of this research was to study the psychological impact of this tornado on a particularly vulnerable population: employees of a hospital. Thirty eight employees were interviewed one year after the Tornado. The results of this study showed that this disaster had many psychological repercussions. Many cases of posttraumatic stress disorders and cases of burnout were present independently of job strain level.     

The recollective qualities of adolescents’ and adults’ narratives about a long-ago tornado

The recollective qualities of autobiographical memory are thought to develop over the course of the first two decades of life. We used a 9-year follow-up test of recall of a devastating tornado and of non-tornado-related events from before and after the storm, to compare the recollective qualities of adolescents’ (n?=?20, ages 11 years, 11 months to 20 years, 8 months) and adults’ (n?=?14) autobiographical memories. At the time of the tornado, half of the adolescents had been younger than age 6. Nine years after the event, all participants provided evidence that they recall the event of the tornado. Adults also had high levels of recall of the non-tornado-related events. Adolescents recalled proportionally fewer non-tornado-related events; adolescents younger than 6 at the time of the events recalled the fewest non-tornado-related events. Relative to adolescents, adults produced longer narratives. With narrative length controlled, there were few differences in the recollective qualities of adolescents’ and adults’ narrative reports, especially in the case of the tornado; the recollective qualities were stronger among adolescents older at the time of the events. Overall, participants in both age groups provided evidence of the qualities of recollection that are characteristic of autobiographical memory.     

Dispositional Mindfulness,Posttraumatic Stress Disorder Symptoms and Academic Burnout in Chinese Adolescents Following a Tornado: The Role of Mediation through Regulatory Emotional Self-Efficacy

Limited research has been conducted on dispositional mindfulness, posttraumatic stress disorder (PTSD) symptoms and academic burnout in Chinese adolescents following a tornado. The present study investigated the ways in which dispositional mindfulness is related to PTSD symptoms and academic burnout in Chinese adolescents following a tornado by considering the role of regulatory emotional self-efficacy. A total of 431 Chinese adolescents (mean age: 14.75 years) who had experienced a severe tornado 9 months prior to this study were recruited for this study. The results indicated that our model fit the data well [χ²/df = 2.774, CFI = 0.952, TLI = 0.934, RMSEA (90% CI) = 0.064 (0.051–0.077)], and revealed that regulatory emotional self-efficacy partially mediates the relationships between dispositional mindfulness and PTSD symptoms and academic burnout, respectively. The clinical implications and limitations of our research, and recommendations for future research, are discussed in this paper.     

After the storm: enduring differences in mother-child recollections of traumatic and nontraumatic events

Despite a growing literature on the collaborative reminiscing of mothers and children, little is known about the kinds of things mothers and children discuss as they recollect shared traumatic experiences. Do mother-child recollections of a traumatic event differ from their recollections of more benign events? To address this question, mother-child dyads (N=29) discussed a traumatic event, namely a devastating tornado, and two nontraumatic events (one that preceded and one that followed the tornado). Each dyad discussed all three events 4-months post-tornado and again 6 months later. Whereas conversations about both event types (traumatic and nontraumatic) varied with children's age, dyads' recollections of the tornado were significantly longer, more narratively coherent, and more complete than their recollections of nontraumatic events. These differences largely endured over the 6-month retention interval.     

Tornado Preparedness of Students,Nonstudent Renters,and Nonstudent Owners: Issues of PrE Theory1

Previous research has indicated that certain characteristics appear to affect the extent to which populations prepare for natural hazards. In an effort to investigate the effects of the mechanisms of PrE theory on the relationship between population characteristics and preparedness actions, relevant data were assessed for 3 separate population types. Results indicated that homeowners were more prepared for tornadoes than were renters, who in turn were more prepared for tornadoes than were students. Furthermore. homeowners appraised their preparedness resources as greater than the perceived threat of a tornado. and felt more responsible for preparing for tornadoes than did renters; who in turn appraised their preparedness resources as greater than the perceived threat of a tornado, and felt more responsible for preparing for tornadoes than did students.     

Personal Responsibility for Tornado Preparedness: Commitment or Choice?1

A review of the literature reveals that personal responsibility assumed for one's behavior clearly affects behavioral outcomes for a variety of situations, and that personal responsibility is in turn affected by a wide variety of variables. However, limited research has been conducted to determine exactly what personal responsibility fundamentally entails. While duty, moral obligation, choice, and commitment have been suggested as being integral to the concept of responsibility, few investigations have systematically varied more than one of these variables in a single experiment. The present study was conducted to investigate the effects of both choice and commitment on personal responsibility assumed for and behavioral intentions to engage in tornado preparedness. Results indicate that both choice and commitment were required to generate personal responsibility for and subsequent intentions to engage in tornado preparedness. Implications of these results are discussed.     

The Effect of a Swarm of Local Tornados on Tornado Preparedness: A Quasi‐Comparable Cohort Investigation1

Previous research has indicated that experience with natural disasters appears to affect the extent to which populations act to mitigate and prepare for these events. Such efforts, however, have failed to disclose precisely why this relationship appears viable. Furthermore, rarely have these investigations included pre‐ and post‐tornado data from similar populations. In an effort to investigate further the effects of the mechanisms underlying the relationship between experience with disasters and preparedness actions, relevant data were assessed for 2 samples from the same population before and after the occurrence of a swarm of local tornados. Results indicate that tornado preparedness levels increased significantly following the tornados. Furthermore, appraised threat of tornados and personal responsibility for preparedness actions also increased significantly following the tornados. Implications of these results are discussed.     

Talking about Twisters: Relations between Mothers' and Children's Contributions to Conversations about a Devastating Tornado

Mother-child dyads who experienced a devastating tornado talked about the storm and about two affectively more positive or neutral events at each of two time points: 4 months and 10 months after the storm. The conversations were analyzed to determine whether mothers and/or children's contributions differed as a function of event type and whether there were concurrent and/or cross-lagged relations between mothers and children's contributions to the conversations. For both members of the dyads, contributions were similar (and correlated) across event types. Maternal narrative style related to children's levels of participation and to the amount of unique information the children contributed to the conversations, both concurrently and over time; cross-lagged relations were more robust for the tornado relative to the nontornado related events. The implications of the patterns for socialization models of autobiographical memory development are discussed.     

Bicycle fatalities: Trends in crashes with and without motor vehicles in The Netherlands

Boufous and Olivier (2015) recently found an increasing trend of police-reported cyclist deaths in single-vehicle crashes while a decreasing trend was found for fatal bicycle-motor vehicle crashes. This study sets out to conduct the same trend analyses for the Netherlands using causes of death statistics. The results show that for 1996–2014, the number of cyclist deaths in motor vehicle collisions per km cycled (i.e. the risk) has declined by 3.8% per annum (95% CI: −4.6%, −3.0%) while the risk of cyclist deaths in crashes without motor vehicles increased by 7.0% per annum (95% CI: 5.5%, 8.7%). The large majority of cyclist deaths at the beginning of the study period were due to bicycle-motor vehicle crashes. By 2014, however, the share with motor vehicles was only slightly higher than the share without motor vehicles. We also conducted trend analyses controlling for age by stratifying into nine age groups. After controlling for age, the average annual decrease of cyclist deaths in crashes with motor vehicles was 5.4% (95% CI: −6.0% to − 4.7%). The average annual increase of deaths in crashes without motor vehicles was 4.4% (95% CI: 3.1–5.7%). These trends are more favourable than those without controlling for age which can be explained by more cycling among the elderly who have an elevated risk. We conclude that, similar to Australia, cyclist deaths following motor vehicle crashes in the Netherlands have decreased while deaths without motor vehicles have increased.     

Assessing Legal Strains and Risk of Suicide Using Archived Court Data

Relatively little is known about legal entanglements and suicide risk. This matched case–control study estimated the risk of suicide associated with legal strains using online court archives, a novel source of exposure data. Court records linked to suicide deaths (N = 315), controls (N = 630), and unintentional injury and poisoning deaths (N = 630) for an urban county from 2000 to 2005 revealed that nearly a third of suicide victims had recent court involvement, twice the proportion among controls. Misdemeanors, car accidents, and foreclosures were each associated with a threefold risk of suicide. Implications for suicide prevention and research are discussed.     

Cognitive strategies in a complex judgment task: Analyses of concurrent verbal reports and judgments of cumulated risk over different exposure times

Subjects judged the cumulated risk of dying during a year for a set of persons or cases each characterized by the risks during three different periods of risk exposure during the year (e.g., 18 weeks with 2.3 deaths per thousand persons per year of exposure, 28 weeks with 2.5 deaths and 6 weeks with 16.0 deaths per thousand per year). Three main strategies were used for solving the problems: (1) addition of the risk levels, (2) computing the mean of the risk levels, and (3) the most frequently used anchoring and adjustment strategy most closely approximating the normatively correct risk over the year. The first two strategies do not use all relevant information because they neglect the importance of different exposure times. The anchoring and adjustment strategy used all information and was executed in a first stage in which an initial anchor or reference risk was selected followed by a second stage in which this anchor was adjusted according to the remaining information. The process for finding the first anchor was quite flexible, using different principles (e.g., extreme values or similarity) depending on the pattern of cues characterizing each case. Biases in relation to normative theory originated from subjects misunderstanding or simplifying the problem (Strategies (1) and (2)) or the characteristics of the anchoring and adjustment process which resulted in relative overestimation of short-time, high-risk cases. A few subjects, however, all of whom used sequential anchoring and adjustment, succeeded in giving quite accurate estimates.     

The PrE Model of Coping and Tornado Preparedness: Moderating Effects of Responsibility

The person-relative-to-event (PrE) model of coping with threat was used to investigate the impact of fear arousing or negative threat appeals on tornado preparedness behavior. It was predicted that negative threat appeals using combinations of levels of factors that cause a person to appraise their resources as sufficient in quantity and quality to obviate or minimize the negative consequences of the threatening event would increase levels of preparedness behavior to a greater extent than communications that do not. Furthermore, this prediction would only hold true for those individuals who felt personally responsible for preparing for tornadoes. Results indicated a significant pattern of behavior change that fit predictions generated by the model.     

When a 12.86% mortality is more dangerous than 24.14%: implications for risk communication

Participants assessed the riskiness of 11 well-known causes of death. Each participant was presented with an estimation of the number of deaths in the population due to that particular cause. The estimates were obtained from a previous study of naive participants' intuitive estimations. For instance, based on the result of the previous study, the number of deaths due to cancer was presented as: ‘2,414 out of 10,000’, ‘1,286 out of 10,000’, ‘24.14 out of 100’ and ‘12.86 out of 100’. The estimates of deaths were presented in analogous ways for the remaining ten causes of death. It was hypothesized that the judged degree of riskiness is affected by the number of deaths, irrespective of the total possible number (such as 10,000 or 100). Results from Experiment 1 were consistent with this prediction. Participants rated cancer as riskier when it was described as ‘kills 1,286 out of 10,000 people’ than as ‘kills 24.14 out of 100 people’, and similar results were observed regarding the remaining 10 causes of death. Experiment 2 replicated this trend. Implications for risk communications are discussed. © 1997 John Wiley & Sons, Ltd.     

Deaths of Despair: Conceptual and Clinical Implications

Since the late 1990s, mortality rates for middle-aged (45-55), White non-Hispanic (WNH) Americans began to rise while rates declined for all other demographic and age groups. Coinciding with the rise in mortality, rates of death due to suicide, drug- and alcohol-related overdoses, and alcohol-related liver diseases increased as well for this demographic. Research suggests these causes of death (i.e., suicide, poisoning, alcohol-related liver disease) are driving the overall mortality rate for middle-aged WNHs and have been described as “deaths of despair” in the literature. In the current paper, we describe the social and clinical features of “deaths of despair,” explore theoretical models of psychopathology (e.g., depression, posttraumatic stress disorder) that may inform our understanding of mechanisms of risk for negative mental health outcomes, and propose an initial conceptual model of “deaths of despair” to identify intervention targets. We then review an applied case example demonstrating how this model could be used for clinical application. We conclude our paper by describing how current cognitive-behavioral interventions may address these mechanisms of “despair.”     

High risk factors of hostage barricade incidents in a Japanese sample

Hostage taking incidents in which the police besiege a particular location are known as hostage barricade incidents. The first aim of the present article was to examine the process of risk assessment in hostage incidents, using a group of police officers as the sample. The second aim was to identify the risk factors involved in hostage incidents and examine the degree of concordance between the risk as assessed by the police officers and the figures obtained from the analysis of actual hostage barricade incidents. For the purpose of this study, a survey was carried out across Japan, and 45 police officers responsible for hostage negotiation responded to the questionnaires. Additionally, a sample of 116 actual hostage barricade incidents that occurred in Japan from 1970 to 2002 was utilised to examine the high risk factors involved in such cases. As per the results, a majority of the police officers (73.3%), in response to an open‐ended question, indicated that the highly excited state of the hostage takers was dangerous for the hostages. Moreover, it was demonstrated in all 116 incidents that several factors such as ‘a long siege’ tended to increase the risk of deaths, though this was very rare (n = 4). On the other hand, the proportion of injuries to the hostages was high in expressive situations such as domestic situations or suicide attempt scenarios. On the whole, the results obtained from the analyses of actual incidents were consistent with those obtained from the police officers' risk assessment in many respects. However, the correlation between the degree of risk as assessed by the police officers and the actual rate of deaths/injuries to the hostages was very low. Copyright © 2004 John Wiley & Sons, Ltd.     

Risk Factors,Warning Signs,and Drivers of Suicide: What Are They,How Do They Differ,and Why Does It Matter?

Research investigating suicide attempts and deaths by suicide has yielded many specific risk factors and warning signs for future suicidal behaviors. Yet, even though these variables are each valuable for suicide prevention efforts, they may be limited in their applicability to clinical practice. The differences among risk factors, warning signs, and “drivers,” which are person‐specific variables that lead individuals to desire death by suicide, are highlighted. The scarce evidence on drivers is described and specific recommendations for conducting future drivers‐focused research and targeting them in clinical practice are suggested.     

Preliminary Development of a Measure to Assess Children's Trauma Attributions

ABSTRACT

The Trauma Attribution Checklist (TAC) is a brief self-report measure of children's trauma-related attributions. A preliminary study with school-aged children, 12 months after exposure to a series of tornadoes, demonstrated significant correlations between TAC items and the Reaction Index, a measure of posttraumatic distress. Children with higher posttraumatic distress scores made more attributions of responsibility for negative tornado-related events, were more concerned with making attributions, had higher expectations of a tornado recurrence, and were more hypervigilant than children with less severe symptoms. Regression analyses indicated that items addressing expectations of recurrence and hypervigilance explained 53.3% of the variance in posttraumatic distress, with having made an attribution of responsibility for a tornado-related event accounting for an additional 5.6% of the variance.     

Is Cumulative Exposure to Suicide Attempts and Deaths a Risk Factor for Suicidal Behavior Among Firefighters? A Preliminary Study

The association between cumulative exposure to suicide attempts and deaths and suicidal behavior was examined in a sample of 61 professional firefighters. On average, firefighters reported 13.1 (SD = 16.6) exposures over the course of their lifetime. Cumulative exposure to suicide attempts and deaths was positively correlated with suicidal behavior (r = .38, p = .004). Moreover, firefighters with 12+ exposures were more likely to screen positive for risk of suicidal behavior (OR = 7.885, p = .02). Additional research on the potential impact of cumulative exposure to suicide attempts and deaths on firefighters' health and safety is needed.     

Financial Debt and Suicide in Hong Kong SAR1

The presence of indebtedness is known to be a risk factor that can trigger stressed persons to contemplate suicide. This study compares the profiles of suicides with and without debt problems based on 2002 Coroner's Court death files. The category of men aged 25–39 has seen a 70% increase in suicide rate since 1997, and the number using carbon monoxide poisoning has increased from 1% of the total deaths in 1997 to about 26% of the total deaths in 2002. Suicides associated with debt problems seem to involve fewer mental and physical problems with formal job attachment than do suicides without debt problems. Gambling is a significant contributing factor to unmanageable indebtedness.