Current suicide proneness and past suicidal behavior in adjudicated adolescents

Youth recently assigned to probation (n = 233) were assessed for current suicide proneness, depression, and hopelessness, as well as for recent suicide ideation, previous suicide ideation, or suicide attempt(s). The Life Attitudes Schedule-Short Form (LAS-SF) was used to assess suicide proneness. As per the LAS-SF, suicide proneness was defined broadly to include current engagement in overtly suicidal behavior as well as in risk-taking and potentially injury-producing behaviors, coupled with a lack of engagement in health and safety behaviors, or self-enhancement behaviors. As expected, current suicide proneness was significantly associated with a history of suicide ideation and attempts, recent ideation, and current depression and hopelessness for adjudicated youth. Gender differences were obtained between the strength of the association between suicide proneness and depressive symptoms. A subgroup of adjudicated youth (n = 39) was then interviewed about their suicidal behaviors. Among other things, these youth indicated that the majority of their previous suicide attempts were committed impulsively.     

农村流动人口的流动模式与其STD/HIV高危性行为的关系

本研究旨在探讨从农村到城市的流动人口的流动模式和高危性行为状况,分析流动模式与他们高危性行为的关系。根据流动人口的职业分布采取配额的方式从北京和南京两座城市共选取了有效被试4301名,其中北京2201名。评估了他们的流动性包括流动时间、流动城市和与性病/艾滋病(STD/HIV)有关的高危性行为包括发生性行为的时间、多个性伙伴和参与商业性行为状况、使用安全套状况。分析结果发现:(1)流动人口的流动性大,平均为0.77,男性、未婚的、年龄小于20岁的流动性比女性、已婚的和年龄大于20岁的显著大;(2)流动人口存在一定比例的高危性行为,男性和未婚的高危性行为显著多于女性和已婚的,尤其是安全套使用率低;(3)不同流动时间、流动城市和流动性的人在高危性行为有些显著差异,总的来说,流动时间越长、流动城市越多、流动性越大的人存在着更多的高危性行为。     

Why Do You Regulate What You Eat? Relationships Between Forms of Regulation, Eating Behaviors, Sustained Dietary Behavior Change, and Psychological Adjustment

In 3 studies, the authors examined how autonomous and controlled forms of motivation for the regulation of eating behaviors were related to self-reported eating behaviors, and sustained dietary behavior change. Studies 1 and 2 supported the factorial structure and the psychometric properties of a scale designed to measure different forms of regulation as defined by Self-Determination Theory. A motivational model of the regulation of eating behaviors suggested that an autonomous regulation was positively associated with healthy eating behaviors whereas a controlled regulation was positively associated with dysfunctional eating behaviors and negatively associated with healthy eating behaviors. In Study 3, long-term adherence to healthier dietary behaviors in a population at risk for coronary artery disease was examined over a 26-week period. A general measure of self-determined motivation assessed at week 1 was found to be a reliable predictor of the level of self-determination for eating behaviors 13 weeks later. In turn, self-determination for eating behaviors was a significant predictor of dietary behavior changes at 26 weeks. Finally, the dietary behavior measures were related to improvements in weight and blood lipid parameters (LDL-cholesterol, HDL-cholesterol, triglycerides). Results are discussed in terms of their implication for the integration and maintenance of a successful healthy regulation.     

Mental Health, Social Environment and Sexual Risk Behaviors of Adolescent Service Users: A Gender Comparison

We examined individual mental health problems (depression, conduct disorder, and substance abuse) and social environment (family, peer, and neighborhood) factors associated with the sexual risk behaviors of male and female adolescents. Interviews with 778 adolescents, aged 14 to 18, showed that both mental health problems and social environment were related to adolescents' involvement in sexual risk behaviors. Conduct disorder symptoms, substance abuse or dependence symptoms, and the interaction between peer misbehavior and neighborhood problems were significantly associated with risky sexual behaviors. Peer misbehavior was a particularly strong factor related to sexual risk behaviors for youths who lived in neighborhoods with multiple problems. The only gender differences were found in age, with older males more likely to report engaging in high risk sexual behaviors. This study suggests the utility of multidimensional intervention strategies to deal with various adolescent problem behaviors, including risky sexual behaviors, within the context of their social environment.     

Relationships of Pubertal Development Among Early Adolescents to Sexual and Nonsexual Risk Behaviors and Caregivers' Parenting Behaviors

Using a school-based sample of Washington, DC, fifth graders (mean age 10.38, SD = 0.66) and their parents (N = 408), we examined associations of pubertal development with early adolescents' sexual and nonsexual risk behaviors and their caregivers' parenting behaviors; and of these risk behaviors with parenting behaviors. Youths reporting signs of pubertal development were more likely to engage in these risk behaviors than students reporting no signs. Pubertal development was not related to parenting behaviors; however, parents of youths who reported multiple nonsexual risk behaviors reported more parent-child communication about sexual topics. These results highlight the need to begin risk prevention efforts early, prior to pubertal development. Research is needed to understand how parents can help youths better cope with pubertal development to avoid involvement in sexual and nonsexual risk behaviors.     

Interparental conflict and risk behaviors among Mexican American adolescents: a cognitive-emotional model

This study used a cognitive-emotional model to examine the relations between multiple dimensions of interparental conflict and health risk behaviors among young adolescents. Participants were 151 Mexican American adolescents and their parents. At initial individual interviews, parents reported on conflict with their spouses, and adolescents reported on their parents' conflict, their appraisals of the conflict, their emotional distress, and their acculturation level. At 6-month follow-ups, adolescents reported on their risk behaviors, including substance use and sexual activity. In general, adolescents' acculturation level was not related to their risk behaviors. More frequent conflict, more conflict about the adolescent, more adolescent involvement in the conflict, and poor conflict resolution were related to greater emotional distress. More conflict about the adolescent, mothers being more demanding/dominating during conflict, and more adolescent involvement in the conflict were related to greater risk behaviors. Adolescents' cognitions mediated the link between two dimensions of parental conflict, frequency and resolution, and emotional distress. Adolescents' emotional distress mediated the association between adolescent involvement in parental conflict and adolescents' risk behaviors.     

Child maltreatment types and risk behaviors: Associations with attachment style and emotion regulation dimensions

Child maltreatment is a robust psychosocial risk factor linked to the development of a wide range of risk behaviors among young adults. Adult attachment style and emotion dysregulation are two potential mechanisms through which maltreatment leads to risk behaviors. Yet, less is known about the specificity of the relations among different maltreatment types, attachment styles, emotion regulation strategies, and risk behaviors. The present study examined the relations among various forms of maltreatment and risk behaviors (e.g., substance use; risky sex) among 361 undergraduate students and tested whether attachment styles and emotion dysregulation might underlie these relations. Emotional, and sexual but not verbal abuse (although verbal abuse was directly related to alcohol use), were related to anxious and avoidant attachment styles, emotion dysregulation, and a variety of risk behaviors. Among the emotion regulation dimensions, impulsivity showed the strongest indirect effect from child maltreatment to risk behaviors. Results support a cross-sectional link between child maltreatment and risk behavior outcomes via attachment styles and emotion regulation. Implications for treatment and prevention of these risk behaviors in young adults are discussed.     

Responses to the Michelangelo Computer Virus Threat: The Role of Information Sources and Risk Homeostasis Theory1

Computer users were surveyed before and after the Michelangelo trigger date (March 6, 1992) to examine risk perceptions and performance of risky and protective behaviors. Consistent with Risk Homeostasis theory, population risk perceptions changed over the course of the risk period, while personal risk perceptions remained unchanged. Protective behaviors also changed over the virus threat period and were dependent on the passage of the virus trigger date, prior virus experience, and experience during the period of the risk event. This study: (a) provides a scaling of risky and protective behaviors that others may use in future research, (b) suggests a more vivid picture of risk related behavior can be obtained by evaluating personal versus population risk perceptions and risky versus protective behaviors separately, and (c) suggests that training to reduce risks will be most effective if focused on behaviors that are least central to work activities.     

Association between Child Abuse and Health Risk Behaviors among Chinese College Students

Little is known about the link between child abuse and health risk behaviors among Chinese college students. This cross-sectional study examined the prevalence of child abuse and its relations with individual and clusters of health risk behaviors among Chinese college students. A total of 507 students participated in this survey. The prevalence of child abuse from the highest to the lowest was emotional neglect (53.9%), physical neglect (49.0%), emotional abuse (21.8%), physical abuse (18.3%), and sexual abuse (18.1%), respectively. Males were more likely to report child abuse than females (p?<?0.01). For males, emotional abuse was associated with internet addiction [OR?=?2.28; 95%CI (1.00, 5.20)] and suicidal behavior [OR?=?12.47, 95%CI (2.61, 59.54)]; while sexual abuse was associated with internet addiction [OR?=?2.30, 95%CI (1.14, 4.66)]. For females, emotional abuse was significantly associated with increased risks for self-harm behavior [OR?=?15.03, 95%CI (3.59, 63.07)] and suicidal behavior [OR?=?5.16, 95%CI (1.63, 16.40)]. Physical abuse was related to risks for internet addiction [OR?=?2.50, 95%CI (1.03, 6.04)] significantly. Two-step cluster analysis showed that participants in clusters with more health risk behaviors reported higher scores of child abuse. These findings suggest that child abuse was associated with both individual and clustering of health risk behaviors among Chinese college students.     

The Army National Guard in OIF/OEF: Relationships among combat exposure,postdeployment stressors,social support,and risk behaviors

With the continued operations in Iraq and Afghanistan, studies of the prevalence of posttraumatic stress disorder and related symptoms are now common. However, lacking is how these symptoms relate to precipitating conditions and the mitigating effects of social support on these symptoms. This is particularly relevant for reserve military personnel, who have been shown to be greater at-risk for postdeployment problems. The present study examined questionnaire data obtained from Army National Guard (ARNG) units immediately after their return from deployment to Iraq and Afghanistan during 2010 (N = 4329 soldiers in 50 units). Findings showed few soldiers displayed risk behaviors (i.e., daily alcohol use, use of illicit drugs, suicide thoughts, and physically threatening others) during and after deployment. Those most likely to have more postdeployment risk behaviors were also those who showed more risk behaviors during deployment. A substantial percentage of soldiers reported combat exposure, postdeployment negative emotions, and postdeployment loss of a personal relationship. These reported outcomes were all related to increased risk behaviors after deployment. The buffering effect of social support on postdeployment risk behaviors was equally evident when data were examined individually and when grouped by unit memberships. Implications of findings for future research, practice, and policies are discussed.     

Associations between multiple health risk behaviors and mental health among Chinese college students

Although there is substantial evidence that health risk behaviors increase risks of premature morbidity and mortality, little is known about the multiple health risk behaviors in Chinese college students. Here, we investigated the prevalence of multiple health risk behaviors and its relation to mental health among Chinese college students. A cross-sectional study was conducted in Wuhan, China from May to June 2012. The students reported their health risk behaviors using self-administered questionnaires. Depression and anxiety were assessed using the self-rating depression scale and self-rating anxiety scale, respectively. A total of 2422 college students (1433 males) aged 19.7 ± 1.2 years were participated in the study. The prevalence of physical inactivity, sleep disturbance, poor dietary behavior, Internet addiction disorder (IAD), frequent alcohol use and current smoking was 62.0, 42.6, 29.8, 22.3, 11.6 and 9.3%, respectively. Significantly increased risks for depression and anxiety were found among students with frequent alcohol use, sleep disturbance, poor dietary behavior and IAD. Two-step cluster analysis identified two different clusters. Participants in the cluster with more unhealthy behaviors showed significantly increased risk for depression (odds ratio (OR): 2.21; 95% confidence interval (CI): 1.83, 2.67) and anxiety (OR: 2.32; 95%CI: 1.85, 2.92). This study indicates that a relatively high prevalence of multiple health risk behaviors was found among Chinese college students. Furthermore, the clustering of health risk behaviors was significantly associated with increased risks for depression and anxiety.     

Preterm infants' responses in early joint attention interactions

The joint attention behaviors of 46 preterm (25 low risk and 21 high risk) and 25 full-term infants at 6 months of age were compared in videotaped interactions with their mothers. The main objective of the study was to investigate whether preterm infants (of varying degrees of risk) and their mothers showed different joint attention behaviors (i.e., coordination of their attention to people and objects) than full-term infants and their mothers. Results revealed that the preterm infants, regardless of degree of risk, showed similar patterns of responding in joint attention interactions with their mothers as the full-term infants. The preterms' severity of early medical complications was related to the frequency with which reaching for toys occurred rather than the amount of time spent in episodes of joint engagement. In addition, the preterms moved their attention away from joint engagement more often than full-terms. There were no group differences for maternal joint attention behaviors.     

High risk behaviors in a sample of Mexican-American college students

This study explored different types of high risk behaviors of Mexican-American college students attending a small university in south Texas. High risk behaviors for contracting HIV/AIDS examined in this study included unprotected sex, drug use, and alcohol abuse. In 1995 in the United States, HIV/AIDS is the leading cause of death in people between the ages of 25 and 44. Because use of alcohol and certain recreational drugs lowers inhibitions, their use could increase the possibility of having unprotected and unplanned sex with multiple partners. Thus, it was expected that Mexican-American college students who use drugs and alcohol would be more likely to engage in unprotected sex. Data were from 105 men and 211 women between the ages of 18 and 30 years. Drug use and alcohol abuse were significantly associated with high risk sexual behavior. Individuals in monogamous relationships were more likely to not use condoms than those involved in casual relationships. Self-reported religiosity was not correlated with high risk behaviors, although there were implications that stronger religious affiliation did alter sexual beliefs and practices. Lastly, parental communication was not significantly associated with high risk behaviors, but family unity did seem related to some risky sexual practices.     

Children’s behavioral patterns, the Five-Factor model of personality, and risk behaviors

Although relations between children’s personality and health behaviors have been identified, previous research has relied primarily on survey assessments. The present study used behavioral observations to examine children’s (n = 94, mean age = 10.07 years) behavioral patterns in relation to their participation in risk behaviors 1 year later. Results contribute to previous reports linking specific personality traits to children’s likelihood of participation in risky behaviors. Specifically, girls’ participation in risky behavior was related to the expression of behavioral patterns associated with neuroticism, introversion, and disagreeableness, while boys participation in risk behaviors was related to behavioral patterns associated with extraversion and disagreeableness. Findings are discussed in terms of their potential for contributing to health promotion efforts aimed at identifying children most at risk for adopting unhealthy behaviors.     

Factors that Influence Chaplains’ Suicide Intervention Behavior in the Army

We surveyed 868 Army chaplains and 410 chaplain assistants (CAs) about their role in identifying, caring for, and referring soldiers at risk of suicide to behavioral health care. We applied structural equation modeling to identify how behaviors and attitudes related to intervention behavior. In both samples, reluctance and stigma were related to intervention behaviors; efficacy was correlated with intervention behaviors only among chaplains. Training was associated with increased efficacy and lower levels of stigma among chaplains. Improved training may be warranted, but research needs to identify why chaplains and CAs are reluctant to refer soldiers in distress to behavioral health care.     

Relationship Between Religious Coping and Suicidal Behaviors Among African American Adolescents

This study investigated whether hopelessness and depression were risk factors for suicidal thoughts and behaviors in African American adolescents and looked at whether religious participation and religious coping protected these students from suicidality. Participants were 212 African American high school students (133 females, 79 males). The results of multiple and logistic regression analyses found that hopelessness and depression were risk factors for suicidal ideation and attempts. Religious coping style was significantly related to suicidal behaviors: Self-directed coping was related to increased hopelessness, depression, and suicide attempts, and collaborative coping was related to increased reasons for living. Gender differences were found in symptoms of depression, religious coping style and religious participation. Results provide additional support for suicide interventions to target hopelessness and depressive symptoms and highlight the importance of examining the role of culturally salient variables, such as religious participation and religious coping style, when developing intervention programs for suicide.     

Self‐monitoring and the propensity for risk

Apart from earlier research on sexual behavior, little is known about associations between self‐monitoring and engagement in risk behaviors. Our research verified that one component of self‐monitoring, public performing, is related to a range of risk behaviors. We then tested whether the greater engagement of high compared to low self‐monitoring individuals in risk behaviors could be attributed to: (a) greater discrepancies between perceptions of risk and reported risk behaviors for the high‐scoring group; or (b) higher levels of sensation seeking among high versus low self‐monitoring individuals. Data from a sample of 452 college students supported the second of these two explanations. Implications for self‐monitoring theory and measurement, as well as for adolescent and young adult risk behaviors, are discussed. Copyright © 2000 John Wiley & Sons, Ltd.     

Evaluation of a behavioral measure of risk taking: the Balloon Analogue Risk Task (BART)

The present study (N = 86) sought to evaluate a laboratory-based behavioral measure of risk taking (the Balloon Analogue Risk Task; BART) and to test associations between this measure and self-report measures of risk-related constructs as well as self-reported real-world risk behaviors. The BART evidenced sound experimental properties, and riskiness on the BART was correlated with scores on measures of sensation seeking, impulsivity, and deficiencies in behavioral constraint. Also, riskiness on the BART was correlated with the self-reported occurrence of addictive, health, and safety risk behaviors, with the task accounting for variance in these behaviors beyond that accounted for by demographics and self-report measures of risk-related constructs. These results indicate that the BART may be a useful tool in the assessment of risk taking.     

Training AIDS and Anger Prevention Social Skills in At‐Risk Adolescents

Youth in alternative schools often engage in high rates of risk behaviors for AIDS and violence. This study included 42 youth, ages 13 to 18, from alternative schools in San Diego, CA, and tested the effectiveness of behavioral skills training based on the Behavioral‐Ecological Model. Two interventions were evaluated: one teaching condom use skills and the other teaching anger management skills. Changes in most skills were significant at postintervention but were not maintained at 6 months. Few risk‐related attitudes or behaviors improved at 6 months for either group.     

Cognitive Social Maturity, Life Change Events, and Health Risk Behaviors among Adolescents: Development of a Structural Equation Model

Purpose: To examine the roles of cognitive social maturity and life change events in a structural equation model (SEM) to explain adolescents' use of marijuana, tobacco, and alcohol. Methods: Data were derived from 1322 9th and 10th graders in a HIV prevention study. Students completed a survey of their cognitive social maturity, recent life events and substance use habits. A model from a study on the metabolic control of adolescents with diabetes was modified to apply to health risk behaviors. Results: A SEM was tested and fit the data well. Lower cognitive social maturity and greater life change events significantly predicted health risk behaviors. Life events partially mediated the relationship between cognitive social maturity and health risk behaviors. Conclusions: Adolescents' social thought processes are related to their recent life events, which in turn are related to their substance use behaviors. Suggestions are made for interventions to improve adolescents' cognitive social maturity.