The relationships among gratitude,self‐esteem,depression, and suicidal ideation among undergraduate students

The main purpose of this study was to examine the relationships among gratitude, self‐esteem, depression, and suicidal ideation. In total, 814 undergraduate participants (259 males and 555 females with mean age of 20.13 years) completed four inventories measuring the variables of interest. Analyses of structural equation modeling found that gratitude had direct effects on individuals' self‐esteem, depression, and suicidal ideation. In addition, gratitude had indirect effects on individuals' suicidal ideation via self‐esteem and depression, and self‐esteem had direct effects on individuals' depression. These results support the proposed model of suicidal ideation and contribute to the understanding of how gratitude influences individuals' suicidal ideation via psychological and physical variables.     

Longitudinal Relationships Between Positive Affect,Loneliness, and Suicide Ideation: Age‐Specific Factors in a General Population

The aims of this study were to analyze whether positive and negative affect, social support, and loneliness are factors longitudinally related to suicide ideation in the general population in different age groups. A total of 2,392 individuals from a nationally representative sample of the Spanish general population were evaluated in 2011–2012 and in 2014–2015. After including relevant control variables in the analyses, lower positive affect was prospectively related to ideation in 18‐ to 59‐year‐old individuals, whereas feelings of loneliness were related to ideation in 60‐year‐and‐older individuals. Social support was not associated with suicide ideation in any age group. These results are in line with the need for age‐tailored suicide prevention programs. The present findings might also suggest that health care professionals should consider feelings of loneliness rather than social support to assess the presence of suicide ideation in older people.     

Telehealth mask wearing training for children with autism during the COVID‐19 pandemic

SARS‐CoV‐2 is the virus causing COVID‐19 and is spread through close person‐to‐person contact. The use of face masks has been described as an important strategy to slow its transmission. We evaluated the effects of coaching caregivers via telehealth technologies to teach face mask wearing to children with autism spectrum disorder. Six participants with a history of challenging behavior associated with mask wearing were recruited from different parts of the world, and trained using graduated exposure, shaping, and contingent reinforcement. By the end of the intervention, all participants wore a face mask for a period of 10 min without exhibiting challenging behavior. The skills generalized to a novel mask or a community setting. Mask wearing did not affect the percentage of oxyhemoglobin saturation of participants, and caregivers found the intervention useful. The findings support previous tolerance training treatment evaluations in children with developmental disorders exhibiting resistance to healthcare routines.     

Overcoming ego depletion: the influence of exemplar priming on self‐control performance

Self‐regulation research suggested that active self‐control depends on a limited resource. Therefore the capacity for self‐control is lower among people who already exercised control, a phenomenon labelled as ego depletion. This experiment examines whether priming of a persistent person exemplar may help to overcome ego depletion. Half of the participants engaged in a demanding self‐control task (solving extremely difficult labyrinths) whereas the other half took part in a task that demanded little self‐control (solving easy labyrinths). Then, half of the participants received a person exemplar prime related to persistence; the other half received a neutral prime. Finally, participants' persistence on a subsequent self‐control task (squeezing a handgrip) was measured. The effect of a person exemplar prime on a subsequent self‐control task depended on initial self‐control demands. Participants who exercised high initial self‐control and were then presented with a persistent exemplar prime showed assimilation. Their handgrip persistence was higher than the persistence of participants who received a neutral prime. Under conditions of low initial self‐control the opposite pattern was found. A persistent person prime resulted in contrast and resulted in lower handgrip performance as compared to those who received a neutral prime. Copyright © 2006 John Wiley & Sons, Ltd.     

Interaction of Combat Exposure and Unit Cohesion in Predicting Suicide‐Related Ideation Among Post‐Deployment Soldiers

Suicide is one of the leading causes of death among U.S. Army soldiers. Suicide‐related ideation, which is associated with suicide attempts and suicide, can cause considerable distress. In a sample of 1,663 recently redeployed soldiers, we used factor analysis and structural equation modeling to test the associations between combat exposure, unit cohesion, and their interaction in predicting suicide‐related ideation. We found that combat exposure was a significant risk factor for suicide‐related ideation, while unit cohesion was a significant protective factor. The significant interaction between the two factors indicated that soldiers who experienced greater combat exposure but also had higher levels of unit cohesion had relatively lower levels of suicide‐related ideation. In addition, those who had higher levels of combat exposure and lower unit cohesion were most at risk for suicide‐related ideation. Our findings indicate the importance of unit cohesion in protecting soldiers from suicide‐related ideation and suggest a higher risk group of soldiers who should be targeted for interventions.     

Suicide Ideation and Acceptability Toward Online Help‐Seeking

Suicidal individuals are unlikely to engage in face‐to‐face treatment. The Internet is emerging as an innovative approach for intervention delivery, particularly for those unable or unwilling to attend traditional treatment. Participants (N  = 459) were recruited to fill out online questionnaires on suicide ideation and help‐seeking modality preference. The majority of participants endorsed preferring face‐to‐face help over web‐based help. Results from multinominal logistic regression indicated that suicide ideation was significantly related to preferring online methods versus face‐to‐face methods. This study highlights that the Internet can provide a novel platform to treat individuals at risk of suicide.     

Social Integration and Suicide‐Related Ideation from a Social Network Perspective: A Longitudinal Study among Inner‐City African Americans

Social network density, as measured by the extent to which network members know each other, was examined to determine whether it is associated with suicide‐related ideation and plan approximately 3 years later. Eight hundred and nineteen African Americans were interviewed at Wave 1 (1997–1999) and Wave 4 (2001–2003) of the Self‐Help In Eliminating Life‐Threatening Diseases (SHIELD) study, a HIV preventive intervention study in Baltimore, MD. Multinomial logistic regression models were used to compare risks of suicide‐related ideation and plan at Wave 4 by Wave 1 density. Even after adjusting for baseline sociodemographic characteristics and depressive symptoms, individuals with a lower level of density were three times more likely to report suicide‐related ideation and plan in the past year at Wave 4. The findings reinforce the importance of social integration among inner‐city African Americans from a social network perspective. Future research should examine the mechanisms associated with this relationship and other social network constructs.     

Suicidal Ideation in First‐Episode Psychosis (FEP): Examination of Symptoms of Depression and Psychosis Among Individuals in an Early Phase of Treatment

First‐episode psychosis (FEP) is a particularly high‐risk period for suicide, in which risk elevates by 60% within a first year of treatment as compared to later stages of illness. To date, much of the literature has focused on individuals with a longer duration of psychosis; thus, there is an urgency for research to examine suicide risk among individuals in FEP in the beginning stage of treatment. This study aimed to identify the relationships between demographic characteristics, symptoms of depression, psychosis (particularly positive symptoms of psychosis), and suicidal ideation among individuals in FEP. Secondary data were obtained from National Institute of Mental Health's Early Treatment Program of the Recovery After an Initial Schizophrenia Episode project (N = 404). Consistent with prior research, participants who experienced suicidal ideation during the study period reported having a longer duration of untreated psychosis and greater symptoms of depression. Further, positive symptoms of psychosis, namely hallucinations and delusions, were found to increase the odds of experiencing suicidal ideation. Findings point toward the implication that depression and positive symptoms of psychosis relate to the experience of suicidal ideation among individuals with a FEP and should be evaluated for and treated in the early stages of treatment.     

The Effects of the Family Bereavement Program to Reduce Suicide Ideation and/or Attempts of Parentally Bereaved Children Six and Fifteen Years Later

Findings concerning the long‐term effects of the Family Bereavement Program (FBP) to reduce suicide ideation and/or attempts of parentally bereaved children and adolescents are presented. Parental death is a significant risk factor for suicide among offspring (Guldin et al., 2015). This study is a long‐term follow‐up of 244 children and adolescents who had participated in a randomized trial of the FBP, examining the intervention effects on suicide ideation and/or attempts as assessed through multiple sources. Results indicate a significant effect of the FBP to reduce suicide ideation and/or attempts at the 6‐ and 15‐year follow‐up evaluation. The findings support the potential benefits of further research on “upstream” suicide prevention.     

Person‐Centered Emotional Support and Gender Attributions in Computer‐Mediated Communication

Without physical appearance, identification in computer‐mediated communication is relatively ambiguous and may depend on verbal cues such as usernames, content, and/or style. This is important when gender‐linked differences exist in the effects of messages, as in emotional support. This study examined gender attribution for online support providers with male, female, or ambiguous usernames, who provided highly person‐centered (HPC) or low person‐centered (LPC) messages. Participants attributed gender to helpers with gender‐ambiguous names based on HPC versus LPC messages. Female participants preferred HPC helpers over LPC helpers. Unexpectedly, men preferred HPC messages from male and gender‐ambiguous helpers more than they did when HPC messages came from females. Implications follow about computer‐mediated emotional support and theories of computer‐mediated communication and social influence.     

The Efficacy of Interventions Aimed at Reducing Procrastination: A Meta‐Analysis of Randomized Controlled Trials

This meta‐analysis investigated the efficacy of interventions aimed at reducing procrastination in randomized controlled trials. Twelve studies, with a total of 646 participants, met inclusion criteria. The significant meta‐analytic effect size, Hedges's g = 1.18, indicates that the interventions had a large positive effect. Three variables significantly moderated effect size: Higher effects were associated with interventions delivered in person, student samples, and a no‐treatment control condition. The results lay a foundation for procrastination treatment and future research.     

Hopelessness,Parent‐Adolescent Communication,and Suicidal Ideation among Chinese Adolescents in Hong Kong

Based on the responses of 5,557 Chinese secondary students in Hong Kong, the relationships among perceived hopelessness, family functioning, and suicidal ideation were examined. Results showed that suicidal ideation was positively related to hopelessness, but negatively related to parent‐adolescent communication. Compared with father‐adolescent communication, mother‐adolescent communication generally had a stronger association with adolescent suicidal ideation. It was further found that the linkage between hopelessness and adolescent suicidal ideation was stronger under a low parent‐adolescent communication condition, thus suggesting the moderating effect of parent‐adolescent communication on the effect of hopelessness on suicidal ideation. The theoretical and practical implications of the findings are discussed.     

Changes in personality in pre‐ and post‐dialectical behaviour therapy borderline personality disorder groups: A question of self‐control

Dialectical behaviour therapy (DBT) is an evidence‐based therapy for people with borderline personality disorder (BPD). Past research has identified behavioural changes indicating improved functioning for people who undergo DBT. To date, however, there has been little research investigating the underlying mechanism of change. The present study utilised a between‐subjects design and self‐report questionnaires of Self‐Control and the five factor model of personality and drew participants from a metropolitan DBT program. We found that pre‐treatment participants were significantly lower on Self‐Control, Agreeableness and Conscientiousness when compared to both the post‐treatment assessment and the norms for each questionnaire. Neuroticism was significantly higher both before and after treatment when compared to the norms. These findings suggest that Self‐Control may play a role in both the presentation of this disorder and the effect of DBT. High levels of Neuroticism lend weight to the Linehan biosocial model of BPD development.     

Latino and Latina Adolescents' Help‐seeking Behaviors and Attitudes Regarding Suicide Compared to Peers with Recent Suicidal Ideation

Although Latinas have consistently reported higher rates of suicidal behavior for the past 20 years (CDC, 1996), there is a dearth of information regarding their help‐seeking attitudes and behaviors when dealing with distress and suicide. Associations between adolescents' ideation and help‐seeking from adults were different for non‐Hispanic Whites and Latinos from 14 high schools (N = 4,983). Among females, ideators and Latinas reported lower levels of help‐seeking attitudes than nonideators and non‐Hispanic Whites. Males showed interaction effects of ideation by race/ethnicity on help‐seeking. Within sex by race/ethnicity, differences showed that while non‐Hispanic White students reported consistent differences between suicidal ideation and no reported suicidal ideation, Latinos were more similar between these groups, particularly with having support from friends and family to seek help from adults. Research should clarify how culture contributes to decreased help‐seeking norms among those with suicidal ideation.     

Model and interactive algorithm of bi‐level multi‐objective decision‐making with multiple interconnected decision makers

Furthering a prior research on two‐person bi‐level multi‐objective decision‐making problems of the leader‐follower Stackelberg game, we present an extended model of bi‐level multi‐objective decision‐making with multiple interconnected decision makers at the lower level. In the model, the upper level decision maker acts as a leader and the lower level decision makers behave as the followers, and inter‐connections and interactions exist among these followers in decision‐making scenarios. Following the rules of leader‐follower Stackelberg game, we develop an interactive algorithm of the model for solving multi‐objective decision‐making problems and reflecting the interactive natures among the decision makers. Finally, the authors exemplify the model and algorithm, and draw a conclusion on points of contributions and the significance of this study in decision‐making and support. Copyright © 2001 John Wiley & Sons, Ltd.     

Preference‐expectation reversal in the ratings of independent and interdependent individuals: A USA–Japan comparison

We predicted and supported the prediction that a ‘preference‐expectation reversal’ would occur among Japanese but not among Americans. American and Japanese participants evaluated ideal‐typical independent and interdependent persons on the negative–positive dimension, and estimated how others would evaluate these persons. They also indicated their preference for acting like each of the target persons; that is, which of the two target persons they would prefer to act like. Both the American and Japanese participants wanted to act like the typical independent person rather than the typical interdependent person. However, the Japanese participants expected that others would evaluate the interdependent person more positively than the independent person. This preference‐expectation reversal was not observed among the American participants. Further analysis demonstrated that the American participants' personal evaluations of the two targets were consistent with their preferences. The Japanese participants' personal evaluation represented a compromise between their preferences and the expected responses of others. These results suggest that the culturally shared belief in Japan that interdependent persons would receive more positive evaluations than independent persons created an incentive for them to behave interdependently despite their preferences.     

Information leakage in the Response Time‐Based Concealed Information Test

The Response Time‐Based Concealed Information Test (RT‐CIT) can reveal when a person recognizes a relevant (probe) item among other, irrelevant items, based on comparatively slow responses to the probe item. For example, if a person is concealing his or her true identity, one can use the suspected identity details as probes, and other, random details as irrelevants. However, in our study, we show that even when participants are merely informed about such probes (i.e., the relevant identity details) before performing the RT‐CIT, their responses will also be slower to these details. Hence, it is more difficult to distinguish such innocent but pre‐informed persons from actually guilty persons. At the same time, we introduce a CIT version with familiarity‐related inducer stimuli, but with no targets, that elicits probe‐minus‐irrelevant RT differences only among guilty participants but not among informed innocent participants. Implications for the theory and the application of CITs are discussed.     

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Telehealth delivery of applied behavior analysis treatment has focused on supervision or staff and parent training, rather than the direct delivery of treatment to clients. The novel coronavirus (COVID‐19) crisis had the potential to significantly disrupt access to direct treatment for individuals with autism. We report a sample of 17 cases that transitioned from in‐person to telehealth delivery of treatment when shelter‐in‐place orders were issued. Of these cases, 76% of participants transitioned to technician‐delivered telehealth services whereas the rest transitioned to a caregiver‐implemented telehealth model. Participants continued to access a similar dosage of treatment hours per week in spite of the treatment model transition (in‐person M = 12; telehealth M = 11) and maintained or improved correct independent responding across all targets from in‐person treatment (M = 75%) to telehealth treatment (M = 80%). These findings provide initial evidence that some clients with autism benefit from technician‐delivered telehealth services.     

Mnemic neglect and self‐threat: Trait modifiability moderates self‐protection

The mnemic neglect effect is the phenomenon of disproportionately poor recall for threatening (rather than non‐threatening) feedback that refers to the self (rather than another person). Does trait modifiability moderate mnemic neglect? We hypothesized that mnemic neglect will be present for feedback on unmodifiable traits, but absent for feedback on modifiable traits. In the latter case, the feedback would be lower in threat potential because its consequences are fleeting and steps to prevent its reoccurrence are possible. Participants received mixed (threatening and non‐threatening) feedback that referred either to the self or another person. The feedback pertained to (central and peripheral) self‐conceptions that were either unmodifiable or modifiable. In support of the hypothesis, mnemic neglect emerged for feedback on unmodifiable, but not modifiable, traits. The findings illustrate the selective and strategic nature of self‐protection. Copyright © 2004 John Wiley & Sons, Ltd.     

Six‐Month Trajectory of Suicidal Ideation in Adolescents with Borderline Personality Disorder

Few studies have longitudinally examined suicidal ideation in those with adolescent‐onset borderline personality disorder (BPD). The current study aimed to examine the trajectory of suicidal ideation in adolescents with BPD longitudinally over 6 months, with follow‐ups at 2, 4, and 6 months posthospitalization for elevated suicide risk. Results indicated that the BPD group exhibited a greater decrease in suicidal ideation in the months following hospitalization than those without a BPD diagnosis. The findings of this study indicated that suicidal ideation in adolescents with BPD is not stable, and although ideation may decrease quickly after hospitalization, regular assessment of ideation is recommended.