Thoughts of Death and Suicide in Early Adolescence

The prevalence and persistence of thoughts of death and suicide during early adolescence were estimated in a community‐based cohort. A latent class approach was used to identify distinct subgroups based on endorsements to depression items administered repeatedly over 24 months. Two classes emerged, with 75% in a low ideation class across four assessments. Less than 2% persisted in the high ideation class over three or more assessments. African American and Asian American adolescents were more likely than European Americans to belong to the high ideation class. No members of the low ideation class endorsed “thought about killing myself,” while “thoughts of death and dying” was endorsed by members of both classes. Implications for interpreting meanings of death and suicide ideation in early adolescence are discussed.     

Latina Adolescent Suicide Ideations and Attempts: Associations with Connectedness to Parents,Peers, and Teachers

Associations between suicidal behavior and social‐ecological variables were examined among 1,618 Latina high school students (mean age = 15) from the nationally representative Add Health sample (68% were U.S.‐born). Ideations were associated with having a suicidal friend, lower perceived father support, and overall parental caring. Attempts were associated with having a suicidal friend, and lower perceived teacher and parental support. Peer and mother relationship variables were not predictors of ideations or attempts. The protective role of father and teacher support has not previously been emphasized in the literature. Strengthening connections to parents and teachers may reduce suicidal behavior in adolescent Latinas.     

Psychological Factors Associated with Emotional Responses to Receiving Genetic Risk Information

This study identified levels of distress, and predictors of levels of distress, in women undergoing assessment for genetic risk of breast/ovarian cancer based on their family history. It comprised a cohort study following 154 women who completed questionnaires at entry into a cancer genetic assessment programme and following risk provision. Independent significant associates of anxiety following risk provision were age, neuroticism, feeling hopeless about developing cancer, a perceived lack of control over developing cancer, lack of a social confidant, and a coping response involving acceptance/resignation. Depression was associated with age, neuroticism, feeling hopeless about developing cancer, lack of social confidant, and a coping response involving acceptance/resignation. To avoid high levels of psychological morbidity in future cohorts undergoing cancer genetic risk assessment, information should be given that emphasises that some degree of control over health outcomes through behaviour change or increased surveillance is possible.     

Childhood Maltreatment,Emotional Response Inhibition,and Suicide in Psychiatric Inpatients

Childhood abuse and/or neglect adversely influences development of neurocognitive systems that regulate affect and behavior. Poor inhibitory control over emotional reactions is thus one potential pathway from maltreatment to suicide. Adult psychiatric inpatients completed the Childhood Trauma Questionnaire and an emotional stop-signal task indexing negative emotional action termination (NEAT): the ability to inhibit ongoing motor reactions to aversive stimuli triggered by negative affect. Clinical interviews assessed suicidal thoughts and behaviors during hospitalization (n = 131) and at follow-up assessments 6 months later (n = 87). Our primary aim was to examine whether maltreatment history and NEAT explain overlapping variance in suicidal behaviors (1) retrospectively and (2) 6 months following hospital discharge. Contrary to prediction, childhood maltreatment was unrelated to history of suicidal behaviors. However, NEAT was consistently associated with prior suicidal acts, even controlling for suicidal ideation and demographic covariates. NEAT similarly contributed to the prediction of post-discharge suicidal behaviors, whereas we found no effect of maltreatment history. The present study suggests that NEAT captures suicide risk independently of childhood maltreatment. Results implicated NEAT impairment specifically, rather than broader response inhibition deficits (e.g., to positive stimuli), in past and future suicidal behaviors. These findings provide preliminary support for NEAT as a behavioral vulnerability marker for suicide, with implications for understanding links between maltreatment history and suicidal acts.     

The Longitudinal Association of Being Bullied and Gender with Suicide Ideations,Self‐Harm,and Suicide Attempts from Adolescence to Young Adulthood: A Cohort Study

Longitudinal associations between being bullied during adolescence and suicide ideations, self‐harm, and suicide attempts into young adulthood were examined. A large representative sample was examined in 1998 (N  = 2,464, MA 13.7), 1999/2000, and 2012 to reassess the outcome measures. At all ages, bullied participants showed more suicide ideation, self‐harm, and suicide attempts, regardless of gender. Bullied females showed a decrease in suicide ideation from adolescence to adulthood, while bullied males showed an increase in suicide attempts in the same time period. Being bullied in adolescence strongly predicts suicidal behavior and self‐harm. Preventive efforts might reduce the risk of later suicidality.     

Risk Factors Proximate to Suicide and Suicide Risk Assessment in the Context of Denied Suicide Ideation

Health care providers have significant opportunities to identify individuals at near‐term risk for suicide, but lack empirical data on near‐term risk factors. This study aimed to identify dynamic, state‐related risk factors observed by clinical practitioners within the last 30 days of life of 157 patients who died by suicide and to compare these near‐term risk factors among patients who denied versus responded positively to having suicide ideation (SI ) when last asked by a clinical practitioner prior to their death. Risk factors charted for the majority of all decedents were a history of prior suicide ideation and/or suicide attempt, current anxiety/agitation and sleep problems, current interpersonal problems or job/financial strain, current comorbid diagnoses, current social isolation/withdrawal, and a family history of mental disorder. Two‐thirds of patients denied having SI when last asked and one‐half of these patients were dead by suicide within 2 days. Decedents who denied having SI were quite similar in charted diagnoses, symptoms, behaviors, and environmental circumstances to decedents who responded affirmatively to having SI . Reliance on verbalized or reported SI as a gateway to a suicide risk assessment is questioned and the need for better understanding near‐term risk for suicide, particularly in the absence of stated SI , is highlighted.     

青少年情绪弹性问卷的研究报告

根据情绪弹性的理论构建,编制出二维结构的青少年情绪弹性问卷。问卷经探索性因素分析,抽取出积极情绪能力和情绪恢复能力两个维度,表明情绪弹性的理论构建是合理的;通过问卷的信、效度检验,表明该问卷可以作为测评青少年情绪弹性的有效工具。运用本问卷对青少年的调查表明,青少年的情绪弹性存在着显著的性别和年级差异,男生明显高于女生,高中生明显高于初中生。     

The Content of Emotional Thoughts

Abstract

In this paper I examine Peter Goldie's theory of emotional thoughts and feelings, offered in his recent book The Emotions and subsequent articles. Goldie argues that emotional thoughts cannot be assimilated to belief or judgment, together with some added-on phenomenological component, and on this point I agree with him. However, he also argues that emotionally-laden thoughts, thoughts had, as he puts it, ‘with feeling,’ in part differ from unemotional thoughts in their content. The thought ‘the gorilla is dangerous’ when thought with an emotional feeling of fear differs in its content from the thought ‘the gorilla is dangerous’ when thought without actually feeling fear. I argue that Goldie offers no good reason to think that the difference between emotional and unemotional thoughts is found in their contents. In fact, the analogies Goldie presents to help make his case actually suggest that the contribution feelings make to the distinctive role played by emotional thoughts consists solely in their influencing the way we think emotional thoughts. However, this position is consistent with Goldie's broader point: that theories which treat emotional feelings as phenomenological afterthoughts should be rejected.     

Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk

The main procedure used by clinicians to determine whether an individual may be at risk of suicidal behaviors is the suicide risk assessment (SRA). The purpose of the SRA is to identify risk and protective factors that then provide the data for the formulation of suicide risk. The suicide risk formulation (SRF) assigns a level of suicide risk that ideally leads to triage and treatment deemed appropriate for that level of risk. Some of the problems with the SRA are explored here, with an emphasis on addressing the over reliance on communicated suicide ideation, and recommendations are made for improvements. Part II of this article (Berman & Silverman, 2013, also appears in this issue of STLB) examines the process of an SRF and, similarly, makes recommendations to improve clinical practice toward the desired end of saving lives.     

The End: Thoughts on Humanism and Death

Extending earlier work on a nontheistic theology, in this article I explore a humanist framing of death. I begin with a critique of theistic framings of death as a matter of isolation and transition to a greater situation. In place of theistic understandings of death, here I argue that humanist theology, drawing insights from literature and Albert Camus' moralism, provides a way to “naturalize” death, to understand death as already and always a dimension of life.     

Automaticity and the Amygdala: Nonconscious Responses to Emotional Faces

The human face is an evolved adaptation for social communication. This implies that humans are genetically prepared to produce facial gestures that are automatically decoded by observers. Psychophysiological data demonstrate that humans respond automatically with their facial muscles, with autonomic responses, and with specific regional brain activation of the amygdala when exposed to emotionally expressive faces. Attention is preferentially and automatically oriented toward facial threat. Neuropsychological data, as well as a rapidly expanding brain-imaging literature, implicate the amygdala as a central structure for responding to negative emotional faces, and particularly to fearful ones. However, the amygdala may not be specialized for processing emotional faces, but may instead respond to faces because they provide important information for the defense appraisal that is its primary responsibility.     

Suicide Risk Assessment and Risk Formulation Part II: Suicide Risk Formulation and the Determination of Levels of Risk

The suicide risk formulation (SRF) is dependent on the data gathered in the suicide risk assessment. The SRF assigns a level of suicide risk that is intended to inform decisions about triage, treatment, management, and preventive interventions. However, there is little published about how to stratify and formulate suicide risk, what are the criteria for assigning levels of risk, and how triage and treatment decisions are correlated with levels of risk. The salient clinical issues that define an SRF are reviewed and modeling is suggested for an SRF that might guide clinical researchers toward the refinement of an SRF process.     

Emotions Know Best: The Advantage of Emotional versus Cognitive Responses to Failure

Making mistakes or failing at tasks is a common occurrence in human life. People can respond to and cope with failure in many ways. In this research, we examine potential advantages of relatively emotional (versus cognitive) responses to failure. In particular, we study how effort and time spent in subsequent tasks depend on whether people predominantly focus on their emotions or their cognitions as they respond to a failure. We demonstrate that, left to their own means, people's cognitions upon a failure are mainly justificatory in nature and thus do not automatically have the commonly believed reflective, self‐improving qualities. We further argue and demonstrate that a relative focus on cognitions following a failure can prevent improvement in subsequent episodes, but a focus on emotions can allow for learning and, therefore, increased effort. Copyright © 2017 John Wiley & Sons, Ltd.     

The Death Response Team: Responding to the Forgotten Grievers

The authors describe the Death Response Team, a concept that has enabled the University of Minnesota to respond effectively to the needs of student groups after the death of a member. Information is provided to foster the development of similar models in other educational settings.