The Influence of Acetaminophen and Observational Conditioning on the Acquired Capability for Suicide

The effects of acetaminophen and a reading task on physical pain tolerance and fearlessness about death were tested in 106 undergraduate students. Participants were randomized into four groups, each receiving either acetaminophen or no medication, along with either a control or experimental reading task. It was predicted that acetaminophen would increase pain tolerance and fearlessness about death, that the experimental reading task would decrease both outcomes, and that the interventions would interact (i.e., acetaminophen would dampen the effects of the reading task). Multivariate analysis of variance was used to test hypotheses. No significant interaction was found (p = .17) and there was no effect for acetaminophen (p = .56), but individuals administered the experimental reading task demonstrated significantly higher physical pain tolerance (p < .05).     

Firearms Matter: The Moderating Role of Firearm Storage in the Association Between Current Suicidal Ideation and Likelihood of Future Suicide Attempts Among United States Military Personnel

The relationship between firearm ownership and suicide is well documented. This study hypothesized that how soldiers store their firearms would moderate the relationship between suicidal ideation and the self-reported likelihood of engaging in a future suicide attempt, and that this relationship would be explained by fearlessness about death. There were 432 military personnel (91.3% men, 74.2% White, M_age = 27.60) who endorsed current ownership of a private firearm and who were recruited from a military base in the southeastern United States (94.5% National Guard). Firearm storage moderated the relationship between suicidal ideation and the self-reported likelihood of engaging in a future suicide attempt, but this relationship was not explained by fearlessness about death. Individuals who reported keeping their firearms loaded and stored in an unsecure location exhibited higher mean levels of fearlessness about death. Findings highlight the need for research examining contributors to suicide risk in the context of firearm storage, and provide support for suicide prevention efforts involving restricting means.     

Spiritual well-being and its predictors among Iranian adolescent girls, 2014–2015

Today, numerous studies are focused on spiritual well-being. This study aimed to determine the status of spiritual well-being and its predictors among adolescent girls. The participants in this cross-sectional study were 520 adolescents living in Tabriz, Iran. Samples were selected through cluster sampling method. The ‘spiritual well-being’ and ‘socio-demographic characteristics’ questionnaires were used. Multivariate linear regression was used to determine the predictors of spiritual well-being. The mean score of spiritual well-being was 90.22 (SD: 16.25), ranging from 20 to 120. Multivariate linear regression showed a significant relationship between spiritual well-being and the factors including parents’ belief for their children’s participation in religious ceremonies, sufficiency of family income for expenses and type of residence. The results show that the level of spiritual well-being in the girls is average to high, and considering the critical impact of spiritual well-being on the health, strategies are required to improve the adolescents’ spiritual well-being.     

The Family of Instruments That Assess Suicide Risk

In suicide assessment, Becks Scale for Suicide Ideation is used widely, though other adult and youth instruments are available. A creative, positive instrument is the Reasons for Living. Advantages of suicide questionnaires include rapid assessment, access to information that may be difficult to obtain by observations and verbal interaction, ease of completion for some, availability of established norms for some instruments, and indirect information provided by questionnaire responding. Disadvantages are the temptation to accept responses uncritically, the possibility that therapists or clients view the questionnaires as superseding the therapeutic relationship, the implication that suicide tendencies are static, and, at times, cost. Overall, sound clinical judgment is paramount when assessing for suicide.     

Discerning the Behavior of the Suicide Bomber: The Role of Vengeance

Deliberate suicide used to achieve some end in group conflict is a relatively rare but always dramatic behavior. Motivation for such behavior is complex occurs usually at both the group and individual levels, and can have multiple meanings. The author examines suicide bombing as it has occurred recently in both the 9/11 event and in the Israeli-Palestinian conflict, notes that it appears to be a behavior motivated mainly by the singular intent to destroy a particular people, and concludes that it is a 'depressive equivalent' behavior rooted in the desire for vengeance. He identifies such behavior, given this motivation, as a crime by the leaders of the groups planning such acts against those they send on suicide bombing missions. He exhorts civilized society to bring these criminals to justice in order to prevent such acts.     

组织间信任研究述评

随着组织联盟与合作的增多,组织间信任问题日益得到研究者关注。文章尝试从动、静态的角度对组织间信任的前因变量和结果变量进行梳理：单方组织层面的人口学特征及获得性特征,以及涉及双方互动层面的过去经历、目前状态及未来期望等因素会影响组织间信任的建立,降低双方合作的风险;而已经形成的组织间信任又会起到促进新知识的应用,提高联盟绩效及合作满意度的作用。今后的研究应关注组织信任的多层次分析、重视研究对象领域和地域的多样化以及互动（配对）和纵向数据的收集等。     

Fewer reasons for staying alive when you are thinking of killing yourself: The brief reasons for living inventory

The Linehan Reasons for Living Inventory is a 48-item scale on which respondents rate how important each item would be for living if suicide were contemplated. The inventory possesses good psychometric properties and can distinguish suicidal from nonsuicidal people among shoppers, psychiatric inpatients, college students, and adolescents. As its length limits its utility in many institutional and screening settings, the purpose of this study was (1) to develop a brief form of the Reasons for Living Inventory appropriate for clinical use and (2) to examine the predictive validity of this brief measure, named the Brief Reasons for Living Inventory (BRFL), to distinguish suicidal from nonsuicidal prison inmates. Results indicate that the brief form was as good as either the Beck Depression Inventory or the Beck Hopelessness Scale at predicting suicidality in this population. Further study is needed to validate the BRFL with different institutionalized and other populations as well as to assess its ability to discriminate suicide ideators from those engaging in overt suicidal behavior.Support for this project was provided in part by the New York State Office of Mental Health Bureau of Forensic Services and the New York State Department of Correctional Services.     

Quality-of-life assessment in HIV-infected psychiatric outpatients: Perceived health,functional status,symptoms, and preferences for cardiopulmonary resuscitation

Abstract

The current study had two purposes: (1) to describe the reliability and validity of a measure of quality of life (QOL) in HIV-infected psychiatric outpatients, and (2) to predict cardiopulmonary resuscitation (CPR) preferences from disease stage, depression, and other QOL factors. We studied 63 patients, who were seen in one year at an HIV/AIDS psychiatry clinic. The results provide evidence for the validity of our instrument as a measure of health status in an HIV-infected psychiatric population. Overall symptoms were the strongest associates of functional limitations. disability, and perceived health, but depression was also significantly associated with all measures of QOL. Twenty-two patients (35.5%) would not have wanted to be revived if their heart stopped beating the day of the study. Disease stage and poor mental health were independent predictors of this preference, but severity of depression, social support, fatigue, perceived health, functional limitations, and life satisfaction were not.     

Designated as Dangerous: Characteristics of Sex Offenders Subject to Post‐Sentence Orders in Australia

The earliest characterisation of Australian sex offenders subjected to post‐sentence legislation is presented. Demographic, developmental, clinical, and criminal characteristics were obtained for sex offenders under post‐sentence orders in Western Australia, New South Wales, and Victoria. Data on 50 offenders were recorded from psychological and psychiatric risk assessment reports statutorily required at the initiation of post‐sentence legal proceedings. The findings describe a group of demonstrably dangerous men who exhibited an early onset of sexual offending, high rates of mental disorder, sexual deviance, and antisociality. Their developmental histories are characterised by early deprivation, disadvantage, abuse, early exposure to substance abuse, and social and psychological dislocation. These offenders present a conundrum to criminal justice agencies. They are an objectively unfortunate group and have engaged in significantly harmful behaviours. However, the early onset of their offending suggests that early intervention services, such as those offered by mental health professionals, have a critically important role to play in any effort to alter offending trajectories such as those exhibited in this sample. A paradigm shift in public policy from a post hoc model to a well‐resourced preventative and public health approach to the problem of sexual violence is proposed. Broad treatment implications are also considered.     

The suicide of Ṣàngó through the prism of Integrated Motivational–Volitional model of suicide: implications for culturally sensitive public education among the Yorùbá

Recent studies have continued to recommend community-based public enlightenment and education as a key suicide-prevention strategy in sub-Saharan Africa. The role of socio-cultural factors in suicidal behaviours and the relevance of cultural factors in better understanding of and formulating more effective prevention strategies for suicidal behaviours are gaining wider acceptance. Therefore, in a multi-ethnic and multicultural region like sub-Saharan Africa, successful public enlightenment campaign has to be cognisant of specific cultural and historical nuances of suicidal behaviours in different ethnic groups. Understanding cultural contexts requires a foray into the history, cultural beliefs and the worldview of a people. We present a brief narrative of the cultural and historical perspectives of the Yorùbá people of sub-Saharan Africa about suicide. We then further situate the suicide of ?àngó – a well-known historical icon among the Yorùbá – within the framework of the Integrated Motivational–Volitional model of suicide. The outcome is a culturally and historically nuanced and a theoretically sound public enlightenment tool that can be used among the Yorùbá. Broader lessons for successful public enlightenment about suicide in Yorùbá communities – and indeed the sub-Saharan Africa region – were also drawn.     

父母严苛型教养方式与青少年自杀倾向:一个有调节的中介模型

在对西安市四所中学4071名中学生进行问卷调查的基础上,实证研究了父母严苛型教养方式与青少年自杀倾向之间的关系。结果表明:(1)从直接效应上讲,父母严苛型教养方式和个体自身对自杀行为的合理化认知对青少年自杀倾向具有显著的正向预测作用;(2)青少年对自杀行为的合理化认知在父母严苛型教养方式和自杀倾向的相关关系中起部分中介作用;(3)在严苛型教养方式通过自杀行为合理化认知影响自杀倾向的模型中,同伴支持变量不存在显著的调节作用,而教师支持变量在这一模型的直接路径与中介模型后半段均起调节作用。     

Family Conflict and Forgiveness Among Survivors of Suicide

This study explored the lived experiences of immediate family members who were left behind and their intra- and interpersonal struggles with other family members and their coping efforts to overcome these struggles. We used interpretative phenomenological analysis for data collection and analysis and conducted in-depth interviews with 11 participants in Korea. Two superordinate themes, with two ordinate themes in each, were identified: (a) family conflict after a family member’s suicide (“discordant grieving” and “suicide loss as a catalyst for family conflict”) and (b) forgiveness (“struggling to forgive other family members, the deceased, and themselves” and “the process and importance of forgiveness”). The implications of these findings are discussed.