The relationship between attitudes toward suicide and willingness to pay for suicide prevention: a cross-sectional study in Japan

There are gaps in our knowledge of the role attitudes toward suicide play in determining people’s willingness to participate (WTP) for suicide prevention. We conducted a large nationwide cross-sectional study with the aim of clarifying the relationship between WTP for reducing suicide risk and attitudes toward suicide. Ordinal logistic regression analyses (n = 1771) showed that there were significant associations of WTP for suicide prevention with ‘Suicide as a right’ (β = ?.15, 95% CI: ?.25 to ?.04, p = .006), ‘Preventability/readiness to help’ (β = .81, 95% CI: .69–.94, p < .001) and ‘Common occurrence’ (β = .32, 95% CI: .19–.46, p < .001). ‘Incomprehensibility/unpredictability’ did not show an association with WTP. Taxpayer acceptance for suicide prevention is more likely to be achieved through provision of information that increases endorsement of ‘preventability/readiness to help’ and ‘common occurrence’ factors, and decreases ‘suicide as a right’ scores.     

Questions of culture,age and gender in the epidemiology of suicide

Cultural values were examined as predictors of suicide incidence rates compiled for men and women in six age groups for 33 nations for the years 1965, 1970, 1975, 1980, and 1985. Hofstede's cultural values of Power-Distance, Uncertainty Avoidance, and Masculinity (i.e., social indifference) were negative correlates of reported suicide, and Individualism was a strong positive correlate. The proportion of variance in suicide reports generally related to these four cultural values was R2 = 0.25. Suicide by women and by middle-aged people was most related to cultural values, even though international variance in suicide is greater for men and for the elderly. Suicide incidence for girls and young women showed unique negative correlations with Individualism. For all age groups, Individualism predicted a greater preponderance of male suicides, and Power-Distance predicted more similar male and female suicide rates. Social alienation and Gilligan's feminist theory of moral judgment were hypothesized to explain some gender differences.     

Exposure to violence and suicide risk in adolescents: a community study

The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.     

Some reflections on the origin of hate between man and woman

There is no love without hate and no hate without love; their opposite is indifference. According to Winnicott, human being’s deepest guilt evolves when his hate is stronger than his love. This paper will explore how the origin of hate may lie in early helplessness, in the difference between sexes and disturbances of developmental phases. Finally, it will be illustrated how hate can protect love in a relationship between man and woman.     

Associations between COVID-19-related disruptions and psychological adjustment in a sample of young adults

We examined the relations between disruptions experienced by young adults in the US during the COVID-19 pandemic and their psychological adjustment. An online sample (N = 180, M_age = 24.8) reported on the impact of the pandemic on their living arrangements, work status, and finances; their psychological adjustment overall and with specific reference to the pandemic; and whether they lived alone and, if living with others, there were children in the home. Results indicated a moderate association between financial strain and poor overall adjustment and a small association between job-related problems and sleep disruption. Women experienced negative effects of pandemic-related disruptions on their adjustment. Men were particularly vulnerable to the negative effects of financial strain. The results show the negative psychological effects of disruptions brought about by the COVID-19 pandemic on young adults' mental health.     

Suicide and masochism: The evolving relationship between guilt,suffering, self-attack and suicide

Masochism is a complex and intriguing phenomenon. Self-attack may serve many purposes. Some patients suffer through harsh self-criticism, bodily harm, or even tormenting thoughts of death, without actually killing themselves. Some of these patients ultimately may go on to die by suicide, but for many, the self-torturing aspect may exist independently in acute or chronic forms. This paper addresses the complex relationship between masochism and suicide as two separate yet interconnected phenomena.     

Conjunction errors in recognition memory: modality-free errors for older adults but not for young adults

A dual-process theory of memory was applied to processes in normal aging, with a focus on recognition errors in the feature-conjunction paradigm (i.e., false recognition of blackbird after studying parent words blackmail and/or jailbird). Study repetition was manipulated so that some parent words occurred once and others occurred three times. Age-related differences on hit scores occurred for two experiments. The results for feature and conjunction conditions showed repetition effects but no age-related differences when participants were uninformed of the lures (Experiment 1). However, age-related differences emerged when the retrieval of modality source information created a way to evade conjunction errors (Experiment 2). In the second experiment, study repetition decreased errors for the young adults but increased errors for the older adults, and young adults were better able than older adults to avoid conjunction errors when the parent words had been repeated. For older adults, the conjunction errors were modality-free. The results provide additional evidence that older adults experience difficulty in recollecting aspects of a study experience, and the results from groups of young adults required to respond quickly on the tests provide converging evidence for this conclusion.     

Big-Five personality factors, obesity and 2-year weight gain in Australian adults

The objective of this paper was to examine whether the Big-Five Personality factors were associated with obesity and 2-year weight gain in Australian adults. The sample included 5265 Australian adults aged 25-65 years. Binary logistic regression models indicated that Extraversion, Agreeableness and Neuroticism were cross-sectionally associated with obesity, with Conscientiousness inversely associated with obesity. The longitudinal analyses indicated that Extraversion predicted 2-year weight gain. The relationships between personality and obesity/weight gain were not moderated by age or sex. These results have potentially important implications for developing more effective treatment and prevention strategies for obesity.     

Violent behavior in adolescents and young adults: A person and environment model

We explore a model that examines how personal and environmental variables explain violent behavior by adolescents. Repeated interviews with youths from 1984–1992 from 10 cities across the United States provided the data. These interviews first occurred with 2,787 youths when they were adolescents (1984–85 and 1986–87) and the interviews were repeated on a subsample of 602 youths when they were young adults (1989–90 and 1991–92). Longitudinal multivariate analyses showed that almost a third of the variance in adolescent violent behaviors was predicted by a combination of personal variables (gender, substance misuse) and environmental variables (history of child abuse, stressful events, traumatic events, and city rates of unemployment). Further, almost a third of the variance in change in violent behaviors from year to year was predicted by prior violent behavior and a combination of personal variables (gender, suicidality, and substance misuse) and environmental variables (stressful events).     

Secondary psychopathy,but not primary psychopathy,is associated with risky decision-making in noninstitutionalized young adults

Although risky decision-making has been posited to contribute to the maladaptive behavior of individuals with psychopathic tendencies, the performance of psychopathic groups on a common task of risky decision-making, the Iowa Gambling Task (IGT; Bechara, Damasio, Damasio, & Anderson, 1994), has been equivocal. Different aspects of psychopathy (personality traits, antisocial deviance) and/or moderating variables may help to explain these inconsistent findings. In a sample of college students (N = 129, age 18–27), we examined the relationship between primary and secondary psychopathic features and IGT performance. A measure of impulsivity was included to investigate its potential as a moderator. In a joint model including main effects and interactions between primary psychopathy, secondary psychopathy and impulsivity, only secondary psychopathy was significantly related to risky IGT performance, and this effect was not moderated by the other variables. This finding supports the growing literature suggesting that secondary psychopathy is a better predictor of decision-making problems than the primary psychopathic personality traits of lack of empathy and remorselessness.     

Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: A population-based study

We investigated the prevalence of body image dissatisfaction (BID) and associated factors in Florianopolis, Brazil. BID was analyzed in a sample (N = 1720) of adults through the Figure Rating Scale. The independent variables were sociodemographic factors, health behaviors, and morbidities. A multinomial logistic regression analysis was used. More men (14.2%) than women (6.1%) presented BID by being lighter than ideal (LI). Conversely, more women (66.6%) than men (46.3%) showed BID by being heavier than ideal (HI). BID by being HI was higher among older women, those with high BMI and those with a partner. In men, lower BMI and the presence of common mental disorders were associated with BID due to being LI. Advanced ages, alcohol abuse, physical inactivity, and obesity were associated with BID due to being HI. We must consider different public health interventions for men and women to reduce BID in Brazilian adults.     

The moderating role of pessimism in the association between retrospective relational peer victimization,interpersonal risk factors,and suicide ideation

Peer victimization (PV) is a serious concern for youth and is associated with subsequent suicide ideation in young adulthood. The interpersonal theory of suicide may provide a framework for understanding suicide ideation in this population. Specifically, thwarted belongingness (TB) and perceived burdensomeness (PB) have been significantly associated with suicide ideation among young adults with a history of peer victimization. Additionally, the personality trait of pessimism is associated with elevated suicide ideation. Thus, this study tested the association between self-reported frequency of retrospective relational (i.e., verbal and indirect) PV in primary and secondary school, thwarted interpersonal needs (TB and PB), and current suicide ideation, as well as how these relations may vary based on current pessimism. Participants were 330 undergraduate students. Nonparametric bootstrap moderated mediation procedures were used to test hypotheses. Results indicated significant indirect effects of frequency of retrospective relational PV and suicide ideation through PB and TB. Contrary to predictions, results did not indicate significant moderated mediation; however, the association between PB and suicide ideation was stronger at lower pessimism levels. We also provide supplemental analysis with optimism as the moderator. These findings suggest that clinicians may consider targeting TB, PB, as well as pessimism and optimism among those with a history of relational PV when assessing and intervening on current suicide ideation. Implications, limitations, and future directions are further discussed.     

Attributional style as a diathesis in predicting depression,hopelessness, and suicide ideation in college students

Attributional style was examined as a diathesis for depression, hopelessness, and suicidal ideation. A naturalistic stressor—obtaining a D or F on an Introductory Psychology exam—was used in a longitudinal design to test for the effects of stress in predicting these criteria. Controlling for preexam levels of depression, hopelessness, and suicide ideation, prestress attributional style was consistently related to poststress levels of each of these criteria. Both positive and negative attributional styles measured at Time 1 were predictive of these criteria at Time 2. Regression analyses revealed that exam grade, attributional style alone, and attributional style in interaction with stress predicted each of the three criteria. The results are seen as supportive of a prestress attributional style diathesis to depression, hopelessness, and suicidal ideation.     

Increased chronic stress predicts greater emotional negativity bias and poorer social skills but not cognitive functioning in healthy adults

Background and Objectives: Chronically stressed individuals report deficits spanning cognitive and emotional functioning. However, limitations to clinical populations and measures of stress have impeded the generalisability and scope of results. This study investigated whether chronic stress predicted cognitive and emotional functioning, and whether these relationships differed between males and females, in a large representative sample of healthy participants.

Design: Cross-sectional study.

Method: 1883 healthy adults sampled from the Brain Resource International Database reported stress using the 21-item Depression Anxiety Stress Scales. Participants then completed a cognitive and emotional assessment battery (IntegNeuro), as well as questionnaires related to sleep, emotional functioning, and self-regulation.

Results: In contrast to previously reported results, chronic stress did not predict cognitive functioning. However, higher stress predicted a greater negativity bias and poorer social skills, confirming previous research identifying these links.

Conclusions: Cognitive deficits related to stress are absent in healthy participants when stress is measured using the 21-items Depression Anxiety Stress Scales. Identifying how chronic stress is associated with aspects of emotional functioning can lead to personalized interventions for individuals to better manage the negative outcomes resulting from stress.     

Face likeability mediates the memory-enhancing effect of face attractiveness in young but not older adults

Evidence of effects of face attractiveness on memory is mixed and little is known about the underlying mechanisms of this relationship. Previous work suggests a possible mediating role of affective responding to faces (i.e., face likeability) on the relationship between face attractiveness and memory. Age-related change in social motivation may reduce the relevance of face attractiveness in older adults, with downstream effects on memory. In the present study, 50 young and 51 older participants were presented with face-trait pairs. Faces varied in attractiveness. Participants then completed a face-trait associative recognition memory task and provided likeability ratings for each face. There was a memory-enhancing effect of face attractiveness in young (but not older) participants, which was partially mediated by face likeability. In addition, more attractive and less attractive (compared to moderately attractive) faces were more likely remembered by both young and older participants. This quadratic effect of face attractiveness on memory was not mediated by face likeability. Findings are discussed in the context of motivational influences on memory that vary with age.     

The problem-solving diathesis in depression,hopelessness, and suicide ideation: A longitudinal analysis

The problem-solving deficit (PSD) diathesis-stress model of suicide behavior proposed by Clum, Patsiokas, and Luscomb (1979) and expanded by Schotte and Clum (1982, 1987) was examined in a short-term longitudinal test. The present study assessed the relationship between problem-solving deficits at Time 1—prior to the stressor (a D or F on a midterm examination)—and adjustment at Time 2—after the Stressor. Evidence was found for an additive predictive relationship for stress and problem-solving deficits to Time 2 measures of depressive symptoms, hopelessness, and suicide ideation. Evidence was also found that PSD × Stress interactions uniquely predicted the three criteria. The results of this study were taken as evidence of problem-solving deficits functioning as a diathesis for depression, hopelessness, and suicide ideation.     

Speech-processing capacity in young and older adults: a dual-task study

Adult age differences in processing speech were examined with a dual-task paradigm. Subjects listened to spoken passages for later recall while performing a concurrent reaction time task intended to index cognitive capacity usage on the speech memory task. Age differences in secondary task decision latencies were eliminated when subgroups of young and older subjects were matched on working memory span. These findings are interpreted as showing that an age-related reduction in working memory efficiency contributes to age differences in processing discourse for memory.     

Who lives,who dies,who decides: Differences between mass public shooters who survive,are killed,and commit suicide

This study provides an in-depth analysis of American mass public shooting conclusions between 1966 and 2017. Specifically, this work examines differences in factors contributing to the perpetrator's likelihood of surviving, being killed, and committing suicide. Ten hypotheses, rooted in previous homicide, suicide, homicide-suicide, and mass public shooting literature consider different psychological, situational, and background factors shaping the outcome of mass public shootings. Significant findings indicate factors influencing perpetrators' suicide include suicidal ideation, higher victim counts, and suicide copycat effects. Factors influencing perpetrators being killed similarly include higher victim counts, the arrival of law enforcement, lethal/non-lethal resistance, and government targets. This investigation provides practical implications for practitioners and policymakers, especially law enforcement and mental health practitioners, seeking to develop intervention and prevention strategies for addressing suicidal ideation and its most lethal outcome: mass public shootings.     

Preferences for suicide prevention strategies among university students in Japan: a cross-sectional study using full-profile conjoint analysis

In Japan, implementation of suicide prevention policies is mainly supported by public funds. However, it is unclear what kinds of suicide prevention strategies people prefer. We conducted a survey to clarify people’s preferences regarding suicide prevention strategies adopted in Japan. This was a cross-sectional self-administered questionnaire survey. Participants were recruited through a lecture held by the first author at their university. We distributed questionnaires to 324 people present at the lecture; 249 completed questionnaires were included in the final analysis. We estimated suicide prevention strategy preferences using full profile conjoint analysis. For all six prevention strategies, the inclusion of each strategy in the policy profile was statistically significantly related to the positive evaluation of the overall policy profile. Marginal Willingness to Pay (MWTP) for restriction of access to means showed the highest value of the six suicide prevention strategies. MWTP was the lowest for public awareness activities. Preferred suicide prevention strategies in Japan are restriction of access to means and enhancement of psychiatric services. The results of this study indicate the strategies that are preferred have a high level of evidence of suicide prevention and do not directly intervene in a person’s free will to die by suicide.