Australian psychologists' attitudes towards suicide and self‐harm

An exploratory study of 81 Australian psychologists' attitudes towards suicide and self‐harm was undertaken. Two attitudinal measures, one knowledge measure and demographic information, were used to assess the relationships between attitudes, knowledge, gender, age, years of professional experience, and previous experience with suicidal and self‐harming clients. Among this sample, attitudes towards suicide and self‐harm were generally positive and participants displayed high levels of knowledge of self‐harm. Age and years of experience were related to participants' attitudes, with younger psychologists reporting greater confidence in working with these clients and believing in the right of an individual to decide when to die. Future research is needed to determine the impact of psychologists' attitudes on their behaviour towards suicidal and self‐harming clients.     

How others respond to non‐suicidal self‐injury disclosure: A systematic review

Non‐suicidal self‐injury (NSSI) is an increasing health concern. Despite the potential benefits of disclosing the behaviour, many decide not to do so because of the fear of negative social reactions. In this review, we examined the existing research on reported and perceived reactions to NSSI disclosure with the aim of identifying how an individual who discloses their NSSI perceives others' responses to this disclosure, with the ultimate goal of understanding how these reactions may impact those who disclose their NSSI. Among the initial 275 studies, 10 fit the inclusion criteria. Three studies reported perceived responses by individuals who had disclosed their NSSI; six studies examined self‐reported responses by others; one study focused on disclosures online. Individuals who disclosed their NSSI often received negative responses, which caused them to withdraw from seeking further help. On the other hand, recipients' reactions to NSSI disclosure varied based on NSSI characteristics such as its perceived cause and/or underlying motivation. Results highlight the importance of providing support rather than searching for the underlying drives of NSSI.     

A Systematic Review: Non‐Suicidal Self‐injury in Australia and New Zealand's Indigenous Populations

Objective

To undertake a systematic review of non‐suicidal self‐injury (NSSI) prevalence, patterns, functions, and behavioural correlates for the Indigenous populations of Australia (Aboriginal and Torres Strait Islanders) and New Zealand (NZ; Maori).

Method

We searched the following electronic databases: PubMed, MedLine, Scopus, Web of Science, ScienceDirect, PsycInfo, and PsycArticles, CINAHL, and the Informit Health and Indigenous Peoples collections. Studies were included for review if they were published within the last 25 years and reported on NSSI in Australia and NZ's Indigenous populations.

Results

Seven studies were included, six of which came from Australia. The prevalence of NSSI in Australia ranged from 0.9% up to 22.50%; statistics varied by the different samples, types of prevalence, and relationship to alcohol. Several studies found that Aboriginal and Torres Strait Islander peoples had higher rates of NSSI than other Australians, but that this was not significantly higher. Two studies indicated that NSSI was linked to alcohol use, incarceration, and a younger age. The one NZ study was of injury and not specifically NSSI.

Conclusions

Findings are limited due to a small pool of literature. Cultural variations in NSSI presentation should be considered when working with Indigenous populations. Further research is required to help determine what cultural variations may exist.     

Skin picking in patients with obesity: Associations with impulsiveness and self‐harm

Previous studies suggest elevated prevalence rates of skin picking and self‐harm in patients with obesity compared to individuals in the general population. Hence, further studies should investigate prevalence rates and correlates of skin picking in this population – especially its differentiation to self‐harm. Skin picking and obesity are both associated with specific facets of impulsiveness. This relation should be explored to shed light on potentially shared mechanisms in etiology. Therefore, the present study examined the occurrence of skin picking and its associations with impulsiveness and self‐harm in a sample of pre‐bariatric surgery patients with obesity class II/III. Within the routine preoperative psychiatric evaluation, a total of 139 bariatric surgery candidates (78% female, BMI range 35–69) completed a self‐report questionnaire assessing sociodemographic variables, anxiety, depression, self‐harm, impulsiveness, and skin picking severity (urges: frequency, intensity, controllability; behavior: frequency, intensity, controllability; resistance, emotional distress, impairment, and avoidance). Ten participants (7.2% of the sample) reported recurrent skin picking leading to skin damage, repeated attempts to decrease skin picking, and psychosocial impairment (emotional distress, impairment in functional areas, avoidance) due to skin picking. In line with previous findings, skin picking severity shows a medium correlation with attentional impulsiveness. The majority of self‐harm types were not associated with skin picking severity. The current study reveals a high occurrence of skin picking compared to the general population. The results indicate an association between skin picking severity and attentional impulsiveness. Further research is needed to investigate the differentiation of skin picking and self‐harm in more detail.     

Relation between self‐knowledge reference and self‐monitoring of emotional state1

Abstract: We used a task facilitation paradigm to examine whether self‐knowledge reference and self‐monitoring have a functional relationship. Eighteen participants performed a series of tasks: self‐knowledge reference, evaluation, self‐monitoring, and semantic. Responses on the self‐knowledge reference task were faster when the previous task was self‐monitoring rather than semantic. However, responses on the self‐monitoring task were similar regardless of whether it was preceded by the self‐knowledge reference task or the evaluation task. Our results suggest that self‐monitoring induces self‐knowledge reference.     

The relationship between self-harm and alexithymia: A systematic review and meta-analysis

Self-harm, defined for the purpose of this review as any act of self-injury without explicit suicidal intent, is an increasing public health concern, with potential long-term implications for those who engage in it. Previous research has identified a correlational relationship between self-harm and alexithymia, an emotion processing deficit characterized by difficulties identifying and describing feelings, and an externally orientated thinking style. Through a systematic search of the literature, the current review examines the association between alexithymia and self-harm. A meta-analysis based on 23 studies found a significant, positive relationship between self-harm and alexithymia, with a medium effect size (g = 0.57, 95% CI 0.46–0.69). All 23 studies used the Toronto Alexithymia Scale (TAS20) to measure alexithymia. The alexithymia subcomponents difficulty identifying feelings and difficulty describing feelings were significantly associated with self-harm, but there was no significant association between self-harm and externally orientated thinking. The effect size of the relationship was significantly larger in adolescent samples compared with adult samples and in female compared with male samples. The definition of self-harm did not affect the effect size of the relationship between alexithymia and self-harm and the results are consistent with previous meta-analyses focused more narrowly on non-suicidal self-injury and, separately, suicidal behaviors. Heterogeneity between the included studies was high. The results support an affect regulation model of self-harm, in which self-harm is used to regulate an emotional experience that is poorly understood.     

The relationship between perceived religious discrimination and self‐esteem for Muslim Australians

Muslim Australians represent one of the fastest growing migrant groups in Australia. They are also the group who, after Indigenous Australians, experience the most discrimination. Previous research on the minority stress model confirms a link between such discrimination and mental health. However, in relation to self‐esteem and discrimination, the results are mixed, potentially reflecting whether people reject or identify with prejudiced views of them and also the type of discrimination being measured. To explore this issue further in an Australian context, we asked 49 Australian Muslims to complete Rosenberg's Self‐esteem Scale and the Perceived Religious Discrimination Scale. In support of both the minority stress model and the rejection‐identification model, we found that perceived interpersonal and systemic discrimination accounts for a small but significant variation in self‐esteem. Interpersonal discrimination was negatively related to self‐esteem, and systemic discrimination positively related. The effects of interpersonal discrimination on self‐esteem can guide therapists to interventions that help clients resist internalising discrimination experiences. The effects of institutional discrimination support therapists becoming part of the resistance to and challenging of discrimination and inequality.     

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.     

Identification With All Humanity: The role of self‐definition and self‐investment

Identification With All Humanity (IWAH) relates to higher levels of concern and supportive behavior toward the disadvantaged, stronger endorsement of human rights, and stronger responses in favor of global harmony. So far, IWAH has been conceptualized as a one‐dimensional construct describing the degree with which one identifies with all humans as a superordinate ingroup. However, recent group identification models suggest a multi‐dimensional model to provide a more differentiated approach toward the understanding of the highest level of social identification. Using principal axis (Study 1) and confirmatory (Study 2) factor analyses, we suggest that IWAH sub‐divides into two dimensions—global self‐definition and global self‐investment. Study 2 revealed that global self‐investment was a stronger predictor for both convergent measures (e.g., social dominance orientation and authoritarianism) and behavioral intentions than global self‐definition. Finally, in Study 3, we manipulated IWAH to test its causal effect on donation behavior. Participants in the experimental condition, compared with the control condition, showed higher global self‐investment, which in turn predicted greater giving to global charity. These findings suggest that two dimensions with different behavioral outcomes underlie IWAH.     

Effect of self‐construal and threat to self‐esteem on ingroup favouritism: Moderating effect of independent/interdependent self‐construal on use of ingroup favouritism for maintaining and enhancing self‐evaluation

The present study examined the hypothesis that in situations that threaten self‐esteem, people with independent self‐construal show more ingroup favouritism, whereas people with interdependent self‐construal do not. Using a minimal group paradigm, consistent with the hypothesis, the results showed that self‐construal and threats to self‐esteem have an interactive effect on ingroup favouritism. Individuals with independent self‐construal showed more ingroup favouritism when their self‐esteem was threatened than when it was not threatened, whereas individuals with interdependent self‐construal exhibited less ingroup favouritism when their self‐esteem was threatened than when it was not threatened. These findings suggest that independent/interdependent self‐construal moderates the use of ingroup favouritism for maintaining and enhancing self‐evaluation.     

Finding words for feelings: The relationship between personality disorders and alexithymia

This study examined whether personality disorders (PDs) are associated with alexithymic features at varying levels of comorbid psychopathology distress. 167 psychiatric outpatients completed the Toronto Alexithymia Scale (TAS) and the General Severity Index (GSI) of the SCL90-revised. Bootstrapping analyses were performed to test whether the PD/alexithymia relationship was moderated by psychopathology distress (GSI). The overall number of PD criteria was associated with cognitive aspects of alexithymia (i.e., Externally Oriented Thinking, EOT) only at low/moderate levels of distress. Borderline criteria predicted EOT only when distress was low, while avoidant and dependent criteria were independently related with EOT. No association was found between other PDs and alexithymia facets. Thus, within clinical samples the alexithymia/PD association is mainly explained by comorbid psychopathology; however, individuals with avoidant, dependent and borderline features might have a specific difficulty with focusing on internal reality, even when their current symptom distress is low.     

Culture and self‐presentation: Influence of social interactions in an expected social relationship

This study investigates how the length and strength of an expected social relationship are related to different self‐presentations. Participants from Korea and the USA were assigned to different relationship conditions using vignettes, and indicated their self‐evaluation of personal abilities and social skills. The main effects of both relationship length and strength were found. There were more drastic interactions of culture and relationship length in intensive social relationship conditions than in loose conditions. Based on the results, we claim that the fundamental motivation for positive self‐regard is universal, regardless of culture and the self‐presentations that are tactical by individuals' social needs.     

Core self‐evaluations and subjective well‐being in the U.S. and the Philippines: The moderating role of self‐construal

Extant literature has shown that the compound personality variable core self‐evaluations (CSE) is associated with various psychological outcomes. However, there is a dearth of research on CSE across cultures. Consistent with self‐construal theory, because there can be differences in self‐construals within and between cultures, the present study examined the moderating role of culture on the relation between CSE and subjective well‐being while also allowing for individual differences in self‐construal in the US and the Philippines. In both countries, CSE positively predicted subjective well‐being. Notably, the association between CSE and subjective well‐being was stronger in the US than in the Philippines. In addition, independent self‐construal strengthened the positive impact of CSE on subjective well‐being especially in the US. Overall, CSE positively predicts subjective well‐being; however, the relationship depends on not only the cultural context, but also on individual differences in self‐construal.