Attempted Suicide: An Ethological Perspective

ABSTRACT: Attempted suicides are complex phenomena. Examination of the observed and described behavior permits an analogy to be drawn between them and the biological concept of “conservation withdrawal.” This takes cognizance of innate responses, individual differences and changing socio-cultural standards. Such a formulation more readily allows a non-judgmental approach to the patient, with acceptance of both the appeal and wish to die components. In addition, it offers a different view of the nosological debate, rendering the differences more apparent than real.     

Genuine versus Simulated Suicide Notes: An Issue Revisited Through Discourse Analysis

ABSTRACT: Classic studies of written suicide notes have sought to develop criteria for discriminating genuine from simulated notes. In this article, the authors provide a method of discourse analysis and apply this method to the discrimination of genuine from simulated notes used in previous studies. Reports of significant differences among language measures as well as the results of a multiple discriminant analysis using the discourse analysis are reported. In addition, a language profile of the suicidal individual is given along with suggestions for research and clinical use of the method.     

11 Suicide in an International Perspective

Epidemiological trends in national suicide rates were identified, including a slowdown in the 1980s in the suicide rates of nations with the highest rates and a rising male suicide rate worldwide. A review of theories of national differences in suicide rates permitted selection of a small set of predictor variables, which were quite successful in predicting the suicide rates of 17 industrialized nations.     

Defying Unjust Authority: An Exploratory Study

This research explores the psychological factors potentially involved in fostering disobedience to an unjust authority. Our paradigm was modeled after that of the Utrecht Studies on Obedience (Meeus and Raaijmakers European Journal of Social Psychology 16:311-324, 1986) in which participants are ordered to give each of 15 increasingly hostile comments to a participant/victim whenever he fails a trial. Although 30% of our sample followed commands to insult the other participant (confederate), the majority did refuse to do so at some point in the escalating hostility sequence. Our procedure utilized conditions known from prior research to increase the ratio of disobedience to obedience: proximity of teacher to learner plus remote authority. In order to better understand some of the cognitive and affective processes that may predict such defiant behaviour, we utilized a variety of measures, among them, behavioural observations, individual difference assessments, and in depth post-experimental interviews.     

Professional Career Services: An Exploratory Study

This study assesses the willingness of three groups of job seekers to use professional career counseling services.     

Values of Postpartum Women from the Inner City: An Exploratory Study

An exploratory study of the values of inner-city postpartum women was conducted. Subjects were largely single, with many on/or going on public assistance. Each subject was given the Rokeach Value Scale and asked to prioritize the terminal values (goals) in terms of herself and the instrumental values (means) in terms of what she would like to teach her child. Rankings were compared to corresponding rankings compiled by a national sample, considered a more traditional era, and by marital status within the postpartum mother sample itself. Economic values were ranked higher by inner-city mothers than by the national sample. The top terminal value was family security and the top instrumental value was responsible. When compared by marital status, the only significant difference was the higher ranking of mature love given by married women. Results suggests that the values of the inner-city single postpartum mother can be conceptualized as a mosaic incorporating values shared with the mainstream and values adapted to the conditions of poverty.     

Immigration and Psychosis: an Exploratory Study

This qualitative study aimed to explore views (and related experiences) of healthcare providers regarding immigration and its relation to psychosis, such as schizophrenia, particularly to identify support needs and challenges of immigrants with psychosis and related challenges and enablers of their mental health service providers. The objectives of this study were to identify (1) barriers and enablers of mental health and other services for Canadian immigrants with psychosis and (2) barriers and enablers for their mental health service providers. The study used a phenomenological approach to elicit views of 12 mental healthcare providers with experience in providing mental healthcare to immigrants with psychosis. Semi-structured individual interview data obtained were coded and thematically analyzed. Six themes in relation to the experience of service provision to immigrants with psychosis were found: the immigration process, service availability and accessibility, social determinants of health, cultural context, psychosocial stressors, and enablers and facilitators of recovery. The most prominent challenges/barriers were related to cultural context, language, social and health services, and support. Most mental healthcare providers believed that immigration process precipitates the first episode of psychosis in a majority of immigrants and that psychosis was undetected/non-present when in the country of origin. This study demonstrated system challenges and related opportunities for service provision for immigrants with psychosis. We identified important areas for intervention to reduce disparities for immigrants with psychosis in their use of social and health services. Future directions for research in relation to immigration of people with psychosis are discussed.     

Content Analysis of Multiple Messages in Suicide Notes*

ABSTRACT: Two hundred twenty individuals who committed suicide and who left notes, when compared with 813 non-note writers, were significantly more likely to be white, female, and, if female, to have any other marital status than “widowed.” With respect to method, the results indicated that note writers were more apt to have committed suiced with “Drugs” and less apt to have used “Other” methods. The question is raised as to whether or not note writers can be accepted as representative of the whole group of those who commit suicide. In 195 suicide notes for which content was available for analysis, the relative percentages of statements containing advice, instructions, and requests (31), other-directed positive affect (19), acknowledgment of wrongdoing (7), and hostile affect (5) were the same in the entire sample as in subsamples of age, sex, and marital status. Only for a few specific content categories did the relative frequency of content vary significantly with age, sex, or marital status. Advantages of the present method of content analysis are discussed, and suggestions for further research in this area are offered.     

Suicide Prevention from a Public Health Perspective

The public health approach to health problems provides a strong framework and rationale for developing and implementing suicide prevention programs. This approach consists of health-event surveillance to describe the problem, epidemiologic analysis to identify risk factors, the design and evaluation of interventions, and the implementation of prevention programs. The application of each of these components to suicide prevention is reviewed. Suggestions for improving surveillance include encouraging the use of appropriate coding, reviewing suicide statistics at the local level, collecting more etiologically useful information, and placing greater emphasis on analysis of morbidity data. For epidemiologic analysis, greater use could be made of observational studies, and uniform definitions and measures should be developed and adopted. Efforts to develop interventions must include evaluating both the process and the outcome. Finally, community suicide prevention programs should include more than one strategy and, where appropriate, should be strongly linked with the community's mental health resources. With adequate planning, coordination, and resources, and the public health approach can help reduce the emotional and economic costs imposed on society by suicide and suicidal behavior.     

Job Attitude Organization: An Exploratory Study1

An exploratory study was conducted to examine the organization of three often used measures of job satisfaction. Employing a convenient sample of 144 workers, who also were enrolled in evening graduate school courses, relationships between these job satisfaction measures and affective (positive and negative) and cognitive attitudinal components were assessed. The job satisfaction measures were found to vary considerably in terms of their affective and cognitive content. These results were discussed in terms of their relevance to the study of job attitudes.     

13 Perspective: Suicide in Europe

In many European countries, suicidal behavior constitutes a major public and mental health problem. In most countries, the number of suicides is significantly higher than the number of deaths due to traffic accidents. According to official figures, the suicide rates among European countries differ widely; for example, Hungary has the highest rates. Suicide attempt rates, based on data from the WHO/Euro Multicentre project on Parasuicide, equally show variation; for example, the highest average rate of suicide attempts is for Helsinki, Finland. This paper outlines the epidemiological findings and then presents some hypotheses (e.g., age, ethnic difference) to explain the differences.     

Codependency: An Empirical Study from a Systemic Perspective

To empirically investigate the construct validity of codependency, differences between young adults on a measure of codependency on theoretically relevant variables were examined. Compared with individuals who scored low on codependency, those who obtained high scores reported significantly more family of origin difficulties and parental mental health problems, problematic intimate relationships including relationships with chemically dependent partners, and personal psychological problems including compulsivity. Contrary to prevailing theoretical predictions the high codependency group did not contain more individuals whose parents had alcohol or drug abuse problems, or a higher level of childhood physical or sexual abuse. These results suggest that co-dependency is one aspect of wider multigenerational family systems problems which are not unique to families where drug and alcohol abuse or physical and sexual abuse are major concerns.     

Spiritual Coping in American Buddhists: An Exploratory Study

Researchers in the United States have examined spiritual coping in Christians, Jews, Hindus, and Muslims, but rarely Buddhists. Using qualitative methodology, the present study represents an initial investigation into Buddhist forms of coping. Twenty-four Buddhists from across the United States were interviewed by phone, examining how their spirituality is used to cope with stress. Thematic analyses revealed six forms of Buddhist coping—right understanding, meditation, mindfulness, spiritual struggles, morality, and finding support in one's sangha. Implications of the study are discussed, including possibilities for future research on Buddhist coping.     

Video in the College Classroom: An Exploratory Study

The effect of a counselor working directly with college teachers on a specific student learning problem—oral nonparticipation in discussion classes—was explored. Seven college history instructors viewed with a counselor videotaped excerpts of their own classroom discussion sessions. During playback sessions the counselor modeled and verbally and nonverbally reinforced certain instructor behaviors seen on video. Four instructors viewed tapes individually (IT) with the counselor; three instructors viewed tapes in a group (GT) with the counselor. Results: (1) Instructors reported video-playback counseling was very helpful in changing their behavior in the classroom; (2) Instructors became more aware of how verbal and nonverbal cues influence student behaviors; (3) Small group playbacks seemed as effective as individual playback procedure.     

Psychological Change in Everyday Life: An Exploratory Study

The innovative moments model was used in a pilot study that aimed to explore the change processes involved in everyday change outside psychotherapy. According to this model, the emergence and development of innovative moments (IMs) as exceptions to a problematic pattern are closely associated with psychological change. A longitudinal design covering 4 months of interviews was implemented with 13 adults who were coping with significant personal problems without clinical psychopathological complaints. Semistructured interviews were used to explore participants' personal accounts of their problems, and change was assessed using a scaling task at the end of the study. A total of 114 interviews were analyzed using the innovative moments coding system. A general linear model showed that higher levels of change were associated with higher proportions of complex IMs over time. Moreover, lower levels of change were associated with an increase in elementary IMs. These results support the idea that successful psychological change in everyday life shares similarities with the change pattern found in psychotherapy using the innovative moments model.     

Antecedent Behaviors of Male Youth Victimization: An Exploratory Study

The antecedent behavior patterns of violently victimized male youths were assessed using a variety of instruments, including the Risk-Taking Survey, Aggression Questionnaire, Weekly Activity Record, and Delinquency Index. Sixty-six percent of the participants reported engaging in risky, delinquent/criminal, and/or aggressive (RDA) behavior prior to victimization. Victims aged 20?24 differed significantly from those aged 15?19 in that they reported more RDA behaviors prior to the event, and more frequent risky, delinquent, and aggressive behaviors in general. They also spent more hours engaged in negative activities than the younger group. The findings are congruent with the lifestyle-routine activities and risky behavior theories of violent victimization.