Prior Health Care Utilization Patterns and Suicide Among U.S. Army Soldiers

Suicides among U.S. Army soldiers are increasing and, in January 2009, outpaced deaths due to combat. For this study, 1,873 army suicides identified through death, inpatient, and emergency room records were matched with 5,619 controls. In multivariate models, older, male, White, single, and enlisted soldiers with a prior injury (OR = 2.04, 95% CI = 1.64‐2.54), alcohol (OR = 3.41, 95% CI = 2.32‐4.99), or mental health hospitalization (OR = 6.62, 95% CI = 4.77‐9.20) were at increased risk for suicide. Risk was greatest immediately following diagnoses, but remained elevated even after 5 or more years of follow‐up. Most injury hospitalizations were unintentional but, nonetheless, significantly associated with suicide. Interactions indicate soldiers with both mental health and injury history are particularly vulnerable.     

Character strengths and clinical presentation

Abstract

Three models are described that attempt to integrate clinical diagnosis with the strengths-based model introduced by Peterson and Seligman (2004 Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. New York, NY: Oxford University Press. [Google Scholar]). The strengths as syndrome model proposes conceptualizing clinical diagnoses in terms of excesses and deficiencies in strengths. The strengths as symptoms model suggests conceptualizing clinical symptoms as excesses or deficiencies in strengths. After reviewing these two models, we introduce a third. The strengths as moderators model suggests that signature or deficient strengths can serve moderators of clinical presentation within traditional diagnostic categories. This differs from the prior models primarily in offering a complement rather than alternative to traditional diagnostic formulation. A clinical case is provided highlighting the differences. The three approaches are not incompatible with each other, and in combination may provide practitioners a variety of perspectives for employing strength-based concepts in clinical interactions.     

Evidential diversity and premise probability in young children's inductive judgment

A familiar adage in the philosophy of science is that general hypotheses are better supported by varied evidence than by uniform evidence. Several studies suggest that young children do not respect this principle, and thus suffer from a defect in their inductive methodology. We argue that the diversity principle does not have the normative status that psychologists attribute to it, and should be replaced by a simple rule of probability. We then report experiments designed to detect conformity to the latter rule in children's inductive judgment. The results suggest that young children in both the United States and Taiwan are sensitive to the constraints imposed by the rule on judgments of probability and evidential strength. We conclude with a suggested reinterpretation of the thesis that children's inductive methodology qualifies them as “little scientists.”     

Ethnic Identity and Substance Use Among Mexican-Heritage Preadolescents: Moderator Effects of Gender and Time in the United States

This study examined interactive relationships among ethnic identity, gender, time in the US, and changes in substance use outcomes among a school-based sample of 1,731 Mexican-heritage preadolescents (ages 9-13). Residual change multilevel models adjusting for school clustering and using multiply imputed data assessed changes from beginning to end of fifth grade in use of alcohol, cigarettes, marijuana and inhalants, and four substance use antecedents. Effects of ethnic identity were conditional on time in the US, and in opposite directions by gender. Among males living longer in the US, stronger ethnic identity predicted desirable changes in all but one outcome (substance offers). Among females living longer in the US, stronger ethnic identity predicted undesirable changes in alcohol use, pro-drug norms, and peer substance use. Interpretations focus on differential exposure to substance use opportunities and the erosion of traditional gender role socialization among Mexican-heritage youth having lived longer in the US.