Suicide Risk Documented During Veterans' Last Veterans Affairs Health Care Contacts Prior to Suicide

A total of 295 veterans who died by suicide in 2009 across 11 states and received Veterans Affairs (VA) health care in the 6 months prior to death were identified. The suicide risk factors documented and the care received at these veterans' last VA contacts are described, and the study explores whether veterans present differently to VA care (i.e., different risk factors documented or different care settings accessed) based on the proximity of their last contact to suicide. Many veterans were seen in primary care (n = 136; 46%) for routine follow‐up (n = 168; 57%). Fifty‐three (18%) were assessed for suicidal thoughts; 20 (38%) of whom endorsed such thoughts. Although higher frequencies of some risk factors at last contacts more proximal to suicide compared to those more distal were observed, findings overall highlight the challenges clinicians face detecting enhanced risk prior to suicide.     

A process-content approach to adolescent identity formation: examining longitudinal associations between identity styles and goal pursuits

Research on identity focuses on the processes involved (e.g., identity style) or its content (e.g., goals and values), but limited research has addressed both issues simultaneously. The present study investigates cross‐lagged relations between identity styles (i.e., informational, normative, and diffuse‐avoidant) and goals (i.e., intrinsic vs. extrinsic and openness to change vs. conservation) in a 3‐wave adolescent sample (N = 806). Results support a reciprocal model, with process and content influencing each other. As for process effects, the informational and diffuse‐avoidant style predicted decreases in conservation goals, and the normative style predicted increases in conservation and extrinsic goals. As for content effects, conservation goals increased the normative style, and extrinsic goals decreased the informational and increased the diffuse‐avoidant style.     

Forced migration and resettlement: Its impact on families and individuals

An increasing number of families are forced to migrate as a result of political turmoil, civil wars, and ethnic cleansing. This paper describes the impact of forced migration on individuals and their families. We suggest that forced migrants reject the new culture while their children are likely to embrace it. This discrepancy between the old values of the migrants and the values to the new culture espoused by their children is a frequent source of intrafamilial tension. We also describe a second acculturation process that takes place when forced migrants return to their country of origin. Families who migrate back to the country of origin realize, often to their surprise, that both they and their country of origin have changed significantly.     

Confrontation in the group analytic matrix: Toward a classification

This paper illustrates how confrontation is used in applying the Group Analytic model of Foulkes. Within the group, confrontation with images of the self and others provides a many-layered experience which transcends the classical psychoanalytic differentiation between confrontation, clarification and interpretation. A classification of seven types of confrontation is offered based on who confronts whom, and is linked with Foulkes's four levels of relationship within a group.Based on a paper read at the 9th Congress of the International Association of Group Psychotherapy, Zagreb, Yugoslavia, August 1986.     

Mental Disorders,Comorbidity, and Pre‐enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

We examined the associations between mental disorders and suicidal behavior (ideation, plans, and attempts) among new soldiers using data from the New Soldier Study (NSS) component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS; N = 38,507). Most new soldiers with a pre‐enlistment history of suicide attempt reported a prior mental disorder (59.0%). Each disorder examined was associated with increased odds of suicidal behavior (ORs = 2.6–8.6). Only PTSD and disorders characterized by irritability and impulsive/aggressive behavior (i.e., bipolar disorder, conduct disorder, oppositional defiant disorder, and attention‐deficit/hyperactivity disorder) predicted unplanned attempts among ideators. Mental disorders are important predictors of pre‐enlistment suicidal behavior among new soldiers and should figure prominently in suicide screening and prevention efforts.