Trajectories of Suicidal Ideation among Adolescents Following Psychiatric Hospitalization

Suicidal ideation (SI) is a common presenting problem for psychiatric hospitalizations in adolescents and often persists following discharge. This study examines whether distinct trajectories of SI could be delineated following hospitalization and the risk factors most strongly related to these trajectories. Adolescents (N = 104; 76 females; 28 males) were followed for 6 months after discharge from inpatient or partial hospitalization. Semi-parametric group modeling identified SI trajectory group membership. In all, 33.7% of adolescents fell in a Subclinical SI group, 43.3% in a Declining SI group, and 23.1% in a Chronic SI group. Multinomial logistic regression was utilized to examine baseline predictors of group membership. Emotion dysregulation differentiated Chronic SI from Declining SI. In multivariate analyses, adolescents endorsing greater non-acceptance of emotional responses (OR =1.18) and more limited access to emotion regulation strategies (OR =1.12) were more likely to belong to the Chronic SI than Declining SI trajectory. Those in the Chronic SI group also had the greatest number of suicide attempts and hospitalizations in the 6 months post-discharge. These results suggest that clinicians should closely monitor and address emotion dysregulation when assessing suicide risk. Greater dysregulation may require more intensive services in order to have an effect on chronic SI.     

Later life health optimism,pessimism and realism: Psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Recalling semantic information about personally known faces and voices

Previous research that investigated whether biographical information about familiar people is harder to retrieve from voices than from faces produced contrasting results. However, studies that used a strict control of the content of spoken extracts reported that semantic information about familiar people is easier to retrieve when recognising a face than when recognising a voice. In all previous studies faces and voices of famous people were used as stimuli. In the present study, personally familiar people's voices and faces (standard faces and blurred faces) were used. Presenting such people (i.e., participants’ teachers) allowed controlling still more strictly the content of the spoken extracts since it was possible to ask all the target persons to speak the same words. In addition, it was previously stressed that we encounter famous people's faces in the media more frequently than we hear their voice. This methodological difficulty was presumably reduced when teachers’ faces were presented. Present results showed a significant decrease in retrieval of biographical information from familiar voices relative to blurred faces even though the level of overall recognition was similar for blurred faces and voices. The role of the relative distinctiveness of voices and faces is discussed and further investigation is proposed.     

Reducing Youth Access to Alcohol: Findings from a Community-Based Randomized Trial

Underage drinking continues to be an important public health problem and a challenge to the substance abuse prevention field. Community-based interventions designed to more rigorously control underage access to alcohol through retailer education and greater enforcement of underage drinking laws have been advocated as potentially effective strategies to help address this problem, but studies designed to evaluate such interventions are sparse. To address this issue we conducted a randomized trial involving 36 communities to test the combined effectiveness of five interrelated intervention components designed to reduce underage access to alcohol. The intervention was found to be effective in reducing the likelihood that retail clerks would sell alcohol to underage-looking buyers, but did not reduce underage drinking or the perceived availability of alcohol among high school students. Post hoc analyses, however, revealed significant associations between the level of underage drinking law enforcement in the intervention communities and reductions in both 30-day use of alcohol and binge drinking. The findings highlight the difficulty in reducing youth drinking even when efforts to curtail retail access are successful. Study findings also suggest that high intensity implementation of underage drinking law enforcement can reduce underage drinking. Any such effects of enhanced enforcement on underage drinking appear to be more directly attributable to an increase in perceived likelihood of enforcement and the resultant perceived inconveniences and/or sanctions to potential drinkers, than to a reduction in access to alcohol per se.     

The irrelevant sound effect under articulatory suppression is a suffix effect even with five-item lists

The relationship between the suffix effect and the effect of irrelevant sound on serial recall of auditorily presented lists is investigated in this study. Contrary to the predictions of the phonological loop model, Hanley and Hayes (2012) reported that the irrelevant sound effect was abolished under articulatory suppression when a spoken suffix was added at the end of the list. The experiment reported in this paper uses a shorter list length (five items per list) than that employed by Hanley and Hayes. This is because it cannot realistically be argued that participants will abandon the use of phonological codes to retain the list items with sequences as short as this. Results replicated those of Hanley and Hayes (2012). There was a significant effect of irrelevant sound under articulatory suppression when the list items were followed by an auditory tone. Crucially, however, the effect of irrelevant sound under articulatory suppression was abolished when the list items were followed by a spoken suffix.     

Measuring Television Message Complexity as Available Processing Resources: Dimensions of Information and Cognitive Load

This article further tests the theoretical hypotheses supporting the use of number of camera changes (cc) and information introduced (ii) as indicators of resources allocated and resources required to process television messages. These two measures, combined, yield an indicator of available resources and can, therefore, be used as an indicator of television message complexity. Previous research has validated their use, averaged over time, as a global measure of message complexity. The two studies reported here test the underlying local complexity predictions and present support from two studies for the ii, cc combination as a valid indicator of local message complexity. Study 1 demonstrates that when a camera change has an increasing number of ii dimensions available resources become scarcer, eventually reaching cognitive overload. Study 2 examines the relative level of resources required for each of the seven dimensions, and demonstrates that specific theoretical groupings of dimensions (novelty, motivational, and cognitive) show differential impact on available resources. Results show that the individual dimensions increase required resources as predicted and that emotion change is the most cognitively taxing dimension. Together, the two studies increase our understanding of how the number of dimensions each individual dimension of ii increases cognitive load and provide strong support for the measure as an indicator of local message complexity.     

Reliability and validity of the Revised Children's Manifest Anxiety Scale (RCMAS) across samples of Mexican,Mexican American,and European American children: a preliminary investigation1 Table of means,standard deviations,and correlations of the RCMAS indicators are available from the first author upon request.

Abstract

The relationship between work and home-based stressors in predicting burnout symptoms was examined amongst 120 drug and alcohol service employees. Staff who reported high levels of burnout on the Maslach Burnout Inventory across all three scales of Emotional Exhaustion, Depersonalization and Personal Accomplishment were compared with a sample of low burnout employees. High burnout was associated with younger age, larger agency size, high levels of total work stressors, work overload, and daily hassles and a lower level of peer cohesion. Regression analyses revealed that male gender, younger age, work overload, role ambiguity and daily hassles were significant predictors of Emotional Exhaustion. Younger age was also a significant predictor of Depersonalization. Marked differences were found in the way in which males and females responded to work and non-work stressors and the interaction between these variables. For women, a significant interaction was found between total work stressors and home-based stressors in the prediction of Emotional Exhaustion and a trend in this direction was evident for Depersonalization. Low levels of home problems appeared to protect women from the adverse impact of work stressors. The burnout levels of women were relatively unaffected by work stressors, unless home stressors were also high. The level of daily hassles had a direct effect upon symptoms of Emotional Exhaustion, but did not interact with work stressors in predicting Emotional Exhaustion for women. Burnout levels of male employees on Emotional Exhaustion and Depersonalization scales were strongly linked to the level of work stressors and were not predicted by total home stressors nor the interaction between these variables. Symptoms of Emotional Exhaustion in males were predicted by severity of daily hassles, but this variable did not interact with work stressors in predicting Emotional Exhaustion.     

Practice‐based evidence in school‐based counselling

Aims: Counsellors are becoming commonplace within the support structures of secondary schools. To date, research findings from practice‐based outcome studies suggest this is a positive move. There are, however, numerous limitations to this work, and this project aims to develop this existing body of literature. Method: Nine 13–15 year olds attending counselling in six school‐based services participated in the project – one individual withdrew. A standardised self‐report questionnaire (YP‐CORE) was collected at four intervals: (1) the point of referral; (2) the onset of counselling; (3) the completion of counselling; and, (4) a two‐month follow‐up. The change indicated in each of these phases is examined and reported here. Additionally, YP‐CORE was completed during each session. Findings: The YP‐CORE indicates an improvement in the well‐being of this small sample, while waiting for and attending therapy. Further examination of session‐by‐session data also highlights how pre‐ and post‐outcome data should not necessarily be viewed as linear in nature. Discussion: This is a small‐scale investigation and further work is needed in this area. It does, however, raise a number of issues regarding the complexity inherent in conducting outcome research that warrant further investigation.