Suicide Intervention Skills and Related Factors in Community and Health Professionals

Health and community professionals have considerable exposure to suicidal people and need to be well skilled to deal with them. We assessed suicide intervention skills with a Dutch version of the SIRI in 980 health and community professionals and psychology students. Suicide intervention skills clearly differed among professional groups and were strongly related to experience, especially suicide‐specific experience. Some community professionals scored below acceptable levels on their ability to respond appropriately to suicidal people they encounter, and tended to overestimate their skills level. Training is therefore indicated for these groups, and may be useful to more highly experienced groups too.     

Patient Suicide: The Experience of Flemish Psychiatrists

The experience of the most distressing patient suicide on Flemish psychiatrists is described. Of 584 psychiatrists, 107 filled a self‐report questionnaire. Ninety‐eight psychiatrists had been confronted with at least one patient suicide. Emotional suffering and impotence were the most common feelings reported. Changes in professional practice were described and included a more structured approach to the management of suicidal patients. Colleagues and contact with the patient's family were the most frequently used sources of help, whereas team case review and colleagues were rated as the most useful ones. Patient suicide leads to emotional suffering and has a considerable professional impact.     

The Development of a Standardized Assessment Framework for Animal Exhibits

Science centers, zoos, and aquariums share the common goal of engaging visitors in learning about the physical and natural world. Exhibits in zoos and aquariums, however, focus primarily on living organisms. Interactive exhibits are less common in these institutions and this differentiates the way visitors engage with exhibits from that of a typical science center visit. Based on the usefulness of the Visitor-Based Learning Framework (Barriault &; Pearson, 2010 Barriault, C. L., &; Pearson, D. (2010). Assessing exhibits for learning in science centres: A practical tool. Visitor Studies, 13(1), 90–106. doi:10.1080/10645571003618824[Taylor &; Francis Online] , [Google Scholar]) as an exhibit assessment tool in science centers, the purpose of this research was to develop a similar tool that assesses the potential learning impact of live animal exhibits in zoos and aquariums. A comprehensive framework of learning-related behaviors was developed and field-tested with a total of 900 visitors. The resulting Visitor-Based Assessment Framework for Animal Exhibits provides zoo and aquarium researchers and practitioners with a valuable tool to assess exhibits through observable behavioral indicators.     

Stigma,Attitudes, and Help‐Seeking Intentions for Psychological Problems in Relation to Regional Suicide Rates

In this ecological study, we investigated whether help‐seeking related to stigma, intentions, and attitudes toward suicide are associated with the suicide rates of 20 regions within the Netherlands and Belgium. Significant associations were found between regional suicide rates and the intention to seek informal help (β = ?1.47, p = .001), self‐stigma (β = 1.33, p = .038), and shame (β = .71, p = .030). The association between self‐stigma and suicide rate was mediated by intentions to seek informal help. These results suggest that to promote suicide prevention at the level of the regional population, stigma, shame, and intentions to seek help should be targeted in the public domain.     

Work–family enrichment,job satisfaction,and work engagement: The mediating role of subjective career success

Objective: The aim of the study was to explore the possible indirect effect of subjective career success on the relationship between work–family enrichment and job satisfaction and work–family enrichment and work engagement. Method: A cross-sectional, quantitative research design approach was followed using a convenience sample (N = 334). Results: Results revealed that work–family enrichment was not only positively related to subjective career success, job satisfaction and work engagement, but also predictive of the mentioned constructs. Furthermore, subjective career success was found to indirectly effect the relationship between work–family enrichment and job satisfaction and work engagement. Conclusion: Using the resource-gain-development framework, new insights are provided into the processes and mechanisms relating to work–family enrichment. Our findings suggest that resources are creating positive affect in not only the work and career domains of employees, but also leading to more engaged and satisfied employees. (i.e., the indirect effect of subjective career success). Organisations can benefit when they enhance work environments (e.g., by providing relevant resources) to promote work–family enrichment and, by implication, subjective career success and positive work outcomes such as job satisfaction and work engagement.     

Beliefs About Psychological Services Among Guatemalan College Students

This mixed-methods study identified the help-seeking attitudes of Guatemalan college students. A random sample of 248 students across 2 universities responded to a cultural adaptation of the Beliefs About Psychological Services (BAPS; Ægisdóttir & Gerstein, 2009) survey. The directors of both universities and a subsample of participants were also interviewed. Quantitative findings demonstrated low levels of stigma and positive help-seeking attitudes among students. Qualitative findings indicated that psychological services were limited, financially out of reach, or failed to address students’ gender-specific concerns. Recommendations to address these challenges are presented. Este estudio de métodos mixtos identificó las actitudes de búsqueda de ayuda de estudiantes universitarios guatemaltecos. Una muestra aleatoria de 248 estudiantes de dos universidades respondió a una adaptación cultural de la encuesta Creencias sobre Servicios Psicológicos (BAPS, por sus siglas en inglés; Ægisdóttir & Gerstein, 2009). También se entrevistó a los directores de ambas universidades y a una submuestra de participantes. Los hallazgos cuantitativos demostraron bajos niveles de estigma y actitudes de búsqueda de ayuda positivas entre los estudiantes. Los hallazgos cualitativos indicaron que los servicios psicológicos eran limitados, no eran lo bastante asequibles o no abordaban las preocupaciones relativas al sexo de los estudiantes. Se presentan recomendaciones para abordar estos desafíos.     

Vaginal bleeding and spotting in transgender men after initiation of testosterone therapy: A prospective cohort study (ENIGI)

Abstract

Background: Previous studies have cross-sectionally described amenorrhea in cohorts of transgender men on intramuscular or subcutaneous testosterone injections. It remains uncertain which testosterone preparations most effectively suppress vaginal bleeding and when amenorrhea occurs after testosterone initiation.

Aim:To investigate the clinical effects of various testosterone preparations on vaginal bleeding and spotting in transgender men.

Methods: This prospective cohort study was part of the European Network for the Investigation of Gender Incongruence (ENIGI). Data on the persistence and intensity of vaginal bleeding and spotting, serum sex steroid levels and body composition were prospectively and cross-sectionally assessed in 267 transgender men during a three-year follow-up period, starting at the initiation of various testosterone preparations.

Results: After three months of testosterone, 17.9% of transgender men reported persistent vaginal bleeding and 26.8% reported spotting. The percentages reporting vaginal bleeding and spotting decreased over the first year of testosterone (bleeding 4.7% and spotting 6.9% at 12?months, respectively), with no participants reporting vaginal bleeding or spotting after 18?months of testosterone. Factors associated with vaginal bleeding or spotting included lower serum testosterone levels and being on testosterone gel as compared to injections (e.g., esters or undecanoate preparations). If vaginal bleeding persisted, starting progestogens at three months resulted in a decrease in the intensity of vaginal bleeding and spotting.

Discussion: Transgender men and hormone-prescribing providers can be reassured that vaginal bleeding and spotting usually stop within three months after testosterone initiation. If not, serum testosterone levels should be measured and testosterone dose adjusted to achieve serum testosterone levels in the physiologic male range. Adding a progestin can be considered after three to six months if bleeding persists. Providers should be aware that cessation of bleeding can be more difficult to achieve in transgender men with lower serum testosterone levels or those on testosterone gel.