A Survey of Hospital Services for Suicidal Persons

ABSTRACT: A person who threatens or attempts suicide, arriving for treatment at any 1 of 10 hospitals serving a suburban area in the Bay Area of California, will be met with a variety of responses by different kinds of personnel, depending on the hospital to which he comes. In half of the hospitals, he could be subsequently discharged without psychiatric consultation of any kind. Follow-through on any outpatient referral would usually be left up to him. Although a few hospitals attend to the problem of suicidal persons in many important respects, other hospitals pay little attention to these same aspects. Because of the important role of the hospital in the prevention of suicide, it is recommended that the hospital's function in dealing with suicidal patients be better defined, extended, and made more consistent.     

Suicidality Among Chronically Homeless People with Alcohol Problems Attenuates Following Exposure to Housing First

This study is the first to document suicidality among chronically homeless people with alcohol problems (N = 134) and examine its trajectory following exposure to immediate, permanent, low‐barrier housing (i.e., Housing First). Suicidal ideation, intent, plans, and prior attempts were assessed at baseline and during a 2‐year follow‐up. Baseline suicidal ideation was over four times higher than in the general population. Two‐year, within‐subjects, longitudinal analyses indicated severity of suicidal ideation decreased by 43% from baseline to follow‐up. Significant decreases were also found for intent and clinical significance of ideation. No participants died by suicide during the 2‐year follow‐up.     

Developmental changes in application of the majority rule in group decisions

This study examined age-related changes in the child's application of the principle of majority rule in group decisions. Following a problem posed by Moessinger (1981), we enquired whether children routinely apply the majority rule when the majority consists of a shifting (variable) set of members across decisions, and alternate between majority and minority when the majority and minority is fixed, i.e. consists of the same individuals each time. In Geneva, Moessinger found that 8-year-olds failed to discriminate between fixed and shifting majorities, while most 13-year-olds (75 per cent) did so. An altered replication was conducted in Australia modifying Moessinger's procedure to control for extraneous variables such as ‘set’ and the need for variety in choice. It was found that on the task 7 per cent of 8-year-olds, 20 per cent of 10-year-olds, 32 per cent of 12-year-olds, and 39 per cent of 14-year-olds discriminated on a behavioural criterion between fixed and shifting majorities. Ten per cent of 8-year-olds, 40 per cent of 10-year-olds, 52 per cent of 12-year-olds, and 55 per cent of 14-year-olds made the discrimination on Moessinger's cognitive ‘reason’ criterion. The results show that development of the conceptual distinction between fixed and shifting majorities is gradual and continuous.     

Analysis of the learned irrelevance effect in appetitive Pavlovian conditioning

In Experiments 1 and 2 rats received uncorrelated presentations of a light conditioned stimulus (CS) and a food unconditioned stimulus (US) on each day of a preexposure phase. Control subjects received the same number of USs during the first half of preexposure and the same number of CSs during the second. Uncorrelated preexposure retarded inhibitory conditioning. Experiment 3 showed, however, that the different patterns of US preexposure experienced by the two groups could in itself influence the course of subsequent inhibitory conditioning. When this factor was equated by restricting the uncorrelated treatment to the first half of the pre-exposure phase (Experiment 2) or by extending the control treatment throughout the phase (Experiment 4) it was found that uncorrelated preexposure retarded excitatory conditioning, but facilitated inhibitory conditioning. This outcome challenges an interpretation in terms of the concept of learned irrelevance, which predicts that uncorrelated preexposure should retard both forms of conditioning.     

Mobilizing Schools for Suicide Prevention

ABSTRACT: Experience in providing consultation and survivor counseling to school personnel following student suicides led to the development of a program of prevention through training school personnel. The goal of the program was to increase the ability of resource persons available to adolescents—teachers, counselors and school nurses—to recognize signs of suicidal depression and to respond effectively to suicidal students. This report describes that program, the reaction of the participants and the observations of the project staff, and comments on the feasibility of this approach as a means of helping to prevent suicide among adolescents.