Identification,Response, and Referral of Suicidal Youth Following Applied Suicide Intervention Skills Training

Gatekeeper training is a public health approach to suicide prevention that encourages community members to identify those at risk for suicide, respond appropriately, and refer for clinical services. Despite widespread use, few studies have examined whether training results in behavior change in participants. This study employed a naturalistic pre–post design to follow 434 participants in Applied Suicide Intervention Skills Training, finding small but significant increases in self‐reported identification of at‐risk youth, some helpful responses to youth, and numbers of youth referred to treatment from pre‐test to 6‐ to 9‐month follow‐up. Changes in active listening and helping behaviors meant to support treatment referrals (such as convincing a youth to seek treatment) were not observed over time. Additional analyses explored predictors of self‐reported skill utilization including identification as a “natural helper” and attitudes about suicide prevention.     

Willingness of Mentally Ill Individuals to Sign Up for a Novel Proposal to Prevent Firearm Suicide

The study goal was to determine whether a significant number of high suicide risk individuals would confidentially put their own names onto a list to prevent future gun purchases. An anonymous written survey was administered in an inpatient psychiatric unit and two outpatient psychiatric clinics at an academic medical center. Two hundred forty individuals were approached to fill out the survey, of whom 200 (83.3%) did so. Forty‐six percent of participants stated that they would put their own name onto the list. This novel suicide prevention proposal, a Do‐Not‐Sell List, would appeal to many people at high risk for suicide.     

Forgiveness and Brokenness Confronted

Pastoral Psychology -     

Intervention Research with Youths at Elevated Risk for Suicide: Meeting the Ethical and Regulatory Challenges of Informed Consent and Assent

Intervention research with youths at elevated risk for suicidal behavior and suicide—a vulnerable and high risk population—presents investigators with numerous ethical challenges. This report specifically addresses those challenges involving the informed consent and assent process with parents/guardians and youths. The challenges are delineated in the context of pertinent laws and regulatory requirements, and guidelines are suggested for their practical resolution. These are illustrated with case examples from NIMH‐funded intervention trials. Through the sharing of such methodological information, intervention researchers can support each other in conducting ethical research in a manner that does not unduly compromise scientific rigor.     

TRACKING THE GENDER PAY GAP: A CASE STUDY

This article provides a short introduction to standard considerations in the formal study of wages and illustrates the use of multiple regression and resampling simulation approaches in a case study of faculty salaries at one university. Multiple regression is especially beneficial where it provides information on strength of association, specific dollar estimates, and the option to identify outliers by gender. Resampling simulation allows for analysis at the department level and is beneficial where distributions depart substantially from normal, particularly where there are unequal error variances. Results indicate that both regression and simulation methods provided evidence of a sizable pay gap associated with gender, even after controlling for rank, academic field, and years of service. The gap occurs in fields traditionally viewed as female as well as science fields with typically lower female representation. Finally, we discuss implications for remediation based on these models.     

Successful and Unsuccessful Treatment of Obsessive-Compulsive Disorder in Older Adults

Obsessive compulsive disorder (OCD) is a condition that was once thought to rarely occur in older adults. Subsequently, treatment of OCD in the elderly has received very limited attention. However, recent epidemiological studies have highlighted the prevalence of this disorder in late life and, thus, focus has turned to comprehensive treatment for this population. This article describes two older adults who received intensive, cognitive behavioral treatment in an inpatient setting. Treatment modifications incorporating age-specific concerns are discussed, as are potential factors influencing treatment success versus symptom relapse.     

Community-based Peer Groups: an Intervention Programme for Teenage Mothers

This paper assesses the use of community-based peer groups as an intervention strategy to provide teenage mothers with an opportunity to share common experiences, receive social support and identify links between personal and social problems. The method utilized in a recent community project on teenage pregnancy is outlined. Over a period of 8 weeks a group of 10 teenage mothers met weekly to share their experiences of pregnancy and motherhood. The facilitators used various games and audio-visual aids to build rapport and to enhance willingness to discuss sensitive topics. The final session comprised a 1-day training workshop to enable the participants to act as co-facilitators for similar groups in the future. The evaluation indicated that the participants felt empowered by the opportunity to discuss common experiences and to have their perceptions affirmed by their peers. The potential value of this programme within the broader mental health context of South Africa is briefly discussed, and also the possibility of adding a consciousness-raising element to such groups.     

Maternal perceptions of and sensitivity toward very low birthweight infants with and without postnatal headmolding

To explore the attractiveness of VLBW infants with postnatal headmolding, 29 mothers of VLBW infants and 29 mothers of full-terms rated complimentary photographs of VLBW newborns with postnatal headmolding, VLBW newborns without postnatal headmolding, and full-term newborns. In a second study, facial conformation and infant attractiveness were assessed to determine the degree to which babyish head-shapes and infant attractiveness differed between VLBW and full-term infants. Finally, infant history, measures of facial conformation, and infant attractiveness ratings were regressed on maternal responsiveness scores. Overall, mothers rated photographs of VLBW newborns with postnatal headmolding as less cute; however, mothers of VLBW infants rated photographs of VLBW newborns with postnatal headmolding as more cute than did mothers of full-term infants. During the second half of the first year of life, VLBW infants had narrower mouths, their eyes were closer to the sides of the face, and there was a tendency for VLBW infants to have narrower heads; however, overall attractiveness ratings of VLBW and full-term infants did not differ. More babyish head shape (wider head shape, more babyish facial features) significantly predicted maternal responsiveness to infant cues in a freeplay session. Findings demonstrate that VLBW newborns with postnatal headmolding are more vulnerable to negative evaluations of perceived attractiveness, differences in head shape are evident in the second half of the first year of life, and babyish headshape may be one factor that affects the degree to which infants are able to elicit sensitive maternal responses.