Treating the Capability for Suicide: A Vital and Understudied Frontier in Suicide Prevention

Current efforts at suicide prevention center largely on reducing suicidal desire among individuals hospitalized for suicidality or being treated for related psychopathology. Such efforts have yielded evidence‐based treatments, and yet the national suicide rate has continued to climb. We propose that this disconnect is heavily influenced by an unmet need to consider population‐level interventions aimed at reducing the capability for suicide. Drawing on lessons learned from other public health phenomena that have seen drastic declines in frequency in recent decades (HIV, lung cancer, motor vehicle accidents), we propose that current suicidality treatment efforts trail current suicidality theories in their lack of focus on the extent to which individuals thinking about suicide are capable of transitioning from ideation to attempt. We summarize extant evidence for specific capability‐centered approaches (e.g., means safety) and propose other options for improving our ability to address this largely overlooked variable. We also note that population‐level approaches in this regard would represent an important opportunity to decrease risk in individuals who either lack access to evidence‐based care or underreport suicidal ideation, as a reduced capability for suicide would theoretically diminish the potency of suicidal desire and, in this sense, lower the odds of a transition from ideation to attempt.     

Mean Level Differences in the Vividness,Meaning, and Coherence of Life Story High and Low Points: How Valenced Life Stories Do and Do Not Differ

The current paper examines systematic differences in life story high and low points. Narratives from a young adult sample (n = 145) and a late midlife adult sample (n = 154) were coded for vividness, meaning, and coherence. An automated linguistic coding technique was also used. Mean level comparisons found high and low points had similar levels of vividness and coherence. Among the young adults, but not the late midlife adults, there was greater total meaning making (positive and negative combined) in low points than in high points. Across high and low points, levels of positive meaning were greater than negative meaning, in both samples, suggesting a positivity bias in meaning making in valenced life stories. Moreover, the bias was large in both samples (68% in young adults, 450% in late midlife adults). Preliminary analyses suggested midlife adults, when compared to young adults, had a greater bias towards producing more positive than negative meaning. In both samples, automated linguistic analyses indicated that low points displayed greater word counts and usage of cognitive mechanism words, suggesting greater cognitive processing in low points at the level of word usage. Findings are framed within autobiographical memory and narrative research and socioemotional selectivity theory.     

The effects of problem content and negation on Wason's selection task

The present study examined performance on Wason's selection task for two types of thematic content that have been shown to lead reliably to correct responding in this task. The four versions of the implication rule that are possible when negative components (antecedent and consequent) are allowed were used. This permitted a test of the hypothesis that matching bias and verification bias are cognitive short-circuiting strategies which are used when subjects have no prior experience with the problem content. In support of this hypothesis, facilitation was observed for the negated thematic rules when compared to performance on negated abstract rules. In addition, neither matching bias nor verification bias explained very well the data for negated abstract rules which were recodable into non-negative form. For both thematic and abstract problems, a fairly substantial percentage of the selections were unaccounted for with respect to processing strategy.     

Functioning within a relationship: mother-infant synchrony and infant sleep

The aim of this study was to investigate the coupling of the biological system of infant sleep and the social system of mother-infant synchrony. Before birth and shortly after birth the systems appear to be connected, but it is unclear whether this remains the case over time. This study therefore examined whether infant sleep measured at 6 weeks and 5 months could predict mother-infant gaze synchrony after a social challenge at 5 months (N=84). Infant sleep was measured in terms of sleep bout duration, which normally increases during this period. Gaze was defined in terms of looking at each other's head simultaneously, known as gaze synchrony, or looking elsewhere. Results showed that infant sleep could predict the temporal dynamics of the mother-infant interaction in terms of flexibility of gaze pattern shifts. The larger the increase in sleep bout duration over age, the more flexible the interaction appeared to be. Maternal Age, type of feeding and change of feeding appeared to function as confounding variables in this relation. Infant sleep could not predict percentage of synchrony (central tendency measure) or the average sequence length of gaze patterns (temporal dynamic measure).     

Bidirectional Associations Among Sensitive Parenting,Language Development,and Social Competence

Rapid changes in language skills and social competence, both of which are linked to sensitive parenting, characterize early childhood. The present study examines bidirectional associations among mothers' sensitive parenting and children's language skills and social competence from 24 to 36 months in a community sample of 174 families. In addition, this study examines how these developmental pathways vary by child sex. Findings indicate stability across time in sensitive parenting, expressive language skills, and social competence, as well as positive main effects of sensitive parenting on expressive and receptive language skills for girls and boys. We find mixed evidence over time of reciprocal links between social competence and sensitive parenting. Further, boys' receptive language skills at 24 months uniquely contribute to increases in mothers' observed sensitive parenting from 24 to 36 months. These findings highlight the utility of applying transactional frameworks to the study of sex‐based differences in early developmental processes. Copyright © 2012 John Wiley & Sons, Ltd.     

The nature of caregiving in children of a parent with multiple sclerosis from multiple sources and the associations between caregiving activities and youth adjustment overtime

This study explored youth caregiving for a parent with multiple sclerosis (MS) from multiple perspectives, and examined associations between caregiving and child negative (behavioural emotional difficulties, somatisation) and positive (life satisfaction, positive affect, prosocial behaviour) adjustment outcomes overtime. A total of 88 families participated; 85 parents with MS, 55 partners and 130 children completed questionnaires at Time 1. Child caregiving was assessed by the Youth Activities of Caregiving Scale (YACS). Child and parent questionnaire data were collected at Time 1 and child data were collected 12 months later (Time 2). Factor analysis of the child and parent YACS data replicated the four factors (instrumental, social-emotional, personal-intimate, domestic-household care), all of which were psychometrically sound. The YACS factors were related to parental illness and caregiving context variables that reflected increased caregiving demands. The Time 1 instrumental and social-emotional care domains were associated with poorer Time 2 adjustment, whereas personal-intimate was related to better adjustment and domestic-household care was unrelated to adjustment. Children and their parents exhibited highest agreement on personal-intimate, instrumental and total caregiving, and least on domestic-household and social-emotional care. Findings delineate the key dimensions of young caregiving in MS and the differential links between caregiving activities and youth adjustment.     

Training Staff to Create Equivalence-Based Instruction Materials in Qualtrics

The Psychological Record - Staff training is an important line of research to ensure that clinicians in the field of applied behavior analysis provide quality services. One approach to providing...     

Evaluating organizational stress-management interventions using adapted study designs

The evaluation of organizational stress management interventions has proved challenging for researchers and practitioners alike. Traditionally, researcher designed quasi-experiments have been regarded as the method for evaluating such interventions. However, relatively few such studies have been satisfactorily completed in organizations, and many of those that have did not adequately take account of intervention processes. This article presents an approach to evaluation that can help to overcome these problems. Two empirical studies are presented that demonstrate that measurement of the intervention process can be used to adapt and shape the design of the evaluation. In both studies, process evaluation incorporating the measurement of intervention exposure was used to partition participant samples (into intervention and control groups). This approach has the potential to enable and strengthen quantitative outcome evaluation in situations where controlled quasi-experimentation is not possible.     

Using motivation regulations in a person-centered approach to examine the link between social physique anxiety in physical education and physical activity-related outcomes in adolescents

ObjectivesThis study explored how social physique anxiety (SPA) combined with different patterns of motivation regulations might facilitate versus deter effort and enjoyment in physical education (PE) and leisure-time physical activity.DesignCross-sectional survey.MethodsHigh school students (N = 298; M_age = 15.72, SD_age = 1.24 years) completed an in-class survey including SPA in PE, motivation regulations for PE, enjoyment and effort in PE and leisure-time physical activity.ResultsFour profiles of students were identified in cluster analysis based on autonomous motivation, introjected regulation, external regulation and SPA. Profile one (“high diverse motivation”; n = 84) reflected relatively high motivation across all regulations and average SPA. Profile two (“moderate autonomous motivation”; n = 92) included those with average scores on autonomous motivation and relatively low scores on introjected and external regulation and SPA. Profile three (“moderate diverse motivation and anxious”; n = 59) had relatively high SPA combined with average motivation regulations. Profile four (“externally controlled and anxious”; n = 63) also had relatively high SPA but relatively low autonomous motivation and introjected regulation and relatively high external regulation. MANOVA results showed that “externally controlled and anxious” students reported the lowest physical activity behavior and enjoyment in PE. Conversely, the “moderate diverse motivation and anxious” students have physical activity experiences that do not differ from the two profiles that exhibited lower SPA.ConclusionsHigher feelings of SPA in PE appear linked with lower levels of enjoyment and effort in PE and leisure-time physical activity outside of school only when coupled with higher external regulation. This finding helps explain inconsistent associations between SPA and physical activity outcomes.