Training Mental Health Professionals to Assess and Manage Suicidal Behavior: Can Provider Confidence and Practice Behaviors be Altered?

Remarkably little systematic research has studied the effects of clinical suicidology training on changing practitioner attitudes and behaviors. In the current study we investigated whether training in an empirically‐based assessment and treatment approach to suicidal patients administered through a continuing education workshop could meaningfully impact professional practices, clinic policy, clinician confidence, and beliefs posttraining and 6 months later. At the 6 month follow‐up we found that 44% of practitioners reported increased confidence in assessing suicide risk, 54% reported increased confidence in managing suicidal patients, 83% reported changing suicide care practices, and 66% reported changing clinic policy. These results suggest that a brief and carefully developed workshop training experience can potentially change provider perceptions and behaviors with a possible impact on clinical care therein.     

The Distillation of “VISCI”: Towards a Better Identification of Suicidal Inmates

The “Viennese Instrument for Suicidality in Correctional Institutions” (VISCI) presented here is based on the results of a large case‐control study and on research on literature examining suicide prevention in general and in the prison population in particular. The aim of this study was to validate the properties of the VISCI to differentiate between suicides and nonsuicides. The sensitivity and specificity of the VISCI was tested in the files of 55 correctional suicides, and 110 controls. VISCI differentiated well between suicides and nonsuicides. The routine administration of the VISCI may help to direct the existing professional attention to inmates with the highest need.     

Self‐Esteem and Suicide Ideation in Psychiatric Outpatients

Depression, hopelessness, and low self‐esteem are implicated as vulnerability factors for suicide ideation. The association of self‐esteem with suicide ideation after controlling for depressed mood and hopelessness was examined. Adult psychiatric outpatients (N = 338) completed measures of self‐esteem, suicide ideation, hopelessness, and depression. Self‐esteem was operationalized as beliefs about oneself (self‐based self‐esteem) and beliefs about how other people regard oneself (other‐based self‐esteem). Each dimension of self‐esteem was negatively associated with suicide ideation after controlling for depression and hopelessness. Of the two dimensions of self‐esteem, other‐based self‐esteem was the more robust predictor of suicide ideation. These findings suggest that even in the context of depression and hopelessness, low self‐esteem may add to the risk for suicide ideation.     

Impact of Death by Suicide of Patients on Thai Psychiatrists

The objective of this study was to identify the impact of a patient's suicide on psychiatrists in Thailand. A confidential coded postal questionnaire survey was sent to 320 eligible psychiatrists; with a response rate of 52.18%). The results showed that 94 (56.28%) of responding psychiatrists had a patient die by suicide, consistent with high rates found in similar large‐scale studies in the United States and United Kingdom. Less than half (41.5%) of patients had been diagnosed with schizophrenia, 33% had a depressive disorder, and the others had a wide array of diagnoses. More than 50% of psychiatrists reported personally experiencing sadness, depression, hopelessness, and guilt; 74.5% reported professional reactions, most frequently a review of their practice (93.4% reported being more aggressive in assessment of suicidality). Respondents were diverse in their postvention; 90% of Thai psychiatrists reported that working through with colleagues was most helpful. Family and friends helped. A majority (72.4%) of psychiatrists prayed or did “merit” for the dead patient; 86.8% found it helpful. This finding suggests that cultural sensitivity may be needed to understand the impact of suicide on psychiatrists but also to its response.     

Behavioral Risk Assessment of the Guarded Suicidal Patient

Psychiatrists and other mental health professionals are trained to assess patients by direct observation and examination. Short inpatient length of stay, brief outpatient visits, emergency room evaluations, and other time‐limited clinical settings require rapid assessment of suicide risk. Recognition of behavioral suicide risk factors can assist in the early identification of the guarded suicidal patient, thus avoiding total reliance on the patient's reporting.     

Risk Factors for Attempting Suicide in Prisoners

We wished to examine determinants of suicidal behavior in prisoners. 903 male prisoners had a psychiatric interview which included various psychometric tests. Suicide attempters were compared with prisoners who had never attempted suicide. Significantly more of the attempters had a history of psychiatric disorder, substance abuse, a family history of suicidal behavior, convictions for violent crime, had exhibited aggressive behavior in jail, and had higher BGLHA aggression scores. A similar pattern of risk factors was found for prisoners with suicidal ideation. A lifetime history of attempting suicide, or of having suicidal ideation, is frequent in prisoners. Risk factors include family, developmental, aggression, personality, psychiatric, and substance abuse factors.     

幼儿二维心理旋转能力发展的研究

在以旋转的米老鼠图形作为测试项目,对每半岁为一个年龄段共１３３名３．５一６．５岁的幼儿进行心理旋转的实验研究中发现,幼儿在４岁时已经开始建立心理旋转能力．其发展特征呈连续性;男女幼儿间有一定的性别差异存在,但统计结果提示无显著性意义;男女幼儿在５－６岁间都发现有一个负增长阶段,其原因不明。     

Young children with a positive reputation to maintain are less likely to cheat

The present study examined whether having a positive reputation to maintain makes young children less likely to cheat. Cheating was assessed through a temptation resistance paradigm in which participants were instructed not to cheat in a guessing game. Across three studies (total N = 361), preschool‐aged participants were randomly assigned to either a reputation condition, in which an experimenter told them that she had learned of their positive reputation from classmates, or to a control condition in which they received no such information. By age 5, children in the reputation condition cheated less often than those in the control condition even though nobody was watching and choosing not to cheat conflicted with their personal interest. These findings are the first to show that informing children that they have a positive reputation to maintain can influence their moral behavior.     

Failure-Related Action Orientation and Life Satisfaction: The Mediating Role of Forgivingness

This study examined the association between failure-related action orientation and life satisfaction, with a primary focus on confirmation of the mediating role of forgivingness in Chinese college students. 277 participants (165 males and 112 females) from Mainland China completed a subscale of the Action Control Scale (ACS-90) called the Failure-related Action Orientation Scale (AOF), the Tendency to Forgive Scale (Brown in Personal Soc Psychol Bull 29(6):759–771, 2003) and the Satisfaction with Life Scale (Diener et al. in J Personal Assess 49(1):71–75, 1985). Results from structural equation modeling showed that forgivingness partially mediated the relationship between failure-related action orientation and life satisfaction. Moreover, AOF, forgivingness and life satisfaction did not differ across gender or age groups. Implications for the model of failure-related action orientation, forgivingness and life satisfaction in college students are discussed.