A Qualitative Analysis of the Lesbian Connection's Discussion Forum

Letters submitted to the discussion forum of the Lesbian Connection between 2000 and 2002 were analyzed to identify issues of importance to lesbians. The analysis revealed 5 discussion categories: (a) isolation, safety, and aging; (b) children; (c) lesbian relationships and sexuality; (d) physical and mental health; and (e) political issues. The author presents an overview of those discussions along with the implications of the findings for counselors working with lesbian clients.     

Individual, Peer, and Family Factors Influencing Urban African American Adolescents’ Responses to Problem Dating Situations

A clear understanding of factors influencing adolescents’ responses to problem dating situations is needed to guide efforts to promote healthy dating relationships and address issues such as emotional distress, conflict, and violence in dating contexts. This study used qualitative methods guided by a socio-ecological model to identify factors at the individual-level and those within adolescents’ peer and family relationships that influenced their use of specific strategies (active, avoidant, support-seeking, or aggressive) in response to problem dating situations. Interviews were conducted with 38 African American middle and high school students in an urban public school system. Participants identified nine themes that would make it easier for them to engage in their best response strategies to deal with problem dating situations. These included four individual-level factors (e.g., individual characteristics and adolescents’ confidence in their ability to address dating problems), three peer factors (e.g., supportive advice from peers), and two family factors (e.g., support, advice, and messages about dating relationships from family members). Nine themes were identified that would make it harder for adolescents to engage in these responses including three individual-level factors (e.g., difficulty in regulating anger, anxiety, and sadness in dealing with dating problems), four peer factors (e.g., peer instigated conflict among dating partners), and two family factors (e.g., family involvement in adolescents’ dating relationships). The results inform prevention efforts that focus on promoting healthy dating relationships during adolescence.     

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.     

Interpersonal–Psychological Theory,Alexithymia, and Personality Predict Suicide Ideation among Maladjusted Soldiers in Taiwan

This case–control study enrolled 226 maladjusted soldiers and 229 controls to investigate the impact of the interpersonal–psychological theory of suicide, alexithymia, personality, and childhood trauma on suicide risk among Taiwanese soldiers. Assessments included the Toronto Alexithymia Scale, Eysenck Personality Inventory, Mini‐International Neuropsychiatric Interview, and Brief Symptom Rating Scale. In addition to thwarted belongingness and perceived burdensomeness, other risks included less extraversion with higher neuroticism, higher alexithymia, poor academic performance, domestic violence, and life‐threatening events. Our study demonstrates the interaction of the interpersonal–psychological theory and other suicide risk factors in Taiwanese soldiers.     

Nonsuicidal Self‐Injury Is Predictive of Suicide Attempts Among Individuals with Mood Disorders

Nonsuicidal self‐injury (NSSI) prior to age 18 was evaluated as a risk factor for adulthood suicide attempt (SA). Archival data from 222 mood‐disordered participants were analyzed using multivariate Cox proportional hazards analysis. Participants with a youth SA were excluded. The hazards of SA among adult participants with a history of youth NSSI were twice than those of mood‐disordered participants without youth NSSI (hazard ratio = 2.00, 95% confidence interval = 1.16–3.44, p = .01). Moreover, participants who had both youth and adult NSSI attempted suicide significantly earlier than participants who began NSSI as an adult. Youth NSSI is associated with persistent, elevated SA risk in adulthood.     

Risk Factors for Suicide and Suicidal Behavior Relevant to Emergency Health Care Settings: A Systematic Review of Post‐2007 Reviews

Suicide is a global public health problem, and with recent economic and societal changes, there may be emerging risk factors unrecognized by health care professionals. The aim of this systematic review was to update existing suicide risk factor literature applicable to emergency health care settings. A total of 35 articles identified from PsycINFO, CINAHL, and Medline met the inclusion criteria. Results supported the significance of existing suicide risk factors and identified emerging risk factors. The review provides a high‐quality update of risk factor literature that could be applied to emergency health care settings; however, further research is needed to confirm emerging risk factors.     

A Canadian French Adaptation of the Agoraphobic Cognitions Questionnaire: Cross-cultural Validation and Gender Differences

The first objective of this study is to present different aspects of the reliability and validity of the Canadian French adaptation of the Agoraphobic Cognition Questionnaire (ACQ). A second objective is to determine the dimensionality of the Canadian French version (ACQ-FC) in comparison to the factorial solutions uncovered in the American and Dutch versions. The third objective is to present gender differences in the agoraphobic group. Results suggest that the ACQ-FC and ACQ have similar internal consistency, temporal stability, construct validity, and discriminative validity. The ACQ-FC uncovers a two-factor model, which is similar to the American and Dutch models. As such, the ACQ-FC shows cross-cultural validity with the ACQ. This study demonstrates that the multidimensional construct is not culturally bound.     

Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: The Importance of Active Engagement,Active Rescue,and Collaboration Between Crisis and Emergency Services

In 2012, the SAMHSA‐funded National Suicide Prevention Lifeline (Lifeline) completed implementation of the first national Policy for Helping Callers at Imminent Risk of Suicide across its network of crisis centers. The policy sought to: (1) provide a clear definition of imminent risk; (2) reflect the state of evidence, field experience, and promising practices related to reducing imminent risk through hotline interventions; and (3) provide a uniform policy and approach that could be applied across crisis center settings. The resulting policy established three essential principles: active engagement, active rescue, and collaboration between crisis and emergency services. A sample of the research and rationale that underpinned the development of this policy is provided here. In addition, policy implementation, challenges and successes, and implications for interventions to help Lifeline callers at imminent risk of suicide are detailed.