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41.
Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: Evaluation of Caller Risk Profiles and Interventions Implemented 下载免费PDF全文
Madelyn S. Gould PhD MPH Alison M. Lake MA Jimmie Lou Munfakh BA Hanga Galfalvy PhD Marjorie Kleinman MS Caitlin Williams BA Andrew Glass MS Richard McKeon PhD MPH 《Suicide & life-threatening behavior》2016,46(2):172-190
Crisis lines are settings where identifying individuals at imminent risk of suicidal behavior and intervening to keep them safe are critical activities. We examined clinical characteristics of crisis callers assessed by telephone crisis helpers as being at imminent risk of suicide, and the interventions implemented with these callers. Data were derived from 491 call reports completed by 132 helpers at eight crisis centers in the National Suicide Prevention Lifeline network. Helpers actively engaged the callers in collaborating to keep themselves safe on 76.4% of calls and sent emergency services without the callers' collaboration on 24.6% of calls. Four different profiles of imminent risk calls emerged. Caller profiles and some helper characteristics were associated with intervention type. Our findings provide a first step toward an empirical formulation of imminent risk warning signs and recommended interventions. 相似文献
42.
An Examination of Historical Loss Thinking Frequency and Rumination on Suicide Ideation in American Indian Young Adults 下载免费PDF全文
Raymond P. Tucker MS LaRicka R. Wingate PhD Victoria M. O'Keefe MS David W. Hollingsworth MS Ashley B. Cole MS 《Suicide & life-threatening behavior》2016,46(2):213-222
No research has empirically investigated whether frequency of historical loss thinking is a potential risk factor for suicide ideation in American Indians. Results of this study demonstrated that the frequency of historical loss thinking was positively associated with brooding and reflection at a small magnitude, but was not directly related to suicide ideation. Bootstrapping analyses indicated small indirect effects of historical loss thinking frequency on suicide ideation through brooding and reflection individually, but only through brooding when analyzed in a parallel mediation model. These findings suggest that American Indians who more frequently engage in historical loss thinking may be susceptible to suicide ideation via an increase in ruminative tendencies, specifically brooding. 相似文献
43.
Rajeev Ramchand PhD Lynsay Ayer PhD Lily Geyer BA Aaron Kofner MS MA 《Suicide & life-threatening behavior》2016,46(1):35-45
We surveyed 868 Army chaplains and 410 chaplain assistants (CAs) about their role in identifying, caring for, and referring soldiers at risk of suicide to behavioral health care. We applied structural equation modeling to identify how behaviors and attitudes related to intervention behavior. In both samples, reluctance and stigma were related to intervention behaviors; efficacy was correlated with intervention behaviors only among chaplains. Training was associated with increased efficacy and lower levels of stigma among chaplains. Improved training may be warranted, but research needs to identify why chaplains and CAs are reluctant to refer soldiers in distress to behavioral health care. 相似文献
44.
Coping Card Usage can Further Reduce Suicide Reattempt in Suicide Attempter Case Management Within 3‐Month Intervention 下载免费PDF全文
Ying‐Chuan Wang MS Ling‐Yu Hsieh MS Ming‐Yu Wang MD Cheng‐Hsiang Chou PhD Min‐Wei Huang PhD Huei‐Chen Ko PhD 《Suicide & life-threatening behavior》2016,46(1):106-120
This randomized controlled trial was designed to evaluate the effectiveness of using crisis coping cards (n = 32) in the case management of suicide prevention compared with case management without the use of coping cards (n = 32) over a 3‐month intervention period. The generalized estimating equation was used to examine the interaction effect between treatments and time on suicide risk, depression, anxiety, and hopelessness. Results indicated that subsequent suicidal behaviors, severity of suicide risk, depression, anxiety, and hopelessness were reduced more in the coping card intervention group compared to the case management only group. Moreover, for the survival curves of time to suicide reattempt, the coping card group showed a significantly longer time to reattempt than the case management only group at 2‐month and 3‐month intervention periods. 相似文献
45.
Luis Sánchez‐Loyo PhD Eva Ventura‐Martínez MS Andrés Antonio González‐Garrido PhD M.D 《Suicide & life-threatening behavior》2016,46(5):598-608
Decision making has been found to be altered in suicide attempters, but little is known of their performance in social contexts. Twenty‐seven depressed suicide attempters (DSA), 25 nonsuicidal depressed patients (DP), and 60 healthy participants (HC) were evaluated by a decision‐making task in social context . Results indicated DSA and DP obtained lower gains and invested more money with angry partners. DSA were found to invest less money than DP and HC with happy partners. DSA showed insensitivity toward rewards/punishment contingency, and they did not use the socioemotional stimuli to guide their decisions. 相似文献
46.
The Incremental Utility of Emotion Regulation But Not Emotion Reactivity in Nonsuicidal Self‐Injury 下载免费PDF全文
Rachel L. Zelkowitz MHS MS David A. Cole PhD Gloria T. Han MA Andrew J. Tomarken PhD 《Suicide & life-threatening behavior》2016,46(5):545-562
This study assessed the incremental utility of emotion reactivity and emotion regulation in relation to nonsuicidal self‐injury (NSSI). Participants included 379 college students aged 18–22 who completed self‐report measures of emotion regulation, emotion reactivity, and NSSI. Emotion regulation was significantly related to NSSI both ignoring and controlling for reactivity, but the reverse was not true. Participants' use of NSSI for affect regulation appeared to moderate this relation. Findings support emotion regulation deficits as a target for intervention over and above heightened emotion reactivity, especially in those who use NSSI to regulate negative affect. 相似文献
47.
Kelly L. Zuromski BS Margaret T. Davis MS Tracy K. Witte PhD Frank Weathers PhD Christy Blevins MS 《Suicide & life-threatening behavior》2014,44(6):682-697
Previous research has established the link between posttraumatic stress disorder (PTSD) and suicidal behavior. In the current study, constructs proposed to explain this relationship were examined, applying the framework of the interpersonal‐psychological theory of suicide (IPTS). Relationships between acquired capability for suicide (ACS; i.e., fearlessness about death [FAD] and pain tolerance) and specific PTSD symptom clusters were explored. In a sample of 334 trauma‐exposed undergraduates, anxious arousal and FAD were negatively associated, and numbing and pain tolerance were positively associated. Results establish a foundation for investigating the role of ACS in understanding observed relationships between suicidal behavior and PTSD symptoms. 相似文献
48.
David C. R. Kerr PhD Brandon Gibson MS Leslie D. Leve PhD David S. DeGarmo PhD 《Suicide & life-threatening behavior》2014,44(2):113-129
This study focused on the reliability and validity of the Columbia Suicide Severity Scale (C‐SSRS). Severely delinquent adolescent girls (n = 166) participated in a treatment trial and repeated assessments over time. Lifetime suicide attempt history was measured using the C‐SSRS in early adulthood (n = 144; 7–12 years postbaseline). Nonclinician raters showed strong interrater reliability using the C‐SSRS. Self‐reports, caseworker reports, and caregiver reports of girls' suicide attempt histories collected at baseline correlated with adult participants' recollections of their baseline attempt histories. Suicidal ideation measured prospectively across a 7‐ to –12‐year period was associated with retrospectively reported suicide attempt across the same period. 相似文献
49.
Stephen M. Gavazzi PhD Dawn E. Goettler MS Scott P. Solomon MS Patrick C. McKenry PhD 《Contemporary Family Therapy》1994,16(5):431-448
This study examined the impact of family differentiation and peer differentiation levels on adolescent problematic behaviors and psychosocial maturity. Differentiation levels were assessed dyadically in both the family and peer systems. Results revealed family differentiation to be the sole predictor of adolescent problematic behavior. Additional regression analysis indicated that peer differentiation was a significant predictor of psychosocial maturity, along with the significant impact of adolescent gender and age. Family X Peer interaction terms were not significant predictors of either adolescent personal adjustment variable. Results, whichdisplay both consistencies and variations with the findings of previous research, are discussed in terms of their clinical implications.Salary and support provided in part by grants from The Kettering Fund (OSURF #727033) and by The Ohio State University (OSURF #221424 and OSURF #241501). 相似文献
50.
John J. Zarski PhD Harry J. Aponte MSW Catherine Bixenstine MS Pamela Cibik LPCC 《Contemporary Family Therapy》1992,14(1):3-14
A growing specialty area in the mental health field involves working with emotionally disturbed youth and families-at-risk by providing services in the context of the home environment. A review of the literature provides documentation for family systems, social learning, and ecological interventions with at-risk families receiving home-based intervention but there is an absence of material on the use of multi-family groups with this population. The purpose of this article is to outline the implementation of a multi-family therapy (MFT) component for home-based programs serving at-risk families. Advantages and disadvantages when using MFT are also addressed.The authors are grateful to Linda Pannell for her helpful comments on drafts of this article. 相似文献