The Predictors of Suicidality in Previous Suicide Attempters following Case Management Services

Suicide attempts constitute a serious clinical problem. People who have attempted suicide are at an elevated risk for additional suicide attempts, but there is limited evidence regarding the predictors of suicidality of suicide attempters following case management services. In the present study the indicators of suicidality after case management were examined. A total of 1,056 subjects who had recently attempted suicide were recruited from January 1, 2011, to June 30, 2011. The suicide prevention center of Kaohsiung City in Taiwan provided case management services and followed up on suicide attempt cases for 6 months. The salient factors for repeat suicide attempts were estimated using a logistic regression analysis. The results showed that multiple factors, including a “willingness to receive mental health services during a crisis,” “social support,” “a history of mental disorders,” and “a history of suicide,” could predict repeat suicide attempts with hazard ratios (0.58, 0.54, 3.84, 1.51) and 95% confidence interval (0.39–0.86, 0.36–0.83, 2.41–6.10, 1.03–2.21). The four factors mentioned above were the most accurate predictors of subsequent suicidality when case management services were utilized after 6 months of follow‐up. The findings of our study could help clarify future strategies for suicide prevention.     

Literal meaning and psychological theory

This paper evaluates the psychological status of literal meaning. Most linguistic and philosophical theories assume that sentences have well-specified literal meanings which represent the meaning of a sentence independent of context. Recent debate on this issue has centered on whether literal meaning can be equated with context-free meaning, or whether a sentence's literal meaning is determined only given a set of background assumptions. Neither of these positions meet the demands of a psychological theory of language understanding. Sentences do not have well-defined literal meanings, regardless of whether these are determined in light of a set of background assumptions. Moreover, the putative literal meanings of sentences do not contribute in systematic ways toward the understanding of speakers' utterance meanings. These observations suggest that the distinctions between literal and metaphoric meanings, and between semantics and pragmatics, have little psychological validity.     

8 African-American Suicide: A Cultural Paradox

African-American suicide rates have traditionally been lower than White rates despite a legacy of racial discrimination, persistent poverty, social isolation, and lack of community resources. This paper focuses on four issues: (1) patterns and trends of Black suicide across the lifespan; (2) risk and protective factors in subgroups of Blacks; (3) the influence of cultural factors on suicide patterns of Blacks; and (4) implications of these patterns for prevention and early intervention of suicidal behavior among African Americans. Risk factors for Black suicide include: male sex, early adulthood, substance abuse, psychiatric disorders, family or interpersonal conflict, antisocial behavior, and homosexuality. Protective factors that mitigate the risks of suicide include religiosity, older age, southern residence, and social support. Implications for preventive policies and programs are discussed to counter the recent trend of rising suicide rates among adolescents and very elderly Blacks.     

Teacher efficacy and pupil behaviour: The structure of teachers’ individual and collective beliefs and their relationship with numbers of pupils excluded from school

Background. Previous work has yielded knowledge of teachers’ attributions for children's behaviour. Other studies have helped to develop understanding of teachers’ efficacy beliefs. Little work has been undertaken to examine teachers’ efficacy beliefs with regard to classroom behaviour. Aims. This study aimed to investigate the relationship between teachers’ individual and collective beliefs about their efficacy with children's behaviour and whether these beliefs were associated with the use of exclusion as a sanction. Sample. A total of 197 teachers from 31 primary and nursery schools in the North East of England participated. Methods. Participants responded to questionnaires to assess their individual and collective efficacy beliefs. Demographic and school level data were also collected. Results. Factor analysis indicated that teachers’ individual efficacy beliefs were best represented by three factors: ‘Classroom Management’, ‘Children's Engagement’, ‘Instructional Strategies’ that corresponded well to previous findings. Analysis of collective efficacy beliefs showed a similar structure that differed from previous findings. Individual efficacy was not associated with numbers of children excluded. One factor ‘Addressing External Influences’ in the collective beliefs was negatively correlated with numbers of children excluded and appeared to mitigate the deleterious effects associated with socio-economic deprivation. Conclusions. This study adds weight to the importance of understanding and supporting teachers’ beliefs in their collective efficacy. In particular, this study underlines the need for strategies that will endorse and develop teachers’ beliefs in their ability to manage children's behaviour successfully.     

AGE AND GENDER DIMENSIONS OF FRIENDSHIP

Since stereotypes about appropriate social behavior appear to influence questionnaires and other self-reported data concerning friendship, an in-depth interview format was used to explore gender and age differences in friendship patterns. Thirty-one subjects were interviewed: five young males, six young females, fivemidlife males, five midlife females, five older males, and five older females. As in our previous questionnaire studies, groups described friendship in superficially similar ways. However, in the taped interviews, large gender differences appeared that followed conceptually along instrumental/expressive dimensions. Women at all ages were more expressive in their friendships, showing higher levels of empathy and altruism than men. Age differences also appeared, with men developing increased concern and thoughtfulness in friendship with greater age, and women showing more tolerance and less confrontation of their friends with greater age.