An evaluation of crisis hotline outcomes. Part 1: Nonsuicidal crisis callers

The effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' crisis state from the beginning to the end of their calls to eight centers in the U.S. and intermediate outcomes within 3 weeks of their calls, was evaluated. Between March 2003 and July 2004, 1,617 crisis callers were assessed during their calls and 801 (49.5%) participated in the followup assessment. Significant decreases in callers' crisis states and hopelessness were found during the course of the telephone session, with continuing decreases in crisis states and hopelessness in the following weeks. A majority of callers were provided with referrals and/or plans of actions for their concerns and approximately one third of those provided with mental health referrals had followed up with the referral by the time of the follow-up assessment. While crisis service staff coded these callers as nonsuicidal, at follow-up nearly 12% of them reported having suicidal thoughts either during or since their call to the center. The need to conduct suicide risk assessments with crisis callers and to identify strategies to improve referral follow-up is highlighted.     

Factors in the assessment of suicidality in youth

Suicide remains a leading cause of death among youth, and suicide ideation and behavior are relatively common in both normal and clinical populations. Clinicians working with young people must assess for the presence of suicidal ideation, suicidal behavior, and other risk factors, in order to determine the level of risk. This paper provides the clinician with a summary of risk factors for youth suicide, as well as providing standardized terminology to enhance assessment of suicidal ideation and behavior.     

Genetic studies of stuttering in a founder population

Genome-wide linkage and association analyses were conducted to identify genetic determinants of stuttering in a founder population in which 48 individuals affected with stuttering are connected in a single 232-person genealogy. A novel approach was devised to account for all necessary relationships to enable multipoint linkage analysis. Regions with nominal evidence for linkage were found on chromosomes 3 (P=0.013, 208.8 centiMorgans (cM)), 13 (P=0.012, 52.6 cM), and 15 (P=0.02, 100 cM). Regions with nominal evidence for association with stuttering that overlapped with a linkage signal are located on chromosomes 3 (P=0.0047, 195 cM), 9 (P=0.0067, 46.5 cM), and 13 (P=0.0055, 52.6 cM). We also conducted the first meta-analysis for stuttering using results from linkage studies in the Hutterites and The Illinois International Genetics of Stuttering Project and identified regions with nominal evidence for linkage on chromosomes 2 (P=0.013, 180-195 cM) and 5 (P=0.0051, 105-120 cM; P=0.015, 120-135 cM). None of the linkage signals detected in the Hutterite sample alone, or in the meta-analysis, meet genome-wide criteria for significance, although some of the stronger signals overlap linkage mapping signals previously reported for other speech and language disorders. EDUCATIONAL OBJECTIVES: After reading this article, the reader will be able to: (1) summarize information about the background of common disorders and methodology of genetic studies; (2) evaluate the role of genetics in stuttering; (3) discuss the value of using founder populations in genetic studies; (4) articulate the importance of combining several studies in a meta-analysis; (5) discuss the overlap of genetic signals identified in stuttering with other speech and language disorders.     

Recounting the same events again and again: children's consistency across multiple interviews

Children (2–13 years at time of injury) were interviewed four times about an injury that required hospital Emergency Room treatment, namely at 1 week, 6 months, 1 year, and 2 years. The consistency of children's reports was assessed and all children gave mostly the same information at each interview, although consistency was higher for older children and for injury rather than hospital details. Furthermore, details recalled at every interview were virtually always accurate while details that were sometimes omitted were a little less likely to be accurate. New information that was introduced after 6 months was more likely to be accurate than inaccurate but new information introduced at 1 or 2 years post‐injury was just as likely to be wrong as right (except for 12–13‐year‐olds). Implications for forensic situations are discussed. Copyright © 2001 John Wiley & Sons, Ltd.     

Religious Occupations and Stress Questionnaire (ROS): Instrument Development

The authors describe the development of the Religious Occupations and Stress Questionnaire (ROS), which attempts to fill the need for an appropriate measure of the stress experienced by individuals in religious occupations. The ROS has 4 stress‐related subscales (General Stress. Occupational Stress, Identity/Image Stress, and Gender Issues Stress) and a Coping subscale. Results of reliability and validity studies of the ROS with male and female Protestants, Catholics, and Jews who were in religious occupations indicated high internal consistency, test‐retest reliability, and construct validity.     

SEX DIFFERENCES IN CONFORMITY: STATUS AND GENDER ROLE INTERPRETATIONS

The experiment examines status and gender role explanations of the tendency for women to conform more than men in group pressure settings. Subjects believed they were assigned to groups containing two males and two females in addition to themselves and received these other group members' opinions, which were represented as deviating from the opinions that subjects had given earlier. Subjects then gave their opinions with the other group members either having or not having surveillance over these opinions. In addition, subjects were required to form impressions of each other's likability or expertise. The findings indicate that subjects' sex and age affected the extent of their conformity. Among older (19 years and older) subjects, females conformed more with surveillance than without it, whereas surveillance did not affect males' conformity. Among younger (under 19 years) subjects, surveillance had no effects. Analysis of sex differences revealed that older females were significantly more conforming than older males when under surveillance as well as when subjects formed impressions of one another's likability. Among younger subjects, there were no sex differences. These findings are discussed in terms of the theories that (a) both sex and age function as status characteristics and (b) gender roles determine conformity.     

Narcissism and body image

This research examined the relationship between narcissism, as measured by the Narcissistic Personality Inventory (NPI; Raskin & Hall, 1979), and body image, as measured by the Body-Self Relations Questionnaire ( Winstead & Cash, 1984), in a nonclinical sample of college students. Also examined were narcissism's relationships to masculinity, femininity, and self-esteem. Results indicated that more narcissistic individuals had more favorable body images and were higher in masculinity and self-esteem. No gender differences were observed in either the levels of narcissism or its body image correlates. Overall, the findings suggest that the NPI measures “adjusted” narcissism rather than the “maladaptive” narcissism emphasized in theoretical and clinical accounts of the construct.