Predicting Suicide Intent: The Roles of Experiencing or Committing Violent Acts

According to the interpersonal theory of suicide (Joiner, 2005), repeated exposure to painful or provocative experiences is associated with lethal or nearly lethal suicide attempts. However, suicide research often focuses on suicide ideation or attempts, rather than intent. Using data from the Collaborative Psychiatric Epidemiological Surveys, we examined traumatic experiences, with a focus on repeated exposure to traumas, in individuals who described their suicide attempts as a strong intent to die versus a cry for help. Only repeated acts of committing violence were associated with high suicide intent, suggesting that individuals who engage in violence are at heightened risk for suicide.     

Hopelessness as a Predictor of Suicide Ideation in Depressed Male and Female Adolescent Youth

We examined hopelessness as a predictor of suicide ideation in depressed youth after acute medication treatment. A total of 158 depressed adolescents were administered the Children's Depression Rating Scale‐Revised (CDRS‐R) and Columbia Suicide Severity Rating Scale (C‐SSRS) as part of a larger battery at baseline and at weekly visits across 6 weeks of acute fluoxetine treatment. The Beck Hopelessness Scale (BHS) was administered at baseline and week 6. A negative binomial regression model via a generalized estimating equation analysis of repeated measures was used to estimate suicide ideation over the 6 weeks of acute treatment from baseline measure of hopelessness. Depression severity and gender were included as covariates in the model. The negative binomial analysis was also conducted separately for the sample of males and females (in a gender‐stratified analysis). Mean CDRS‐R total scores were 60.30 ± 8.93 at baseline and 34.65 ± 10.41 at week 6. Mean baseline and week 6 BHS scores were 9.57 ± 5.51 and 5.59 ± 5.38, respectively. Per the C‐SSRS, 43.04% and 83.54% reported having no suicide ideation at baseline and at week 6, respectively. The analyses revealed that baseline hopelessness was positively related to suicide ideation over treatment (p = .0027), independent of changes in depression severity. This significant finding persisted only for females (p = .0024). These results indicate the importance of early identification of hopelessness.     

White matter microstructure predicts individual differences in infant fear (But not anger and sadness)

We examine neural correlates of discrete expressions of negative emotionality in infants to determine whether the microstructure of white matter tracts at 1 month of age foreshadows the expression of specific negative emotions later in infancy. Infants (n = 103) underwent neuroimaging at 1-month, and mothers reported on infant fear, sadness, and anger at 6, 12, and 18 months using the Infant Behavior Questionnaire-Revised. Levels and developmental change in fear, sadness, and anger were estimated from mother reports. Relations between MRI and infant emotion indicated that 1-month white matter microstructure was differentially associated with level and change in infant fear, but not anger or sadness, in the left stria terminalis (p < 0.05, corrected), a tract that connects frontal and tempo-parietal regions and has been implicated in emerging psychopathology in adults. More relaxed constraints on significance (p < 0.10, corrected) revealed that fear was associated with lower white matter microstructure bilaterally in the inferior portion of the stria terminalis and regions within the sagittal stratum. Results suggest the neurobehavioral uniqueness of fear as early as 1 month of age in regions that are associated with potential longer-term outcomes. This work highlights the early neural precursors of fearfulness, adding to literature explaining the psychobiological accounts of affective development.

Highlights

• Expressions of infant fear and anger, but not sadness, increase from 6 to 18 months of age.
• Early neural architecture in the stria terminalis is related to higher initial levels and increasing fear in infancy.
• After accounting for fear, anger and sadness do not appear to be associated with differences in early white matter microstructure.
• This work identifies early neural precursors of fearfulness as early as 1-month of age.

     

What Does Self-Care Look like for Online Graduate Mental Health Counseling Students?

ABSTRACT

The purpose of this article is to highlight what self-care looks like for online graduate mental health counseling students and implications for counselor educators. Results come from a program evaluation examining self-care practices for online mental health graduate students. Furthermore, these results will guide the examination of best practices to meet student reported needs while integrating self-care into the program’s mission, program objectives, and curriculum.     

Show me the meaning! The contextual relevance of images influences the recall and understanding of multimedia RSVP paragraphs

ABSTRACT

This study examined whether images facilitate contextual grouping as effectively as words. College students (N?=?102) read RSVP paragraphs with topics located at the beginning, middle, or end of the paragraph. Paragraph topic was presented as a topic-related image, topic-unrelated image, or written explicitly in text. Topic identification was equally accurate for topic-related images and topic sentences, and less accurate for unrelated images. Paragraphs from the text condition were recalled more accurately than the related and unrelated image conditions. Further, recognition of unrelated images was a positive predictor of the number of logical errors committed during recall. Therefore, related images did not improve memory and comprehension as much as text, and paragraphs with unrelated images negatively affected understanding of the meaning of the paragraph, but not recall. These findings have implications for multimedia information sources such as textbooks or articles that use images to clarify the meaning of the material.