Factors that Influence Chaplains’ Suicide Intervention Behavior in the Army

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.     

Why do alternative ways of responding improve children's performance on tests of strategic reasoning?

Changing the way in which children respond significantly improves performance across a variety of cognitive domains. However, the basis for this response‐mode effect is unknown. To address this issue, the current study tested 78 preschool children on a measure of executive functioning (the windows task: Hala & Russell, 2001 ). The task requires children to point to an empty box to receive a box with a treat in it. There were four versions of the task, differing only in the way in which children made their responses. Children in the baseline condition, who pointed with their finger, performed poorly. However, children in three alternative response‐mode conditions won the treat significantly more often. Strikingly, even children who pretended to be pointing with an arrow – but were in reality pointing with their finger – performed significantly better than baseline. We suggest that non‐standard response modes encourage children to reflect on their actions and that this reduces the number of unreflective errors they make. The findings demonstrate that response‐mode effects do not depend on the presence of a physical means of responding (such as an arrow), but can be achieved via a purely cognitive means (such as engaging in pretence).     

Suicide Risk by Military Occupation in the DoD Active Component Population

Suicide risk based on occupational cohorts within the U.S. military was investigated. Rates of suicide based on military occupational categories were computed for the Department of Defense (DoD) active component population between 2001 and 2010. The combined infantry, gun crews, and seamanship specialist group was at increased risk of suicide compared to the overall military population even when adjusted for gender, age, and deployment history. The results provide useful information that can help inform the DoD's suicide prevention mission. Data limitations and recommended areas for future research are discussed.     

Emergency Department Youth Patients With Suicidal Ideation or Attempts: Predicting Suicide Attempts Through 18 Months of Follow‐Up

This prospective study of suicidal emergency department (ED) patients (ages 10–18) examined the timing, cumulative probability, and predictors of suicide attempts through 18 months of follow‐up. The cumulative probability of attempts was as follows: .15 at 6 months, .22 at 1 year, and .24 by 18 months. One attempt was fatal, yielding a death rate of .006. Significant predictors of suicide attempt risk included a suicide attempt at ED presentation (vs. suicidal ideation only), nonsuicidal self‐injurious behavior, and low levels of delinquent symptoms. Results underscore the importance of both prior suicide attempts and nonsuicidal self‐harm as risk indicators for future and potentially lethal suicide attempts.