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.     

Action experience in infancy predicts visual-motor functional connectivity during action anticipation

Despite substantial evidence indicating a close link between action production and perception in early child development, less is known about how action experience shapes the processes of perceiving and anticipating others’ actions. Here, we developed a novel approach to capture functional connectivity specific to certain brain areas to investigate how action experience changes the networks involved in action perception and anticipation. Nine- and-12-month-old infants observed familiar (grasping) and novel (tool-use) actions while their brain activity was measured using EEG. Infants’ motor competence of both actions was assessed. A link between action experience and connectivity patterns was found, particularly during the anticipation period. During action anticipation, greater motor competence in grasping predicted greater functional connectivity between visual (occipital alpha) and motor (central alpha) regions relative to global levels of whole-brain EEG connectivity. Furthermore, visual and motor regions tended to be more coordinated in response to familiar versus novel actions and for older than younger participants. Critically, these effects were not found in the control networks (frontal-central; frontal-occipital; parietal-central; parietal-occipital), suggesting a unique role of visual-motor networks on the link between motor skills and action encoding.

Highlights

• Infants’ motor development predicted functional connectivity patterns during action anticipation.
• Faster graspers, and older infants, showed a stronger ratio of visual-motor neural coherence.
• Overall whole-brain connectivity was modulated by age and familiarity with the actions.
• Measuring inter-site relative to whole-brain connectivity can capture specific brain-behavior links.
• Measures of phase-based connectivity over time are sensitive to anticipatory action.

     

Effects of age on searching for and enumerating targets that cannot be detected efficiently

We investigated the effects of old age on search, subitizing, and counting of difficult-to-find targets. In Experiment 1, young and older adults enumerated targets (Os) with and without distractors (Qs). Without distractors, the usual subitization-counting function occurred in both groups, with the same subitization span of 3.3 items. Subitization disappeared with distractors; older adults were slowed more overall by their presence but enumeration rates were not slowed by ageing either with or without distractors. In contrast, search rates for a single target (O among Qs) were twice as slow for older as for young adults. Experiment 2 tested and ruled out one account of age-equivalent serial enumeration based on the need to subvocalize numbers as items are enumerated. Alternative explanations based on the specific task differences between detecting and enumerating stimuli are discussed.     

How does episodic memory develop in adolescence?

Key areas of the episodic memory (EM) network demonstrate changing structure and volume during adolescence. EM is multifaceted and yet studies of EM thus far have largely examined single components, used different methods and have unsurprisingly yielded inconsistent results. The Treasure Hunt task is a single paradigm that allows parallel investigation of memory content, associative structure, and the impact of different retrieval support. Combining the cognitive and neurobiological accounts, we hypothesized that some elements of EM performance may decline in late adolescence owing to considerable restructuring of the hippocampus at this time. Using the Treasure Hunt task, we examined EM performance in 80 participants aged 10–17 yr. Results demonstrated a cubic trajectory with youngest and oldest participants performing worst. This was emphasized in associative memory, which aligns well with existing literature indicating hippocampal restructuring in later adolescence. It is proposed that memory development may follow a nonlinear path as children approach adulthood, but that future work is required to confirm and extend the trends demonstrated in this study.

Episodic memory (EM) describes the ability to encode, store, and retrieve representations of previously experienced episodes and their temporal-spatial context (Tulving 1972). EM development continues well into the third decade of life (Ruggiero et al. 2016); however, its developmental trajectory after the preschool years remains controversial, with some studies suggesting linear improvements (Ofen et al. 2007) and others no improvement (Picard et al. 2012) or a nonlinear pattern (Tulving 1985; Keresztes et al. 2017). While there has been some debate as to the “defining features” of EM (Cheke and Clayton 2013, 2015) most theorists agree that it is not a unitary ability, instead reflecting the combination of a number of contributing features. Given that many of these studies used different methods for testing EM, and that different tests may emphasize different features (Cheke and Clayton 2013, 2015), it is likely that empirical differences reflect the fact that different features of memory may develop differently during later childhood and adolescence (Picard et al. 2012).The importance of understanding the developmental trajectory of EM in adolescence is highlighted in the close association between EM and other cognitive processes. EM is thought to support decision-making, particularly in the incorporation of memories into task- and goal-relevant responses (Murty et al. 2016); thus, immaturity of EM may influence the high levels of risk taking observed in adolescence. Adolescence also represents a period of vulnerability to the development of mental illness (Kessler et al. 2007). Evidence that deficits in EM have been linked to a number of mental health disorders such as depression (Goodwin 1997) and anxiety (Airaksinen et al. 2005) raises the possibility that individual differences in memory development during this period may influence this vulnerability. Finally, adolescence is a demanding time academically: During these school years, large quantities of knowledge must be acquired to be successful in exams, which have long-term impacts on individuals’ academic and professional future. It is therefore important to understand factors that may contribute to individual differences and challenges in learning and memory during this period.Memory development in adolescence has attracted considerable research attention in recent years, with the majority of work conducted on developmental trajectories of brain areas within the memory network. EM relies on a distributed network of brain areas, including the medial temporal and superior parietal lobes and the prefrontal cortex (PFC) (Simons and Spiers 2003). Each area within the network, as well as the network itself, shows protracted maturation across adolescence.     

Examining the components of children's peer liking as antecedents of school adjustment

Children's social interactions with their peers influence their psychosocial adjustment; consequently, the relationship between class‐wide peer liking, same‐gender peer liking, and school adjustment was explored in two age groups. Peer liking was analysed using the social relations model (SRM). In Study 1, 205 children (103 female and 102 male, M_age= 7.15, SD= 7 months) completed measures of peer liking and school adjustment, and teachers completed the Short‐Form Teacher Rating Scale of School Adjustment (Short‐Form TRSSA). In Study 2, 197 children (98 female and 90 male, M_age= 9.87, SD= 5.9 months) completed measures of peer liking and school adjustment. Both studies yielded evidence of reciprocal liking and individual differences in the ratings of liking awarded to, and elicited from, both peer groups. Multigroup path analysis, with groups created according to gender, revealed that elements of liking predicted different aspects of school adjustment with some variation according to age and gender. Together, these findings suggest that the SRM can be used to examine peer liking and underscore the importance of children's peers for school adjustment.     

The Cognitive Dynamics of Beliefs: The Effect of Information on Message Processing

This study investigated the time course of belief change from univalent versus mixed‐valence messages, both while the message was being received and after receipt while it was being considered. Hypotheses about the temporal patterns of belief change were tested with belief trajectories from S. E. McGreevy (1996) , valid N= 78, with an average number of time points per person = 5,267 (126.41 seconds) for the message‐receipt phase and 2,467 (59.22 seconds) for the postmessage phase. Results showed that while receiving a message, beliefs changed according to the value and the order of presentation of information in the message. A greater number of positive belief changes were generated in response to a positive univalent message than to a mixed‐valence message. In the postmessage phase, a greater oscillatory pattern of belief change was found for a mixed‐valence message than for a univalent message. Theoretical and methodological implications of these findings are discussed.     

Queer ethics and fostering positive mindsets toward non-binary gender,genderqueer, and gender ambiguity

Abstract

Background: Alongside the growth in visibility of gender identities and presentations such as genderqueer, non-binary and gender neutral, there is ridicule and backlash in wider culture, as well as more subtle invisibility and misgendering. While there exists social psychology research about negative and positive attitudes to trans people, this is restricted to those whose gender identity is at odds with their sex assigned at birth, and who identify with binary gender. Social psychology has extended to the more subtle workings of transphobia, but there is little consideration of the distinctiveness of attitudes and responses to those whose genders cannot be attributed in binary ways, and thus how these may be challenged.

Methods: In keeping with the methods of social theory, this article brings together a diverse and complementary range of conceptual fields in new ways to diagnose a novel cause and solution to these negative attitudes. Using queer theory, feminist ethics, and empirical studies in post-tolerance sociology and social psychology, it argues that negative social responses to genderqueerness stem not only from overt prejudice in the form of transphobia but from binary genderism, the conviction that there are only two genders.

Results and conclusion: This article proposes fostering greater diversity-literacy and empathy for difference as a more effective approach than minority identity-based ‘prejudice reduction’ approaches. A norm-critical approach to deconstructing gender norms is proposed, thus fostering positive attitudes to genderqueerness. It is therefore demonstrated how best to foster enabling social contexts for genderqueerness, with positive implications for the physical and social health and wellbeing of gender variant people. This approach can be applied in organizations, institutions, and by service providers who interact with genderqueer individuals, in that it can inform a shift to approaching diversity positively in ways that are not restricted to pre-determined and binary identity categories.     

Change Pathways in Indigenous and Nonindigenous Youth Suicide

Multivariate dynamic relationships among suicide attempts, anxiety and/or depressive symptoms, hope, and help‐seeking were examined across time in Native Hawaiian and non‐Hawaiian adolescents, using data from a 5‐year longitudinal cohort study (N = 7,317). The rate of suicide attempts decreased over time, but this reduction was significantly less among Native Hawaiian youth than their non‐Hawaiian peers. There were also significant differences between groups in hope and help‐seeking, with Native Hawaiian youth increasing help‐seeking and decreasing hope to a greater degree. Youth‐centered, cultural approaches to suicide prevention are essential in enhancing well‐being in indigenous communities.     

Methods of Suicide Among Cancer Patients: A Nationwide Population‐Based Study

A 3‐year nationwide population‐based data set was used to explore methods of suicide (violent vs. nonviolent) and possible contributing factors among cancer patients in Taiwan. A total of 1,065 cancer inpatients who committed suicide were included as our study sample. The regression shows that those who had genitourinary cancer were 0.55 times (p = 0.047) less likely to use violent methods to commit suicide than those who had respiratory cancer. Among those who committed suicide out of town, the odds of using violent methods were 1.39 (p = 0.015) of their counterparts who had committed suicide in their hometowns. Those who had income between NT$15,841～NT$25,000 were 0.70 (p = 0.042) times less likely to use violent methods to commit suicide than those who had no income.