Suicide-related behavior after psychiatric hospital discharge: Implications for risk assessment and management

Suicide-related behavior (SRB), including suicide attempts and instrumental SRB, occurs far more often than completed suicide and exacts a toll on patients, their loved ones, and society. Nevertheless, few prospective studies of SRB have been conducted. In this study, 954 patients were interviewed in a psychiatric hospital and then followed for one year after discharge. During this one-year period, nearly one-quarter of patients (23%) engaged in SRB, with the rate of suicide attempts (18%) three times greater than the rate of instrumental SRB (5%). Risk factors for SRB were demographic (White ethnicity, female gender), clinical (past SRB, depression, impaired functioning), and contextual (unemployment, large social networks). In contrast with other studies, there was no "peak" in the risk of SRB shortly after hospital discharge. Instead, patients' rate of SRB was relatively constant over the one-year follow-up. Implications for risk assessment and management in acute inpatient settings are discussed.     

Xenophobia, ethnic community, and immigrant youths' friendship network formation

Immigrant youth often rebuild their friendships and other social networks after arriving in a new country. The difficulties involved can threaten their psychosocial development. Formation of social networks needs to be understood within the macro sociocultural context that shapes the experience. Nonetheless, the current literature on social network formation rarely captures that context. Knowledge about immigrant youths' social network, for example, is often embedded in assimilation, ethnic identity, and adaptation literature. This paper examines how the sociocultural context enables immigrant youth to rebuild their friendship networks. A critical ethnography was conducted in the northwest region of the United States. Sixteen Taiwanese immigrant youth and their parents (N = 13) participated in the study. Data collection consisted of semi-structured in-depth interviews, a demographic questionnaire, and participant observations. The findings showed that because of limited English proficiency, the youth kept at a distance from American peers to avoid nervousness and embarassment. Further analysis, derived from xenophobia, found that limited English proficiency increases segregation between American peers ("we") and immigrant youth ("the other"). The English as a Second Language program inadvertently perpetuates the immigrants' sense of "otherness" and increases the odds of their becoming targets of discrimination. A protective factor for these youths is living near an ethnic community because the inclusion of coethnics increases new friendship networks. Knowledge about the teen culture in coethnics' countries of origin (China, Hong Kong, or the United States), also influences their selection of friends.     

Voluntary settlement and the spirit of independence: evidence from Japan's "Northern frontier"

The authors hypothesized that economically motivated voluntary settlement in the frontier fosters independent agency. While illuminating the historical origin of American individualism, this hypothesis can be most powerfully tested in a region that is embedded in a broader culture of interdependence and yet has undergone a recent history of such settlement. The authors therefore examined residents of Japan's northern island (Hokkaido). Hokkaido was extensively settled by ethnic Japanese beginning in the 1870s and for several decades thereafter. Many of the current residents of Hokkaido are the descendents of the original settlers from this period. As predicted, Japanese socialized and/or immersed in Hokkaido were nearly as likely as European Americans in North America to associate happiness with personal achievement (Study 1), to show a personal dissonance effect wherein self-justification is motivated by a threat to personal self-images (Study 2), and to commit a dispositional bias in causal attribution (Study 3). In contrast, these marker effects of independent agency were largely absent for non-Hokkaido residents in Japan. Implications for theories of cultural change and persistence are discussed.     

In a no-win situation: The employment–health dilemma

Work and organizational psychology (WOP) research has to date mostly focused on people privileged to have the choice between several attractive job options and less on people who are restricted in their job choice (e.g., due to their qualification or personal contingencies) and have to choose from fewer and often less-than-optimal jobs. Often, the jobs available to the latter are characterized by precarious employment and hazardous working conditions which can put them in the difficult situation of having to choose between a health-threatening job and possible unemployment. Building on interdisciplinary literature, we propose the employment–health dilemma (E-H dilemma) as a framework for analyzing this intrapersonal conflict of having to choose between employment (incurring health threats) and health (incurring economic threats) and discuss potential antecedents and consequences of the E-H dilemma at the societal, organizational, and individual level. We outline the implications of the E-H dilemma and make a case for examining the full spectrum of job choice situations in WOP research. In doing so, we demonstrate what WOP can gain by embracing a more inclusive and multidisciplinary approach: uncovering processes in their entirety (e.g., job choice decisions of all people) and strengthening the role and legitimacy of WOP in society.     

Resilience and career adaptability: Qualitative studies of adult career counseling

Global economic recession is exerting extreme pressures not only on individuals attempting to move into and through labor markets, but also on those providing support for such transitions. Resilience and career adaptability are increasingly relevant, yet despite being present in the literature for some time, these concepts have been under-represented in the vocational psychology literature. This article represents a contribution to redressing this balance by focusing on their potential to make positive contributions both to clients of career counseling and to practitioners delivering these services. Drawing on data from four qualitative studies conducted in England, Norway and the Republic of Ireland from 2003 to 2012, these concepts are examined, together with their complementarity for career counseling practice. The article also discusses the role, status and conduct of qualitative research as well as the importance of the researcher/participant relationship in qualitative research investigations.     

Multiple imitation mechanisms in children

Four studies using a computerized paradigm investigated whether children's imitation performance is content-specific and to what extent dependent on other cognitive processes such as trial-and-error learning, recall, and observational learning. Experiment 1 showed that 3-year-olds could successfully imitate what we call novel cognitive rules (e.g., first → second → third), which involved responding to 3 different pictures whose spatial configuration varied randomly from trial to trial. However, these same children failed to imitate what we call novel motor-spatial rules (e.g., up → down → right), which involved responding to 3 identical pictures that remained in a fixed spatial configuration from trial to trial. Experiment 2 showed that this dissociation was not due to a general difficulty in encoding motor-spatial content, as children successfully recalled, following a 30-s delay, a new motor-spatial sequence that had been learned by trial and error. Experiment 3 replicated these results and further demonstrated that 3-year-olds can infer a novel motor-spatial sequence following observation of a partially correct and partially incorrect response-a dissociation between imitation and observational learning (or emulation learning). Finally, Experiment 4 presented 3-year-olds with "familiar" motor-spatial sequences that involved making a linear response (e.g., left → middle → right) as well as "novel" motor-spatial sequences (e.g., right → up → down) used in Experiments 1-3 that were nonlinear and always involved a change in direction. Children had no difficulty imitating familiar motor-spatial sequences but again failed to imitate novel motor-spatial sequences. These results suggest that there may be multiple, dissociable imitation learning mechanisms that are content-specific. More importantly, the development of these imitation systems appears to be independent of the operations of other cognitive systems, including trial and error learning, recall, and observational learning.     

Cultural regulatory fit and strategies for coping with unsuccessful outcomes

The present research seeks to explain cross‐cultural differences in two strategies for coping with unsuccessful outcomes (consideration of multiple options and persistence) through regulatory fit, a development of the self‐regulation theory. We propose that, because of regulatory fit, eager consideration of multiple options is more encouraged in promotion‐focused cultures, whereas vigilant persistence is more encouraged in prevention‐focused cultures (a culture‐strategy regulatory fit). In addition, if an incentive is introduced to motivate the use of these strategies, a gain‐framed incentive is more effective in promotion‐focused cultures whereas a loss‐framed incentive is more effective in prevention‐focused cultures (a culture‐incentive regulatory fit). The hypotheses for the culture‐strategy fit (Study 1) and the culture‐incentive fit (Study 2) were both supported, with samples of Israeli Jews, Israeli Arabs (in both studies), and Hong Kong Chinese (in Study 1). Taken together, the findings contribute to the understanding of cross‐cultural differences in coping with unsuccessful outcomes and suggest the existence of cultural regulatory fit. Copyright © 2011 John Wiley & Sons, Ltd.     

See your friends close and your enemies closer: social identity and identity threat shape the representation of physical distance

Three studies demonstrated that collective identity and identity threat shape representations of the physical world. In Study 1, New York Yankees fans estimated Fenway Park, the stadium of a threatening out-group (but not Camden Yards, the stadium of a neutral out-group) to be closer than did non-Yankees fans. In Study 2, the authors manipulated identity threat among people affiliated (or not) with New York University (NYU). When Columbia University was portrayed as threatening to NYU, NYU affiliates estimated Columbia as closer than did non-affiliates, compared with when Columbia was nonthreatening. In Study 3, Americans who perceived more symbolic threats from Mexican immigration estimated Mexico City as closer. Collective identification with the in-group moderated effects of threat on distance estimations. These studies suggest that social categorization, collective identification, and identity threat work in concert to shape the representations of the physical world.     

Evaluation is a Dynamic Process: Moving Beyond Dual System Models

Over the past few decades, dual attitude/process/system models have emerged as the dominant framework for understanding a wide range of psychological phenomena. Most of these models characterize the unconscious and conscious mind as being built from discrete processes or systems: one that is reflexive, automatic, fast, affective, associative, and primitive, and a second that is deliberative, controlled, slow, cognitive, propositional, and more uniquely human. Although these models serve as a useful heuristic for characterizing the human mind, recent developments in social and cognitive neuroscience suggest that the human evaluative system, like most of cognition, is widely distributed and highly dynamic. Integrating these advances with current attitude theories, we review how the recently proposed Iterative Reprocessing Model can account for apparent dual systems as well as discrepancies between traditional dual system models and recent research revealing the dynamic nature of evaluation. Furthermore, we describe important implications this dynamical system approach has for various social psychological domains.