Alcohol Consumption and Nearly Lethal Suicide Attempts

W e conducted a case‐control study of the association between nearly lethal suicide attempts and facets of alcohol consumption; namely, drinking frequency, drinking quantity, binge drinking, alcoholism, drinking within 3 hours of suicide attempt, and age began drinking. Subjects were 13–34 years of age. In bivariable analyses, all measures were associated with nearly lethal suicide attempts. Odds ratios ranged from 2.4 for alcoholism to 7.0 for drinking within 3 hours of attempt. All exposure variables except age began drinking exhibited a J‐shaped relationship between alcohol exposure and nearly lethal suicide attempt. After controlling for potential confounders and other measures of alcohol exposure, drinking within 3 hours of attempt remained most strongly (odds ratios > 6) associated. Alcoholism remained significantly associated in most models, but at lower strength.     

Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence

A growing body of literature sheds light on occupational therapy (OT) interventions and outcomes in adult mental health. Although this research has not developed to the point where a systematic review is warranted, a synthesis of these findings is needed. This article provides an overview of OT interventions in adult mental health and their documented outcomes. Fifty peer-reviewed intervention studies targeting adults with mental illness were reviewed. Seven categories of interventions emerged: employment/education; psychoeducation; creative occupations/activity; time use/occupational balance; skills/habit development; group/family approaches; and animal-assisted therapy. Further research involving rigorous designs is needed to establish a solid evidence base for OT interventions in adult mental health.     

The Religious Ethics of Labor

While unionization rates have steadily declined in the United States, there has been a renewal of grassroots labor organizing—in many cases connected in some way with religious communities. Attending to such organizing efforts holds the potential to deepen religious‐ethical reflection on questions of labor, and these religious‐ethical reflections hold the potential to enrich on‐the‐ground organizing efforts. These opportunities have largely been overlooked. On the one hand, while scholars have recently explored connections between religious ideas and economic ideas, they have often neglected questions of labor. On the other hand, labor studies scholars have often ignored the role of religion, although this is beginning to change. In this introduction we limn the resources available for religious‐ethical reflection on questions of labor and we propose a direction that the field could take, bringing together engagement with religious traditions and attunement to grassroots organizing.     

Stroop effects for masked threat words: Pre‐attentive bias or selective awareness?

The single‐trial emotional Stroop effect for masked threat words, and its association with anxiety, anger, and depression was studied in a group of men (n = 24) and women (n = 24) while controlling for possible differential thresholds for threat words versus neutral words. Stroop interference for masked threat words was found to correlate with trait anxiety, and the effect could not be explained by any differences in thresholds due to valence, neither at a subjective (conscious identification task) nor at an objective (lexical decision task) level of awareness. Jacoby's exclusion task was explored as an alternative measure of conscious awareness, and the results corroborated the conclusion that the Stroop effect for masked threat words was the result of preattentive processes. Unexpectedly, however, the correlation between Stroop interference for masked threat words and trait anxiety was found only among the men.     

Suicide Prevention from a Public Health Perspective

The public health approach to health problems provides a strong framework and rationale for developing and implementing suicide prevention programs. This approach consists of health-event surveillance to describe the problem, epidemiologic analysis to identify risk factors, the design and evaluation of interventions, and the implementation of prevention programs. The application of each of these components to suicide prevention is reviewed. Suggestions for improving surveillance include encouraging the use of appropriate coding, reviewing suicide statistics at the local level, collecting more etiologically useful information, and placing greater emphasis on analysis of morbidity data. For epidemiologic analysis, greater use could be made of observational studies, and uniform definitions and measures should be developed and adopted. Efforts to develop interventions must include evaluating both the process and the outcome. Finally, community suicide prevention programs should include more than one strategy and, where appropriate, should be strongly linked with the community's mental health resources. With adequate planning, coordination, and resources, and the public health approach can help reduce the emotional and economic costs imposed on society by suicide and suicidal behavior.