Psychometric Properties and Clinical Utility of the Scale for Suicide Ideation with Inpatient Children

The purpose of the current study was to examine the psychometric properties and clinical utility of the Scale for Suicide Ideation (SSI) for children. The SSI was administered to 100 children who were hospitalized. Data were not used from 13 subjects due to the presence of a psychotic disorder or IQ less than 70, leaving 87 participants. The SSI was examined regarding its internal consistency, concurrent validity, construct validity, and factor structure when used with children. Based on the findings, the SSI appears to have adequate psychometric properties and can be used by clinicians and researchers examining children in an inpatient setting. Recommendations for clinicians are included to help make the SSI more functional in use for children.     

The Moderating Effects of Children's Fear and Activity Level on Relations Between Parenting Practices and Childhood Symptomatology

Parenting practices have been previously linked to childhood symptomatology. However, little consideration has been given to the potential effect of individual differences within the child on this relation. The current study assessed the moderating effects of children's activity level and fear on relations between parenting practices and childhood aggression and depressive symptoms using a sample of 64 fourth-, and fifth-grade boys. The findings showed that poorly monitored active boys and fearful boys who were exposed to harsh discipline exhibited high levels of aggression. Boys characterized by high fear who were exposed to harsh discipline or whose parents were extremely overinvolved showed elevated levels of depressive symptoms. These findings suggest that integrating children's individual differences with parenting models enhances our understanding of the etiology of childhood symptomatology. The intervention implications of such an integration are discussed.     

The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

Who should manage care? The case for providers

Health care professionals should be the ones to make allocation decisions in the managed care setting because they are in the best position to assess outcomes, cost effectiveness, and quality of care.     

Multiple information sources in interceptive timing

This study was designed to explore the limitations of tau (τ) as an explanatory construct for the timing of interceptive action. This was achieved by examining the effects of environmental structure and binocular vision on the timing of the grasp in a simple one-handed catch. In two experiments, subjects were required to catch luminous balls of different diameters (4, 6, 8 and 10 cm) in a completely darkened room. In the first experiment the influence of the presence vs. absence of an environmental background structure (both under monocular viewing) was tested, and in the second experiment the influence of monocular vs. binocular vision was examined. It was found that irrespective of the presence of environmental structure, an effect of ball size occurred in the monocular viewing conditions. That is, in monocular viewing conditions the grasp was initiated and completed earlier for the larger balls as compared to the smaller ones, while in the binocular viewing condition subjects behaved in accordance with a constant time to contact strategy: no effects of ball size were found. It is concluded that under binocular viewing a binocular information source is used, while in the monocular viewing condition a lower order information source like image size or image velocity is probably involved.     

Assessment of retrieval strategy in incidental, intentional, and inclusion tests with word-fragment cues

The purpose of this study was to assess retrieval strategy in incidental, intentional, and inclusion tests with word-fragment cues following a levels-of-processing manipulation at study. The results of Exp. 1 showed small levels-of-processing effects in incidental tests, and most subjects reported involuntary rather than voluntary retrieval of study-list words. In an intentional test, although levels of processing had a much greater effect, quite a few subjects also reported involuntary rather than voluntary retrieval of study-list words, and these subjects showed a smaller effect of levels of processing than subjects reporting voluntary retrieval. These results suggest that subjects given instructions for both voluntary and involuntary retrieval of study-list words in an inclusion test might not in fact attempt voluntary retrieval at all, but simply adopt an involuntary retrieval strategy. The results of Exp. 2 provided evidence to support this suggestion. The general implication is that where test contamination refers to subjects' failure to use retrieval strategies in accordance with test instructions, inclusion tests can be contaminated, as well as incidental or intentional tests, and that it is always necessary to obtain converging evidence about the actual strategies subjects use.     

Ethnic differences in psychiatric disorders among adolescent substance abusers in treatment

The present study describes the diagnostic profile of over 800 adolescents admitted to residential therapeutic community programs for treatment of drug abuse and related problems. The relationship between race/ethnicity and psychiatric disturbance is examined, and the association among these factors to outcome is investigated. Over 90% of the sample had a DSM-III-R nonsubstance diagnosis. There were significant differences among the race/ethnic groups on attention deficit-hyperactivity and the disruptive behavior and affective disorders. In general, African-American adolescents yielded the lowest rates of disturbance across all categories of disorders. There was no relationship among race/ethnicity, psychiatric disturbance, and 1-year posttreatment outcomes.