Assessment of Depression and Suicidal Actions: Agreement between Suicide Attempters and Informant Reports

Knowledgeable informants may be able to provide useful information about depressive symptoms and suicidal actions when a suicidal patient is uncooperative with a clinical interview or not available for a psychiatric evaluation. The present study was designed to examine information gathered from psychiatric inpatients who had attempted suicide as compared to similar information obtained from a close friend or family member. From a larger sample of adult psychiatric inpatients diagnosed with major depression, 25 suicide attempters were assessed and their reports were compared to similar information solicited from a close friend or family member. The assessment focused on depressive symptoms from the SCID and the presence of various suicidal actions. Moderate to high agreement was found on all measures. Psychiatric patients and their informants tended to agree on the presence of depressive symptoms, the presence of recent stressful life events, and specific actions taken during the suicidal crisis, suggesting that informants may be capable of providing useful information about the patient.     

Suicide Ideation and Attempts among Low‐Income African American Adolescents

We examined the impact of risk and protective factors on the odds that African American adolescents seriously think about or attempt suicide. Data from students in grades 5–12 in a mostly urban, southeastern U.S. school district were analyzed. Findings support earlier work documenting differences in gender and grades. Risk factors were uniformly significant in understanding both ideation and attempts. Protective factors were not consistent predictors; the lowering role of religious protective factors was limited, though student's belonging to or their perception of belonging to a spiritual community was a significant factor in lowering the odds of suicide ideation.     

Irrational beliefs and self-esteem: Predictors of depressive symptoms in children?

The role of self-esteem and irrational beliefs in predicting depressive symptoms in 965 children aged 8 to 13 years was investigated using multiple regression analysis. The results provided empirical support for a cognitive basis for depression in a large non-clinical sample. Three irrational beliefs together with self-esteem accounted for 28% of the variation in childhood depressive symptoms. For boys, 24% of variation in depressive symptoms was attributed to two irrational beliefs and self-esteem, whilst for girls 32% of variation was accounted for by three irrational beliefs and self-esteem. Global beliefs about self as a person were found to be predictive of depressive symptoms in conjunction with irrational beliefs. Therapeutic implications are discussed. Currently, Dr. Burnett is Senior Lecturer in Research Methods within the School of Learning and Development at the Queensland University of Technology as well as Director of the Research Concentration in Cognition in Learning and Development.     

Descendants of holocaust victims and perpetrators: Legacies and dialogue

This paper summarizes the themes that often plague the lives of holocaust survivors and which were dealt with in a special roundtable dialogue in Budapest, Hungary, in August 1994. Some history of what happened to survivors after World War II is provided, followed by a summation of a teaching case and the dialogue among invited therapists from Germany, Hungary, and Israel who were either holocaust survivors and/or treating holocaust survivors. The dialogue focused on burdensome and troublesome issues that need to be discussed between and about survivors of both victims and perpetrators in an effort to ultimately enable therapists to treat this population with greater insight, compassion, and efficacy.She was the first president of the International Family Therapy Association, is a past president of the American Psychological Association's Division of Family Psychology, and author of many books and articles on family centered topics. Reprint requests should be sent to Dr. Kaslow     

Implications of Timing of Maternal Depressive Symptoms for Early Cognitive and Language Development

: Statistically, women, particularly pregnant women and new mothers, are at heightened risk for depression. The present review describes the current state of the research linking maternal depressed mood and children's cognitive and language development. Exposure to maternal depressive symptoms, whether during the prenatal period, postpartum period, or chronically, has been found to increase children's risk for later cognitive and language difficulties. The present review considers both the timing of maternal depression and the chronicity of mothers' depression on children's risk for cognitive and language delays. Infancy is frequently identified as a sensitive period in which environmental stimulation has the potential to substantially influence children's cognitive and language development. However, children's exposure to chronic maternal depression seems to be associated with more problematic outcomes for children, perhaps because depression interferes with mothers' ability to respond sensitively and consistently over time. Consistent with this expectation, interventions targeting parenting practices of depressed mothers have been found to increase children's cognitive competence during early childhood. The current review provides a synthesis of the current state of the field regarding the association between maternal depression and children's cognitive and language development during early childhood.     

Grief and Attitudes Toward Suicide in Peers Affected by a Cluster of Suicides as Adolescents

Eighty‐five young adults exposed to a cluster of peer suicides as adolescents completed measures of attitudes toward suicide, grief, and social support. Closeness to the peers lost to suicide was positively correlated with grief and the belief that suicide is not preventable, with grief further elevated in close individuals with high social support from friends. Overall, social support was related to healthy attitudes about suicide including preventability, yet it was also related to some stigmatizing beliefs. Compared with 67 young adults who had not been exposed to a suicide cluster, the exposed sample was more likely to think that suicide is normal but more likely to think of it as incomprehensible.     

The Associations of Race/Ethnicity and Suicidal Ideation among College Students: A Latent Class Analysis Examining Precipitating Events and Disclosure Patterns

The aim of this paper was to examine precipitating events for suicidal ideation and how these experiences relate to disclosure in a diverse sample of college students were examined. Among non‐Hispanic White students, relationship/academic problems were most associated with ideation. A romantic break‐up increased the odds of getting help. Among racial/ethnic minority students, family/academic problems were most associated with ideation and students who reported multiple events were less likely to get help compared with those not reporting events. Future research should examine the reasons for interpersonal conflict among this high‐risk group and their attitudes about help‐seeking, and identify cultural norms associated with disclosure.     

To What Extent Does the Reporting Behavior of the Media Regarding a Celebrity Suicide Influence Subsequent Suicides in South Korea?

This study investigated the nature of media coverage of a national entertainer's suicide and its impact on subsequent suicides. After the celebrity suicide, the number of suicide‐related articles reported surged around 80 times in the week after the suicide compared with the week prior. Many articles (37.1%) violated several critical items on the World Health Organization suicide reporting guidelines, like containing a detailed suicide method. Most gender and age subgroups were at significantly higher risk of suicide during the 4 weeks after the celebrity suicide. Results imply that massive and noncompliant media coverage of a celebrity suicide can cause a large‐scale copycat effect.     

Temperament,Hopelessness, and Attempted Suicide: Direct and Indirect Effects

This study evaluated whether hopelessness mediated the relations between temperament and recent suicide attempter status in a psychiatric sample. Negative temperament and positive temperament (particularly the positive emotionality subscale) uniquely predicted levels of hopelessness. Although these temperament constructs also demonstrated significant indirect effects on recent suicide attempter status, the effects were partially (for the broad temperament scales) or fully (for the positive emotionality subscale) mediated by the levels of hopelessness. These findings indicate that a tendency to experience excessive negative emotions as well as a paucity of positive emotions may lead individuals to experience hopelessness. Although temperament may also indirectly influence suicide attempter status, hopelessness mediates these relations.