The Suicidal Narrative and Its Relationship to the Suicide Crisis Syndrome and Recent Suicidal Behavior

In this study, we introduce the construct of the suicidal narrative, a hypothetical personal narrative linked to imminent suicide, and explore its relationship to near‐term suicidal risk and the suicide crisis syndrome (SCS). Psychiatric outpatients (N = 289) were administered the Columbia Suicide‐Severity Rating Scale (C‐SSRS), Suicide Crisis Inventory (SCI), and Suicide Narrative Inventory (SNI), a novel instrument combining the documented risk factors of Thwarted Belongingness, Perceived Burdensomeness, Humiliation, Social Defeat, Goal Disengagement, and Goal Reengagement. Dimensional measures of past month, lifetime, and past suicidal phenomena, incorporating ideation and behavior, were calculated from the C‐SSRS. Structural equation modeling was used to explore the interaction among variables. Factor analysis of the SNI yielded two orthogonal factors, termed Interpersonal and Goal Orientation. The former factor was comprised of Perceived Burdensomeness, Social Defeat, Humiliation, and Thwarted Belongingness, the latter of Goal Disengagement and Goal Reengagement. The Interpersonal factor correlated with both SCS severity and suicidal phenomena in each time frame and the Goal Orientation factor with no other variable. As hypothesized, the proposed model was significant for the past month only. Our findings support the construct of the suicidal narrative and its function as a near‐term suicidal risk factor.     

曹丕的宗教意识与文学观念

曹丕的文学思想是敏感精致的文人情怀的体现,这是与其冷峻强悍的现实政治人格迥异的深层心理,主旋律是黄老道家道教的贵人重生渴望成仙."文气说"将文学与自然感性的生命相联系,是道教贵生的生命观的体现,"文章不朽论"则是对生命短促现实苦痛的诗意超越,希望以艺术的形式实现生命的永恒.     

全身体格检查标准化培训方法及评价体系在临床实习中的探讨

实习医生临床工作能力的培养是整体高等医学教育的重要目的之一,全身体格检查是最基本的内容及操作,是临床基础和技能结合的重要环节,通过体格检查规范的标准化培训及经过评价,使我们的实习医生牢固掌握体格检查的基础知识,减少因体格检查导致的临床漏诊、误诊的发生率.     

A Typology of Burnout in Professional Counselors

The authors used a cluster analysis procedure and the Counselor Burnout Inventory (S. M. Lee et al., 2007) to identify professional counselors' burnout types. Three clusters were identified: well‐adjusted, persevering, and disconnected counselors. The results also indicated that counselors' job satisfaction and self‐esteem were good discriminators between the 3 clusters. Implications for counselors are discussed.