An Integrative Suicide Prevention Program for Visitor Charcoal Burning Suicide and Suicide Pact

An integrative suicide prevention program was implemented to tackle an outbreak of visitor charcoal burning suicides in Cheung Chau, an island in Hong Kong, in 2002. This study evaluated the effectiveness of the program. The numbers of visitor suicides reduced from 37 deaths in the 51 months prior to program implementation to 6 deaths in the 42 months post‐implementation period. The number of visitor suicide pacts decreased from 7 pacts (15 individuals) to 1 pact (2 individuals). No statistically significant differences in the numbers of visitor suicide attempts and resident suicides were observed in the two time periods. No statistically significant changes in visitor suicides during the study period were observed on the comparison islands. The consistency and timing of reduction in visitor suicides correlated with the development and delivery of the integrative program on the intervention island, suggesting a causal association between program delivery and reduction of visitor suicides. The possibility of displacement seems small because there was no increase in visitor suicides on the comparison islands during the study period. This integrative approach in preventing target‐specific suicides may serve as an example for other communities to develop suicide prevention programs that make use of the existing local resources.     

Suicidology: A Look Backward and Ahead

Using the metaphor of “a long run’ to describe our progress in suicidology, the author looks back to discuss important concepts that have become well established, such as clues to suicide, ambivalence, crisis services, suicide consultations, and psychological autopsies. An example is the psychological autopsy of Marilyn Monroe. Follow-up studies of crisis center clients have indicated that chronically suicidal clients are at the greatest risk of suicide. Recommendations for the long-term treatment of such patients are provided. Research on youth suicide is reported. Finally, the author looks ahead toward new developments in training and treatment.     

Case-mixing effects on children's word recognition: Lexical feedback and development

Presenting words in MiXeD cAsE has previously been shown to disrupt naming performance of adult readers. This effect is greater on nonwords than it is on real words. There have been two main accounts of this interaction. First, case mixing may disrupt naming via non-lexical spellingto-sound correspondences to a greater extent than it disrupts lexical naming. Alternatively, stored lexical knowledge of words may feed back to a visual analysis level during processing of a visually presented word, helping known words to overcome the visual disruption caused by case mixing. In the present study, when young children (aged 6 and 8 years) were tested, case mixing did not disrupt nonword naming more than word naming. However, slightly older children (aged 9 years) demonstrated the same pattern of performance as adults. These results support the view that topdown lexical information can aid overcoming visual disruption to words, and that beginning readers have not developed the stored word knowledge necessary to allow this. In addition, a greater case-mixing effect on high-frequency words for the youngest age group (6-year-olds) suggests that their word recognition may be based more on wholistic visual features than is that of older children.     

Single‐Case Experimental Designs for the Evaluation of Treatments for Self‐Injurious and Suicidal Behaviors

Single‐case experimental designs (SCEDs) provide a time‐ and cost‐effective alternative to randomized clinical trials and offer significant advantages in terms of internal and external validity. A brief history and primer on SCEDs is provided, specifically for use in suicide intervention research. Various SCED methodologies, such as AB, ABAB, multiple baseline, and changing criterion designs, are described. Advantages and disadvantages of their use specifically for intervention research for suicidal and self‐injurious behaviors are detailed.     

Age and Gender Differences in the Use of Various Poisoning Methods for Deliberate Parasuicide Cases Admitted to Loghman Hospital in Tehran (2000–2004)

Different methods of poisoning used by individuals with the diagnosis of parasuicide admitted to the Loghman Hospital, Tehran, from 2000 to 2004 were investigated, with particular focus on gender and age differences. Drugs, pesticides, and other agricultural chemicals (women: 12.7%, men: 9%) were the most commonly used methods. In males, the percentage of use of drugs increased with age, but the frequency of pesticides use decreased with age. In females, drugs were most often used in the youngest age group, whereas the use of pesticides was lowest in the youngest age category. Females outnumbered males, especially in the youngest age group of 10 to 19 years olds. Drugs and pesticides were the substances used most often for parasuicide in each age group regardless of gender.