How Often Does Deliberate Self‐Harm Occur Relative to Each Suicide? A Study of Variations by Gender and Age

Deliberate self‐harm (DSH; i.e., nonfatal self‐poisoning or self‐injury) occurs much more frequently than suicide, yet there has been little detailed investigation of the comparative rates of DSH and suicide. We conducted a study of how rates of DSH relate to suicide rates across the life cycle by gender and by method of estimation of DSH rates, using 10 years of data from a local system for monitoring DSH presentations to a general hospital and national and local suicide statistics. The rate‐ratio of DSH to suicide was 36 (95% CI 34.9–37.1) based on annual person‐based rates of DSH episodes and was nearly five times higher in females (87.9; 95% CI 84.4–91.6) than in males (18.7; 95% CI 17.9–19.6). The ratio varied markedly across the life cycle, decreasing from more than 200 in teenagers to less than 10 in persons aged 60 years and over. The difference in the ratio between females and males also decreased over the life cycle. There were very similar findings when local suicide rates were used. These patterns were replicated when the data were analyzed, first, on the basis of all episodes of DSH during the study period, but with expectedly larger DSH:suicide ratios (e.g., overall 52.7; 95% CI 51.4–54.1), and second, on the basis of individual persons only engaging in DSH during the study period, but with smaller ratios (e.g., overall 26.2; 95% CI 25.4–27.2). The DSH:suicide rate ratios for those with high and low suicidal intent were similar within age groups except for those aged 60 years and over, in whom there was a greater proportion of high intent acts. These findings illustrate how the nature of self‐harming behavior may vary in intention across the life cycle and between the genders, and provide a basis for further comparative work of this kind.     

On small world statistics

Thesmall-world problem revolves around the tracing of a line of acquaintances linking any two persons chosen at random. This paper discusses the statistical analysis of data arising out of two experimental studies of the small-world problem. The estimation of parameters in two previously proposed models is discussed, and the goodness-of-fit of these models is considered.     

Love and Privacy

How much privacy must be sacrificed by the partners in a romantic relationship? I begin by showing that we are obligated to reveal to our lovers information about ourselves that we believe could possibly cause them to withdraw their affections from us. If we were to conceal this information, then the lover would be mistaken about whom they loved, yet continue to respect obligations towards, and make sacrifices for, us. I conclude, though, by discussing some problems with both the intelligibility of this obligation and our ability to fulfil it. These problems arise from epistemological and metaphysical problems connected with the notion of a self.     

The effect of clause wrap-up on eye movements during reading

The effect of clause wrap-up on eye movements in reading was examined. Readers read passages in which a target category noun referred to either a high typical or a low typical antecedent. In addition, the category noun was either clause final or non-clause final. There were four primary results: (1) Readers looked longer at a category noun when its antecedent was a low typical member of the category than when it was a high typical member; (2)readers looked longer at the category noun and at the post-category region when they were clause final than when they were not clause final; (3) readers regressed from a category noun or post-category region more frequently when it was clause final than when it was not clause final; and (4) readers made longer initial saccades when their eyes left the category noun or post-category region when this word was in clause final position than when it was not clause final. The last result suggests that sometimes higher order processes that are related to making a decision about when to move the eyes impinge on lower level decisions that are typically associated with deciding where to move the eyes.     

Characteristics of Air Force personnel who choose pharmacological aids for smoking cessation following an involuntary tobacco ban and tobacco control program.

OBJECTIVE: The objective of this study was to compare characteristics of smokers who did and did not report use of cessation aids as part of a tobacco control program in a military setting (n = 8994). DESIGN: The study is a longitudinal epidemiological study where the relationship between smoking status at follow-up and use of pharmacologic aids to quit smoking were assessed. MAIN OUTCOME MEASURES: Smoking cessation, post baseline use of cessation aids to quit smoking. RESULTS AND CONCLUSIONS: Individuals remaining abstinent were 70% less likely to have used NRT/pharmacological aids compared to those that relapsed. NRT/pharmacological aid users were more likely to report plans to smoke after military training, to have friends who smoke, and to accept a cigarette from a friend. NRT/pharmacological aid users were more likely to believe that using NRT was safer than smoking and to have engaged in harm reduction strategies. Our findings suggest that selection bias related to such characteristics may explain some of the discrepancies between effect sizes reported in efficacy compared to effectiveness studies of NRT and smoking outcomes currently reported in the literature.     

On‐line ostracism affects children differently from adolescents and adults

This research examines adults', and for the first time, children's and adolescents' reaction to being ostracized and included, using an on‐line game, ‘Cyberball’ with same and opposite sex players. Ostracism strongly threatened four primary needs (esteem, belonging, meaning, and control) and lowered mood among 8‐ to 9‐year‐olds, 13‐ to 14‐year‐olds, and adults. However, it did so in different ways. Ostracism threatened self‐esteem needs more among 8‐ to 9‐year‐olds than older participants. Among 13‐ to 14‐year‐olds, ostracism threatened belonging more than other needs. Belonging was threatened most when ostracism was participants' first experience in the game. Moreover, when participants had been included beforehand, ostracism threatened meaning needs most strongly. Gender of other players had no effect. Practical and developmental implications for social inclusion and on‐line experiences among children and young people are discussed.     

Exploring the within-person coupling of sleep and cognition in older African Americans

This study examined the within-person relationship between sleep and cognitive functioning. Fifty community-dwelling African Americans (age range = 50-80 years) were asked to report their sleep duration and quality the previous evening and to complete cognitive measures over 8 occasions within a 2-3 week period. A within-person daily change in sleep duration was significantly associated with worse global cognitive performance. The greater an individual deviated away from his or her average sleep duration on a particular day, the more likely his or her performance would decline. These results demonstrate that the sleep-cognition relationship can be observed at a within-person level of analysis.