Assessment and Management of Suicide Risk in Children and Adolescents

This article presents a pragmatic approach to assessing and managing suicide risk in children and adolescents. We first present general recommendations for conducting risk assessments with children and adolescents, followed by an algorithm for designating risk. Risk assessment and designation should be based on both distal (i.e., a prior history of self-harm behaviors) and proximal (i.e., suicide ideation, plans, intent, and preparations) predictors of suicide attempt. We then discuss safety planning as an easy-to-implement approach for intervening and managing suicide risk when working with children and adolescents. We end with a case example illustrating the implementation of risk assessment, risk designation, and safety planning with an adolescent client and her mother.     

Neophobia does not account for motoric self-regulation performance as measured during the detour-reaching cylinder task

The ability to restrain a prepotent response in favor of a more adaptive behavior, or to exert inhibitory control, has been used as a measure of a species’ cognitive abilities. Inhibitory control defines a spectrum of behaviors varying in complexity, ranging from self-control to motoric self-regulation. Several factors underlying inhibitory control have been identified, however, the influence of neophobia (i.e., aversion to novelty) on inhibitory control has not received much attention. Neophobia is known to affect complex cognitive abilities, but whether neophobia also influences more basic cognitive abilities, such as motoric self-regulation, has received less attention. Further, it remains unclear whether an individual’s response to novelty is consistent across different paradigms purported to assess neophobia. We tested two North American corvid species, black-billed magpies (Pica hudsonia) and California scrub jays (Aphelocoma californica) using two well-established neophobia paradigms to assess response stability between contexts. We then evaluated neophobia scores against the number of trials needed to learn a motoric self-regulation task, as well as subsequent task performance. Neophobia scores did not correlate across paradigms, nor did the responses during either paradigm account for motoric self-regulation performance.     

The Sexual Identity Timeline: A Reflection Tool for Developing Competence in Counseling

Greater attention to sexual identity development from an inclusive and affirmative perspective must be incorporated into counselor education training. Counselors are well positioned to address issues related to human sexuality; however, without reflection across the spectrum of sexuality-related issues, counselors may rely on personal bias, or they may choose to avoid the topic altogether. In order to adequately train counselors, it is important to identify learning activities that counselor educators can utilize. Given the significance of sexuality across the lifespan, we propose that counselor educators actively guide their students through reflection about their own sexual identity development. This article presents the Sexual Identity Timeline (SIT) as a reflective learning activity to incorporate into the counseling curriculum.     

Public Views About Reintegrating Child Sex Offenders via Circles of Support and Accountability (COSA): A Qualitative Analysis

Circles of Support and Accountability (COSA) have recently become part of the criminal justice landscape. However, little has been documented on public views about COSA. The existing research on this topic is entirely quantitative, providing no insight into the reasons behind public support for COSA. This study addresses this gap by analyzing comments made on four online forums following the announcement of Australia’s first COSA program. Findings suggest that community education should focus on a number of key messages about COSA to harness public support for this program. Recommendations are made about the content and delivery of these messages.     

Stress,coping, executive function,and brain activation in adolescent offspring of depressed and nondepressed mothers

This study examined the associations among chronic stress, activation in the prefrontal cortex (PFC), executive function, and coping with stress in at-risk and a comparison sample of adolescents. Adolescents (N = 16; age 12–15) of mothers with (n = 8) and without (n = 8) a history of depression completed questionnaires, neurocognitive testing, and functional neuroimaging in response to a working memory task (N-back). Children of depressed mothers demonstrated less activation in the anterior PFC (APFC) and both greater and less activation than controls in distinct areas within the dorsal anterior cingulate cortex (dACC) in response to the N-back task. Across both groups, activation of the dorsolateral PFC (DLPFC; Brodmann area [BA9]) and APFC (BA10) was positively correlated with greater exposure to stress and negatively correlated with secondary control coping. Similarly, activation of the dACC (BA32) was negatively correlated with secondary control coping. Regression analyses revealed that DLPFC, dACC, and APFC activation were significant predictors of adolescents’ reports of their use of secondary control coping and accounted for the effects of stress exposure on adolescents’ coping. This study provides evidence that chronic stress may impact coping through its effects on the brain regions responsible for executive functions foundational to adaptive coping skills.     

Cross-cultural validity of integrity assessments for lower-level and higher-level jobs

This research brief examines the cross-cultural validity of two multi-dimensional integrity assessments, one for lower-level jobs and one for higher-level jobs. Job applicants for a global company completed the assessments as a part of the hiring process in three countries: the United States, South Africa, and Mexico. U.S. applicants tended to score higher (i.e., higher integrity) on these assessments and make fewer admissions of counterproductive work behaviors than applicants from South Africa and Mexico. The overall scores for these assessments (and most of the individual scales) were correlated significantly with, for each country separately and globally, three composites of self-reported counterproductive work behavior criterion measures (Theft, Counterproductivity, and Overall Risky Behavior). Construct validity evidence was examined with a measure of Collusion Avoidance (tolerance for colluding with external organized criminals). Overall, the results of this research highlight the importance of including an integrity assessment in the hiring processes for lower-level and higher-level (i.e., professional and managerial) jobs globally. Integrity assessments appear to have practical value in countries with higher prevalence of crime and corruption. The results also bolster previous research indicating that integrity assessments are valid outside of the U.S. context in which they were initially developed over 60 years ago.     

Global gist extraction in children and adults

The DRM paradigm was used to examine the role of global gist extraction in producing false memories in children and adults. First-graders, third-graders, and adults watched a videotape of a woman reading seven DRM lists, and then took a recognition memory test. Blocked (vs random) presentation and instructions to attend to the theme of lists were manipulated to enhance gist processing. In the first experiment, blocked presentation increased false recognition relative to random presentation in adults but not in first-graders or third-graders. In the second experiment, instructions to attend to list themes increased false recognition in third-graders and not in adults or first-graders. The results suggest a developmental pattern in which children become more adept at global gist extraction as they get older. These results are consistent with fuzzy trace theory's prediction of better gist processing as children grow older.