A Standard of Care for the Assessment of Suicide Risk and Associated Treatment: The Florida State University Psychology Clinic as an Example

The Florida State University has established a set of guidelines to be used as a standard of care for suicide. This standard of care guides therapists through a suicide risk assessment that focuses on key variables related to suicidal behavior that are among the best predictors of completed suicide. This standard of care includes necessary components of suicide risk assessment, critical steps to follow to ensure the safety of suicidal patients, treatment recommendations, and guidelines for minimizing the legal risk of the therapist. Though this standard of care was developed in a research and training clinic, these principles may be applied to all clinicians offering psychological services to patients, regardless of the nature of the clinic or setting.     

Economic stress and marital adjustment among couples: analyses at the dyadic level

This survey study of 608 Finnish couples investigated the question of how economic stress is reflected in marital adjustment on the basis of the model presented by Conger and colleagues. We used the couple as a unit of analysis, performing a dyadic‐level analysis within the framework of LISREL models. The model showed that the path by which economic circumstances were linked to marital adjustment was as follows: poor economic circumstances were linked to economic strain, which was related to increased psychological distress, and psychological distress in turn was negatively reflected in marital adjustment. However, psychological distress only partially mediated the link between economic strain and marital adjustment: economic strain was also directly linked to decreased marital adjustment. In addition, there occurred crossover between partners' experiences. First, wives' psychological distress was negatively related to husbands' reports of marital adjustment and vice versa. Second, unemployment among men was directly linked to reports of marital adjustment among women: the longer the man's total spell of unemployment, the poorer the woman's marital adjustment. Copyright © 2004 John Wiley & Sons, Ltd.     

An Examination of Gender Differences in Adolescent Adjustment: The Effect of Competence on Gender Role Differences in Symptoms of Psychopathology

Numerous studies have documented gender differences in psychopathology; girls generally report more internalizing symptoms and boys generally report more externalizing symptoms. These gender differences are partially accounted for by the gender-typed personality characteristics of boys and girls. This study was designed to investigate how gender roles influence symptoms of psychopathology by examining the mediating effects of self- and peer-rated competencies. Using a multiple regression approach to path analysis with a sample of primarily White, middle-class high school students, gender roles significantly predicted symptoms of psychopathology and mediated the gender differences in those symptoms. In addition, the adolescents' self- and peer-rated competence in various domains helped to explain the effect of gender roles on symptoms of psychopathology. Specifically, self-rated social attractiveness and global self-worth fully mediated the relation between instrumentality (i.e., masculinity) and internalizing symptoms. Global self-worth and both self- and peer-rated achievement/conduct partially mediated the relation between expressivity (i.e., femininity) and externalizing symptoms. Practical and theoretical implications are discussed.     

Perceived racism, discrimination, and acculturation in suicidal ideation and suicide attempts among black young adults

During young adulthood the suicide rate among Blacks rises dramatically and approaches that of the U.S. general population, requiring that prevention efforts include a focus on Black young adults. Although most research on suicidality among Blacks has focused on risk factors observed in the dominant culture, in this study the authors examined associations between perceived discrimination, racism, and acculturation with lifetime suicidal ideation (SI) and suicide attempt (SA) among Black young adults. Two hundred fifty Black or African American individuals aged 18-24 residing in a midsize northeastern city were recruited to participate through advertisements. Participants filled out self-report questionnaires. Logistic regressions were used to examine the association of each predictor with SI and SA. Greater perceived acculturation was associated with SI in univariate and multivariate models. There were no other statistically significant results concerning the predictors of interest. The link between perceived acculturation and SI is consistent with limited available data, indicating the need for further study including the potential mechanism(s) for the association. Limitations include the cross-sectional design and reliance on subjective measures.     

A person‐centred approach to investigate the development trajectories of job‐related affective well‐being: A 10‐year follow‐up study

The primary aim of this three‐wave 10‐year follow‐up study was to investigate the intra‐individual change trajectories of job‐related affective well‐being among Finnish managers (n= 402). Job‐related affective well‐being as indicated by anxiety, depression, comfort, and enthusiasm was measured in 1996, 1999, and 2006. The characteristics of the trajectories were sought from experienced career disruptions (i.e., periods of unemployment or lay‐offs) and perceived job insecurity. The growth mixture modelling (GMM) revealed altogether three latent trajectories that differed from each other in their mean levels and regard to changes in job‐related affective well‐being over time: (1) high and improving well‐being (n= 347), (2) decreased well‐being (n= 32), and (3) low and improving well‐being (n= 23). The associations between job‐related affective well‐being trajectories and career disruptions depended upon the timing of the career disruptions. In addition, perceived job insecurity is associated with concurrently decreased occupational well‐being. Overall, the results highlighted both typical and untypical development trajectories of job‐related affective well‐being and related career characteristics.     

Assessing anti-fat bias in preschoolers: a comparison of a computer generated line-drawn figure array and photographic figure array

This study examined differences in preschoolers' ratings of anti-fat bias and identification of current body size depending on the realism of the figure array used: computer generated line-drawn or photographic. Children reported strong anti-fat bias with both arrays. However, less extreme bias was elicited with the photographic figure array. In addition, children were inaccurate reporters of their current body size when both figure arrays were used. However, children were consistent in their selection of figures that were thinner than their actual body size. Children's consistent selection of thinner figures as representative of their current body size may be an additional indicator of anti-fat bias. Overall, these results suggest that some of the anti-fat bias observed in preschoolers is attributable to less realistic figure arrays. Therefore, photographic figure arrays are proposed as a better measurement tool in the assessment of anti-fat bias in preschoolers.     

Career aspirations of youth: Untangling race/ethnicity, SES, and gender

This study examined the influence of gender, socioeconomic status, and race/ethnicity on the career aspirations of over 22,000 8th and 10th grade youth. The top five occupations identified by youth as aspirations included artist, lawyer, musician, FBI agent, and actor/actress. Top occupations were also reported for each gender × socioeconomic status × race/ethnicity group. Aspirations were coded by social prestige level, minimum education requirements, and median salary. Results revealed significant main effects for socioeconomic status and race/ethnicity as well as significant interaction effects. Further, significant gender main effects and a significant gender × ethnicity interaction were found for occupational prestige and educational requirements.     

Elevated social anxiety among early maturing girls

Adolescence is a key period in terms of the development of anxiety psychopathology. An emerging literature suggests that early pubertal maturation is associated with enhanced vulnerability for anxiety symptomatology, although few studies have examined this association with regard to social anxiety. Accordingly, the current study was designed to further elucidate the relation between pubertal timing and social anxiety, with a focus on clarifying the role of gender. Participants were 138 adolescents (ages 12-17 years) recruited from the general community. Level of social anxiety was examined as a function of gender and within-sample pubertal timing. As expected, early maturing girls evidenced significantly higher social anxiety, compared with on-time girls and early maturing boys, and no other differences were found as a function of gender or developmental timing. Findings and future directions are discussed in terms of forwarding developmentally sensitive models of social anxiety etiology and prevention.