The Validity of a Brief Risk Assessment Tool for Predicting Suicidal Behavior in Veterans Utilizing VHA Mental Health Care

Suicide risk among military veterans is an important and ongoing concern. The Veterans Administration (VA) mandates suicide risk screening of all veterans seen for mental health issues, but little is known about the effectiveness of this screening. A retrospective chart review to examine all suicide risk screens at VA San Diego between October and December 2012 (n = 3,365) was conducted to assess whether results were associated with suicidal behavior over the subsequent 12 months. Patients judged to be at increased risk for suicide were 3 to 16 times more likely to attempt suicide and 7 to 25 times more likely to engage in self‐directed violence over the next 12 months compared with others. The screening tool may be a useful addition to clinical practice.     

Interplay of Literacy and Orality in Inaugural Rhetoric

Inaugural addresses require a complex interplay of literacy and orality. They are written to be performed, but oral performance is not explicable in terms of textual analyses alone. Texts of the 55 inaugurals of the 42 U.S. presidents and audio recordings of the 16 dating from F. D. Roosevelt were the corpus for this study. The general hypothesis was that changes in media technology and in Presidential governance have moved both text and performance of inaugurals in the twentieth century in the direction of conversational style. Textual response measures were frequency-of-occurrence ratios of words (per paragraph, sentence, punctuation, and discourse marker), of syllables (per paragraph, sentence, word, punctuation, and discourse marker), and of first-person pronominal forms. Performance response measures were speech and articulation rates, percentage of pause time, pause duration, and phrase length. Use of contractions was also analyzed. Textual analyses showed a shortening of units and a shift from singular to plural first-person pronominal forms in the course of 200 years. Performance of the inaugurals over the past 60 years showed no diachronic changes, but was dramatically slower than that of other speech genres. Use of contractions was limited to three recent inaugurals. Various published texts of Reagan's first inaugural and Bush's and Clinton's inaugurals were compared with one another and with the audio recordings and were found to differ from one another in text, punctuation, and format, and from the audio recordings in text. The notion of conversational style is critically discussed, particularly in terms of the boundaries imposed upon it by the norms of both literacy and orality.     

Gender differences in social support for socially anxious individuals

Given that social anxiety disorder is a common, chronic, debilitating disorder and socially anxious women appear to have different experiences related to social development and social support than men, it is essential that the gender differences in social anxiety and social support be understood. The present study examined perceived social support quantity and satisfaction in 23 women and 28 men seeking treatment for social anxiety disorder. Contrary to expectations, men and women did not differ on measures of social support. However, younger, unmarried women reported having smaller social support networks and less satisfaction with their social support networks than older, married women. Analyses of socially anxious men did not reveal such a pattern. The current study provides preliminary evidence that younger, single women have social support networks that are less satisfying than the social support networks of older, married women. Inclusion of social support modules within a cognitive behavioral treatment approach for social anxiety disorder may be warranted, particularly for young, unmarried women.     

Correctional Services and Prison Chaplaincy in Australia: An Exploratory Study

This paper summarizes an exploratory study undertaken to consider the work of Australian chaplaincy personnel ministering to prisoners within correctional facilities. This qualitative research was not concerned with specific correctional institutions per se, but predominantly about the perspectives of chaplains concerning their professional contribution and issues they experienced while trying to provide pastoral care to prisoners. Data from a single-focus group indicated that prison chaplains were striving to fulfill religious and spiritual duties according to national and international standards for the treatment of prisoners. Given various frustrations identified by participants, that either impeded or thwarted their professional role as chaplains, a number of improvements were subsequently identified in order to develop the efficiency and effectiveness of chaplaincy and thus maximize the benefits of pastoral care to prisoners. Implications of this exploratory study relate not only to prison chaplaincy but also to ecclesiastical organizations, correctional facilities, governments and the need of support for further research to be conducted.     

Christianity,Family, Students,and COVID-19

Journal of Religion and Health - Four substantial topics are explored in this issue of the Journal of Religion and Health, namely: (1) Christianity, (2) family and faith dynamics, (3) the spiritual...     

A Call to Arms: The Centrality of Feminist Consciousness‐Raising Speak‐Outs to the Recovery of Rape Survivors

This article explores the various challenges that survivors of rape and sexual violence face when attempting to construct a narrative of their experience under political and epistemic conditions that are not supportive: including the absence of adequate language with which to understand, articulate, and explain their experiences; narrative disruptions at the personal, interpersonal, and social levels; hermeneutical injustice; and canonical narratives that typically further the harms experienced by survivors. In response, I argue that feminist consciousness‐raising speak‐outs should be revived by contemporary feminists since they are able to do significant work to ameliorate the above‐mentioned challenges and thereby aid in the recovery of rape survivors.     

A Brief Report on the Assessment of Distress Tolerance: Are We Measuring the Same Construct?

Distress tolerance (DT) refers to an individual’s capacity to cope with aversive internal (e.g., physical, cognitive, emotional) states. A growing body of evidence suggests that there is a relationship between DT and the development and maintenance of problematic behavioral patterns. Despite emerging evidence for such associations, a number of issues remain unresolved. The results of recent studies suggest problems with the convergent validity of the primary measures used to assess DT, despite the fact that these measures are used interchangeably in the DT literature. In order to further examine the relationships among DT assessments, we evaluated intercorrelations among various self-report and behavioral measures of DT in an unselected undergraduate sample (n = 83). Results indicate that two self-report measures of DT were highly correlated with one another, but that neither measure was significantly correlated with the behavioral measures. The relationships among the behavioral measures and between self-report and behavioral measures were weak and non-significant. Correlations between self-report measures only were strong. The findings partially replicate prior research indicating weak correlations between certain, commonly used measures of DT, and raise questions about the current conceptualization of the construct.     

Further Defining the Role of the Laboratory Genetic Counselor

Laboratory genetic counseling is becoming increasingly common as a result of increased laboratory services and genetic testing menus, as well as growing job responsibilities. Christian et al. (2012) provided the first quantitative data regarding the roles of the laboratory-based genetic counselor (LBGC) finding that two of the most prevalent roles are as customer liaisons and communicators of test results. The goal of the present study was to further delineate the role of the LBGC by addressing specific tasks that LBGCs are involved with on a day-to-day basis. A survey was designed to expand upon themes identified in the Christian et al. (2012) study by querying specific tasks performed in several categories of potential LBGC job duties. An invitation for LBGCs to participate was distributed via email to the membership of the National Society of Genetic Counselors (NSGC) and the Canadian Association of Genetic Counsellors (CAGC). We identified 121 genetic counselors who primarily work in the laboratory setting or whose job role includes a laboratory component. Almost all respondents performed customer liaison/case coordination (95 %), and interpretation and result reporting (88 %). The most frequently performed tasks within these categories involved addressing questions from clients, making phone calls with genetic testing results, obtaining clinical or family history information for results interpretation, and composing case-specific interpretations for unique results and/or obtaining literature references to support interpretations. The study results also point to trends of expanding roles in sales and marketing, variant interpretation and management responsibilities. Results of this study may be useful to further define the full scope of practice of LBGCs, aid in the development of new LBGC positions and expand current positions to include roles related to test development, research, and student supervision. It may also aid in curriculum updates for training programs to increase exposure to LBGC roles.