11 Suicide in an International Perspective

Epidemiological trends in national suicide rates were identified, including a slowdown in the 1980s in the suicide rates of nations with the highest rates and a rising male suicide rate worldwide. A review of theories of national differences in suicide rates permitted selection of a small set of predictor variables, which were quite successful in predicting the suicide rates of 17 industrialized nations.     

Identification of Nearly Fatal Suicide Attempts: Self-Inflicted Injury Severity Form

The Self-inflicted Injury Severity Form (SIISF) was developed as an epidemiological research tool for identifying individuals in hospital emergency departments who have life-threatening self-inflicted injuries. Data were collected from 715 patients with self-inflicted injuries in two large hospitals. In 295 of these cases, a second set of data was independently collected for assessment of interrater reliability. Validity was assessed by comparing the SIISF results with simultaneously collected Risk—Rescue Ratings. Assessment of interrater reliability found that only 2.4% of physicians disagreed on the suicide method used. The kappa statistic for method used was .94, indicating excellent agreement. The SIISF was found to distinguish between severe and less severe injuries. Thus, it appears to provide a simple method to distinguish patients who have life-threatening self-inflicted injuries.     

Auditory and visual word-stem completion: Separating data-driven and conceptually driven processes

Two experiments investigated the contributions of data-driven and conceptually driven processing on an implicit word-stem completion task. In Experiment 1, individual words were studied either visually or auditorily and were tested using either visual or auditory word-stems. Keeping modality the same from study to test led to more priming than did changing modality, but there was reliable cross-modal priming. In Experiment 2, subjects read sentences like The boat travelled underwater and inferred the subject noun (i.e. “submarine”) or sentences like The submarine travelled underwater and categorized the subject noun (i.e. “boat”). At test, there was reliable priming for both actually read nouns and inferred nouns. In addition, a modality effect was evident for the actually read nouns but not for the inferred nouns. Taken together, these results imply that there is a basic conceptually driven contribution to priming plus an additional contribution of data-driven processing when surface form is the same at study and test.