Risk for Suicide among Medicaid Beneficiaries

Demographic, diagnostic, and service expenditure characteristics of Florida Medicaid enrollees who died by suicide were investigated. Among persons receiving Medicaid and Supplemental Security Income (SSI), findings indicate the most powerful predictors of suicide were involuntary psychiatric examination, mental health hospitalization, and high mental health service use. Among Medicaid enrollees not receiving SSI, strongest suicide predictors were mental health hospitalization, high expenditures for physical health medications, and involuntary psychiatric examination. Findings suggest reducing involuntary psychiatric examinations and mental health hospitalizations while improving physical health may reduce suicide in the Medicaid population. Comprehensive hospital discharge planning, adherence monitoring with follow‐up care, training mental health providers in assessing suicide lethality, and providing adequate assessment time are all crucial to achieve these objectives.     

Egocentric reciprocity and the role of friendship and anger

In this research, we examine the phenomenon of egocentric reciprocity, where individuals protect self-interest by adopting an eye-for-an-eye strategy in negatively imbalanced exchanges, and by taking advantage of overly generous treatment in positively imbalanced exchanges. We conducted two experiments using a modified ultimatum game examining attitudinal and behavioral responses to imbalanced exchanges. The experiments allowed us to explore the moderating role of relational closeness (i.e., whether the game partner was a friend or a stranger) and the mediating role of anger and indebtedness in these moderated relationships. Our results consistently demonstrate the phenomenon of egocentric reciprocity. Most importantly, this research reveals that friendship places a boundary on this egocentric tendency, and that the effects may partially be explained by anger experienced in response to exchange.     

The influence of external stimulation in missing knowledge retrieval

We investigated the effects of sensory reduction on the retrieval of information during tip-of-the-tongue (TOT) experiences. As conscious access results from severe competition in which external stimuli often have priority, we hypothesised that reducing external stimulation would allow individuals greater access to weakly activated inner knowledge. In Study 1, when participants experienced a TOT while answering a general knowledge question, they were given additional time to find the solution in a restricted (eyes closed?+?silence) or a non-restricted (eyes open?+?ambient noise) external stimulation environment. Results indicated that knowledge was more often retrieved when external stimulation was restricted than when not restricted. This result was replicated in a second study. Using an independent manipulation of the level of auditory and visual stimulation, Study 2 also indicated that the presence of visual stimulation was more disruptive for TOT resolution than the presence of auditory stimulation. Overall, the findings suggest that sensory restriction (especially of visual stimuli) facilitates the retrieval of weakly accessible knowledge through a greater processing of inner stimuli.     

Delaware School Climate Survey-Student: its factor structure, concurrent validity, and reliability

The Delaware School Climate Survey—Student (DSCS—S) was developed to provide schools with a brief and psychometrically sound student survey for assessing school climate, particularly the dimensions of social support and structure. Confirmatory factor analyses, conducted on a sample of 11,780 students in 85 schools, showed that a bifactor model consisting of five specific factors and one general factor (School Climate) best represented the data. Those five factors are represented in five subscales of the DSCS—S: Teacher-Student Relations, Student-Student Relations, Fairness of Rules, Liking of School, and School Safety. The factor structure was shown to be stable across grade levels (i.e., elementary, middle, and high school), racial-ethnic groups (i.e., Caucasian, African American, and Hispanic), and gender. As evidence of the survey's concurrent validity, scores for each of the five subscales and the total scale correlated moderately, across groups and at the school level, with academic achievement and suspensions and expulsions.