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.     

Manipulating subcategory salience: exploring the link between skin tone and social perception of Blacks

Guided by the model of social category salience proposed by M. Blanz ( 1999 ), the present paper explores factors affecting the salience of skin tone‐based subcategories among Blacks in the United States. Adapting the group discussion paradigm developed by S.E. Taylor and colleagues ( 1978 ), Experiment 1 demonstrated that a manipulation of issue relevance enhanced the category salience of skin tone. Participants made more within‐ than between‐category errors when the topic of conversation was related to perceiver's skin tone‐based beliefs. Experiment 2 demonstrated that the influence of the issue relevance manipulation was independent of the presence of structural and/or normative fit. Merely discussing the topic of race relations was sufficient to increase encoding and use of skin tone. These studies provide evidence linking skin tone and social beliefs in memory. In addition, they demonstrate support for a category‐based perspective in the study of skin tone bias. Additional factors affecting the salience of skin tone are discussed. Copyright © 2004 John Wiley & Sons, Ltd.     

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.