Medical Conditions and Nearly Lethal Suicide Attempts

P hysical illness has been studied as a risk factor for suicidal behavior, but little is known about this relationship among younger persons. We conducted a population‐based, case‐control study in Houston, Texas, from November 1992 through September 1995. The final sample consisted of 153 case‐ and 513 control‐subjects aged 13 to 34 years. Case patients were identified at hospital emergency departments and met criteria for a nearly lethal suicide attempt. Control subjects were recruited via a random‐digit‐dial telephone survey. Case patients were more likely than controls to report having any serious medical conditions (crude OR = 3.23; 95% CI = 2.12–4.91). After controlling for age, race/ethnicity, alcoholism, depression, and hopelessness, the adjusted odds ratio for men was 4.76 (95% CI = 1.87–12.17), whereas the adjusted odds ratio for women was 1.60 (95% CI‐0.62–4.17), suggesting that young men with medical conditions are at increased risk for nearly lethal suicide attempts. Increased efforts to identify and appropriately refer these patients are needed.     

Put yourself in my wheelchair: Perspective-taking can reduce prejudice toward people with disabilities and other stigmatized groups

This study aimed to compare perspective-taking with a hypothetical target and perspective-taking occurring during a real interaction with an outgroup member in reducing prejudice toward people with disabilities and other groups (e.g., immigrants, homosexual people), via increased empathy. We adopted an experimental design with two treatment groups (Hypothetical target vs. Real target) and one control group (no intervention), one pretest and two posttest measures. Participants, who were 437 students aged 11–17 years (M = 14.28; SD = 1.17), were randomly assigned to the various conditions on a classroom basis. Perspective-taking was facilitated asking participants to travel in a wheelchair on a path that simulated a real pavement in the presence (or not) of an individual with a motor disability. Findings showed that perspective-taking in the presence of a real target was more effective in reducing prejudice toward people with disabilities than perspective-taking task without encountering an outgroup member. Perspective-taking with a hypothetical target was not sufficient to increase participants' empathy toward people with disabilities, which instead was enhanced when the task was performed at the presence of a real member of that group. Positive effects produced by perspective-taking (with both a hypothetical and a real target) were transferred to immigrants and homosexuals. These findings suggest that, when possible, perspective-taking in the presence of the target, which can improve empathy by favoring a two-way exchange process, is highly recommended to improve attitudes toward different stigmatized groups, not necessarily targeted by the intervention.     

Network Connectivity Dynamics,Cognitive Biases,and the Evolution of Cultural Diversity in Round-Robin Interactive Micro-Societies

The distribution of cultural variants in a population is shaped by both neutral evolutionary dynamics and by selection pressures. The temporal dynamics of social network connectivity, that is, the order in which individuals in a population interact with each other, has been largely unexplored. In this paper, we investigate how, in a fully connected social network, connectivity dynamics, alone and in interaction with different cognitive biases, affect the evolution of cultural variants. Using agent-based computer simulations, we manipulate population connectivity dynamics (early, mid, and late full-population connectivity); content bias, or a preference for high-quality variants; coordination bias, or whether agents tend to use self-produced variants (egocentric bias), or to switch to variants observed in others (allocentric bias); and memory size, or the number of items that agents can store in their memory. We show that connectivity dynamics affect the time-course of variant spread, with lower connectivity slowing down convergence of the population onto a single cultural variant. We also show that, compared to a neutral evolutionary model, content bias accelerates convergence and amplifies the effects of connectivity dynamics, while larger memory size and coordination bias, especially egocentric bias, slow down convergence. Furthermore, connectivity dynamics affect the frequency of high-quality variants (adaptiveness), with late connectivity populations showing bursts of rapid change in adaptiveness followed by periods of relatively slower change, and early connectivity populations following a single-peak evolutionary dynamic. We evaluate our simulations against existing data collected from previous experiments and show how our model reproduces the empirical patterns of convergence.     

Investigating socio-emotional cognition in late preterm children: A case-control study

ABSTRACT

This study aimed to investigate socio-emotional cognitive competence in late preterm and term born children. Late preterm children (n = 53; 5–10 years) and full-term control children (n = 53; 5–10 years) were evaluated on the four socio-emotional cognitive tests of the Intelligence and Development Scales (IDS): emotion recognition, emotion regulation, social understanding, and social behavioural competence. Compared to full-term children, late preterm children (LPT) performed significantly worse on the emotion recognition and social behavioural competence tasks, but otherwise, no significant differences were found in emotion regulation and social understanding tasks. These findings support the conclusion that late-preterm birth may be associated with negative, but selective, socio-emotional cognitive difficulties. Targeted interventions aimed to limit the incidence of these dysfunctions during childhood could be quite important for LPT children.     

Metacognition in nurse practitioner students: How nurse educators can best serve their students

The dynamic and changing healthcare environment requires educators to prepare nurse practitioner students with more than knowledge and skills. Healthcare providers need to be prepared with enhanced skills related to critical thinking and decision making. Metacognition training has been used by many disciplines within and outside of healthcare to prepare individuals to work in an environment that has volatility, uncertainty, complexity, ambiguity, and delayed feedback (VUCAD). This retrospective exploratory study uses computerized strategic management simulation (SMS) data to address the question: What parameters of metacognition do master's level nurse practitioner (NP) students excel versus underperform? Elements of Presentation: Presentation will include SMS parameters linked with the National Organization of Nurse Practitioner Faculties (NONPF) Core Competencies. In doing this, faculty can better assess students' individualized learning needs and tailor their academic education to address specific needs. Fifty-nine master's level students completed SMS, measuring five unique parameters of metacognition (Crisis, Task, Strategy, People & Information Management). Students' mean and median scores were observed to be high range for crisis management; and moderate range for task management, strategy management, and people management. Conversely, mean and median scores were in the low range for information management. Knowledge gained from this study can be used for curriculum development and planning to ensure that the parameters of metacognition are demonstrated throughout the curriculum's content delivery, training exercises, and evaluation methods. Knowledge related to areas in which NP students score in the low range can be added to courses to assist students better.     

Creating space for interdisciplinary and interagency learning: the Newham ‘responsiveness’ days

Family therapists in Newham's specialist child and adolescent mental health services describe an interdisciplinary and interagency training day for Newham's children's workforce; the workshop aims to develop co‐learning about communication and collaboration in the context of a rapidly changing service environment, driven by current national and local policy initiatives. The training team attempts to generate a rich learning context using three themes: networking, responsiveness and complexity. The workshop demonstrates that it is perhaps possible to embed complex communication discourses in brief, pragmatic training, enhancing collaboration between professionals in local networks.     

The Psychosomatic Relationship As A Symbolic Circular Communication: Subjective And Transgenerational Dreams

The human being can be divided into body and mind, two inextricably linked aspects influencing each other. From birth, the body is the site of emotional experiences thanks to cellular memory. The transgenerational and the oneiric imaginary are two themes closely related to the body. Many families express their emotional experiences through bodily symptoms and, in dreams, body icons are used to “talk” about the subject’s identity. The body expresses itself and “speaks” through dreams, which can even become predictors of diseases.