Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk

The main procedure used by clinicians to determine whether an individual may be at risk of suicidal behaviors is the suicide risk assessment (SRA). The purpose of the SRA is to identify risk and protective factors that then provide the data for the formulation of suicide risk. The suicide risk formulation (SRF) assigns a level of suicide risk that ideally leads to triage and treatment deemed appropriate for that level of risk. Some of the problems with the SRA are explored here, with an emphasis on addressing the over reliance on communicated suicide ideation, and recommendations are made for improvements. Part II of this article (Berman & Silverman, 2013, also appears in this issue of STLB) examines the process of an SRF and, similarly, makes recommendations to improve clinical practice toward the desired end of saving lives.     

HYPERCOMPARATIVES

In natural language we rarely use relation-words with more than three argument places. This paper studies one systematic device, rooted in natural language, by which relations of greater adicity can be expressed. It is based on a higher-order relation between 1-place, 2-place, and 4-place relations (and so on) of which the relation between the positive and comparative degrees of a predicate is a special case. Two formal languages are presented in this connection, one of which represents the language of communication and the other the contextual information against which the first language is interpreted. A semantical theory is described, which treats the two languages in an interdependent way. Logical consequence is non-compact. Connections with issues about vagueness are made.     

Asymmetry of perception in free viewing of chimeric faces

We have devised a new free-vision task to index functional cerebral asymmetry for processing facial characteristics. Confirming its sensitivity to properties of lateralized hemispheric functions, left- and right-handers were clearly differentiated on this task with respect to several aspects of performance that conform with known differences between handedness groups in hemispheric asymmetry. Additionally, there were highly reliable and stable individual differences in perceptual asymmetries within handedness. Analyses of items in the task revealed that most of the differences between items in the asymmetries they elicited were random.     

Information producing responses in normal and retarded children.

Normal and retarded children were given trials on several discriminations which varied in difficulty. On standard discrimination trials the retarded subjects did not differ from the MA control subjects in the number of errors made but both groups made more errors than the CA control group. On other trials if subjects were not sure which stimulus was correct they were allowed to press an information key which made the discrimination easier. The retarded subjects made significantly more informational key responses than either of the control groups. These results confirmed the findings of prior investigations dealing with outerdirectedness in an experimental situation which did not allow distractibility to be a significant factor.     

The unimportance of explicit spatial information in serial recall of visually presented lists

The superiority of auditory over visual presentation in short-term serial recall may be due to the fact that typically only temporal cues to order have been provided in the two modalities. Auditory information is usually ordered along a temporal continuum, whereas visual information is ordered spatially, as well. It is therefore possible that recall following visual presentation may benefit from spatial cues to order. Subjects were tested for serial recall of letter-sequences presented visually either with or without explicit spatial cues to order. No effect of any kind was found, a result which suggests (a) that spatial information is not utilized when it is redundant with temporal information and (b) that the auditory-visual difference would not be modified by the presence of explicit spatial cues to order.     

Anger control in response to verbal provocation: Effects of stimulant medication for boys with ADHD

Although stimulant medication reduces hyperactive children's aggression in naturalistic settings, stimulant effects on anger control have not been demonstrated. We therefore assessed the role of methylphenidate in enhancing response to verbal provocation from familiar peers and from role-playing adults. Twenty-four boys with attention deficithyperactivity disorder (ADHD), aged 6–12, received small-group cognitivebehavioral intervention in anger management skills. During posttraining assessments, the children were randomly assigned to placebo versus. 6 mg/kg of methylphenidate. In the peer provocations, methylphenidate enhanced self-control, decreased physical retaliation, and marginally increased the display of coping strategies. Medication and prompting were minimally beneficial in the delayed, adult-administered generalization assessments. Among the issues discussed are (a) differences between peer and adult provocation and (b) the roles of medication dosage and multimodality intervention for promoting socially competent behavior in children with ADHD.We gratefully acknowledge the Fernald Child Study Center of the University of California, Los Angeles, which provided major support for this research. In addition, we acknowledge the dedication of the small-group trainers, too numerous to mention individually, who led the intervention procedures for the children, and the experimenters who performed the individual provocation assessments. The careful behavior observations of Linda Douglas, Rebecca Eiser, Deborah Gibson, Mike Glenn, Melissa Michaelson, Jon Rafuse, Fauzia Simjee, Leslie Sherman, and Madelin Tundidor were central to the study. Finally, our colleagues Barbara Henker and Carol K. Whalen were instrumental in facilitating all aspects of this investigation.