Premarital counseling: A needs assessment among engaged individuals

Although engaged individuals are the primary consumers of premarital counseling, no previous research has explored their perceptions regarding marriage preparation. This article reports what engaged individuals believe are the important areas to address when preparing couples for marriage. It also explores other attitudes and preferences that engaged individuals have toward marriage preparation.     

Empowering chronic headache sufferers

Chronic headache pain affects sufferers and their families. Many headache sufferers lack self-discipline in controlling their headache pains. Although preventive medication is a must, medical treatment which excludes psychotherapeutic intervention reduces its effectiveness. Sufferers report increased tensions and stress with members of their families. This article reports on a program which includes headache sufferers' involvement in both family and individual therapy activities in a clinical setting. The role of the family therapist is primarily to encourage and empower sufferers to become involved in activities which can promote and increase communication, trust and self-confidence, leading toward a development of skills which can enable sufferers to utilize positive coping strategies in their effort to control headaches.     

Evolutionary roots of intuitive parenting: Maternal competence in chimpanzees

Intuitive parenting behaviours have been shown to be universal in humans and appear to be based on psychobiological preadaptedness. This study is an exploration of the evolutionary roots of intuitive parenting through naturalistic observation of mother chimpanzees' interaction with their very young infants. Maternal competence is demonstrated initially through the behaviours of carrying the newborn infant and allowing the infant to nurse. Very early mother–infant interactions include play, ‘exercise’, cradling and grooming. Chimpanzee mothers also assess their offspring's behavioural state and muscle tone through visual inspections and movement of legs, arms, fingers and toes. Chimpanzee mothers and infants, as early as 2 weeks of age, spend some time in mutual gaze. Neonatal chimpanzees are capable of sustained face-to-face interactions, as these were observed in nursery-reared chimpanzee interactions with human adults; however, it appears that chimpanzee mothers encourage mutual gaze with their infants for only brief durations. Chimpanzees with good maternal competence exhibit sensitive responsivity to infants' communicatory signals. Thus the results of this study support the claim that there are evolutionary and comparative foundations of intuitive parenting evident in the maternal behaviour and maternal competence of chimpanzees.     

The Role of Sleep Disturbance in Suicidal and Nonsuicidal Self‐Injurious Behavior among Adolescents

The relationship between different sleep disturbances and self‐harm thoughts and behaviors was examined among 223 adolescents presenting to a community clinic for mood disorders and suicidal and nonsuicidal self‐injurious behaviors. Two‐thirds of the adolescents reported nightly, severe sleep complaints. Relative to adolescents without significant sleep complaints, patients with severe sleep complaints at the time of clinic entry endorsed significantly more engagement in nonsuicidal self‐injury. Middle insomnia and circadian reversal were both significant predictors of suicide attempts. Terminal insomnia was significantly associated with suicidal ideation. Results support the importance of assessing sleep difficulties among adolescents at risk for suicide.     

Emergency Department Youth Patients With Suicidal Ideation or Attempts: Predicting Suicide Attempts Through 18 Months of Follow‐Up

This prospective study of suicidal emergency department (ED) patients (ages 10–18) examined the timing, cumulative probability, and predictors of suicide attempts through 18 months of follow‐up. The cumulative probability of attempts was as follows: .15 at 6 months, .22 at 1 year, and .24 by 18 months. One attempt was fatal, yielding a death rate of .006. Significant predictors of suicide attempt risk included a suicide attempt at ED presentation (vs. suicidal ideation only), nonsuicidal self‐injurious behavior, and low levels of delinquent symptoms. Results underscore the importance of both prior suicide attempts and nonsuicidal self‐harm as risk indicators for future and potentially lethal suicide attempts.     

The Association Between Gender,Ethnicity, and Suicidality Among Vocational Students in Israel

Gender and ethnicity are significant factors when evaluating suicidal risk, especially among ethnically diverse populations. In the current study we explored the association between gender, ethnicity, and suicide ideation and attempts among Arab and Jewish vocational education and training high school students in Israel. Students (N = 3,554) completed a self‐report survey evaluating suicide ideation and attempts, depression, anxiety, somatization, and sense of belonging. Hierarchical generalized linear modeling indicated that female Arab adolescents had elevated levels of suicide ideation, higher rates of suicide attempts, and greater psychological distress than Arab males and Jewish students. Furthermore, female Arab adolescents were found to be more susceptible to suicide ideation when depression levels were high. These results are discussed in the context of the double‐jeopardy Arab young women face, as members of a minority ethnic group in Israel and their status as women within the patriarchal Arab culture.     

Mothers’ Perceptions of Young Children,Parenting, and Young Children's Behavior Problems

Historically, research demonstrates that mothers’ attitudes and characteristics of their parenting are intertwined. More recently, mothers’ perceptions of their children are becoming a new focus of interest. To further understand the relationships among mothers’ perceptions of their young children, their parenting behaviors, and their ratings of their young children's behavior problems, this study examines the ratings of a diverse group of mothers who have young children. Correlational results of this study demonstrate that these variables are related in the anticipated directions. Further, results of regression analyses suggest that mothers’ positive and negative perceptions of their young children and their use of limit setting are important in predicting children's behavior problems. These findings suggest that interventions focusing on changing mothers’ perceptions of their young children as well as their parenting behaviors may be related to decreases in young children's behavior problems.     

Identifying Risk for Self‐Harm: Rumination and Negative Affectivity in the Prospective Prediction of Nonsuicidal Self‐Injury

Research suggests nonsuicidal self‐injury (NSSI) may function as a maladaptive strategy to regulate negative emotions, and individuals high in trait negative affectivity (NA) may be particularly at risk. Rumination, a cognitive emotion regulation strategy, may amplify negative affect, increasing the likelihood of NSSI. The current study found that high NA and high rumination interacted to predict both likelihood of engagement in NSSI and frequency of NSSI. This study provides support for the joint contribution of cognitive and temperamental factors impacting the relationship between NA and NSSI and suggests that interventions targeted at maladaptive emotion regulation strategies may help inform individualized treatment.     

Analysis of NTSB Aircraft‐Assisted Pilot Suicides: 1982–2014

On March 24, 2015, a Germanwings aircraft crashed in the Alps. The suicidal copilot killed himself and 150 others. Pilot suicide is rare, but does happen. This research analyzed the National Transportation Safety Board's accident database (eADMS) looking for pilots who died by suicide in flight. Fifty‐one suicides were identified. Gender, age, and other characteristics were examined. Average age of suicidal pilots was 38, significantly different from the average age of 45 for all male pilots involved in aircraft accidents. A discriminant function accurately identified suicidal incidents at 96%. There was a high false‐positive rate limiting the usefulness of the discriminant function.