Suicide and Suicidal Attempts in the United States: Costs and Policy Implications

The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under‐reporting increased the total cost to $93.5 billion or $298 per capita, 2.1–2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit–cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients.     

The Unique Influences of Parental Divorce and Parental Conflict on Emerging Adults in Romantic Relationships

Parental divorce and parental conflict influence children across multiple domains, including risk of divorce in their own marriages. However, parental conflict and divorce, both separately and the interaction between the two, have not often been studied in premarital relationships, especially when considering possible mechanisms mediating these effects. In a large sample of emerging adults (N = 353), we show that when the most plausible mediating mechanisms are simultaneously considered, only relational commitment mediates the influence of parental conflict on outcomes. Parental conflict in the absence of divorce was associated with less commitment and, in turn, less relationship satisfaction and stability in emerging adult children’s romantic relationships, whereas parental conflict was unrelated to outcomes for children whose parents divorced. Implications for theory and preventive interventions are discussed.     

Prevalence of pathological Internet use among university students and correlations with self-esteem, the General Health Questionnaire (GHQ), and disinhibition.

Over the last few years, there has been increased interest in the addictive potential of the Internet. The current study was an attempt to replicate common findings in the literature and provide more evidence for the existence of Internet addiction among students--a population considered to be especially vulnerable. A total of 371 British students responded to the questionnaire, which included the Pathological Internet Use (PIU) scale, the General Health Questionnaire (GHQ-12), a self-esteem scale, and two measures of disinhibition. Results showed that 18.3% of the sample were considered to be pathological Internet users, whose excessive use of the Internet was causing academic, social, and interpersonal problems. Other results showed that pathological Internet users had lower self-esteem and were more socially disinhibited. However, there was no significant difference in GHQ scores. These results are discussed in relation to the methodological shortcomings of research in the area as a whole.     

Justice Beyond Borders

Liberal theories of social justicefocus predominantly on the national, ratherthan international, level, and where they doaddress international concerns they insist thatprinciples of justice at the national levelhave priority over principles at theinternational level. We question the coherenceof this arrangement, given liberal theory'scommitment to moral equality of persons as suchrather than to that of particular sets of persons. What isat issue is whether liberal theory can providea coherent basis for international justice atall. If it is to do so, we suggest that it mustbe prepared to theorise beyond the nationstate, and to take a historical perspectivewhich takes into account the ways in whichcolonial power and exploitation have given riseto the problems of international justice weface today. This revised version was published online in July 2006 with corrections to the Cover Date.     

Using the Performance Diagnostic Checklist–Human Services to identify an indicated intervention to decrease employee tardiness

We assessed and reduced the tardiness of 4 direct‐care staff employed at a school that provides educational services to children with autism. The Performance Diagnostic Checklist – Human Services was administered to participants and their supervisors to identify one or more indicated interventions. Relative to baseline, tardiness was lower during intervention. The most effective intervention included task clarification, a problem‐solving discussion, tokens exchangeable for back‐up reinforcers, and weekly graphic feedback. Moreover, participants reported that the intervention components, particularly praise and a token, had high acceptability.     

Previous mindfulness experience interacts with brief mindfulness induction when reducing stimulus overselectivity

The current study examined the effects of a brief mindfulness induction on overselectivity. Participants were randomly assigned to a mindfulness, unfocused attention (relaxation), or no‐intervention group. Participants experienced their designated intervention for 10 min, and they underwent simultaneous discrimination training (AB+ CD?) followed by an extinction test (AvC, AvD, BvC, and BvD). Levels of mindfulness were measured by the Toronto Mindfulness Scale, and participants were asked about their previous experience with mediation and mindfulness practice. Mindfulness reduced overselectivity, and previous levels of mindfulness experience identified by a single question moderated this effect, with mindful‐experienced participants showing less overselectivity. Both findings have some practical utility in the ongoing investigation of the possible use of mindfulness in medical settings.     

Emerging Christianity and Religious Identity

The issue of religious identity is important for understanding the Emerging Church movement (ECM), which is in our view a religious orientation adopted by individuals and groups with a variety of religious identities. ECM participants are often resistant to religious identity labels, even to the point of being reluctant to identify as part of the ECM itself. Coupling this resistance with the growing millennial embrace of the category “religious none,” we use identity theory to argue that the kind of religious change we see with millennials and the Emerging Church is the product of identity change. Using the results of focus groups with millennials in the southern United States, we argue that the potential for religious change around Emerging Church identities lies in a process of shifting. We also identify the potential for religious change among different Emerging Christian identities, taking Peter Rollins as an example of someone who proposes a concept of Christian identity more radical than those espoused by other Emerging Church figures.     

The Child Thought Long Dead Sings through Dylan Thomas in “Poem in October”

Was Dylan Thomas's reunion with the child he had been—the child he had thought long dead who sings through him in “Poem in October”—the catalyst of a former student's recovery from depression? Inspiring this question is this student who had suffered recurring autumnal depression, who shared with Thomas a birthday in October, and who claimed sustained recovery in late November after having studied this poem with his peers in October—a claim supported by his remarkably animated glow, without regressions in subsequent years. In other words, had the student identified with the poem's epiphany—the poet's mysterious reunion with the child he had been and the amazing rebirth of the child's voice from whispering to singing through him—what Jung called the “gift of love”? In response, this study examines the poem's epiphany and its effects upon Thomas's creative vision relative to what Stephen Rojcewicz finds so vital to self-transformation: the created metaphor, translation, transport, and transference that not only evoke the presence of divinity in nature, but also, according to C. G. Jung, participate in a divine creative process. The study concludes with a tentative “yes” to the question, a “yes” resonant with the student's claim in early December, “I have never felt so creative!”     

Dating and Sexual Violence Research in the Schools: Balancing Protection of Confidentiality with Supporting the Welfare of Survivors

Rigorous research and program evaluation are needed to understand the experience of dating and sexual violence among youth and the impact of prevention and intervention efforts. Our dilemma in doing this work occurred when youth disclosed dating and sexual violence on a research survey. What responsibility do researchers have to protect survivors’ confidentiality as a research participant versus taking steps to ensure the student has the opportunity to access help? In our evaluation of a pilot dating violence prevention program, our protocols employed widely used procedures for providing resources to participants upon their completion of the survey and de‐identifying survey data. Upon reviewing preliminary survey results, we became concerned that these established procedures were not sufficient to support research participants who were adolescent survivors of dating and sexual violence. We followed a structured ethical decision‐making process to examine legal and ethical considerations, consult with colleagues, consider impacts and alternative solutions, and ultimately find a solution. Through this process, we developed procedures that balance participant confidentiality and the desire to support the welfare of survivors, which other researchers may want to employ when conducting youth sexual and dating violence research in school and community settings.