Stress,social support,and problem-solving appraisal/skills: Prediction of suicide severity within a college sample

This study assessed whether stress, social support, and interpersonal problem-solving appraisal/skills were predictive of level of suicidality within a chronic suicidal college sample. Stepwise regression analyses were used to assess whether stress, social support, and problem-solving were independently predictive of severity of suicide ideation. In addition, hierarchical regression analyses were used to test the mediational nature of social support and problem-solving in the stress-suicidality relationship. Problem-solving confidence was found to be a significant predictor of severity of suicide ideation. In addition, both perceived problem-solving skills and social support mediated the relationship between stress and level of suicide ideation. However, only one of the two perceived problem-solving skills interactions was in the expected direction. This study provided support for the importance of problem-solving confidence and the interaction of stress and social support in the prediction of suicide severity. Unlike previous studies, this study did not find problem-solving skills/deficits to mediate the stress-suicidality relationship.This research was supported by NIMH Grant 1-18MH48133.     

Book reviews

Private Practice Youngstown, Ohio 44512     

The last invasion of human privacy and its psychological consequences on survivors: A critique of the practice of embalming

In spite of the fact that it is required only occasionally for sanitary reasons and not legally mandatory, the practice of embalming is widespread in contemporary American society. This study explores the historical, cultural and psychological factors which gave rise to the practice of embalming and why the practice continues. Two case studies are presented in which delayed grief reactions were present; linkages with embalming are described. It is suggested that the frightening finitude of the self and a fear of death in modern society have led to practices in which the corpse is viewed as looking “natural,” thus denying the reality of death. Embalming is seen as the final assault on the self, which can also carry with it problematic psychological consequences for the survivors.     

Attention to adjacent and separate positions in space: An electrophysiological analysis

Some theories of visuospatial attention propose that attention can be divided between separated zones of space that exclude the intervening region, whereas other theories state that the focus of attention must encompass aunitary, continuous zone. These contrasting viewswere evaluated in an experiment 9n which subjects were required to monitor two of four stimulus locations for targets; the two relevant locations were adjacent in one condition and were separated by an intervening irrelevant location in a second condition . To assess the distribution of attention across the relevant and irrelevant locations, event-related brain potentials(ERPa)were recorded to taskirrelevant “probe” stimuli that were occasionally presented at the individual stimulus locations. When the relevant locations were adjacent, probes presented at irrelevant locations elicited smaller sensory-evoked electrophysiological responses than probes presented at relevant locations, consistent with an attentional suppression of inputs from the unattended locations. When the relevant locations were separated by an irrelevant location, however, the sensory responses evoked by probes presented at this intervening irrelevant location were not suppressed, and target detection performance became slower and less accurate. These results suggest that attentionforms a unitary zone that may expand to encompass multiple relevant locations but must also include the area between them; as a result, irrelevant information arising from intervening locations is not suppressed and perceptual processing is compromised.     

School-Wide Behavioral Support: Starting the Year Off Right

Two years of office referral data are presented in evaluation of a school-wide behavioral support program designed to define, teach, and reward appropriate student behavior in a rural middle school (grades 6, 7, and 8). During 1994-95, the school had 530 students and recorded 2,628 office referrals. The 1995-96 school year began with a full day in which students were taught five school expectations. Throughout the year, students also received rewards for appropriate behavior and office referrals for infractions. Results during 1995-96 document a 42% reduction in office referrals from the previous year. While the evaluation results do not document functional relationship, they suggest an efficient process for evaluating school-wide behavioral support, teaching appropriate behaviors, and changing the overall climate of the school. Implications for future research, and the use of schools as a unit of analysis, are discussed.     

Constructing Cantorian counterexamples

Cantors diagonal argument provides an indirect proof that there is no one-one function from the power set of a set A into A. This paper provides a somewhat more constructive proof of Cantors theorem, showing how, given a function f from the power set of A into A, one can explicitly define a counterexample to the thesis that f is one-one.     

An expanded etiological model for suicide behavior in adolescents: Evidence for its specificity relative to depression

This study tests both the stress/social support and the stress/problem-solving etiological models for suicidality while controlling for depression. To this end, a depressed, high-suicide-ideating sample (N=68) was compared to a depressed, low-suicide-ideating sample (N=64). Hierarchical multiple regression analyses were used to test the unique contributions of stress, problem-solving orientation, problem-solving skills, and perceived level of social support in predicting level of suicidality. Hierarchical regression analyses were also used to test the interactive contributions of problem-solving × stress and social support × stress in predicting level of suicidality. Regression models were generated separately for men, women, and the entire sample using all factors. The results clearly support the importance of social support as an independent predictor of suicidality for men, women, and the entire sample. Ability to generate alternatives to identified problems predicted suicidality, but only for women and the entire sample. Problem-solving orientation was not uniquely predictive of suicidality and may affect suicidal behavior via its relationship to depression.