A Two-Year Follow-up of Suicide Prevention Center Patients*

ABSTRACT: A random sample of Los Angeles Suicide Prevention Center patients was selected for follow-up about two years after their prior contact with the Center. Of 417 patients sought, 184 were located and interviewed at follow-up. Sixteen had died and nine had committed suicide. The deaths were studied in depth by interviewing survivors (by means of a psychological autopsy). Results of the psychological autopsies uncovered two apparent suicides who had been certified as natural deaths (included in the total of nine). Interviews with the 184 follow-ups yielded longitudinal information about the onset, duration, and recurrence of suicidal states.     

Teachability of Reflective Processes in Written Composition

Reflective thought, as sustained in writing, is attributed to two-way communication between a content problem space and a rhetorical problem space. An instructional experiment involving sixth-graders aimed at helping them sustain such a two-way process independently, in place of the more typical one-way process of generating content and writing it out. Instruction included modeling of thinking aloud, both by instructors and students, use of cues to stimulate self-questioning during planning monologues, and direct strategy instruction emphasizing dialectical synthesis of conflicting ideas. Increased numbers of reflective statements in thinking-aloud protocols and rated reflectiveness of compositions indicate gains were made at the level of reflection on individual ideas.     

HIV prevention among drug users: outcome of a network-oriented peer outreach intervention.

A network-oriented HIV prevention intervention based on social identity theory and peer outreach was implemented for HIV positive and negative drug users. A community sample of 250 were randomly assigned to an equal-attention control condition or a multisession, small-group experimental condition, which encouraged peer outreach; 94% of participants were African American, and 66% used cocaine or opiates. At follow-up, 92% of participants returned, and experimental compared with control group participants were 3 times more likely to report reduction of injection risk behaviors and 4 times more likely to report increased condom use with casual sex partners. Results suggest that psychosocial intervention emphasizing prosocial roles and social identity, and incorporating peer outreach strategies, can reduce HIV risk in low-income, drug-using communities.