San Diego Suicide Study: the adolescents

The San Diego Suicide Study involved psychological autopsy and toxicological examination of 283 suicides. Of the 133 consecutive cases under age 30, 14 were under age 20. In this paper, detailed data on the 14 adolescent cases are presented and the findings compared to other studies.     

Endocrinology and suicide

The data accumulated so far suggest several tentative conclusions. First, thyroid and adrenal gland disease unquestionably can produce severe mental disturbances. Most of these are "organic" in nature, but depressive symptoms are common as well. A connection between these diseases and suicide has not been established, however. Research cannot really address this possibility adequately, since these studies are difficult, if not impossible, to do in the postmortem state at this time. Ways should continue to be sought to overcome this problem. Clinically, it seems advisable to treat all depressed, suicidal persons with the same caution, whether they have diseases of these endocrine systems or not. The differences in responsiveness of the thyroid and adrenocortical systems among depressed and perhaps truly suicidal persons are of greater theoretical as well as practical clinical interest. The TRH-TSH test and the DST may not be as specific as once thought. Nonetheless, the abnormalities do occur with regularity in specific subgroups of depressed patients. It is far too early to stop research on the DST or the TRH-TSH test. Clinically, however, it is premature to make important management decisions about suicidal patients based on these test results. At this time, we really have no means of pinpointing the persons who will eventually suicide. The hope that they may someday provide valid data for assessing real suicide potential is there, and clinicians should stay informed in this arena. Until that day comes, though, we must continue to exercise caution regarding our clinical judgments and to live with their uncertainties.     

Academic Guidance in Medical Student Research: How Well Do Supervisors and Students Understand the Ethics of Human Research?

Research is increasingly recognised as a key component of medical curricula, offering a range of benefits including development of skills in evidence-based medicine. The literature indicates that experienced academic supervision or mentoring is important in any research activity and positively influences research output. The aim of this project was to investigate the human research ethics experiences and knowledge of three groups: medical students, and university academic staff and clinicians eligible to supervise medical student research projects; at two Australian universities. Training in research ethics was low amongst academic staff and clinicians eligible to supervise medical student research. Only two-thirds of academic staff (67.9 %) and students (65.7 %) and less than half of clinicians surveyed (47.1 %; p?=?0.014) indicated that specific patient consent was required for a doctor to include patient medical records within a research publication. There was limited awareness of requirements for participant information and consent forms amongst all groups. In the case of clinical trials, fewer clinicians (88.4 %) and students (83.3 %) than academics (100 %) indicated there was a requirement to obtain consent (p?=?0.009). Awareness of the ethics committee focus on respect was low across all groups. This project has identified significant gaps in human research ethics understanding among medical students, and university academic staff and clinicians. The incorporation of research within medical curricula provides the impetus for medical schools and their institutions to ensure that academic staff and clinicians who are eligible and qualified to supervise students’ research projects are appropriately trained in human research ethics.     

Christian Churches and Immigrant Support in Canada: An Organizational Ecology Perspective

Canada receives roughly 250,000 immigrants each year, and the government spends considerable resources on assisting them to settle and integrate into Canadian society through the agencies they support. Most of these new immigrants settle in Canada’s largest cities, where churches meet specific needs that extend beyond the capacities of government agencies. In smaller centers, churches cover a wide range of services because few government supports are available. Little is known about the work of churches in Canada in spite of their importance to immigrant settlement and integration. In this study, we examine the services offered to immigrants by Canadian Christian churches. We show how the service provision of Christian churches is constrained by other organizations and groups in their environment, in ways consonant with the organizational ecology framework. Specifically, churches service the needs of immigrants by adapting to specific niche needs and by filling in gaps left by other service providers.     

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.     

A modest/immodest proposal: Reciprocal foster families

In this article we describe the concept of reciprocal foster families a strength-based approach to helping families in poverty. This approach focuses on the resources that all families have to offer each other. The goal of reciprocal foster families approach is to restrict the role of professionals and develop trust in the intuitive wisdom of natural networks of people and families as they help each other succeed in times of difficulty.     

A validity study of existential/dialectical marital questionnaire [EDMQ]: A psychometric questionnaire for assessing marital interaction

This paper reports the successful development of a psychometric questionnaire for analyzing marital functioning and interaction based on an existential/dialectical model originally presented by Charny as the basis for a clinical model for rating couples,Existential/Dialectical Marital Profile [EDMP]. The clinical model and psychometric questionnaire address five main areas of functioning in marriage: family management, companionship, relationship and communication, attraction and sexuality, and parenting; as well as five main dimensions of marital relationship: competence, commitment, respect, power, and closeness.Presented at the Conference of the International Family Therapy Association, Amsterdam, May, 1993. This study was completed as a master's thesis by Shlomit Asineli in collaboration with and under the supervision of Professor Israel Charny at the Bob Shapell School of Social Work, Tel Aviv University.     

Cognitive tuning,encoding, and the attribution of causality

Subjects were given a transmission or reception set before or after viewing a videotape of an event which involved an extreme outcome. The results indicated that transmitters made relatively extreme attributions to plausible causal agents when the set was given prior but not subsequent to viewing the event. The results also showed that subjects who had been given a transmission set before viewing the videotape exhibited relatively high recognition of aspects of the event they observed. It is suggested that the data provide support for an encoding interpretation of transmission-reception differences in the attribution of causality.