Demographic,Clinical, and Service Utilization Factors Associated with Suicide‐Related Visits among Alaska Native and American Indian Adults

Alaska Native and American Indian people (AN/AIs) are disproportionately affected by suicide. Within a large AN/AI health service organization, demographic, clinical, and service utilization factors were compared between those with a suicide‐related health visit and those without. Cases had higher odds of a behavioral health diagnosis, treatment for an injury, behavioral health specialty care visits, and opioid medication dispensation in the year prior to a suicide‐related visit compared to gender‐, age‐, and residence‐ (urban versus rural) matched controls. Odds of a suicide‐related visit were lower among those with private insurance and those with non‐primary care ambulatory clinic visits.     

DISCUSSION OF THE CONCEPTUAL BASIS OF BIOSEMIOTICS

Kalevi Kull and colleagues recently proposed eight theses as a conceptual basis for the field of biosemiotics. We use these theses as a framework for discussing important current areas of debate in biosemiotics with particular reference to the articles collected in this issue of Zygon.     

Children's trust in unexpected oral versus printed suggestions: Limitations of the power of print

Children have a bias to trust spoken testimony, yet early readers have an even stronger bias to trust print. Here, we ask how enduring is the influence of printed testimony: Can the learning be applied to new scenarios? Using hybrid pictures more dominant in one animal species (e.g., squirrel) than another (e.g., rabbit), we examined 3–6‐year‐olds' (N = 130) acceptance of an unexpected, non‐dominant label suggested only orally or via print. Consistent with previous findings, early readers, but not pre‐readers, accepted printed labels more frequently than when spoken. Children were then presented with identical but unlabelled hybrid exemplars and frequently applied the non‐dominant labels to these. Despite early readers' prior greater acceptance of text, when oral suggestions were accepted they retained a greater influence. Findings highlight potential implications for educators regarding knowledge being applied to new scenarios: For early readers, unexpected information from text may be fragile, while a greater confidence might be placed in such information gained from spoken testimony.