Metaanalysis of Mood and Substance Use Disorders in Proximal Risk for Suicide Deaths

Evidence for proximal risk factors for suicide is based on case–control psychological autopsy studies, with these reports showing that mood and substance use disorders are the most prevalent mental disorders among suicide decedents worldwide and are associated with marked risk. However, moderators of risk and the degree of risk associated with (nonalcohol) drug use disorder are unknown. A comprehensive search was used to identify 35 case–control psychological autopsy studies published worldwide over a 30‐year period that were metaanalyzed using random effects models. Major depression, odds ratio (95% confidence interval) = 9.14 (5.53, 15.09), and drug use disorder, OR (95% CI) = 7.18 (3.22, 16.01), had large effect sizes, among other results. Risk estimates associated with major depression were greater in studies with a larger proportion of women and those conducted in Asia compared with other regions. There was no evidence of publication bias or that any one study had a disproportionate impact on findings. Risk for suicide associated with major depression appears to be moderated by sex and/or world region. Drug use disorder is a potent risk factor, illustrating the importance of assessing drug use in clinical risk assessment.     

The social context of adolescent suicide attempts: interactive effects of parent, peer, and school social relations

An ecological developmental model of adolescent suicidality was used to inform a hierarchical logistic regression analysis of longitudinal interactions between parent, peer, and school relations and suicide attempts. Reanalyzing data from the National Longitudinal Study of Adolescent Health, it was found that parent relations were the most consistent protective factor, and among boys with prior suicide attempts, school relations augmented the effects of parent relations when peer relations were low. Results indicated the need to understand suicidal behavior as a component of interactive social processes in the design of clinical interventions.     

An Elementary Syllabus of Psychological Tests

The purpose of this study was to examine the universality of the “inverse square root law” insofar as it purports to show a constant relationship between emotional involvement and subjectively perceived geographical distance. It was argued that the square root exponent in the “law” was derived from experiments that used a limited range of stimuli (place names). With students as subjects, two experiments were conducted in order to discover the relationship between emotional involvement and subjective distance when both very close and very distant places were considered. It was shown that the inverse square root function was not constant but rather varied with the range of stimuli.     

Stigma-Busting,Compeer, and the Psychology Student: A Pilot Study on the Impact of Contact with a Person Who Has a Mental Illness

Stigma has been identified both by people with mental illnesses and by empirical research to be a major barrier to service use and recovery. In addition, research has suggested that the most effective strategy for reducing stigma is personal contact with a person who has a mental illness and who is contributing to the life of the community. This article reports the qualitative findings from a study of the use of the Compeer model to address stigma in undergraduate psychology students. Findings suggest that befriending a person with a mental illness, even when done as a requirement for a college course, can be a useful experience in exposing and challenging stigmatizing perceptions and expectations and in offering people insights into the humanity and life experiences of a person with mental illness. Limitations and implications of this study for future stigma-busting efforts are discussed.     

Story telling and schizophrenia: Using narrative structure in phenomenological research

Abstract

This report demonstrates how narrative findings from phenomenological research can provide insights into the structures of lived experience that generalize beyond the individual cases. Building upon a narrative perspective, the author suggests that the phenomenological study of schizophrenic delusions can disclose the subjective lives of people struggling with this illness. Viewing delusions as stories that people with schizophrenia tell about their lives further suggests that delusions may play a role in the course of the disorder as “regulatory mechanisms” that help people modulate the amount of change to which they will have to adapt in the context of significant life events.