Frequency of Nonsuicidal Self‐Injury in Adolescents: Differences in Suicide Attempts,Substance Use,and Disordered Eating

The relationship between frequency of nonsuicidal selfinjury (NSSI) and suicide attempts, substance use, and disordered eating was assessed in a community sample of 4,839 adolescents, 922 of whom reported NSSI in the past year. It was expected that the engagement in risk behaviors would significantly increase as NSSI frequency increased. Participants completed the Youth Risk Behavior Survey (Centers for Disease Control and Prevention, 2009) and were subdivided into five NSSI frequency groups: none, 1 time, 2–3 times, 4–5 times, and 6 or more times. A one‐way MANOVA found significant mean differences for all variables across NSSI frequency groups. The no NSSI group was significantly lower than all other groups on all variables. For suicide attempts, all frequency groups were significantly different from each other, with attempt frequency increasing with each increase in NSSI frequency. The six or more group reported significantly more substance use and disordered eating than all other groups. Overall, adolescents with more frequent NSSI represent a group at risk for concurrent unhealthy behaviors and suicide attempts.     

The relationship between anomalistic belief,misperception of chance and the base rate fallacy

Abstract

A poor understanding of probability may lead people to misinterpret every day coincidences and form anomalistic (e.g., paranormal) beliefs. We investigated the relationship between anomalistic belief (including type of belief) and misperception of chance and the base rate fallacy across both anomalistic and control (i.e., neutral) contexts. Greater anomalistic belief was associated with poorer performance for both types of items; however there were no significant interactions between belief and context. For misperception of chance items, only experiential (vs. theoretical) anomalistic beliefs predicted more errors. In contrast, overall anomalistic belief was positively related to the base rate fallacy but no specific subtype of anomalistic belief was a significant predictor. The results indicate misperception of chance may lead people to interpret coincidental events as having an anomalistic cause, and a poor understanding of base rates may make people more prone to forming anomalistic beliefs.     

The Validity of a Brief Risk Assessment Tool for Predicting Suicidal Behavior in Veterans Utilizing VHA Mental Health Care

Suicide risk among military veterans is an important and ongoing concern. The Veterans Administration (VA) mandates suicide risk screening of all veterans seen for mental health issues, but little is known about the effectiveness of this screening. A retrospective chart review to examine all suicide risk screens at VA San Diego between October and December 2012 (n = 3,365) was conducted to assess whether results were associated with suicidal behavior over the subsequent 12 months. Patients judged to be at increased risk for suicide were 3 to 16 times more likely to attempt suicide and 7 to 25 times more likely to engage in self‐directed violence over the next 12 months compared with others. The screening tool may be a useful addition to clinical practice.