Risk for Suicidal Ideation and Attempt among a Primary Care Sample of Adolescents Engaging in Nonsuicidal Self‐Injury

One in five adolescents in the United States has engaged in nonsuicidal self‐injury (NSSI), one in eight have had serious thoughts of suicide, and one in 25 have attempted suicide. Research suggests that NSSI may increase risk for suicide attempt, yet little is known about the relationship between NSSI and suicidal ideation or attempts. In a primary care setting, 1,561 youth aged 14–24 years completed a brief, comprehensive, mental health screen as part of a routine well visit to determine which factors were most likely to predict suicidal ideation and attempt among youth engaging in NSSI. Results of recursive partitioning revealed that current depression and history of alcohol use best differentiated youth engaging in NSSI with low versus high risk for suicidal ideation and attempts. This simple algorithm is presented as a clinical screening tool that might aid medical providers in determining which youth would benefit from more intensive assessment and intervention.     

“Signs of Suicide” Shows Promise as a Middle School Suicide Prevention Program

Although the Signs of Suicide (SOS) suicide prevention program has been implemented at both the middle and high school levels, its efficacy has been demonstrated previously only among high school students. The current study evaluated SOS implemented in high military impact middle schools. Compared to controls, SOS participants demonstrated improved knowledge about suicide and suicide prevention, and participants with pretest ideation reported fewer suicidal behaviors at posttest than controls with pretest ideation. These results provide preliminary evidence for SOS's efficacy as a suicide prevention program for middle school students.     

Depressive Symptoms and Suicide Risk in Older Adults: Value Placed on Autonomy as a Moderator for Men but Not Women

Risk for suicide is elevated among older men. We examined whether value placed on autonomy amplifies the relation between depressive symptoms and suicide risk differently for older men and women. Participants were 98 community‐dwelling older adults, M age 73.6 (SD = 8.6), 65.1% female, 93.1% White. Questionnaires measured suicide risk (SBQ‐R), depressive symptoms (CESD), and value placed on autonomy (PSI‐II autonomy). Among men, depressive symptoms were associated with suicide risk only when PSI‐II autonomy was elevated. Among women, greater depressive symptoms were associated with suicide risk at all levels of PSI‐II autonomy. Further research on attitudes toward autonomy is warranted.     

The Effect of Shame‐Proneness,Guilt‐Proneness,and Internalizing Tendencies on Nonsuicidal Self‐Injury

Nonsuicidal self‐injury is especially common in adolescents and young adults. Self‐injury may be related to shame or guilt—two moral emotions—as these differentially predict other maladaptive behaviors. Using a college sample, we examined not only how shame‐proneness, guilt‐proneness, and internalizing emotional tendencies related to self‐injury, but also whether these moral emotions moderate the relation between internalizing tendencies and self‐injury. High shame‐proneness was associated with higher frequencies of self‐injury. High guilt‐proneness was associated with less self‐injury, although this effect was mitigated at higher levels of internalizing tendencies. These results suggest shame‐proneness is a risk factor for self‐injury, while guilt‐proneness is protective.     

Suicide Risk among Lesbian,Gay, Bisexual,and Transgender Military Personnel and Veterans: What Does the Literature Tell Us?

Research suggests that both the military and veteran and the lesbian, gay, bisexual, and transgender (LGBT) populations may be at increased risk for suicide. A literature review was conducted to identify research related to suicide risk in the LGBT military and veteran populations. Despite the paucity of research directly addressing this issue, themes are discussed evident in the literature on LGBT identity and suicide risk as well as LGBT military service members and veterans. Factors such as social support and victimization appear to be particularly relevant. Suggestions are made with respect to future research that is needed on this very important and timely topic.     

Predictability and controllability: Differential effects upon contextual fear

The independence of action of controllability and predictability has recently been questioned by research demonstrating that the effects of control over shock termination can be mimicked by feedback stimuli when a contextual fear measure is used. This suggests that the varied effects of controllability, particularly controllability of shock termination, may result not from controllability per se but from predictability of shock absence. The present experiments address this issue by examining whether controllability and predictability similarly affect contextual fear under several parametric conditions. In Experiment 1, control over shock termination was found to reduce contextual fear at an earlier point in training than prediction of shock absence. Experiment 2 demonstrated an effect of controllability under conditions in which the feedback effect is precluded. Experiment 3 examined the possibility that the group differences observed in the above experiments could be due to a potential difference in the conditionability of the response-produced stimulation and the external feedback stimulus. The outcome of this study makes it unlikely that this is the case, since no evidence of overshadowing of the feedback stimulus was observed on a test of its associative strength. These experiments suggest that the effects of controllability may not be reducible to those of predictability. Furthermore, they have important implications for theoretical proposals concerning the effect of feedback on contextual fear.