Medically Documented Suicide Ideation Among U.S. Army Soldiers

We used administrative data to examine predictors of medically documented suicide ideation (SI) among Regular Army soldiers from 2006 through 2009 (N = 10,466 ideators, 124,959 control person‐months). Enlisted ideators (97.8% of all cases) were more likely than controls to be female, younger, older when entering service, less educated, never or previously deployed, and have a recent mental health diagnosis. Officer ideators were more likely than controls to be female, younger, younger when entering service, never married, and have a recent mental health diagnosis. Risk among enlisted soldiers peaked in the second month of service and declined steadily, whereas risk among officers remained relatively stable over time. Risk of SI is highest among enlisted soldiers early in Army service, females, and those with a recent mental health diagnosis.     

College Students' Responses to Suicidal Content on Social Networking Sites: An Examination Using a Simulated Facebook Newsfeed

Although Facebook has a peer‐initiated suicide prevention protocol, little is known about users' abilities to notice, recognize, and appropriately interpret suicidal content or about their willingness to intervene. In this study, 468 college students were randomly assigned to interact with a simulated Facebook newsfeed containing content reflecting various suicide risk levels. A larger proportion of those exposed to content reflecting moderate and severe suicide risk noticed, recognized, appropriately interpreted, and endorsed taking action to intervene, as compared to those exposed to content representing no or low risk. Overall, results indicate that college students are responsive to suicidal content on Facebook.     

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.     

Narratives of escape: A hermeneutic study of resiliency

This study examines the structure of narratives told by well-functioning adults who were at-risk as children. Participants told stories of their childhood based on pictures they selected from the TAT test (Thematic Apperception Test). Analysis of their narratives resulted in a set of hermeneutic rules which may be useful in interpreting the structure of narratives and in understanding the relationship between internalized images, reality construction, and resiliency. Two types of images were identified: negative images of stress and darkness and more positive images of escape and hope. Implications for helping clients develop images of strength and competence are discussed.The authors wish to thank an anonymous reviewer for his or her very helpful suggestions.     

Clarifying subsystem boundaries in grandfamilies

This article explores the benefits of clarifying subsystem boundaries in grandfamilies, families in which grandparents are primary caregivers to their grandchildren. The author reviews what is known about grandfamilies, presents the theory and research behind the importance of clear subsystem boundaries, and argues that grandfamilies are particularly vulnerable to problematic subsystem boundaries. Case examples are used to demonstrate how clarifying subsystem boundaries with grandfamilies in family therapy can open up resources for improved family functioning.     

Perceptions of the Guidance Teacher as Preferred Helping Agent in Some South African Schools

A questionnaire was administered to 359 pupils and 31 teachers at seven middle-class Johannesburg high schools. The results indicated that pupils selected guidance teachers less often than parents and friends as helping agents and that, in most areas of concern, the extent to which guidance teachers were selected was negligible. Relative to this, teachers considerably overrated pupils' preference for the guidance teacher, whom they perceived as pupils' favoured source of help in certain areas. Similarly, while a significant majority of pupils indicated their discomfort in approaching their guidance teacher, most teachers believed the contrary. The differing perceptions of teachers and pupils, and the need to address shortcomings in the guidance system, are discussed.     

Family therapy in israel: A review of therapy done under unusual circumstances

Major issues affecting family therapy practice in Israel are discussed. Issues making family therapy in Israel unique include historical topics such as the legacy of the Holocaust, the emergence of the family therapy movement from the cradle of the kibbutz; and more recent events such as constant wars, the specter of terrorist threat, and coping with the everyday pressures of life in Israel—stress, loss, and bereavement. Future trends in family therapy in the Israeli context include the peace process and the adjustment it requires from families living in the West Bank and the Golan Heights. The advent of peace and normalization will force family therapists to grapple with issues until now not given the attention they require by a country always on the brink of war, including family violence, feminist issues and patriarchal family orientations, single-parent families, and cultural diversity.The authors would like to acknowledge the help of Israel Charny, Yael Geron, Tzipi Glick, Ruth Malkinson, Judith Wertheimer, and Susan Zeidel.     

Gender identity and family relationships: Perspectives from incestuous fathers

The purpose of this study was to understand how incestuous fathers constructed their gender identities and family relationships and to determine how these perceptions were linked to incest. Analysis of intensive interviews with 20 incest offenders suggested that incest occurred in context of entitlement stemming from masculine gender constructions and family experiences which lead to conflicts regarding control and intimacy and a build up of failure. Case illustrations and implications for clinical practice are addressed.     

Paradoxes of qualitative research

In qualitative research paradoxes abound in research design, sampling, generalisation, ethics and the behaviour of the researcher. The ultimate paradox is that qualitative inquiry is impossible — both conceptually and practically — yet it still goes on. It must do so if the professions of counselling and psychotherapy are to advance.     

Technology and morality: Influences on public attitudes toward biotechnology

This study uses national survey data to test effects on individuals’ objections to biotechnology applied to plants and animals. We find that females and individuals who believe in the biblical story of creation have greater intrinsic moral objections to biotechnology than males and those who do not believe the creation story. We also find that the perception of personal benefit from biotechnology significantly decreases the likelihood of moral objection to both plant and animal biotechnology, and that perception of environmental risk from biotechnology significantly increases the likelihood of moral objection to both types of biotechnology. Policy issues are discussed. He has studied biotechnology, development, social change, work and industry. He currently works in the Survey Research Division at Research Triangle Institute in Research Triangle Park, North Carolina. He engages is applied studies of new technologies and public policies affecting consumers, industry, natural resources and society. He has researched moral attitude and religious affects in biotechnology acceptance, environmentalism, and in relation to numerous controversial social concerns and issues.