Hopelessness as a Predictor of Suicide Ideation in Depressed Male and Female Adolescent Youth

We examined hopelessness as a predictor of suicide ideation in depressed youth after acute medication treatment. A total of 158 depressed adolescents were administered the Children's Depression Rating Scale‐Revised (CDRS‐R) and Columbia Suicide Severity Rating Scale (C‐SSRS) as part of a larger battery at baseline and at weekly visits across 6 weeks of acute fluoxetine treatment. The Beck Hopelessness Scale (BHS) was administered at baseline and week 6. A negative binomial regression model via a generalized estimating equation analysis of repeated measures was used to estimate suicide ideation over the 6 weeks of acute treatment from baseline measure of hopelessness. Depression severity and gender were included as covariates in the model. The negative binomial analysis was also conducted separately for the sample of males and females (in a gender‐stratified analysis). Mean CDRS‐R total scores were 60.30 ± 8.93 at baseline and 34.65 ± 10.41 at week 6. Mean baseline and week 6 BHS scores were 9.57 ± 5.51 and 5.59 ± 5.38, respectively. Per the C‐SSRS, 43.04% and 83.54% reported having no suicide ideation at baseline and at week 6, respectively. The analyses revealed that baseline hopelessness was positively related to suicide ideation over treatment (p = .0027), independent of changes in depression severity. This significant finding persisted only for females (p = .0024). These results indicate the importance of early identification of hopelessness.     

Afterimages, binocular rivalry, and the temporal properties of dominance and suppression

When different contours are presented to the two eyes, an unstable percept, binocular rivalry, is the result. Parts of each set of contours may be seen but the two sets are not seen in the same place at the same time. The contours need not be physically present. Afterimages will produce binocular rivalry. Normal rivalry can be prevented if intermittent stimulation is used. Previous work has shown that orthogonal gratings, flashed for less than 150 ms and separated by more than 150 ms, will appear to fuse into a plaid or checkerboard pattern. In the present experiment this phenomenon is examined with afterimages used to produce rivalry. This abnormal 'fusion' is seen when negative afterimages are stroboscopically illuminated at less than 5 Hz. The results obtained with afterimages are predictable from the previous results obtained with stimuli external to the eye.