Would you post that picture and let your dad see it? Culture,honor, and Facebook

Honor means “high respect; esteem,” but it has different associations for different cultures. In honor cultures (Turkey), esteem depends on one's own perception of self‐worth and on other people's opinions. In those cultures, honor is easily lost and difficult to regain. In dignity cultures (northern America), esteem mainly depends on the individual and cannot be taken away by others. One way to lose honor in Turkey is through behaviors that may be seen as “potentially improper.” Thus, we expected that posting pictures of such behaviors on Facebook (e.g., at a party; with one's boyfriend/girlfriend) and letting others see them would be less likely in Turkey than in the northern United States. Moreover, we investigated whether honor endorsement was the reason for this difference. We examined participants' posting intentions and actual Facebook behaviors. As expected, Turkish participants were less willing to post and let others (especially their relatives) see their potentially improper pictures compared with northern Americans. Moreover, honor endorsement negatively predicted the willingness to post such pictures only in Turkey, especially for women. This suggests that in honor cultures, the concern for losing honor could be the underlying reason for avoiding social media postings that could be potentially perceived as improper. Copyright © 2015 John Wiley & Sons, Ltd.     

What Factors Determine Disclosure of Suicide Ideation in Adults 60 and Older to a Treatment Provider?

Correlates of patient disclosure of suicide ideation to a primary care or mental health provider were identified. Secondary analyses of IMPACT trial data were conducted. Of the 107 patients 60 years of age or older who endorsed thoughts of ending their life at least “a little bit” during the past month, 53 indicated they had disclosed these thoughts to a mental health or primary care provider during this period. Multiple logistic regression was used to identify predictors of disclosure to a provider. Significant predictors included poorer quality of life and prior mental health specialty treatment. Among participants endorsing thoughts of suicide, the likelihood of disclosing these thoughts to a provider was 2.96 times higher if they had a prior history of mental health specialty treatment and 1.56 times higher for every one‐unit decrease in quality of life. Variation in disclosure of thoughts of suicide to a mental health or primary care provider depends, in part, on patient characteristics. Although the provision of evidence‐based suicide risk assessment and guidelines could minimize unwanted variation and enhance disclosure, efforts to routinize the process of suicide risk assessment should also consider effective ways to lessen potential unintended consequences.