Career counsellors and suicide risk assessment

ABSTRACT

Recent discussions suggest that career counsellors need to be trained in more holistic frameworks in order to deal with the career and psychological issues of their clients. In particular, research shows a strong connection between employment and suicidality, including changes in socioeconomic status, disruption in employment, sudden unemployment, learning disabilities, occupational stress, difficulties at work and interpersonal conflicts. Many people struggling with work-related issues are likely to suffer from anxiety, depression, isolation or substance misuse, all significant risk factors associated with suicidal ideation. Therefore, by becoming competent in dealing with both vocational and personal issues, career counsellors might be in a unique position to be effective in assessing suicidal risk due to their less stigmatised role in the field.     

Spouse and Family Functioning Before and After a Marine’s Suicide: Comparisons to Deaths by Accident and in Combat

The impact of service member suicides on families is not well understood. Civilian studies have demonstrated that family survivors of suicide deaths experience complicated grief, feel guilt and shame, and often do not receive sufficient social support. In this exploratory study, spouse survivors of Marines who died by suicide (N = 17), accident (N = 19), and in combat (N = 34) retrospectively reported on their immediate pre- and postmortem and current personal and family functioning. Nonparametric analyses revealed that several between-group differences existed. Observation of the means suggested that the spouses and families of Marines who died by suicide exhibited significantly poorer pre- and postmortem functioning compared with those whose spouses died in combat. Specific challenges included low family cohesion, high family conflict, perceived stigma, and shame. There were no differences in current spouse or family functioning, and there was weak evidence for posttraumatic growth among surviving spouses of those dying by suicide. These results should be considered preliminary and interpreted with caution given several methodological challenges.     

The relationships among gratitude,self‐esteem,depression, and suicidal ideation among undergraduate students

The main purpose of this study was to examine the relationships among gratitude, self‐esteem, depression, and suicidal ideation. In total, 814 undergraduate participants (259 males and 555 females with mean age of 20.13 years) completed four inventories measuring the variables of interest. Analyses of structural equation modeling found that gratitude had direct effects on individuals' self‐esteem, depression, and suicidal ideation. In addition, gratitude had indirect effects on individuals' suicidal ideation via self‐esteem and depression, and self‐esteem had direct effects on individuals' depression. These results support the proposed model of suicidal ideation and contribute to the understanding of how gratitude influences individuals' suicidal ideation via psychological and physical variables.     

Personality,spirituality, suicide,and self-injury proneness among lesbian,gay, and bisexual adults

The present study sought to clarify gaps in current knowledge integrating personality, spirituality, and risk for suicide/self-harm among sample of 336 lesbian, gay, and bisexual community members. It was hypothesised that Neuroticism would positively predict, and Extraversion and Agreeableness would negatively predict, measures of suicide and self-injury proneness. Additionally, it was predicted that spirituality, defined as Spiritual Life Integration (SLI) and Social Justice Commitment, would interact with personality traits to attenuate risk for suicide and self-injury. Results supported the role of Neuroticism, and identified an unexpected predictor of Conscientiousness, at the main effect level. Moderation patterns were observed such that Agreeableness and Extraversion interacted with SLI to attenuate risk, such that high levels of each trait and high levels of spirituality were protective against suicide and self-injury proneness. Theoretical and practical implications with emphasis on counselling intervention implementation and future research are discussed.     

Cultural Issues in Terrorism and in Response to Terrorism

Summary

Among the multiple causes of terrorism is a clash of cultures. Trauma and the destruction of culture may create fertile ground for violent cultures and future terrorists. Cultural differences are important elements in the prevention, assessment, and treatment of post-terrorism psychological sequelae. Cultural and spiritual practices have been used or adapted to reduce anxiety, enhance recovery, and provide supplemental interventions. Learning within a community and engaging community and religious leaders, community members, and the individual patient in order to be guided by the specific needs of a group or an individual is essential to effective interventions following terrorism.     

Family Environment as a Moderator of the Association between Conduct Disorder and Suicidality

This study examined whether perceived family support and conflict moderate the relationship between conduct disorder (CD) and suicide attempts (SAs) in a sample of 185 psychiatrically hospitalized adolescents, ages 13 to 18, and their parents. Data were collected using the Schedule for Affective Disorders and Schizophrenia for School Aged Children (K–SADS–PL), the Survey of Children’s Social Support Scale–Short Version, and the Conflict Behavior Questionnaire. Binary logistic regression and simple slope analyses were conducted to test study hypotheses. Results suggest that perceptions of family support, but not conflict, moderate the association between CD and SAs. Specifically, adolescents diagnosed with CD were found to be at heightened risk for an SA if they reported lower family support. These results suggest that clinicians who treat adolescents with CD should assess for perceptions of family support. Incorporating family work into treatment could help to prevent SAs.     

A Brief Report on Predicting Self-Harm: Is It Gender or Abuse that Matters?

Self-harm, which consists of nonsuicidal self-injury and attempted suicide, is a public health problem that is not well understood. There is conflicting evidence on the role of gender in predicting self-harm. Abuse history also is a potentially relevant factor to explore, as it is related to both gender and self-harm. In this study, we hypothesized that abuse history, as opposed to gender, would predict self-harm. Three hundred and ninety-seven undergraduates completed a self-report survey that assessed abuse history, nonsuicidal self-injury, and attempted suicide. The results suggested that abuse history predicted nonsuicidal self-injury and attempted suicide. These findings can inform clinical interventions as they reinforce the importance of including abuse history in the conceptualizations and treatment of self-harm.     

Real-World Knowledge Facilitates Interpretation of Paintings by Naive Art Observers

It is often assumed that women kill themselves because of love and men because of achievement problems. The authors evaluated the suicide notes of 56 U.S. adult women and men with regard to love and achievement motives. Love themes were significantly more common than achievement themes, independent of sex and age. This suggests that, at least for U.S. adults who leave suicide notes, relationship concerns may be a dominant component of the motivation for suicide.     

Promoting Clinical Knowledge,Skills, and Empathy via a Creative Self-Suicide Assignment

Abstract

Suicide is a leading cause of American deaths. Given suicide's overall frequency and negative effects, specialized suicide training is warranted. This article describes a creative self-suicide assignment designed to enhance doctoral students? suicide assessment and intervention knowledge and clinical skills, and promote greater counselor empathy for clients presenting with suicidal ideation. Doctoral students who participated in the assignment reported increased suicide assessment and intervention knowledge and skills, and enhanced empathy toward clients presenting with suicide-related issues. Student summarizations related to their assignment experiences are included.     

Differential Reinforcement of Other Behavior in the Treatment of Inappropriate Behavior and Aggression in an Adult with Mental Retardation at a Vocational Center

Differential reinforcement of other behavior (DRO) was used to reduce aggression and other inappropriate actions in a 26-year-old man with moderate mental retardation employed at a vocational center. Initially high baseline levels of inappropriate behavior were reduced by implementing contingent praise and a sticker system used to earn points needed to gain access to social activities. The procedure was low cost, required minimal time and effort on the part of center staff, and made it possible for the client to remain employed at the vocational center.