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.     

从西地那非的研发过程探讨医学研究的规律

西地那非研制成功20余年,用于治疗男性勃起功能障碍（erectile disorder,ED）。而近几年来,越来越多的证据表明西地那非可以明显降低各种原因所导致的肺动脉高压（pulmonary arterial hypertension,PAH）。西地那非对肺动脉高压的治疗作用,再次引起了人们对西地那非进行深入研究的兴趣。西地那非的研究历程给人们带来很多有益的启示。     

Purpose in Life, Satisfaction with Life, and Suicide Ideation in a Clinical Sample

This study examined the role of purpose in life and satisfaction with life in protecting against suicide ideation in a clinical psychiatric sample. Forty-nine psychiatric patients completed self-report measures of suicide ideation, purpose in life, satisfaction with life, neuroticism, depression, and social hopelessness. Zero-order correlations indicated significant associations between suicide ideation and the various predictors, in the hypothesized directions. Regression analyses illustrated that purpose in life and satisfaction with life accounted for significant additional variability in suicide ideation scores above and beyond that accounted for by the negative psychological factors alone. Purpose in life also mediated the relation between satisfaction with life and suicide ideation and moderated the relation between depression and suicide ideation. These findings demonstrate the potential value of attending to both resilience and pathology when building predictive models of suicide ideation and of attending to key existential themes when assessing and treating suicidal individuals.     

Discerning the Behavior of the Suicide Bomber: The Role of Vengeance

Deliberate suicide used to achieve some end in group conflict is a relatively rare but always dramatic behavior. Motivation for such behavior is complex occurs usually at both the group and individual levels, and can have multiple meanings. The author examines suicide bombing as it has occurred recently in both the 9/11 event and in the Israeli-Palestinian conflict, notes that it appears to be a behavior motivated mainly by the singular intent to destroy a particular people, and concludes that it is a 'depressive equivalent' behavior rooted in the desire for vengeance. He identifies such behavior, given this motivation, as a crime by the leaders of the groups planning such acts against those they send on suicide bombing missions. He exhorts civilized society to bring these criminals to justice in order to prevent such acts.     

The influence of external stimulation in missing knowledge retrieval

We investigated the effects of sensory reduction on the retrieval of information during tip-of-the-tongue (TOT) experiences. As conscious access results from severe competition in which external stimuli often have priority, we hypothesised that reducing external stimulation would allow individuals greater access to weakly activated inner knowledge. In Study 1, when participants experienced a TOT while answering a general knowledge question, they were given additional time to find the solution in a restricted (eyes closed?+?silence) or a non-restricted (eyes open?+?ambient noise) external stimulation environment. Results indicated that knowledge was more often retrieved when external stimulation was restricted than when not restricted. This result was replicated in a second study. Using an independent manipulation of the level of auditory and visual stimulation, Study 2 also indicated that the presence of visual stimulation was more disruptive for TOT resolution than the presence of auditory stimulation. Overall, the findings suggest that sensory restriction (especially of visual stimuli) facilitates the retrieval of weakly accessible knowledge through a greater processing of inner stimuli.     

A Cultural Adaptation of Dialectical Behavior Therapy in Nepal

Growing evidence exists on the potential for adapting evidence-based interventions for low- and-middle-income countries (LMIC). One opportunity that has received limited attention is the adaptation of psychotherapies developed in high-income countries (HIC) based on principles from LMIC cultural groups. Dialectical behavior therapy (DBT) is one such treatment with significant potential for acceptability in South Asian settings with high suicide rates. We describe a tri-phasic approach to adapt DBT in Nepal that consists of qualitative interviews with major Nepali mental health stakeholders (Study 1), an adaptation workshop with 15 Nepali counselors (Study 2), and a small-scale treatment pilot with eligible clients in one rural district (Study 3). Due to low literacy levels, distinct conceptualizations of mind and body, and program adherence barriers, numerous adaptations were required. DBT concepts attributable to Asian belief systems were least comprehensible to clients. However, the 82% program completion rate suggests utility of a structured, skills-based treatment. This adaptation process informs future research regarding the effectiveness of culturally adapted DBT in South Asia.