No Evidence of Suicide Increase Following Terrorist Attacks in the United States: An Interrupted Time‐Series Analysis of September 11 and Oklahoma City

There is substantial evidence of detrimental psychological sequelae following disasters, including terrorist attacks. The effect of these events on extreme responses such as suicide, however, is unclear. We tested competing hypotheses about such effects by employing autoregressive integrated moving average techniques to model the impact of September 11 and the Oklahoma City bombing on monthly suicide counts at the local, state, and national level. Unlike prior studies that provided conflicting evidence, rigorous time series techniques revealed no support for an increase or decrease in suicides following these events. We conclude that while terrorist attacks produce subsequent psychological morbidity and may affect self and collective efficacy well beyond their immediate impact, these effects are not strong enough to influence levels of suicide mortality.     

The role of illness uncertainty on coping with fibromyalgia symptoms.

This study examined the role of illness uncertainty in pain coping among women with fibromyalgia (FM), a chronic pain condition of unknown origin. Fifty-one FM participants completed initial demographic and illness uncertainty questionnaires and underwent 10-12 weekly interviews regarding pain, coping difficulty, and coping efficacy. Main outcome measures included weekly levels of difficulty coping with FM symptoms and coping efficacy. Multilevel analyses indicated that pain elevations for those high in illness uncertainty predicted increases in coping difficulty. Furthermore, when participants had more difficulty coping, they reported lower levels of coping efficacy. Results were consistent with hypothesized effects. Illness uncertainty accompanied by episodic pain negatively influenced coping efficacy, an important resource in adaptation to FM.     

On not knowing what or who one is: Reflections on the intelligibility of dualism

Beginning with Descartes' caution not imprudently to take some other object in place of myself, I consider first the problems of self-identification confronted by variousamnesiacs, both ordinary and Cartesian. Noting thatcogitationes as such do not individuate, I proceed to examine conclusions drawn from certain sorts of body-switching thought experiments. This, in turn, gives rise to a general critique of psychological connectedness or unity of consciousness as a candidate criterion of personal identity. I conclude that our ability to apply any notion of personal identity is parasitic upon the existence of a conceptual apparatus for individuating, identifying, and reidentifying objects. Finally, I argue that, if person is a proper sortal predicate to begin with, Descartes'res cogitans cannot be understood as a species of the (metaphysical) genusres, distinct fromres extensa and only problematically in interaction with it. Cartesian dualism is a multiply untenable doctrine.     

Hierarchical classes: Model and data analysis

A discrete, categorical model and a corresponding data-analysis method are presented for two-way two-mode (objects × attributes) data arrays with 0, 1 entries. The model contains the following two basic components: a set-theoretical formulation of the relations among objects and attributes; a Boolean decomposition of the matrix. The set-theoretical formulation defines a subset of the possible decompositions as consistent with it. A general method for graphically representing the set-theoretical decomposition is described. The data-analysis algorithm, dubbed HICLAS, aims at recovering the underlying structure in a data matrix by minimizing the discrepancies between the data and the recovered structure. HICLAS is evaluated with a simulation study and two empirical applications.This research was supported in part by a grant from the Belgian NSF (NFWO) to Paul De Boeck and in part by NSF Grant BNS-83-01027 to Seymour Rosenberg. We thank Iven Van Mechelen for clarifying several aspects of the Boolean algebraic formulation of the model and Phipps Arabie for his comments on an earlier draft.     

Evaluation of an intervention designed to improve patients' hospital experience.

The influence of a videotape, shown in a hospital admitting room, on patients' state anxiety and concerns about hospitalization was assessed in a preliminary study. For both state anxiety and specific concerns regarding hospitalization the pretest scores on each variable accounted for the preponderance of the variance in the posttest scores. In both instances, the intervention and the interaction of the intervention with the pretest scores accounted for less than 1% of variance in the outcome. While finding small effects to be significant for such a small sample (N = 93) is unlikely, the sample size was adequate to detect medium to large effects. More important was the fact that 73.33% of the videotape intervention group indicated that they did not watch the video, which leads us to the conclusion that this intervention as tested is not worthwhile.     

Methods for improving the signal-to-noise ratio of endogenous-evoked potentials

A stimulus leads to a cortical response (i.e., evoked potential [EP]) which may be recorded from electrodes attached to the scalp. However, background cortical activity, considered as noise (n), is typically of equal or greater magnitude than the response, which is considered as signal (s). This situation leads to the masking of the presence of the electrocortical signal. Two methods are described which enable the enhancement of the signal with respect to the noise. The first method outlined is time-domain averaging. Its relation to Fourier averaging is also presented. Time averaging can lead to an enhancement of the signal with respect to the noise, known as the signal-to-noise ratio (SNR), by a factor of root N; N being the number of trials recorded. However, latency variability (i.e., jitter) present in the signal leads to a decrement in this maximal potential enhancement. The second technique is an adaptive filter method of averaged cross-correlations, developed by Woody (1967), which deals with the variable latency problem. The development of a latency corrected average developed by McGillem and Aunon (1977) is also presented. The final section describes methods for data handling once the electrocortical signal has been enhanced. It is then necessary to describe the EP quantitatively. Principal Components Analysis (PCA) allows for the quantitative compact representation of the evoked potential waveform. The method also allows for the testing of the effects of explanatory variables on the EP.     

The on-line voyeur: Promises and pitfalls of observing electronic interaction

Studies that compare objective data on communication activity to data provided in verbal reports have indicated that verbal report data are not as accurate as one might hope. Researchers of communication have used verbal reports as their primary source of data because it presents a cheap and easy way to collect the data. This paper presents an easy alternative involving the study ofelectronic communication: a method that allows the collection of objective information on electronic communication, thus avoiding the problems associated with self-reports. The paper reviews the available literature on the accuracy of self-reports of communication, presents the instrument used to collect the objective electronic communication data, and discusses some of the difficulties and limitations encountered in implementing a study using the instrument.     

A brief neuropsychological screening battery to detect brain damage in a psychiatric population

Seventy-five patients admitted to the psychiatric unit of a general hospital were administered a brief neuropsychological screening battery. Discharge diagnoses obtained from the medical records revealed that 20% had brainbased pathology. A discriminant function analysis resulted in a five-variable model (Symbol-Digit Modalities Test, educational level, Psychiatric-Organic subscale of the MMPI, and Shipley Vocabulary and Abstraction scores) which correctly classified 84% of the subjects, with 87% correct identification of the brain-damaged group. A jackknife cross-validation procedure resulted in comparable hit rates.