Comparison of the Effects of Telephone Suicide Prevention Help by Volunteers and Professional Paid Staff: Results from Studies in the USA and Quebec,Canada

Research since the 1960s has consistently found that lay volunteers are better at helping suicidal callers than professionals. Yet, professional degrees are increasingly becoming requirements for helpline workers. In our first study, we conducted post hoc comparisons of U.S. helplines with all professional paid staff, all lay volunteers, and a mix of both, using silent monitoring and standardized assessments of 1,431 calls. The volunteer centers more often conducted risk assessments, had more empathy, were more respectful of callers, and had significantly better call outcome ratings. A second study of five Quebec suicide prevention centers used silent monitoring to compare telephone help in 1,206 calls answered by 90 volunteers and 39 paid staff. Results indicate no significant differences between the volunteers and paid employees on outcome variables. However, volunteers and paid staff with over 140 hours of call experience had significantly better outcomes. Unlike the United States, Quebec paid employees were not required to have advanced professional degrees. We conclude from these results and previous research that there is no justification for requiring that suicide prevention helpline workers be mental health professionals. In fact, the evidence to date indicates that professionals may be less effective in providing telephone help to suicidal individuals when compared to trained lay volunteers.     

Which Helper Behaviors and Intervention Styles are Related to Better Short‐Term Outcomes in Telephone Crisis Intervention? Results from a Silent Monitoring Study of Calls to the U.S. 1–800‐SUICIDE Network

A total of 2,611 calls to 14 helplines were monitored to observe helper behaviors and caller characteristics and changes during the calls. The relationship between intervention characteristics and call outcomes are reported for 1,431 crisis calls. Empathy and respect, as well as factor-analytically derived scales of supportive approach and good contact and collaborative problem solving were significantly related to positive outcomes, but not active listening. We recommend recruitment of helpers with these characteristics, development of standardized training in those methods that are empirically shown to be effective, and the need for research relating short-term outcomes to long-term effects.     

Engendering Immigrant Psychology: An Intersectionality Perspective

In this paper, using an intersectionality perspective, we tested the idealized cultural identities model proposed by Mahalingam (Cultural psychology of immigrants. Erlbaum, Mahwah, NJ, pp 1–14, 2006) using a sample of Asian Americans (N?=?151). According to the structural model, idealized identities positively relate to ethnic pride, which is positively related to resilience. The data had excellent fit (Comparative Fitness Index?=?.99). Idealized patriarchal beliefs regarding femininity positively related to model minority pride (b?=?.34, p?<?.0001) and idealized patriarchal beliefs regarding masculinity were positively related to model minority pride (b?=?.29, p?<?.001). Additionally, model minority pride was positively related to resilience (b?=?.25, p?<?.001) which was negatively related to depression (b?=??.46, p?<?.0001). Further, we discuss the significance of the intersectionality perspective in studying immigrants.     

Effect of sentence length on the production of linguistic stress by left- and right-hemisphere-damaged patients

An acoustical/perceptual study of phonemic stress (e.g., HOTdog vs. hot DOG) was conducted to evaluate the effect of sentence length on stress production after brain damage. Productions of phonemic stress pairs were elicited in sentence contexts of increasing length from eight left-hemisphere-damaged nonfluent (LHD-NFL), fluent LHD-FL), right-hemisphere-damaged (RHD), and normal speakers (n = 32). Tape recordings of subjects' productions were presented to na?ve listeners for perceptual identification of stress placement. Acoustic analysis focused on fundamental frequency, duration, and intensity of the initial and final syllables as well as pause duration between syllables. Perceptual tests indicated that regardless of sentence length, all brain-damaged groups exhibited an impairment in the production of linguistic stress when compared to normals. The LHD-NFL group experienced the greatest difficulty in signaling stress contrasts, followed in order by the LHD-FL and RHD groups. In medium-length sentences, the LHD-FL group's performance was degraded by comparison to short-length sentences. Acoustic analysis showed that pause duration was the strongest predictor of phonemic stress for all groups. Acoustic profiles of the RHD group were similar qualitatively to those of normals, but differed quantitatively in terms of magnitude of effect associated with shifts in stress patterns. Findings are brought to bear on the nature of the stress production deficit after unilateral brain damage, the role of the right hemisphere in linguistic prosody, and the concept of "subtle phonetic deficit" in fluent aphasia.     

Indirect Effects of Parenting Practices on Internalizing Problems among Adolescents: The Role of Expressive Suppression

Negative parenting practices are thought to be essential for the development of adolescents’ internalizing problems. However, mechanisms linking parental practices to adolescents’ internalizing problems remain poorly understood. A potential pathway connecting parental behaviors to internalizing problems could be through adolescent expressive suppression—the tendency to inhibit the observable expression of emotions.This study examined the indirect effects of three individual parenting practices—poor monitoring, inconsistent discipline and use of corporal punishment—on adolescents’ internalizing problems through adolescents’regular use of expressive suppression in a sample of 1132 adolescents (10–14 years). Structural Equation Modeling indicated that parenting practices were related both directly and indirectly to adolescents’ internalizing problems through their relationship with suppression. Clinical implications and future directions are discussed.     

Propositional Manifolds And Logical Cohomology

In this note, we outline a definition of propositional manifold and logical cohomology. An application is also considered for mathematics: two Boole algebras of mathematical propositions are non equivalent if their two cohomologies are not isomorphic.     

Parietal control of attentional guidance: the significance of sensory, motivational and motor factors

The lateral intraparietal area (LIP), a portion of monkey posterior parietal cortex, has been implicated in spatial attention. We review recent evidence showing that LIP encodes a priority map of the external environment that specifies the momentary locus of attention and is activated in a variety of behavioral tasks. The priority map in LIP is shaped by task-specific motor, cognitive and motivational variables, the functional significance of which is not entirely understood. We suggest that these modulations represent teaching signals by which the brain learns to identify attentional priority of various stimuli based on the task-specific associations between these stimuli, the required action and expected outcome.     

Comparing models of helper behavior to actual practice in telephone crisis intervention: a Silent Monitoring Study of Calls to the U.S. 1-800-SUICIDE Network

Models of telephone crisis intervention in suicide prevention and best practices were developed from a literature review and surveys of crisis centers. We monitored 2,611 calls to 14 centers using reliable behavioral ratings to compare actual interventions with the models. Active listening and collaborative problem-solving models describe help provided. Centers vary greatly in the nature of interventions and their quality according to predetermined criteria. Helpers do not systematically assess suicide risk. Some lives may have been saved but occasionally unacceptable responses occur. Recommendations include the need for quality assurance, development of standardized practices and research relating intervention processes to outcomes.