Extrapolation from attempted suicides to completed suicides.

Used D. Lester's (see record 1971-10261-001) methodology for analyzing data from suicide attempters to make extrapolations to completed suicides. A sample of 246 suicide attempters was divided into 3 groups on the basis of their intent to die. When 56 possible correlates of suicidal intent were examined, a number of significant monotonic differences between the groups were found, from which predictions concerning completed suicides were made. Many of the particular findings supported previous observations on suicide, but some deviations from expectations were noted. Results demonstrate that it is possible to make inferences about completed suicides from studies of attempted suicides. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Completed suicide in the gifted: A late comment on "Suicide among gifted women."

A recent study by C. Tomlinson-Keasey et al (see record 1986-24809-001) found differences between completed suicides in L. M. Terman's sample of gifted children and comparison Ss. The present article suggests that the differences identified in Tomlinson-Keasey et al may have been confounded by the fact that completed suicides are typically found to have higher levels of psychiatric disturbance than nonsuicides. Data are presented to illustrate that when the completed suicides in Terman's sample are matched for psychiatric disturbance with the comparison Ss, few differences are found. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Aspects of suicide and parsuicide

Five aspects of suicidal behaviour in Edinburgh from 1968 to 1974 were examined. The data referred to 478 suicidal deaths and to parasuicide (attempted suicide) admissions to the Regional Poisoning Treatment Centre (R.P.T.C.). Firstly: 28% of suicides were found to have had a parasuicide admission and there was some evidence of a slight excess of deaths in the years immediately following parasuicide. Secondly: among suicides preceded by parasuicide, those with a recent episode (within 2 years of death) were found to be essentially similar to those with a longer interval. Thirdly: a history of previous parasuicide at any time was found to be important in delineating two groups of suicide. Suicides with prior parasuicide died more often from poisoning with drugs and were more likely to have a history of psychiatric treatment; suicides without prior parasuicide died more often from poisoning with domestic gas or violent means, were older, of higher social class and less often married. Fourthly: parasuicides who killed themselves within 2 years of admission to the R.P.T.C. were compared with a group of (broadly nonsuicidal) parasuicides. And lastly: a scale predictive of repetition of parasuicidal behaviour was used in an attempt to distinguish parasuicides who killed themselves from those who did not. The scale did not discriminate between the two groups.     

Extrapolation from attempted suicides to completed suicides: A test.

Divided a sample of 453 attempted suicides into 3 groups on the basis of their intent to die. Two variables were found to increase in a linear fashion with increasing intent to die: depression inventory scores and hopelessness scale scores. A subsample of the attempted suicides, who went on to subsequently kill themselves, was studied, and their depression and hopelessness scores were found to be similar to those of the group of attempted suicides with the greatest intent to die. This finding indicates that it is possible to extrapolate from research findings on attempted suicides the psychological characteristics of completed suicides. (10 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Some relationships between GSR conditioning and judgments of anxiety.

"The aim of the present study was to investigate… the relationship between GSR conditioning and various clinical judgments of anxiety in a sample of psychiatric patients conditioned under presumably optimal procedures… . anxiety groups ranked on the basis of admission psychological data… were found to be significantly different in conditionability." This was not so with Ss ranked via the Taylor MA scale, and "anxiety groups revealed no significant differences in extinction." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Voluntarism and self-reported psychopathology among opiate addicts.

Investigated the relation between voluntary and nonvoluntary treatment application status and MMPI responses of 473 opiate addicts within and across 3 drug treatment settings. Treatment settings represented evaluation conditions occurring prior to admission in a selective program, during routine evaluation in an "open admission" program, and following acceptance to drug treatment. ANOVA comparisons of volunteer and nonvolunteer groups within each program revealed differences in MMPI responding for the selective treatment program and minimal differences for the other programs. Two-factor analyses of covariance performed for combined program samples showed that the treatment program variable was significantly related to S responses, but no significant main effects for voluntarism were found. Treatment applicants to the selective program reported greater psychopathology than Ss in other groups on 7 MMPI scales, but there were few significant scale differences between volunteers and nonvolunteers. Discriminant function analysis using MMPI scores and demographic data showed these variables to be of limited value in discriminating volunteer from nonvolunteer addict clients. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health treatment outcome by sex, diagnosis, and treatment agency.

Analyzed the effect of client characteristics and treatment on 9 dimensions of functioning (e.g., sociolegal, thought processes, and interpersonal relations) among 1,519 male and 1,877 female patients. MANOVA yielded consistent and significant differences in levels of functioning at admission as a function of sex, treatment setting, and diagnosis. Women with transient disorders showed the most adequate functioning. A Diagnosis?×?Agency interaction was also significant and indicated greater differences in functioning at admission between hospitalized and nonhospitalized Ss with "less severe" diagnoses than for Ss with schizophrenia or personality disorders. Subsequently, MANCOVA was used to partial out the effects of admission level of functioning on terminal level of functioning. Several significant differential effects of treatment and client characteristics were noted. There were fewer differences at termination than at admission, and significant differences in terminal level of functioning were observed by sex, diagnosis, and treatment agency. The interaction of sex and diagnosis was significant as was the interaction between agency and diagnosis. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does culture make a difference? Racial/ethnic patterns of completed suicide in San Francisco, CA 1987-1996 and clinical applications

Completed suicides in San Francisco were examined in the racial groups of African Americans, Asians, Caucasians, Hispanics, and Native Americans for a 10-year period (1987-1996). Comparisons of rates across race and gender showed that both Caucasian men and women had the highest rates. Significant differences were found when racial groups were compared across age groups, gender, and method, but no significant difference was found in the use of firearms as a method of suicide. Differences and similarities are illustrated by comparing Caucasian and Asian patterns of suicide in the areas of (1) suicide in Asian homelands, (2) cultural context, and (3) cultural beliefs regarding psychopathology. A framework relating cultural variables to predisposing client variables is suggested for clinicians and researchers.     

A study of urinary dolichols as a biological marker for alcohol abuse. Report 2: Comparison of urinary dolichols/creatinine concentrations among non-drinkers, moderate-drinkers and heavy-drinkers

We report here the comparison of urinary dolichols/creatine (D/Cr) concentration ratios in male non-drinkers, moderate-drinkers and heavy drinkers at admission and during hospitalization, and also discuss its usefulness as a biological marker for alcohol abuse. Urine samples were collected from the following four experimental groups: non-(male and female) and moderate-drinker (male) volunteers, and alcoholic heavy-drinking patients (male) at admission for psychiatric treatment and after 9-15 days hospitalization (informed consent was obtained). Urinary dolichols were determined by high performance liquid chromatography after BondElutC18 (500 mg) extraction. Due to significant differences in urinary D/Cr concentrations between male and female groups in non-drinkers and because the heavy-drinkers available for this study were exclusively male, comparison of the value of urinary D/Cr concentration ratios was subsequently limited to male only. There were no statistical differences in urinary D/Cr concentrations in the male among non-drinkers, moderate-drinkers and heavy-drinkers at admission. The accuracy of urinary D/Cr as a biological marker for alcohol abuse, calculated using the mean +/- 2 s.d. in non- and moderate-drinkers as the normal range, is only 33.3% in heavy-drinkers at admission, while their value of gamma-GTP in serum was 88.3%.(ABSTRACT TRUNCATED AT 250 WORDS)     

Testosterone and occupational choice: Actors, ministers, and other men.

Occupational differences in testosterone concentrations, focusing on actors and ministers, were explored in 3 studies. The 1st examined salivary testosterone in 7 occupational groups and an unemployed comparison group and found actors and football players higher than ministers but no other significant differences. The 2nd examined salivary testosterone in 2 kinds of actors (stage actors and comedians) and 2 kinds of ministers (pastoral ministers and missionaries) and found actors high and ministers low but no differences between subgroups within each occupation. The 3rd examined serum testosterone in entertainers and ministers in a archival sample of military veterans and found entertainers high and ministers low. The results are interpreted in terms of dominance and antisocial tendencies, with the conclusion that these variables are complex and can affect occupational preference in subtle ways. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Suicide and gambling: Psychopathology and treatment-seeking.

The aim of this study was to evaluate suicides with a history of problem gambling (PG) and others with no such history (NPG) and to compare the two on mental health problems and service utilization. Data on a sample of 49 PG suicides and 73 NPG suicides were obtained from informants and hospital records. Psychopathology was prevalent in both groups, but problem gamblers were twice as likely to have a personality disorder. Moreover, PG suicides were less in contact with mental health services in their last month, their last year, and their lifetime. NPG suicides consulted specialized services from 3 (last month and last year) to 13 times (lifetime) as often as their PG counterparts. Lower service utilization associated with PG suicides argues in favor of stepping up detection, engagement in care and treatment with respect to problem gambling, especially when comorbidity is present. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychology interns as patient suicide survivors: Incidence, impact, and recovery.

The authors investigated incidence, impact, and methods of coping with patient suicide during the training years of psychology graduate students. All 54 interns in clinical psychology at the Boston VA in 1983–1988 were surveyed. One in 6 Ss had experienced a patient's suicide at some time during their training. The group who experienced a patient's suicide and a group who experienced a patient's suicide attempt both reported high levels of stress on the Impact of Event Scale. Trainees with patient suicides reported stress levels equivalent to that found in patient samples with bereavement and higher than that found with professional clinicians who had patient suicides. Trainees most frequently turned to supervisors for both support and formulation of the suicide. Preparatory efforts at suicide education were found to be minimal and inadequate. Recommendations for assisting the trainee who experiences a patient's suicide are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality traits and persistence of interest in teaching as a vocational choice.

MMPI scores were compared for "persistent" and "nonpersistent" male and female college students. "Persistent" meant completion of a program of teacher preparation and acceptance of a teaching position after graduation; "nonpersistent" meant making application for admission to a teacher preparation program but not enrolling in the program. Significant differences between persistent and nonpersistent females in mean scores were found on five of nine MMPI scales, but only one significant difference was found for the male groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

MR-guided cholecystostomy: assessment of biplanar, real-time needle tracking in three pigs

We have measured beta-adrenoceptor binding in pineal glands obtained at post mortem from suicides with a firm retrospective diagnosis of depression, and from age and gender-matched controls. In both antidepressant-free and antidepressant-treated suicides there were no significant differences in the number or affinity of beta-adrenoceptors compared to controls. Within the total group of subjects we found no variation in beta-adrenoceptor binding in relation to time of death or season of death. There was a significant negative correlation between the number of beta-adrenoceptors and age in controls, but not in suicides. These results suggest that pineal beta-adrenoceptors are not altered either in depression or as a result of antidepressant treatment.     

Substance abuse problems, psychiatric severity, and HIV risk in Millon Clinical Multiaxial Inventory-II personality subgroups.

This study identified clinically meaningful psychopathology subgroups of drug-dependent male veterans based on cluster analysis of Millon Clinical Multiaxial Inventory-II (MCMI-II) records completed shortly after inpatient admission. A high pathology cluster subgroup was defined by clinically significant elevations on multiple personality disorder and symptom scales. An antisocial cluster subgroup was identified by a highly significant mean elevation on the Antisocial scale and secondary clinical elevations on the Aggressive and Narcissistic scales. Finally, a subclinical cluster subgroup was defined by the absence of clinically significant elevations on any MCMI-II scales. In comparison with members of the other two groups, members of the high pathology subgroup exhibited more substance abuse and psychiatric problems and less favorable attitudes relevant to HIV-AIDS risk reduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Suicides after pregnancy in Finland, 1987-94: register linkage study

OBJECTIVE: To determine rates of suicide associated with pregnancy by the type of pregnancy. DESIGN: Register linkage study. Information on suicides in women of reproductive age was linked with the Finnish birth, abortion, and hospital discharge registers to find out how many women who committed suicide had had a completed pregnancy during her last year of life. SETTING: Nationwide data from Finland. SUBJECTS: Women who committed suicide in 1987-94. RESULTS: There were 73 suicides associated with pregnancy, representing 5.4% of all suicides in women in this age group. The mean annual suicide rate was 11.3 per 100,000. The suicide rate associated with birth was significantly lower (5.9) and the rates associated with miscarriage (18.1) and induced abortion (34.7) were significantly higher than in the population. The risk associated with birth was higher among teenagers and that associated with abortion was increased in all age groups. Women who had committed a suicide tended to come from lower social classes and were more likely to be unmarried than other women who had had a completed pregnancy. CONCLUSIONS: The increased risk of suicide after an induced abortion indicates either common risk factors for both or harmful effects of induced abortion on mental health.     

Cross-sectional and longitudinal comparisons of bipolar and unipolar depressed groups on the MMPI.

Compared MMPI admission and remission profiles in 34 patients (17 bipolar and 17 unipolar) hospitalized for depression. There were no significant demographic differences or difference in behaviorally rated depression between the bipolar and unipolar groups. Relatively normal profiles for the bipolar group and abnormal profiles for the unipolar group significantly differentiated the 2 groups at admission, but, with 1 exception, the differences dissipated at recovery. Thus, greater changes over time were found in the self-reported personality characteristics of unipolar Ss than in bipolar Ss. After recovery from the depressive episode, there was a significant shift within unipolar Ss from withdrawal and lack of interest in others to a greater concern for socially approved behavior. The implications of change in the unipolar group and stability in the bipolar group and the more enduring personality characteristics of the 2 groups are discussed. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multimodal assessment of impulsiveness in abusing, neglecting, and nonmaltreating mothers and their preschool children.

Three groups of 12 mothers who had a history of child abuse (mean age 26.67 yrs), child neglect (mean age 25.75 yrs), or no known history of child maltreatment (mean age 29.08 yrs) and their 48–70 mo old children were compared on the nature and extent of their impulsiveness in a multimodal assessment procedure. Children were also rated by their mothers on the Revised Conners Parent Rating Scale and by their teachers on the Conners Teacher Rating Scale. Results indicate that comparison mothers performed better than did abusing mothers on 2 measures of motor inhibition, a modified Matching Familiar Figures Test and the Stroop Color and Word Test. Neglectful mothers rated their children as having more conduct problems than did comparison mothers. No significant differences were found on the other child measures of impulsiveness. Implications for assessing and treating child maltreatment are discussed. (48 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A newborn's first bath: when?

OBJECTIVE: To determine the effects of early admission bathing on thermoregulation in newborns. DESIGN: Randomized, comparative study. SETTING: A regional hospital providing primary and secondary newborn care. PARTICIPANTS: One hundred healthy, full-term newborns. INTERVENTIONS: Newborns in the investigational group with a minimum rectal temperature of 36.5 degrees C. were bathed after the newborn admission assessment examination was completed (M = 61.15 minutes of age), whereas newborns in the control group were bathed at the standard of 4 hours of age (M = 252.12 minutes of age). MAIN OUTCOME MEASURE: Rectal temperatures were measured using a Diatek thermometer. Rectal temperatures were recorded during the newborn admission assessment examination, immediately before bathing, immediately after bathing, 1 hour after bathing, and 2 hours after bathing. RESULTS: No significant differences (p < .05) in rectal temperatures, were found between the groups during the admission assessment examination, before bathing, immediately after bathing, 1 hour after bathing, or 2 hours after bathing. No significant differences were found between the groups in type of delivery, time of birth, gestational age, birth weight, Apgar scores at 1 and 5 minutes, air temperature, apical heart rate, or respiratory rate. CONCLUSIONS: Healthy, full-term newborns whose rectal temperatures are greater than 36.5 degrees C can be bathed immediately after the admission assessment examination.