A study of self-injurious and suicidal behavior in a veteran population.

This patient safety improvement study was conducted (1) to establish a database of intentional patient self-injuries and suicidal behavior among veterans in a large urban VA health care system, and (2) to investigate whether there were demographic and/or clinical characteristics of veterans who self-injure that might predict seriousness of suicidal intent and aid in future efforts at prevention. A total of 175 clinician-administered, post self-injury interviews were completed between 2006 and 2008 in a VA health care system in the Northeast. Findings suggest that self-injuries with high suicidal intent were characterized by male gender, older age, planning of self-injury, no wish to be saved, and a negative feeling about having survived. Additional results indicated that staff ratings of patient intent to die were significantly lower than patient self-rated intent to die, a finding that gives rise to questions of whether staff may tend to underestimate patient suicidal intent. Also, although more than 80% of the veterans in this sample considered their self-injurious actions impulsive, planning of self-injury was significantly associated with higher intent to die. Veterans who completed suicide during the study time period were significantly more likely than those who had nonfatal self-injuries to have experienced combat. The implications of these findings are discussed, including whether combat exposure may lead to an acquired capacity for lethal behaviors such as suicide (Joiner, 2005). (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Influence of interracial dating on racial and/or ethnic identities of Asian American women and white European American men.

In this qualitative study, we used a grounded theory method with in-depth semistructured interviews with nine Asian American women and nine White European American men in an interracial relationship with one another to explore how interracial dating relationships influenced the ways in which these individuals understood their own racial and/or ethnic identities. The study's results indicated that experiences in interracial dating relationships influenced the racial and/or ethnic identities of both Asian American women and White European American men, in relation to ways in which they viewed themselves and ways in which they interacted with others and the world. Shifts in men occurred primarily in relation to acknowledging White privilege and becoming a White ally and included behavioral changes resulting from their new understanding. Shifts in women focused on internal sense of self and others, as both individuals and people of color. (PsycINFO Database Record (c) 2011 APA, all rights reserved)