Suicide Ideation Among US College Students Associations With Other Injury Risk Behaviors

Abstract

Suicide, the endpoint of a continuum that begins with suicide ideation, is the third leading cause of death among the US college-aged population. The first and second leading causes of death among this age group, unintentional injury and homicide, may also be linked to suicide ideation. We used data from the National College Health Risk Behavior Survey to examine the association between suicide ideation and injury-related behaviors among 18- to 24-year-old college students. Students who reported suicide ideation were significantly more likely than students who did not report considering suicide to carry a weapon, engage in a physical fight, boat or swim after drinking alcohol, ride with a driver who had been drinking alcohol, drive after drinking alcohol, and rarely or never used seat belts. Given this clustering of injury-related risk behaviors, college prevention programs should aim to reduce risks for injuries comprehensively, rather than addressing each risk behavior separately.     

A Latent Growth Curve Analysis of Prosocial Behavior Among Rural Adolescents

The present study was designed to investigate stability and changes in prosocial behavior and the parent and peer correlates of prosocial behavior in rural adolescents. Participants were from a rural, low SES community in the Eastern United States. The participants were in 7th, 8th, and 9th grades at Time 1 and 10th, 11th, and 12th grades at Time 4, and completed measures of prosocial behavior and quality of parent and peer relationships. Latent growth curve modeling revealed that despite moderate stability in individual differences in prosocial behavior and slight increases in quality of peer and parent relationships, level of prosocial behavior declined until late high school with a slight rebound in grade 12. Furthermore, increases in the quality of peer relationships predicted decreases in prosocial behavior for girls but not boys. Discussion focuses on continuity and change in prosocial behavior and the gender‐based relations between quality of parent and peer relationships and prosocial behaviors in adolescence.     

Neural Interaction Between Risk Sensitivity and Cognitive Control Predicting Health Risk Behaviors Among Late Adolescents

The developmental period of adolescence is characterized by increasing incidence of health risk behaviors (HRBs). Based on theoretical models that emphasize the moderating role of cognitive control, this study examined how neural correlates of cognitive control and risk sensitivity interact to predict HRBs among late adolescents (17–20 years). Neuroimaging data indicate that risk‐related hemodynamic activity in the anterior insula during anticipation of uncertain outcomes predicts HRBs among late adolescents exhibiting greater dorsal anterior cingulate cortex (dACC) activity during a cognitive interference task but not among late adolescents requiring less dACC activity. These results present neural evidence for a significant moderating effect of cognitive control on the link between risk sensitivity and HRBs among late adolescents.     

Peer Behaviors and Co-occurring Disorders Among Adolescents

The complexity of co-occurring substance use disorders and mental health problems among adolescents challenges both researchers and practitioners. The purpose of this study was to further disentangle those relationships and examine the role that peers who engage in deviant activities plays in that relationship. A subset of variables from a larger study of adolescents referred for substance use assessment was analyzed in this study. The results suggest that as the severity of substance use and mental health problems increases so does the number of peers who engage in deviant activities; peers partially mediates the relationship between those two variables. Implications for social work practice and other professionals are discussed.     

Exposure to Suicide Movies and Suicide Attempts: A Research Note

Research on the impact of exposure to suicide movies on suicidality has been marked by three limitations. It is largely based on (1) aggregate data subject to the ecological fallacy, (2) exposure to a single movie, and (3) relative lack of controls for psychological states and social factors linked to suicide. The present study addresses these gaps. It follows a modified Beach method and assesses the impact of cumulative, voluntary exposure to suicide movies on suicide attempts. The subjects are 260 undergraduates at a midwestern university. The dependent variable is a previous suicide attempt. Cumulative exposure to suicide movies is based on self-reports. Controls include religiosity, depression, burdensomeness, and demographics. A multivariate logistic regression analysis determined that, controlling for other predictors, for each additional movie exposure the risk of attempted suicide increased by 47.6 percent. This is the first investigation to demonstrate a link between cumulative, voluntary exposure to suicide movies on suicidality.     

Outcome Expectancies and Risk Behaviors in Maltreated Adolescents

This study examined positive and negative outcome expectancies for risk behaviors, and their association with engagement in risk behaviors, in a sample of 149 maltreated adolescents. “Outcome Expectancies” are evaluative social cognitions about what will occur as a consequence of one's actions. Risk behaviors and outcome expectancies for substance use, sexual behavior, and delinquency were assessed. In all regression models, positive expectancies were significantly related to risk behaviors while negative expectancies, with one exception, were not significantly related. In three of four regression models, significant interactions were found between positive and negative expectancies in predicting risk behaviors. The nature of the interaction differed by type of risk behavior. Beyond demonstrating associations between outcome expectancies and risk behaviors in a maltreated sample, this paper contributes to the study of social information processing by demonstrating significant interactions between positive and negative expectancies.     

Knowledge of Suicide Risk Factors,But Not Suicide Ideation Severity,Is Greater Among College Students Who Viewed 13 Reasons Why

Abstract

Objective: To test associations between viewing 13 Reasons Why, Season 1 and past week suicide ideation severity, behavior risk, stigma, and knowledge in college students. To explore whether personal exposure to suicide and depressive symptom severity moderated these associations. Participants: Eight-hundred and eighteen college students, 64% (n?=?522) of whom watched 13 Reasons Why. Methods: Students completed surveys online. Multivariate negative binomial regressions were used to test associations between watching 13 Reasons Why and suicide-related variables, and interaction terms. Results: Suicide ideation severity and suicide behavior risk were not significantly associated with viewing 13 Reasons Why; however, there was limited statistical power to detect associations. The association between watching 13 Reasons Why and greater suicide knowledge was stronger among those who did not have personal exposure to suicide. Conclusions: 13 Reasons Why may be a platform for psychoeducation on suicide, particularly among those who do not have personal exposure.     

Heterosexual Casual Sex and STI Diagnosis: A Latent Class Analysis

Casual sex is common during the emerging adult life course stage, but little research has taken a person-centered approach to investigate if casual sexual behavior influences sexually transmitted infection (STI) rates. Using a nationally representative sample and latent class analysis, results showed three distinctive latent classes. Abstainers were the least likely to have an STI, followed by the casual sex experienced, and then the casual sex risk-takers. Once other covariates were included in the model, there was no significant difference between the abstainers and casual sex experienced classes. These results highlight the need for future research to include diverse samples of emerging adults.     

Suicidal Ideation and Comorbid Disorders in Adolescents and Young Adults Diagnosed with Asperger's Syndrome: A Population at Risk

ABSTRACT

The purpose of this study was to examine the level of suicidal ideation and comorbid disorders (major depressive disorder, generalized anxiety disorder) among adolescents and young adults with diagnosed Asperger's syndrome (AS). A cross-sectional study using a self-administrated mail questionnaire and a Web-based questionnaire were used. Two samples were selected for this study. The first sample used snowball sampling, starting with parents of adolescents and young adults with diagnosed AS who participated in a qualitative study conducted in 2002. The second sample consisted of a volunteer sample of parents who visited Web sites for parents and individuals with diagnosed autism spectrum disorder. The sample included 10 adolescents and young adults with diagnosed AS. Fifty percent of the sample had a clinically significant level of suicidal ideation, 20% met criteria for a diagnosis of major depressive disorder, and 30% met criteria for generalized anxiety disorder.     

Internet Gamblers Differ on Social Variables: A Latent Class Analysis

Online gambling has gained popularity in the last decade, leading to an important shift in how consumers engage in gambling and in the factors related to problem gambling and prevention. Indebtedness and loneliness have previously been associated with problem gambling. The current study aimed to characterize online gamblers in relation to indebtedness, loneliness, and several in-game social behaviors. The data set was obtained from 584 Internet gamblers recruited online through gambling websites and forums. Of these gamblers, 372 participants completed all study assessments and were included in the analyses. Questionnaires included those on sociodemographics and social variables (indebtedness, loneliness, in-game social behaviors), as well as the Gambling Motives Questionnaire, Gambling Related Cognitions Scale, Internet Addiction Test, Problem Gambling Severity Index, Short Depression–Happiness Scale, and UPPS-P Impulsive Behavior Scale. Social variables were explored with a latent class model. The clusters obtained were compared for psychological measures and three clusters were found: lonely indebted gamblers (cluster 1: 6.5%), not lonely not indebted gamblers (cluster 2: 75.4%), and not lonely indebted gamblers (cluster 3: 18%). Participants in clusters 1 and 3 (particularly in cluster 1) were at higher risk of problem gambling than were those in cluster 2. The three groups differed on most assessed variables, including the Problem Gambling Severity Index, the Short Depression–Happiness Scale, and the UPPS-P subscales (except the sensation seeking subscore). Results highlight significant between-group differences, suggesting that Internet gamblers are not a homogeneous group. Specific intervention strategies could be implemented for groups at risk.     

Oral Cancer Risk Behaviors Among Indiana College Students: A Formative Research Study

Objectives: In fall 2004, the authors used a survey to assess the knowledge, attitudes, motivations, and behaviors of college students relative to oral cancer prevention to inform development of targeted prevention programming. Participants: A convenience sample of 1,003 undergraduate students at one public university in Indiana participated. Methods: Discriminant function analysis was employed to analyze participants' motivations; perceived risks; individuals who influence participants' alcohol, tobacco, and marijuana use; and factors that facilitate and discourage use. The study sample was divided into users and nonusers to differentiate between groups and predictor (discriminating) variables. Multiple regression analysis was used to determine the extent to which participants' knowledge, attitudes, peer perceptions, sex, age, and ethnicity contributed to participants' combined alcohol, tobacco, and marijuana use behaviors. Results: With 2 exceptions, discriminant function analysis (p < .01) correctly categorized user status (ie, nonusers vs combined users of alcohol and cigarettes; nonusers vs combined users of alcohol, cigarettes, and marijuana) by the predictor variables. Multiple regression analysis to determine whether independent variables predicted combined drug use generated significant (p < .01) results across all combined use behaviors. Conclusions: Multiple oral cancer prevention program options along with additional formative research efforts were suggested by study results.     

Multidimensional Profiles of Religiosity Among Adolescents: Associations With Sexual Behaviors and Romantic Relationships

Religiosity is associated with sexual behavior in adolescence; however, religiosity is a multidimensional construct, and it is not clear how different patterns of religiosity may differentially predict sexual behaviors and romantic relationships. We apply latent class analysis to nationally representative data from the National Longitudinal Study of Adolescent to Adult Health (Add Health; N = 10,149) to examine (1) what religiosity profiles exist among adolescents and (2) how they predict sexual behavior and romantic relationship status in adolescence and young adulthood. Religiosity in multiple domains was associated with lesser odds of sexual behavior compared to profiles marked by only affiliation, private, or public religiosity. Findings suggest that examining multiple facets of religiosity together is important for understanding how religiosity is associated with sexual behavior.     

Solidarity and Conflict Between Adult Children and Parents: A Latent Class Analysis

Using multiple dimensions of solidarity and conflict in a latent class analysis, we develop a typology of adult child–parent relationships. The data (N= 4,990) are from the first wave of the Netherlands Kinship Panel Study. In descending order of relationship quality, the 5 types are harmonious (akin to relationships with friends), ambivalent (intensive exchange of material support accompanied by strain), obligatory (just keeping in touch), affective (emotionally supportive with few other meaningful exchanges), and discordant (predominantly negative engagement). The types are differentiated by gender, age, family size, geographic distance, and parental marital history, indicating that they are not fixed but are shaped by social‐structural conditions.     

Mental Health and HIV Risk Among African American Adolescents

Summary

The family system is integral to adolescent mental health and HIV risk. However, few studies have addressed family variables and adolescent outcomes among African American families. This study tested a longitudinal model of parenting, adolescent mental health, and adolescent HIV risk, among a community sample of low-income, urban African American families from the Collaborative HIV prevention and AdolescentMental Health Project (CHAMP). Consistent with general adolescent population data, we expected less parental monitoring, greater psychological control and less positive parenting to increase risk for adolescent depression and conduct problems. We hypothesized that these variables would in turn increase rates of HIV risk. We followed one hundred and thirty-four African American youth and theirmaternal caregivers as part of the CHAMP project. Study variables included: positive parenting, parental monitoring, psychological control, adolescent distress, conduct problems, and recent HIV risk. We examined the relationship among these variables via longitudinal path analysis. Age was strongly associated with increased adolescent HIV risk. Contrary to hypotheses, more parental psychological control was marginally associated with less HIV risk, while positive parenting was marginally associated with greater HIV risk. Adolescent depression was associated with more conduct problems, but unrelated to HIV risk. Thus, parenting practices generally considered negative might actually be protective among some lower SES African American families. This underscores the importance of extending studies of family context and adolescent risk behaviors to diverse social and ethnic groups. Designing prevention programs for diverse groups will require articulating culturally specific effects for different parenting practice.     

Gender Roles, Externalizing Behaviors, and Substance Use Among Mexican-American Adolescents

A sample of 60 male and 91 female Mexican-American adolescents (age 13-18) were administered measures of positive (i.e., assertive masculinity, affective femininity) and negative (i.e., aggressive masculinity, submissive femininity) gender roles, internalizing and externalizing problem behaviors, peer substance use, and own substance use (alcohol, cigarettes, marijuana). Negative gender roles were significantly correlated with internalizing and externalizing problems for both boys and girls, with aggressive masculinity also predicting peer substance use for both genders. Assertive masculinity significantly predicted lower alcohol use in boys, and this effect was not mediated by internalizing problems, externalizing problems, or peer substance use. Negative gender roles significantly predicted higher alcohol use in girls, but this effect was almost completely mediated by internalizing problems, externalizing problems, and peer substance use. Results are discussed in terms of gender role socialization among Mexican Americans.