Treatment For Suicidal Thoughts and Behavior: A Review of Family‐Based Interventions

The purpose of this article is to review the scientific evidence on the effects of family based interventions for suicidal ideation and behavior. We conducted an extensive search of electronic databases using a comprehensive search strategy. This search resulted in 16 studies that tested 13 interventions for treating suicidal ideation and behavior using family based interventions. Of the interventions identified, three yielded an overall improvement in suicidal ideation and behavior while an additional three interventions produced partial improvement in mental health symptoms. These studies targeted suicidal ideation and behavior in youth or adolescents while no studies examined family interventions for adults with suicidal ideation and behavior. The limitations of these studies and the need for additional research are examined.     

Trends in the Relationship between Infant Mortality and Socioeconomic Status

Abstract

This paper reports some of the results of an ecological analysis of the relationship between infant mortality and economic status in metropolitan Ohio at three points in time (1959–1961, 1969–1971 and 1979–1981). The data presented clearly reveal the adverse mortality consequences of alow economic status. In spite of some remarkable declines in the infant death rate since 1960, most notably in neonatal mortality, the inverse socioeconomic differential in 1980 is as wide as it ever was, and it characterizes both whites and nonwhites and both the neonatal and postneonatal components of infant mortality. Moreover, in sharp contrast to the situation a generation ago, the neonatal death rate has emerged as a major contributor to the overall relationship between socioeconomic status and infant mortality. It is suggested that this situation reflects the failure of recent advances in maternal and infant care programs to reach those lower status members of the society that are most in need of them.     

Food Security: The Elaboration of Contested Claims to a Consensus Frame*

Abstract This article demonstrates Gamson's claim that behind the apparent agreement implied by “consensus frames” lies considerable dissensus. Ironically, the very potency of consensus frames may generate contested claims to the ownership of a social problem. Food security is a potent consensus frame that has generated at least three distinct collective action frames: food security as hunger; food security as a component of a community's developmental whole; and food security as minimizing risks with respect to an industrialized food system's vulnerability to both “normal accidents” as well as the “intentional accidents” associated with agriterrorism. We show that each collective action frame reflects internal normative variation identified here with Goffman's “keying” concept. These keys suggest power differentials in the endorsement or critique of dominant institutional practices. Each frame and associated keys reflect distinct sets of interests by collective actors, such as demands for substantively different applications of science and technology. The prognostic framing of the community food security movement coincidentally holds potential for reducing not only the accidental risks of productivist agriculture but also the uncertainty induced by the risk of terrorist exploitation of those vulnerabilities. The article explores power differentials and variable levels of oppositional consciousness as mechanisms by which keys generate contentious politics within frames while serving as potential bridges between frames. This contested ownership of food security has implications for the associated movements' and organizations' capacity to influence the structure of the agrifood system as well as the broader socioeconomic organization of rural regions.     

The mental health dimension in the new social work degree: starting a debate

The Mental Health in Higher Education Project (mhhe) aims to increase networking and debate about the learning and teaching of mental health, both within and across the disciplines and professions in higher education. Despite the recent prominence that has been given to mental health in terms of policy development and new practice models, there has so far been little discussion as to what should constitute the mental health component of the new social work degree that is currently being introduced in England. This paper sets the context for the debate and reports on the outcome of an mhhe workshop on this theme held at the 2003 Social Work Education Conference in Warwick.     

Cancer Knowledge and Examination Frequency in College Students

Abstract

College students are now being considered an appropriate target for cancer education programs. However, research has demonstrated that only a fraction of those individuals knowledgeable about the importance of cancer examinations actually practice these examinations. This study investigated whether the personality construct of repression-sensitization could identify which individuals would or would not practice regular examinations for breast, cervical, and testicular cancer. College students were identified as repressors, neutral, or sensitizers and tested as to their knowledge and examination frequency for breast, cervical, and testicular cancer. After a cancer lecture, this information was reasessed. No differences were found among repressors, neutrals, or sensitizers in cancer knowledge or examination frequency, either prelecture or postlecture. Cancer knowledge significantly increased after the lecture for both males and females. No change was found in the frequency of breast self-examination, while frequency of pap smears declined after the lecture. In contrast, testicular self-examination frequency increased. The implications of these results for future research are discussed.     

Missed opportunity: The NTER and sustainable development outcomes for Aboriginal people in the Northern Territory

This article questions why the Labor Government has failed to fundamentally change the Northern Territory Emergency Response (NTER) which it inherited from the Howard government, in the face of evidence which suggests that it is a development intervention unlikely to bring about sustained change. There are two major problems which this article highlights: the coercive and denigrating approach of the NTER, and its failure to address the need for Indigenous governance to drive lasting Indigenous development. Drawing on global research about the reduction of poverty and evidence about the social and economic development of native nations in other settler states, the article suggests that the NTER has been a missed opportunity for Indigenous development. Better policies would have been to address the barriers which Indigenous people identify as blocking their initiatives for development, and to support the essential work of building effective and legitimate community governance to drive development.     

Recovery capital: what enables a sustainable recovery from mental health difficulties?

There is increasing international interest in recovery approaches in mental health—and this connects with an emerging focus within European social work around promoting capability and sustainability. Research at a population level would suggest that social factors rather than medical interventions are the main determinants of recovery from mental health difficulties—but this is not yet reflected in social work practice, which can still be dominated by biomedical perspectives and a focus on risk management. Drawing upon and extending analyses of social and other forms of capital, this paper outlines the basis for a new paradigm for mental health social work that is specifically oriented towards enabling the development of personal efficacy and social capability—an approach that is explicitly focused on achieving longer-term sustainability rather than shorter-term problem solving.