Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy

Methods for preventing adolescent suicide are surveyed, and cognitive-behavioral therapy (CBT) is explored as a method for serving suicidal African American adolescents. Strengths, limitations, and compatibility of CBT with social work values are examined. Although CBT shows much promise in helping suicidal African American adolescents, research on the efficacy and effectiveness of CBT with this population is lacking. Suicide risk and protective factors and social inequities are evaluated as they relate to African American adolescents generally. In addition to relieving suicidal symptoms, CBT potentially could facilitate social liberation for this population.     

Conditional Score Tests for Heteroscedasticity in the Two-Way Error Components Model

This paper extends the one-way heteroskedasticity score test of Holly and Gardiol (2000, In: Krishnakumar, J, Ronchetti, E (Eds.), Panel Data Econometrics: Future Directions, North-Holland, Amsterdam, pp. 199–211) to two conditional Lagrange Multiplier (LM) tests of heteroskedasticity under contiguous alternatives within the two-way error components model framework. In each case, the derivation of Rao's efficient score statistics for testing heteroskedasticity is first obtained. Then, based on a specific set of assumptions, the asymptotic distribution of the score under contiguous alternatives is established. Finally, the expression for the score test statistic in the presence of heteroskedasticity and related asymptotic local powers of these score test statistics are derived and discussed.     

Gender, Body Image, and Depressive Symptoms among Low-Income African American Adolescents

The present study tested for gender differences in depression and body image among a sample of 6th–8th grade low-income African American adolescents. Gender differences were found, with adolescent girls more likely to report both depressive symptoms and poor body image. The most frequently endorsed body image concern for both boys and girls was the desire to lose weight, with approximately half of the girls in this sample reporting they would like to lose weight. Results of mediational analyses indicate that poor body image mediates the relation between gender and depression in this sample, suggesting that heightened rates of depression, among girls, are due to heightened rates of poor body image.     

Multidisciplinary eHealth survey evaluation methods

This paper describes the development process of an evaluation framework for describing and comparing web survey tools. We believe that this approach will help shape the design, development, deployment, and evaluation of population-based health interventions. A conceptual framework for describing and evaluating web survey systems will enable the developers of health interventions to identify, select, and use the most appropriate and relevant survey tools. The primary contributors included survey methodologists, computer scientists, informaticians, technical communications specialists, educators, evaluators, clinical practitioners, and health services researchers, who together developed a comprehensive ontology to describe the electronic survey domain. This paper will describe the survey ontology development process and detail lessons learned in the creation of the web survey system evaluation framework.     

Efficacy of a Web-Based,Tailored, Alcohol Prevention/Intervention Program for College Students: Initial Findings

Abstract

Objective: Reduce college student at-risk drinking (ARD) using a Web-based brief motivational alcohol prevention/intervention called Michigan Prevention and Alcohol Safety for Students (M-PASS). Participants: Participants included 1,137 randomly sampled first-year college students, including 59% female, 80% white, and averaged age 18.1 years. Methods: Intervention group participants (n = 616) attended 4 online M-PASS sessions, receiving feedback tailored to individual drinking patterns and concepts from 4 behavior change theories. Control group participants (n = 521) completed a mid-phase survey, and both groups were surveyed at baseline and posttest. Results: Evidence of M-PASS's efficacy was found. The intervention was associated with advanced stage of change, lower tolerance of drinking and drink/driving, fewer reasons to drink, and use of more strategies to avoid ARD. Preliminary evidence of behavioral change was also found. Efficacy was greater for women than men. Conclusions: Web-based programs may be useful in reducing alcohol-related risk among college students. Further evaluation is needed.     

Abortion: a psychiatric patient's right to choose

1. Competent mentally ill patients should be allowed to terminate pregnancy. 2. It is the responsibility of the staff to provide the patient with a safe, supportive, and respectful environment. 3. Early and frequent staff processing opportunities should be offered to clarify any underlying issues.     

Computing a population budget from sequentially sacrificed, replicated cultures

Summary When a population budget must be obtained from censuses based on replicated, sacrificed cultures, it is difficult to obtain estimates of transition probabilities and of the errors of such estimates, because there is no logical basis for pairing successive census counts. In a study of this nature estimating a population budget of immature stages of the housefly, the problem was solved by a randomization treatment of the original census results obtained at two densities. One hundred randomly generated census matrices over all census times for each density were smoothed to remove the effects of sampling error and a population budget constructed according to defined rules. Transition probabilities computed from the population budget were plotted on triangular coordinate paper and mean probabilities, 95% confidence regions for these means, and 95% equal frequency ellipses computed. All computations and the graphing of the results were carried out on a digital computer. The computer program, available from the authors, is written in FORTRAN IV and could be easily modified for similar studies. Contribution No. 1364 from the Department of Entomology, The University of Kansas. This study has been supported by the Medical Research and Development Command of the Office of the Surgeon General of the Army under contract No. DA-49-007-MD-738, U.S.A. and by a Public Health research career program award (No. 3-K3-GM-22, 021-01S1) from the National Institute of General Medical Sciences, U.S.A. to RobertR. Sokal. It was carried out during the tenure of a National Science Foundation predoctoral fellowship by EdwinH. Bryant. The authors appreciate the help of Dr.F.J. Rohlf with computational aspects.