Objectives: To examine whether suicidal intent and medical lethality of past suicide attempts are predictive of future attempts, the association between intent and lethality, and the consistency of these characteristics across repeated attempts among youth. Method: Suicide attempts in a 15-year prospective study of 180 formerly psychiatrically…

Objective: This study tested a cognitive-behavioral treatment protocol for adolescents with a co-occurring alcohol or other drug use disorder (AOD) and suicidality in a randomized clinical trial. Method: Forty adolescents (M[subscript age] = 15 years; 68% female, 89% White) and their families recruited from an inpatient psychiatric hospital were…

The purpose of this study was to examine the efficacy of the Youth-Nominated Support Team-Version II (YST-II) for suicidal adolescents, an intervention based on social support and health behavior models, which was designed to supplement standard treatments. Psychiatrically hospitalized and suicidal adolescents, 13-17 years of age, were randomly…

A cognitive-behavioral therapy (CBT) program for posttraumatic stress disorder (PTSD) was developed to address its high prevalence in persons with severe mental illness receiving treatment at community mental health centers. CBT was compared with treatment as usual (TAU) in a randomized controlled trial with 108 clients with PTSD and either major…

Administered Beck Scale for Suicide Ideation (BSI) to 108 adolescent inpatients diagnosed with mixed psychiatric disorders. Examined relationships of Beck Depression Inventory, Anxiety Inventory, and Hopelessness Scale with BSI. Results support use of BSI with adolescent inpatients. Findings indicated that hopelessness was related to suicidal…

Examined interrater reliability of diagnoses made on basis of structured interview for psychiatric patients with and without psychoactive substance use disorders (PSUDs). Results from 47 pairs of ratings by 9 clinical interviewers revealed that interrater reliability for non-PSUD psychiatric diagnoses was quite high when patient had no diagnosable…

The results of this study indicate that feedback may enable a treatment team to increase their effectiveness, but an increase does not always occur. Three conditions seemed necessary for feedback to enhance team effectiveness. When these conditions were met on one ward, the posthospital adjustment of patients rose to a higher level than that of…

Investigated relation of emotions to depression in 145 child and adolescent psychiatric inpatients. Shyness, anger, enjoyment, and shame explained 51.4 percent of variance in depression scores. Profiles of emotions experienced by youths with depressive disorder differed significantly from emotion profiles of nondepressed youths on several…

Chronic psychiatric patients (N=7) who were enrolled in a partial-hospitalization program and had difficulty solving interpersonal problems received group skills training. Multiple-baseline design demonstrated training effectiveness through improved problem solving on trained situations and through skill generalization to novel, untrained…

Correlates of very highly elevated, uninterpretable'' Minnesota Multiphasic Personality Inventories (MMPIs) of white and black psychiatric inpatients were obtained by comparing descriptors for these profiles with those for less elevated profiles in two independent samples. (Author)

The present research sought to determine whether developmental congruity between symptom form and level of maturity might be indicative of generally greater potential for adaptive success, as indicated by a measure of defense effectiveness. The results were as predicted. (Author)

Analyzed psychiatric hospital sample (n=100) and prison inmate sample (n=100) to identify dangerousness and risk of violent behavior. Hospital sample analysis yielded discriminant function containing five variables, which was 85% accurate in classifying sample. Prison sample analysis yielded discriminant model with six variables, which was 72%…

Evaluated whether adolescent suicide attempters (n=30) would have deficits in interpersonal problem solving and relation between social problem solving, suicide intent, and medical lethality. Compared with 30 psychiatric and 30 normal controls, adolescents who attempted suicide exhibited poorer social problem-solving abilities. Suicide attempters…

The ability of 24 Veterans Administration Day Treatment Center psychiatric outpatients to vary intentionally their degree of apparent psychopathology during structured interviews was studied. Patients defined as sick presenters behaved in a significantly more pathological manner during an interview preceded by "fake sick" instructions than they…

Biographical variables, available at the time of admission to a psychiatric service, were used to predict posthospital adjustment to military life. Variables which were reliable prognostic indicators included occupational specialty, number of children, wife's attitude, solitariness of work, length of service, diagnosis, and recognition for…