Rumination, Brooding, and Reflection: Prospective Associations with Suicide Ideation and Suicide Attempts

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/151274/1/sltb12507_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/151274/2/sltb12507.pd

Identifying Adolescents at Highly Elevated Risk for Suicidal Behavior in the Emergency Department

Objective: The feasibility and concurrent validity of adolescent suicide risk screening in medical emergency departments (EDs) has been documented. The objectives of this short-term prospective study of adolescents who screened positive for suicide risk in the ED were: 1) to examine adolescents' rate of suicidal behavior during the 2 months following their ED visits and compare it with reported rates for psychiatric samples; and 2) to identify possible predictors of acute risk for suicidal behavior in this at-risk sample. Method: Participants were 81 adolescents, ages 14?19 years, seeking services for psychiatric and nonpsychiatric chief complaints, who screened positive for suicide risk because of recent suicidal ideation, a suicide attempt, and/or depression plus alcohol or substance misuse. A comprehensive assessment of suicidal behavior, using the Columbia-Suicide Severity Rating Scale, was conducted at baseline and 2 month follow-up. Results: Six adolescents (7.4%) reported a suicide attempt and 15 (18.5%) engaged in some type of suicidal behavior (actual, aborted, or interrupted suicide attempt; preparatory behavior) during the 2 months following their ED visit. These rates suggest that this screen identified a high-risk sample. Furthermore, adolescents who screened positive for suicidal ideation and/or attempt plus depression and alcohol/substance misuse were most likely to engage in future suicidal behavior (38.9%). Conclusions: In this study, use of a higher screen threshold (multiple suicide risk factors) showed promise for identifying highly elevated acute risk for suicidal behavior.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140322/1/cap.2014.0049.pd

Positive and Negative Expectations of Hopelessness as Longitudinal Predictors of Depression, Suicidal Ideation, and Suicidal Behavior in High‐Risk Adolescents

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136513/1/sltb12273.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136513/2/sltb12273_am.pd

Self‐Efficacy to Avoid Suicidal Action: Factor Structure and Convergent Validity among Adults in Substance Use Disorder Treatment

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109886/1/sltb12101.pd

Trigonometry: A Brief Conversation

These five units were specifically tailored to foster the mastery of a few selected trigonometry topics that comprise the one credit MA-121 Elementary Trigonometry course. Each unit introduces the topic, provides space for practice, but more importantly, provides opportunities for students to reflect on the work in order to deepen their conceptual understanding. These units have also been assigned to students of other courses such as pre-calculus and calculus as a review of trigonometric basics essential to those courses. We are grateful for the support we received from the Open Educational Research (OER) initiative of the City University of New York (CUNY)

Trigonometry: A Brief Conversation

These five units are specifically tailored to foster the mastery of a few selected trigonometry topics that comprise the one credit MA-121 Elementary Trigonometry course. Each unit introduces the topic, provides space for practice, but more importantly, provides opportunities for students to reflect on the work in order to deepen their conceptual understanding. These units have also been assigned to students of other courses such as pre-calculus and calculus as a review of trigonometric basics essential to those courses. This is the second edition of the materials. Units 4 and 5 have been edited to reflect suggestions from instructors who have used the materials. We have also added answers to the odd numbered practice exercises. We are grateful for the support we received from the Open Educational Research (OER) initiative of the City University of New York (CUNY). This second edition was part of the OER Workshop-Cohort III

A search for non-pulsating, chemically normal stars in the Scuti instability strip using Kepler data

We identify stars in the δ Sct instability strip that do not pulsate in p modes at the 50-μmag limit, using Kepler data. Spectral classification and abundance analyses from high-resolution spectroscopy allow us to identify chemically peculiar stars, in which the absence of pulsations is not surprising. The remaining stars are chemically normal, yet they are not δ Sct stars. Their lack of observed p modes cannot be explained through any known mechanism. However, they are mostly distributed around the edges of the δ Sct instability strip, which allows for the possibility that they actually lie outside the strip once the uncertainties are taken into account.We investigated the possibility that the non-pulsators inside the instability strip could be unresolved binary systems, having components that both lie outside the instability strip. If misinterpreted as single stars, we found that such binaries could generate temperature discrepancies of ∼300 K – larger than the spectroscopic uncertainties, and fully consistent with the observations. After these considerations, there remains one chemically normal nonpulsator that lies in the middle of the instability strip. This star is a challenge to pulsation theory. However, its existence as the only known star of its kind indicates that such stars are rare. We conclude that the δ Sct instability strip is pure, unless pulsation is shut down by diffusion or another mechanism, which could be interaction with a binary companion

How does gender influence the recognition of cardiovascular risk and adherence to self-care recommendations? : a study in polish primary care

Background: Studies have shown a correlation between gender and an ability to change lifestyle to reduce the risk of disease. However, the results of these studies are ambiguous, especially where a healthy lifestyle is concerned. Additionally, health behaviors are strongly modified by culture and the environment. Psychological factors also substantially affect engagement with disease-related lifestyle interventions. This study aimed to examine whether there are differences between men and women in the frequency of health care behavior for the purpose of reducing cardiovascular risk (CVR), as well as cognitive appraisal of this type of risk. We also aimed to identify the psychological predictors of engaging in recommended behavior for reducing the risk of cardiovascular disease after providing information about this risk in men and women. Methods: A total of 134 consecutive eligible patients in a family practice entered a longitudinal study. At initial consultation, the individual’s CVR and associated health burden was examined, and preventive measures were recommended by the physician. Self-care behavior, cognitive appraisal of risk, and coping styles were then assessed using psychological questionnaires. Six months after the initial data collection, the frequency of subjects’ self-care behavior was examined. Results: We found an increase in health care behavior after providing information regarding the rate of CVR in both sexes; this increase was greater for women than for men. Women followed self-care guidelines more often than men, particularly for preventive measures and dietary advice. Women were more inclined to recognize their CVR as a challenge. Coping style, cognitive appraisal, age, level of health behaviors at baseline and CVR values accounted for 48% of the variance in adherence to self-care guidelines in women and it was 52% in men. In women, total risk of CVD values were most important, while in men, cognitive appraisal of harm/loss was most important. Conclusions: Different predictors of acquisition of health behavior are encountered in men and women. Our results suggest that gender-adjusted motivation models influencing the recognition process need to be considered to optimize compliance in patients with CVR

Modelling of combined ICRF and NBI heating in JET hybrid plasmas

During the 2015-2016 JET campaigns many efforts have been devoted to the exploration of high performance plasma scenarios envisaged for ITER operation. In this paper we model the combined ICRF+NBI heating in selected key hybrid discharges using PION. The antenna frequency was tuned to match the cyclotron frequency of minority hydrogen (H) at the center of the tokamak coinciding with the second harmonic cyclotron resonance of deuterium. The modelling takes into account the synergy between ICRF and NBI heating through the second harmonic cyclotron resonance of deuterium beam ions which allows us to assess its impact on the neutron rate RNT. We evaluate the influence of H concentration which was varied in different discharges in order to test their role in the heating performance. According to our modelling, the ICRF enhancement of RNT increases by decreasing the H concentration which increases the ICRF power absorbed by deuterons. We find that in the recent hybrid discharges this ICRF enhancement was in the range of 10-25%. Finally, we extrapolate the results to D-T and find that the best performing hybrid discharges correspond to an equivalent fusion power of ∼7.0 MW in D-T.This work has been carried out within the framework of the EUROfusion Consortium and has received funding from the Euratom research and training programme 2014-2018 under grant agreement No 633053. The views and opinions expressed herein do not necessarily reflect those of the European Commission. Dani Gallart would like to thank “La Caixa” for support of his PhD studies.Peer ReviewedPostprint (published version