Social Work Commons^™

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …

Predictors Of Suicide And Differences In Attachment Styles And Resilience Among Treatment-Seeking First Responder Subtypes, Warren Ponder, Jose Carbajal, James Whitworth, Donna Schuman, Jeanine Galusha, R Andrew Yockey

Faculty Publications

Objective: To identify the predictors of suicide for firefighters (FFs), emergency medical technicians (EMTs), and law enforcement officers (LEOs). Methods: We used baseline data from FFs/EMTs (n = 69) and LEOs (n = 81) to investigate the unique predictors for both first-responder subtypes. We conducted confirmatory factor analysis on validated assessments of posttraumatic stress disorder (PTSD) and depression.Measures of attachment, resilience, PTSD, depression, generalized anxiety, trauma history, and substance use were the independent variables in two backward stepwise regressions predicting suicide. Results: Substance use and somatic depression were significant predictors for LEOs, whereas affective depression, anhedonia, externalizing …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Suicide On College Campus: An Evidence-Based Practice Guide For College Professors Of Emerging Adults, Tyler Richardson

Evidence-Based Social Work Practice Guide Series

This guide is geared to educate college professors on how to recognize the signs and risks of suicide in their students, and to know specific steps that they can take to help students who may be at risk. There are five suggestions in the guide, that are taken from current research on protective measures that help prevent suicide in at risk populations.

The Use Of Technology For Mental Wellbeing In The Era Of Covid-19, Adam Fakhri

Family Medicine Clerkship Student Projects

Prevalence of mental health issues has increased during the time of COVID-19. There are many contributing factors to consider, the main one reported has been social isolation due to quarantine precautions. Members of the community have spent extended periods of time at home and away from their loved ones during this pandemic. Many patients have reported many life events occurring including deaths in the family without the ability to even mourn with their family members. This has taken a toll on the community, especially in Vergennes where this small tight knit community that has relied on its tight social bonds …

Social Work’S Contribution To Research Regarding Suicide Among African Americans, Darius Reed

Social Work Doctoral Dissertations

Suicide among African Americans has increased significantly in the past 15 years, yet it remains a neglected topic in social work research. Social workers are the largest direct provider of mental health services in the United States. However their valuable person-in-environment perspective has not been incorporated into research to provide insight on ways to decrease incidents of suicide among African Americans. This systematic review examines social work’s contribution to suicide research while focusing on the social context in which African Americans live. The systematic review also examines protective factors specific to African Americans that can be used to mitigate suicide …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

Teaching Msw Students Suicide Assessment, Intervention, And Postvention In Rural Areas, Aisling Del Quest, Randall Nedegaard

Contemporary Rural Social Work Journal

This teaching note argues the need for enhanced suicide assessment and intervention training for MSW students preparing for rural social work practice. A detailed outline of a suicide elective course is presented, addressing rural specific challenges. After course completion, students (N = 49) reported feeling better prepared to work with suicidal clients and better able to conduct an accurate assessment and suggest appropriate interventions.

The Ethics Of Dying : An Exploration Of The Right To Suicide And Clinician Response To Self-Determination And Suicidal Ideation Among Adults Who Struggle With Mental Illness, Shelley Bair

Theses, Dissertations, and Projects

This paper explores the question: What beliefs, values and assumptions do social workers hold when assessing whether or not a person who is a mental health client has the right to suicide? The current literature reveals that individuals struggling with physical disorders deemed extreme and untreatable are likely to be accepted as rational grounds for suicide. Underrepresented in extant research is the critical examination of the desire to die as a rational versus pathological and treatable response to mental health concerns. The study question is examined, in part, through the lens of the Code of Ethics presented by the National …

Some Secrets Should Be Shared: Implementing An Evidence-Based Suicide Prevention Program, Meghan W. Diamon

National Youth Advocacy and Resilience Conference

Youth suicide is a preventable tragedy that can occur when children's mental health needs are unmet. Participants will discuss published research on risk factors for youth suicide, how to implement an evidence-based prevention program, and how to tackle common obstacles encountered. Participants will be prepared to mobilize school staff, parents, and community members to address the critical issues of depression awareness and suicide prevention.

Suicide Attempts From Adolescence Into Young Adulthood: A System Dynamics Perspective For Intervention And Prevention, Saras Yu Chung

Arts & Sciences Electronic Theses and Dissertations

Though the reduction of suicide-related deaths has been a national priority for over a decade (U.S. Department of Health and Human Services, 2001) and over $22 million per year (National Institutes of Health, 2015) have been invested to prevent suicide, rates of suicide have not declined (CDC, 2012). In fact, for some groups of adolescents, these rates seem to be on the ride (Wasserman, Cheng, & Jiang, 2005). The ineffectiveness in reducing deaths by suicide despite increased funding and coordinated efforts suggests the need for a new perspective on examining why and how adolescents begin to desire and attempt suicide …

Some Secrets Should Be Shared: Implementing An Evidence-Based Suicide Prevention Program, Meghan W. Diamon

National Youth Advocacy and Resilience Conference

Youth suicide prevention is critical in schools and local communities. Participants will discuss published research on risk factors for youth suicide, how to implement an evidence-based prevention program, and how to tackle common obstacles encountered. Participants will be prepared to mobilize school staff, parents, and community members to address the critical issues of depression awareness and suicide prevention.

The Sexual Assault Severity Scale: A Comprehensive Measure Of Assault Severity, Karyn Crystal Swinson

Dissertations

Many studies in the sexual assault literature have found a significant relationship between sexual assault severity and psychological distress, specifically PTSD and suicidality. However, in the current literature, there is an inconsistent and incomplete definition of the construct of assault severity. The present study aims to create a comprehensive self-report questionnaire, called the Sexual Assault Severity Scale (SASS) that includes assault characteristics, such as victim-offender relationship, substance use, and peritraumatic responses, and cognitive variables, such as posttraumatic schema disruptions and coping self-efficacy in the conceptualization of assault severity. Two models evaluating the relationship between assault severity and post assault distress …

Overseeing Supervisees Treating Clients Exhibiting Suicidal Behaviors: Its Impact On Clinical Supervisors, Michael Girard Catalana

Doctoral Dissertations

Individuals at risk of suicide often seek mental health treatment (Brook, Klap, Liao, & Wells, 2006; Moscicki, 2001; Souminen, Isometsa, Martunnen, Ostamo, & Lonnqvist, 2004). The clinicians who treat these individuals experience significant levels of stress (Knox, Burkard, Bentzler, Schaack, & Hess, 2006; Ruskin, Sakinofsky, Bagby, Dickens, & Sousa, 2004). Clinical supervisors are an important resource for clinicians (Chemtob, Hamada, Bauer, Kinney, & Torigoe, 1988a; Kleespies, Smith, & Becker, 1990; Knox et al., 2006; Maltsberger, 1992; Ruskin et al., 2004). Researchers recently acknowledged that overseeing clinicians whose client exhibited suicidal behavior is also stressful (Catalana, 2012; Hoffman, 2009; Sanger, 2010). …