7.31.2010

Intriguing new methods for suicide assessment

Currently, suicide assessment relies on self-report or clinical interview. This has obvious problems, not the least of which is that the more "experienced" patient will control their admissions of suicidal intent or ideation when speaking to clinicians.

Research teams have developed computer tests that compute the individual's response to stimuli to get a better read on suicidality. One team used a Stroop test to help in assessment and got intriguing results. A Stroop test presents words in color and asks the subject to identify the color. If the word "blue" is presented in a red color, the computer can measure the time it takes to respond with the correct color and use that to measure level of attention in the individual. For individuals with attention problems or cognitive disorders (ADHD, brain damage, depression), longer response times indicate issues with executive functions. Turns out that people at high risk for suicide pay more attention to words associated with self-harm, such as "suicide".

The other study used reaction time to measure the strength of association between sets of words. The response rate indicated increased response in some individuals to certain combinations of terms for the self and for death/suicide. Those people with those higher "unconscious associations" were 6 times more likely to attempt suicide in the next 6 months than people who associated self and life.

These studies are intriguing and would be pretty straightforward to implement in even small clinical settings.

7.26.2010

Working with dreams

Interesting article in the New York Times about “rewriting” dreams to repair sleep problems in PTSD. One intriguing finding is the high correlation of PTSD with sleep apnea. An interesting research problem would be if people with sleep problems more apt to get PTSD? Or conversely, is good overall sleep hygiene protective against developing PTSD?