Correction on my previous post about the Times London article about suicide turned outward. Although the website makes it look like Dewey Cornell wrote the article I cited, Dewey has informed me that he did not author the article, but was interviewed by a reporter who wrote it. I guess they do by-lines differently on the other side of Atlantic…
Erratum on previous post: Cornell not author, just interviewed
25 04 2007Comments : Leave a Comment »
Categories : current events, suicide, violence
Suicide turned outward: Times of London Article by Dewey Cornell
25 04 2007In a previous post, I shared some raw thoughts about some of the connections between suicide and violence. Here is a thoughtful and thought-provoking piece by Dewey Cornell (a former teacher of mine at UVA) that brilliantly captures those connections and others. Strongly recommended psychological and social commentary about the VA Tech murder-suicide last week.
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Categories : current events, suicide, violence
Sad news in Rochester
25 04 2007A vice-principal of a local school died by suicide this week. He had gone missing last Friday and was found earlier today (read the story in the Democrat and Chronicle). It is always shocking and confusing for survivors, but this is especially true when a more public figure dies. Students at the high school and the whole community is in shock. Suicide, even when there are warning signs is ultimately unpredictable.
I was interviewed by R-News today about what to tell survivors–in terms of understanding the death and in terms of resources. The reporter said that many journalists are struggling with how to report the story in the most helpful way for the community and the family, because suicide deaths often do not get the extensive coverage that this story demands (since Mr. Thurston’s disappearance was so public and his discovery so dramatic).
I’m sad about this death, and pleased about how the school, the community, and the news media have been handling the matter.
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Categories : current events, suicide
More blogging to come at URMC?
25 04 2007I was invited to an informal, coffee-cart conversation about blogging in a medical center. A person in our organization wants to develop a group blog around the interest area of Community Health.
A few reflections on this conversation, which took place on Friday.
- We spent a fair amount of time on definitional ambiguities around the word “blog.” I had never realized that the word can evoke lots of different images in people’s minds. At different points, it morphed between meaning “anything RSS,” “Web 2.0,” “collaborative Internet”, and “discussion board.” That happens with any word (I say “chair” and think of this and you might think of this), but it is especially true of word describing emerging concepts.
- I became aware of how personal my blog is to me, and how much I resist efforts to legislate aspects of it. I didn’t like ideas that entailed requiring people to commit to post once a week or something like that. I’m sure corporate blogs do something like that, but for a blog that is about idea development, I think the frequency should match the idea generation and can’t be forced.
- I had never thought before about how to get “buy-in” from people to blog. My recommendations to those involved in this project was that the only way to cultivate bloggers is to get people reading blogs first. Get them understanding RSS and some of the benefits to blogging (including in clinical or academic communities) from a reader’s standpoint. I think it’s hard to imagine why spending time writing posts would be useful to oneself or others until you’ve seen it in action.
- My other thought about “buy in” is that you have show people how any project that will require time and effort will promote their careers, not just promote a concept. For faculty, it’s about intellectual development. You’d have to show and provide examples of how writing thoughts that are still under-development to a wide audience can be helpful.
- I found myself thinking a lot about (and mentioning to my colleagues in our discussion) the Merlin Mann’s quote that I have referenced here before, in which he describes a blog as “only incidentally a publishing system…At its heart, your blog represents the evolving expression of your most passionately held ideas…”
- Web 2.0 is all the rage right now. Articles like this one in InfoWorld talk about the growth of vendors who are trying to profit from this. There are a lot of ways leaders can go wrong when trying to jump on the Web 2.0 bandwagon. These 23 steps for learning Web 2.0 have gotten a lot of attention lately. Seems like a thoughtful approach, perhaps a prerequisite “course” for anyone interested in how a particular institution might benefit from the new web.
- It’s important to consider which tool is right for which purpose. Blogs are great for pushing content to interested audiences, wikis for collaboration on specific projects, etc. When is it best to use multiple individual blogs and when is it better (as I think they’re going to try here) to have one blog with multiple contributors? My personal preference as a consumer is for the individual blog because part of my interest is watching the creative process take shape in an individual over time. But maybe that’s just the clinician in me.
It was fun to be part of the discussion at this early stage. I’m excited to see where the initiative goes.
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Categories : blogging, professional culture, technology
ChildTrends Report: Teen deaths by homiside, suicide, and firearms
25 04 2007Apropos of my recent posts reflecting about suicide, guns and homicide, colleague Bob Hawkes sent me a link to this report: Teen Homicide, Suicide, and Firearm Deaths, compiled by the Child Trends Databank. There are some nice figures in the report, including one nicely demonstrating recent declines in teen suicide rates (for related post see Unintended Consequences of antidepressant black box warning re: Kelly Posner’s (and others’) argument that these gains are threatened) . You can click on the figures from the linked page or see all together in the .pdf, which is linked to at the top of the page.
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Categories : child & adolescent, suicide, violence
BlogScholar Post about Web 2.0 in Academia
18 04 2007BlogScholar has an interesting post about Web 2.0 opportunities and academia. Since I’ve posted before about blogging out in the open in a clinical setting and academic health center, I thought this would be a good follow-up link:
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Categories : blogging, professional culture, technology
Guns In Homes Associated With Higher Rates Of Suicide
18 04 2007An unsurprising but important finding…as reported in “Depression News”:
Guns In Homes Strongly Associated With Higher Rates Of Suicide
Comments : 3 Comments »
Categories : current events, risk assessment, suicide
Murder-Suicide, Domestic Violence…Common threads in violence against self and others
17 04 2007The murder-suicide that took place at Virginia Tech on Monday on a lot of people’s minds right now. Certainly on mine. So sad.
This event was mentioned several times at a conference I attended parts of today on “Multidisciplinary perspectives on partner violence“. In fact, one of the key speakers, Sandra M. Stith, Ph.D., is a faculty person at Virginia Tech. She gave a marvelous talk about work she and her colleagues are doing with high conflict couples in multicouple groups. Before speaking, she made poignant comments about her decision to speak at the conference instead of heading home. It was clear from listening to her speak that she deeply understood the close connection between prevention of different forms of violence.
Which bring us straight to the topic of suicide. Catherine Cerulli, a faculty member in our department and one of the conference organizers, gave a powerful presentation titled, “Domestic Violence as a risk factor for suicide and murder-suicide.” As I listened to this talk and to others today, the connection between violence and suicide was unmistakable. The take home message for assessment is this: we need to think about violence when we hear suicide, and suicide when we hear about violence. History of trauma or DV are not just statistical risk factors. They are intertwined and interrelated in substantive and clinically meaningful ways. Cate played a horrific tape of a 911 call that illustrated this in a visceral way. A woman with a past history of suicide attempts, ends up involved in the death of her violent male partner–which occurs during the 911 call. (It is not clear if she actively stabbed him or just held the knife and he impaled himself). The relationship between different kinds of risk (violence against partner and violence against self) is so complicated as to be practically indistinguishable.
So…a few free associated questions related to clinical assessment:
When we see a depressed youth with suicidal risk, are we asking enough about violence in the home (past or present, witnessed or experienced)?
When we see DV, how thorough are we about suicide assessment?
When we see suicidal individuals (especially men) who have some antisocial features are we thinking about their potential for violence against others, including (especially) against intimate others?
Are we remembering that involvement with the criminal justice system puts people at greater risk for suicide?
Murder-suicide like the one the country has experienced this week is not a statistical coincidence–it teaches us something about the heart and processes behind both.
Comments : 2 Comments »
Categories : current events, risk assessment, suicide, violence
Example of risk map
12 04 2007In a comment on my previous post about visual presentation for clinical training in risk assessment, Avi of GUI Yourself requested an example. Here is a .pdf of a map I use. The details are collapsed, but you can get the idea. I also teach using a map of the options available to clinicians in our system. I am working to customize that map for each service area I train (with the aim of influencing implementation and transfer, as discussed in this post).
Comments : 4 Comments »
Categories : Knowledge Management, mapping/visualization, risk assessment, teaching/training, technology
Evidence for visually different presentation format
11 04 2007The materials I am working on to train clinicians in risk assessment involve visual maps which I present using Mindmanager. I have blogged about this learning tool before (here and here). Well…I haven’t read the source research that this article from the Sidney Morning Herald is based on, but it looks like it provides data to back up the contention that people learn best by being presented visual stimuli that complement and enrich what the presenter is saying, rather than repeating or rewording it like many Powerpoint presentations or other handouts do.
Tip of the hat to LifeDev, where I first learned about this article.
Comments : 2 Comments »
Categories : mapping/visualization, teaching/training, technology
