Marked increases in psychopathology found in a 30-year cohort comparison of suicide attempters.

BACKGROUND: Although several epidemiological studies have found increases in the percentages of people who have made a suicide attempt, few cohort comparisons have been conducted to determine changes within this population over time. The purpose of this investigation was to determine if there have been changes in the clinical profile of suicide attempters in recent decades. METHOD: Comparisons between a sample of 258 suicide attempters evaluated between 1970 and 1973 and a second sample of 179 suicide attempters evaluated between 1999 and 2002 were made on depression, hopelessness, suicide intent, drug use, history of suicide attempts and subsequent suicide attempts. RESULTS: Present-day suicide attempters were found to exhibit greater levels of depression (p = 0.031), hopelessness (p = 0.008), suicide intent (p < 0.001), and had much higher rates of illicit drug use (p < 0.001). Almost twice as many of the present-day suicide attempters had histories of four or more suicide attempts (p < 0.001), and the present-day suicide attempters made subsequent suicide attempts at close to four times the rate in the year following the index attempt (p < 0.001). CONCLUSIONS: The present-day suicide attempters exhibited greater levels of psychopathology on every major variable assessed. Replication is necessary and public health implications are discussed.

Gender and ethnic differences in the relationship between body esteem and self-esteem.

Gender and ethnic differences in the relationship between body esteem and self-esteem were examined to assess the degree to which these variables change in relation to each other over time. Difference scores (between Time 1 and Time 2, 1 week apart) were obtained using the Self-Esteem Scale (M. Rosenberg, 1979) and the Body Esteem Scale (S. L. Franzoi & S. A. Shields, 1984) for 163 White women, 140 White men, 55 Black women, and 37 Black men. The results indicated that the correlation of the difference scores was stronger for the group of White women than for the other 3 groups, suggesting that changes in self-esteem parallel changes in body esteem more for White women than for White men, Black men, and Black women. The findings are discussed in relation to the prevalence of bulimia nervosa among White women.

Ethnic differences in women's body satisfaction: an experimental investigation.

This investigation was conducted so that a clearer picture of the complex relationship between ethnicity and body satisfaction could be obtained. Although body satisfaction has recently been shown to be influenced by several factors, such as mood, no studies investigating the stability of body satisfaction (to date) have examined whether there are ethnic differences in how such factors influence body satisfaction. Eighty-four White women and 33 Black women (U.S. undergraduates) were given bogus positive or negative social feedback so that the effect of the feedback on their body satisfaction could be determined. Results indicated positive feedback increased and negative feedback decreased the body satisfaction of White women in the expected directions, but there was no such effect for the Black women. The relevance of these findings in the understanding of bulimia nervosa and eating disorders is discussed, as is the need to differentiate between ethnic groups.