The author reports results of an adolescent health survey and describes the Minnesota 4-H Youth Self-Protection Program, designed to address youth health issues. Focusing on social health issues, the program is based on prevention theory, youth participation, adult guidance, starting early, and collaborative efforts. (CH)

In this article, the author recalls and shares the first half of her college journey. Her memories do not play back to her in bursts of sounds or colors; friends or lovers; feelings, touches, tastes, or ideas. They play, rather, as silent images of herself that flicker disjointedly across her mind, the lens of her memory having recorded her…

The underlying proposition for any experimental/therapeutic trial is the uncertainty that the risks of treatment will be outweighed by its benefits. For some therapeutic interventions (e.g., exercise programs, vitamin supplementation), the potential for treatment-emergent adverse events may prima facie be low or negligible, whereas for others…

Smith-Magenis syndrome (SMS) is a neurobehavioral disorder associated with deletions and mutations of the "RAI1" gene on chromosome 17p11.2. Clinical features of the syndrome include intellectual disability, sleep disturbance, craniofacial differences, and a distinctive profile of stereotypic and self-injurious behaviors. Although the functional…

In a large sample of individuals who belong to a website for body modification, having body modifications (e.g., piercings, tattoos, scarification and surgical procedures) was associated with a higher incidence of prior suicidality (i.e., suicidal ideation and attempted suicide). However, controls for self-reported depression weakened the strength…

Self-injury is intentionally injuring one's body without suicidal intent. However, self-injury is often confused with a suicide attempt. Drawing on her experience as a clinical coordinator at an in-patient program for youth who self-injure, the author provides a background on self-injury, then explores how self-injury differs from suicide and why…

Provides descriptive account of one common type of out-of-home placement for children, residential treatment center. Attempts to portray daily life in children's residential program by spending day with seven-year-old boy in residential treatment. Describes morning and school routine; afternoon routine of homework, chores, individual counseling,…

A spate of deaths among young people around the country in the past year has brought further media attention to an asphyxial activity known as "the choking game." But the subject is a sensitive one for schools. Some administrators have actively enlisted in efforts to inform students and parents about the risks of practices like the…

This paper discusses the role of automatic negative reinforcement in the maintenance of clinical problems. Following a brief introduction to the functional conceptualization of clinical problems and discussion of four classes of reinforcement maintaining clinical problems, the paper suggests that automatic negative reinforcement is an understudied…

Some individuals who engage in self-injurious behavior (SIB) also exhibit self-restraint. In the present study, a series of three functional analyses were conducted to determine the variables that maintained a participant's SIB, one without restraint items available, one with a preferred and effective form of self-restraint (an airplane pillow)…

The current article addresses the issue of warning signs for suicide, attempting to differentiate the construct from risk factors. In accordance with the characteristic features discussed, a consensus set of warning signs identified by the American Association of Suicidology working group are presented, along with a discussion of relevant clinical…

This review of literature on problem and pathological gambling provides the reader with some historical perspectives on gambling and its growth as an industry. The causes and effects of the identified disorders related to gambling are discussed with indications for therapeutic intervention.

In contrast to the literature on shaping adaptive behavior chains, few applied studies have described procedures for identifying and treating behavior chains involving problem behavior such as self-injury. The present study expands upon past work by conducting a conditional probability analysis and within-session analysis to identify a response…

Dually diagnosed adolescents suffering from both severe emotional disturbance and substance abuse/addiction constitute a special population which poses a challenge to health professionals in special education as well as clinical settings. The prevalence of substance use, abuse, and addiction has been shown to be significantly above the national…

Discusses dysfunctional behavior patterns and early signs of vulnerability linked to adolescent suicide. Early childhood teachers have the greatest opportunities to identify these behaviors and break destructive patterns. A team approach to addressing individual students' needs works best. Profiles of six young suicides are presented. Includes six…