Suicide is a leading preventable cause of death (Centers for Disease Control and Prevention, 2018). Recent research identifies the time following hospital discharge after a suicide attempt as a critical window whereby suicide risk is heightened. As a result, suicide aftercare services that emphasize timely follow-up intervention are increasingly popular. There is a lack of research exploring the role of peer-workers in the context of suicide prevention aftercare. This is surprising given that peer-work has been hypothesized to promote belongingness, engagement, and hope; all factors theorized as critical to suicide ideation and behavior. This project aimed to address this research gap by exploring the perspectives of six peer-workers and five clinicians (n = 11) employed in a suicide prevention aftercare program. Qualitative data were collected via an online survey and telephone interviews. Interviews explored what processes were perceived by peer-workers and clinicians as critical in facilitating change within the context of a suicide prevention service. Thematic analysis identified four themes encapsulating factors that promote change (1) utilizing lived experience; (2) emotional availability of peers; (3) building lives worth living; and (4) consumer driven care. Our analysis also identified an additional, but less direct, mechanism of change Consultation in the context of risk. Our findings show that peer-work in suicide prevention is regarded as largely positive by both peer-workers and clinicians. Peer-workers and clinicians highlighted the importance of collaboration and consultation to facilitate effective management of risk and supervision given the complex nature of suicide prevention work. Finally, workers emphasized the importance of promoting agency amongst service-users, which they viewed as particularly important within the context of suicide prevention. Implications for suicide prevention services are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Deaf and hard of hearing (DHH) children who are not exposed to fluent sign language from birth generally fall behind their hearing peers in mathematics. These disparities are pervasive and emerge as young as 3 years old and continue throughout adulthood. While these limitations have been well-documented, there has been little attempt to empirically explain why one consequence of deafness seems to reflect difficulties with numbers and mathematics. The purpose of this review is to describe the math abilities of DHH children while providing an explanation as to why we see this disparity. In particular, we review evidence suggesting that limited/reduced language access, particularly in the first few months of life, may play a role in delaying the acquisition of early number concepts and its potential interference when solving math problems. We also consider the potential role executive functions, specifically working memory, play in mathematical learning and how lower working memory capacity seen in some DHH children may impact early numerical learning and task performance. Finally, we propose future research aimed to explain why deafness is often accompanied by difficulties in numerical cognition while informing our broader understanding of the relationship between language and numerical concepts. (PsycInfo Database Record (c) 2021 APA, all rights reserved).When learning about the joint occurrence of different variables, individuals often manifest biases in the associations they infer. In some cases, they infer an association when none is present in the observed sample. In other cases, they infer an association that is contrary to the one that is in fact observed. These illusory correlations are often interpreted as being the byproduct of selective processing or as the outcome of an „illogical” pseudocontingency heuristic. More recently, a normative account of illusory correlations has been proposed, according to which they can be given a normative underpinning in terms of an application of Laplace’s Rule of Succession. The present work will discuss the empirical and theoretical limitations associated with this normative account, and argue for its dismissal. As an alternative, we propose a normative account that casts illusory correlations as the expected outcome of a Bayesian reasoner relying on marginal frequencies. We show that this account succeeds in capturing the qualitative patterns found in a corpus of published studies. (PsycInfo Database Record (c) 2021 APA, all rights reserved).It is popular in psychology to hypothesize that representations of exact number are innately determined-in particular, that biology has endowed humans with a system for manipulating quantities which forms the primary representational substrate for our numerical and mathematical concepts. While this perspective has been important for advancing empirical work in animal and child cognition, here we examine six natural predictions of strong numerical nativism from a multidisciplinary perspective, and find each to be at odds with evidence from anthropology and developmental science. In particular, the history of number reveals characteristics that are inconsistent with biological determinism of numerical concepts, including a lack of number systems across some human groups and remarkable variability in the form of numerical systems that do emerge. Instead, this literature highlights the importance of economic and social factors in constructing fundamentally new cognitive systems to achieve culturally specific goals. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Objective Optimizing a self-persuasion intervention app for adolescent HPV vaccination requires investigating its hypothesized mechanisms. Guided by the experimental medicine approach, we tested whether (a) self-persuasion intervention components (verbalize vaccination reasons, choose HPV topics) changed putative mechanisms (memory, autonomous motivation) and (b) measures of the putative mechanisms were associated with HPV vaccination. Method These are secondary analyses from a randomized 2 (cognitive processing verbalize reasons vs. listen) × 2 (choice choose HPV topics vs. assigned) factorial trial (Tiro et al., 2016). Undecided parents (N = 161) with an unvaccinated child (11-17 years old) used the self-persuasion app, recalled reasons for vaccination (memory measure), and completed an autonomous motivation measure. Adolescent vaccination status was extracted from electronic medical records 12 months postintervention. Results The verbalize component resulted in greater recall accuracy of vaccination reasons (p .51), but autonomous motivation scores significantly predicted vaccination (ps less then .03), except when controlling for baseline motivation (p = .22). Conclusion The intervention app engages parents in reasons for vaccination; however, memory may not be a viable mechanism of vaccination. Although the intervention did not affect autonomous motivation, associations with vaccination status suggest it is a viable intervention target for HPV vaccination but alternative strategies to change it are needed. Future testing of a refined app should examine implementation strategies to optimize delivery in clinical or community settings. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Objective This systematic review and meta-analysis aimed to quantify the relationship between resilience resources at the individual (e.g., optimism), interpersonal (e.g., social support), and neighborhood (e.g., social environment) levels, and cardiovascular outcomes among adults in the United States. Method On 9/25/2020, electronic databases (PubMed, Embase, CINAHL, PsycINFO) were systematically searched for randomized controlled trials, nonrandomized intervention studies, and prospective cohort studies that examined the relationship between resilience resources at the individual, interpersonal, or neighborhood level and cardiovascular outcomes. Studies that met the eligibility criteria were summarized narratively and quantitatively. Because relevant search results yielded only observational studies, risk of bias was assessed using an adapted version of the Risk of Bias in Nonrandomized Studies of Interventions (ROBINS-I) tool. Results From 4,103 unique records, 13 prospective cohort studies with a total of 310,906 participants met the eligibility criteria, and six of these studies were included in the meta-analyses. Most relevant studies found that higher levels of individual-level resilience resources were associated with lower incidence of adverse cardiovascular outcomes, with point estimates ranging from .46 to 1.18. Interpersonal-level resilience resources (i.e., social network) were associated with a lower coronary heart disease risk (risk ratio, .76; 95% CI [.56, 1.02]). Neighborhood-level resilience resources (i.e., perceived social cohesion and residential stability) were associated with a lower odds of stroke (odds ratio, .92; 95% CI [.84, 1.01]). Conclusions Evidence suggests that higher levels of resilience resources are associated with better cardiovascular outcomes. However, more prospective studies with diverse populations are needed to strengthen the evidence. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Objectives To examine differences in potentially traumatic events (PTEs), probable PTSD, and health-related quality of life (HRQoL) between lesbian, gay, and bisexual (LGB) and heterosexual Vietnam Era veterans. Method Data are from the 2016-2017 Vietnam Era Health Retrospective Observational study survey (n = 18,866; 45% response rate). PTEs were defined using the 10-item Brief Trauma Questionnaire and a dichotomous item about whether respondents witnessed sexual assault during military service. Current probable PTSD was measured with the Primary Care PTSD Screen, and mental and physical HRQoL was assessed with the SF-8™. Multivariable regression analyses were first adjusted for sociodemographic and military-related characteristics, and then with PTEs as a count variable ranging from 0-11. Survey weights accounted for the complex sampling design and nonresponse. Results Approximately 1.5% of veterans were LGB. Compared to heterosexual veterans, LGB veterans were more likely to report exposure to natural disasters, childhood physical abuse, adulthood physical assault, and sexual assault, and they were less likely to report combat exposure, witnessing someone being seriously injured or killed, or witnessing sexual assault while in the military. Compared to heterosexual veterans, LGB veterans had greater odds of current probable PTSD (adjusted odds ratio [aOR] = 1.50, 95% CI [1.04, 2.16]) and poorer mental HRQoL (B = -1.70, SE = .72, p = .018). PTEs attenuated sexual orientation differences in probable PTSD (aOR = 1.27, 95% CI [.82, 1.97]) and poorer mental HRQoL (B = -1.22, SE = .67, p = .067). Conclusions Among Vietnam Era veterans, PTEs differ based on sexual orientation, and contribute to LGB veterans’ greater prevalence of current probable PTSD and poorer mental HRQoL relative to heterosexual veterans. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Objective Countless communities worldwide are exposed directly and subsequently to the effects of massive-scale collective stressors, from natural disasters to human-caused. In contexts of collective adversity, health care providers who are also members of these communities share and interdependently affect the range of responses their patients have. We aim to conceptualize this spectrum, termed shared trauma, shared resilience, and shared growth. Method In this metasynthesis, we review the literature on these underacknowledged dynamics globally. We include prior conceptualizations of direct and indirect trauma, collective trauma, cultural context, and the COVID-19 pandemic toward clearer conceptualization of shared mental health in global collective stressor contexts. Results Most trauma and resilience research focuses on prevailing concepts and measures with questionable cross-cultural applicability. These works usually center on acute, highly distressing threats to physical safety at the individual level. The scarce literature on shared trauma describes it as a rare phenomenon, entailing conflicting messages of narrative accounts within contexts of few cultures with medium to high degrees of individualism.