Abriendo puertas para la vida: Programa de prevención de conductas suicidas a través de docentes Gatekeepers / Opening doors to life: A suicidal behavior prevention program involving Gatekeeper teachers / Abrindo portas para a vida: Programa de prevenção ao comportamento suicida por meio de professores Gatekeepers

Introducción: El suicidio es la tercera causa de muerte de jóvenes entre 15 y 19 años. Ante esto, los ambientes escolares pueden favorecer el fomento de la salud mental de los adolescentes, permitir la identificación temprana de factores de riesgo y aportar en la prevención de conductas suicidas. Una de las estrategias de prevención es el entrenamiento de "gatekeepers". Objetivo: Determinar el efecto del programa "Abriendo Puertas para la Vida" sobre conocimientos, actitudes y prácticas en prevención de conductas suicidas en un grupo de profesores de secundaria de una institución educativa de San Juan de Pasto, Colombia. Materiales y métodos: Estudio preexperimental, con un grupo de intervención y medidas pre y pos-seguimiento. Participaron nueve docentes voluntarios durante dos jornadas de formación. Resultados: Se identificaron cambios positivos en conocimientos, actitudes y prácticas de los participantes entre pretest y postest, en la mayoría de las subdimensiones evaluadas; sin embargo, tres años después, estos cambios se mantuvieron tan solo en conocimientos sobre las conductas suicidas y en actitudes hacia la prevención. Conclusión: El programa "Abriendo Puertas para la Vida" evidenció efectividad y pertinencia, sin embargo, el mantenimiento de sus efectos requiere de acciones de seguimiento y acompañamiento a los docentes formados.

Introduction: Suicide is the third cause of death in young people aged between 15 to 19 years. Thus, school environments can promote mental health of adolescents through early identification of risk factors and prevention of suicidal behaviors. One prevention strategy is the training of "gatekeepers". Objective: To determine the impact of the "Opening Doors to Life" program on the knowledge, attitudes, and practices regarding prevention of suicidal behavior in a set of high school teachers from an educational institution in San Juan de Pasto, Colombia. Materials and methods: A pre-experimental study with an intervention group and pre- and post-follow-up measurements. Nine volunteer teachers participated during two training sessions. Results: Positive changes regarding knowledge, attitudes, and practices of the participants during pretest and posttest were observed for the majority of evaluated sub-dimensions. However, after three years, the positive measures prevailed only for knowledge about suicidal behavior and attitudes toward prevention. Conclusion: The "Opening Doors to Life" program showed effectiveness and relevance. However, maintaining its impact requires follow-up actions and support of trained teachers.

Introdução: O suicídio é a terceira causa de morte de jovens entre 15 e 19 anos. Diante disso, os ambientes escolares podem promover a promoção da saúde mental em adolescentes, permitir a identificação precoce de fatores de risco e contribuir para a prevenção do comportamento suicida. Uma das estratégias de prevenção é a formação de "gatekeepers". Objetivo: Determinar o efeito do programa "Abrindo Portas para a Vida" nos conhecimentos, atitudes e práticas na prevenção do comportamento suicida em um grupo de professores do ensino médio de uma instituição educacional em San Juan de Pasto, Colômbia. Materiais e métodos: Estudo pré-experimental, com grupo de intervenção e medidas pré e pós-acompanhamento. Nove professores voluntários participaram durante dois dias de treinamento. Resultados: Foram identificadas mudanças positivas nos conhecimentos, atitudes e práticas dos participantes entre o pré-teste e o pós-teste, na maioria das subdimensões avaliadas; porém, três anos depois, essas mudanças se mantiveram apenas no conhecimento sobre comportamentos suicidas e atitudes frente à prevenção. Conclusão: O programa "Abrindo Portas para a Vida" mostrou efetividade e relevância, porém, a manutenção de seus efeitos requer ações de acompanhamento e apoio a professores capacitados.

Acceptance of euthanasia by students of selected study disciplines at universities in Lublin, Poland.

BACKGROUND: In the context of discussions between supporters and opponents of euthanasia, and legal regulations regarding this type of practices, the attitude of young people with respect to this phenomenon is a very interesting issue. According to Polish law, euthanasia is prohibited. The aim of this study was to determine the degree of acceptance of euthanasia among students from Polish universities across three different fields of study: psychology, medicine, and economic-technical disciplines, and to identify the factors associated with the acceptance of this phenomenon. METHODS: The study included 627 persons studying in Lublin, Poland: medicine (280), psychology (170), and economic-technical studies (177). The study was conducted as a survey using questionnaire containing items concerning students' attitudes towards euthanasia. The analysis of the collected data was conducted using the SPSS software (version 29) with the following methods: Chi2, Student's t-test, Phi test, Cramer's V test, Kolmogorov-Smirnov test, one-way ANOVA with Dunnett's post hoc test, linear regression analysis, and categorical regression analysis using optimal scaling (CATREG). RESULTS: Nearly half of the students participating in the study (45.9%) rated the practice of euthanasia as decidedly negative. The highest number of strongly negative evaluations was found among psychology students, and the least among students of economic-technical disciplines. The level of acceptance of euthanasia is significantly associated with religious involvement and studying psychology. Being religious and being a psychology student both contribute to lower acceptance of euthanasia and a lower willingness to consent to euthanasia. Consent to euthanasia is more commonly declared by individuals with experience of living with elderly people. CONCLUSIONS: Although nearly half of the respondents expressed a negative attitude towards euthanasia, considering the secularization process among Polish youth, it can be assumed that the level of acceptance of euthanasia in this social group will increase. The lower level of acceptance of euthanasia among psychology and medical students compared to students of economic-technical disciplines suggests that the curricula of these studies present alternative solutions to the problems of terminally ill patients other than euthanasia.

Exploring perceptions of psychology students in Delhi-NCR Region towards using mental health apps to promote resilience: a qualitative study.

BACKGROUND: Mental health apps (MHapps) have the potential to become an essential constituent for addressing mental health disparities and influencing the psychological outcomes of students in India. Though lauded as a practical approach to preventing various mental health issues, there are concerns that developing and utilizing MHapps standardized on Western populations produce ineffective results for the natives of Asian countries such as India due to a wide range of cultural differences. This research was conducted on psychology students living in the Delhi-NCR region of the Indian subcontinent. The study explored psychology students' perceptions, needs, and preferences regarding mental health apps that promote resilience, identified barriers and facilitators for developing effective mental health apps, and explored the cultural relevance of the development of MHapps in India. METHODS: This was an exploratory study utilizing focus group discussions among psychology students. Psychology students were sampled using snowball sampling from Delhi-NCR region colleges to participate in FGDs. We conducted six focus groups, which included a representation of 30 psychology students from full-time UG/PG courses. The study used a reflexive thematic analysis framework using the six-step Braun and Clarke process to develop themes. RESULTS: Psychology students valued MHapps for their easy accessibility, 24*7 functionality, affordable costs, highly engaging features, and the option of being anonymous. However, students preferred the apps based on established psychological frameworks with strong empirical evidence and the availability of remote mental health professionals with relevant qualifications and training. The main barriers to using MHapps identified by students included difficulties in differentiating between real and fake MHapps, lack of progress tracking of the users due to minimal human interactions, and ethical and data privacy concerns. Students also emphasized the cultural relevance of MHapps. The interpretation of our findings indicates that students demanded transparency regarding the authenticity of MHapps. CONCLUSION: The findings of this exploratory investigation offer a better understanding of how college students perceive the usage of MHapps to improve resilience. This study highlights that further research should explore the specific needs and preferences of university students for developing and implementing effective MHapps for different contexts.

Reorienting psychological science.

Psychological phenomena occur across a wide range of scales, ranging from small, quick events of neurology and biology, to broader, more prolonged unfoldings typical of extended cultural practices. Although theories deployed by psychologists of different stripes have tended to incorporate these different scales, this is typically done in a manner that is implicit, and often unsystematic. That is, typical psychological research is conducted in a manner that is 'scale-blind'. In this article, I explore some of the historical and more recent recognition of this scale-blindness and place it in the context of recent work on the concept and implications of scale. I conclude by elucidating some of the important ways in which behaviour settings theory, and the researchers who developed it, are explicit and disciplined in their approach to scale, and how such scale-aware work promises practical value in improving scientific practice. This article is part of the theme issue 'People, places, things, and communities: expanding behaviour settings theory in the 21st century'.

Research as resistance: Naming and dismantling the master narrative of "good" science.

The call for psychological science to make amends for "causing harm to communities of color and contributing to systemic inequities" (American Psychological Association, 2022a) requires a critical acknowledgment that science itself is not neutral but a sociopolitical and ideological endeavor. From its inception, psychology used science to produce what was framed as incontrovertible "hard" evidence of racial hierarchy, infallible "proof" that white people (i.e., cismale, heteronormative, and economically resourced white people) were superior to Indigenous and Black people. We first trace the historical links between postpositivist epistemology and the ideology of white supremacy in psychological science, showing that although explicitly racist science (e.g., eugenics) has faded, the widely shared and strictly enforced epistemological norms about what is (and is not) "good" science remain entrenched. We then outline three epistemic imperatives to resist this harmful master narrative: (a) embrace humanizing epistemologies, (b) listen and learn from those who have been systematically left out of science, and (c) recognize resistance as normative and necessary. We discuss how these imperatives, rooted in critical, feminist, and antiracist scholarship, disrupt oppression and guide us toward doing science that does good. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Confronting scientific racism in psychology: Lessons from evolutionary biology and genetics.

Although the American Psychological Association has taken a strong antiracism stance, scientific racism continues to be published in psychology journals and scholarly books. Recent articles claim that the folk categories of race are genetically meaningful divisions and that evolved genetic differences among races and nations are important for explaining immutable differences in cognitive ability, educational attainment, crime, sexual behavior, and wealth; all claims that are opposed by a strong scientific consensus to the contrary. These claims remain a serious source of harm through the naturalization of inequality and through support for the work of racial extremists. Contemporary "racial hereditarian research" claims to rest on modern genetics and evolutionary biology and to draw on their methods, such as genome-wide association studies. These new arguments fail to meet the evidentiary and ethical standards of these disciplines for the study of human variation. If psychology adopted standards from genetics and evolutionary biology, the current racial hereditarian work would be ineligible for publication. Actions that the American Psychological Association can take to deal with scientific racism are described. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Dismantling racism in the field of psychology and beyond: Introduction to the special issue.

In 2021, the American Psychological Association (APA) passed a series of resolutions that initiated a process of atonement for its participation in promoting, perpetuating, and failing to challenge racism and discrimination toward communities of color (APA, 2021a, 2021b). The purpose of this special issue was to examine the ways in which the field of psychology has perpetuated racial hierarchy and harm toward communities of color. More importantly, the included articles offer guidance on the mechanisms and strategies that will aid in the dismantling of racism in the field of psychology and support efforts of reconciliation, repair, and healing. In this introduction, we present a brief history of racism in the field of psychology and highlight theories and methods that should be considered as efforts to combat systemic racial inequities. Articles in this special issue fall into four specific themes that include bias and scientific racism in research, intergroup collaboration, organizational and clinical implications, and changing the culture of psychology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Standing against racial capitalism: Reconsidering psychology's role in dismantling systemic racism.

The American Psychological Association's resolutions on dismantling systemic racism represent a watershed moment in our discipline, yet confusion remains as to what it means to "dismantle" racism given psychology's emphasis on changing individual beliefs. This submission will review the tension between "idealist" interpretations of critical race theory emphasizing individual beliefs and "realist" perspectives contextualizing racism within political economic arrangements. Psychology's adoption of an "idealist" framework will be shown to privilege a neoliberal project emphasizing individual change and symbolic performances of racial justice instead of structural changes benefitting people of color's material existence. Drawing on a decolonial critique of racial capitalism, we propose an alternative framework to challenge our discipline to broaden its political imagination by supporting evidence-based policies to dismantle racism as a structural and political force. This includes universal policies to reduce racial and economic inequality and population-specific policies such as reparations for African Americans predicted to stimulate economic growth. Urgently, the decolonial lens challenges psychology to theorize racism not as a primarily individual phenomenon but a political force that divides and conquers while enriching white economic elites. To fulfill the promises of the American Psychological Association's resolutions, we must directly challenge the political economic interests that benefit from racism and contribute to the common good as a form of "loving care." (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Reflections from the wading pool: Detoxifying racist psychological waters while submerged in their waves.

Psychology, like water, is not inherently toxic. However, historical and contemporary currents, particularly those pertaining to racism in the United States, have poisoned the field and caused harm to Black communities. As early-career scholars, the authors note both the importance of and challenges inherent in rectification, especially in light of the American Psychological Association's (APA) resolutions in 2021 aimed at addressing and redressing systemic racism within psychology and beyond. Through a primary focus on anti-Black racism and the use of an extended metaphor of water, we utilize personal reflection, interviews, and historical accounts to better understand how racism has impacted the field of psychology from within to better consider efforts to reduce its impact on the greater Black American community. We note how the APA was founded with and perpetuated racist scholarship and practice and consider the founding and subsequent resistance of the Association of Black Psychologists (ABPsi) as a cautionary tale to depict what can happen when the water becomes too toxic. We then seek to use this history of internal dynamics to better understand a superordinate goal, that is, how to extend antiracism efforts outward. We interviewed venerable Black psychologists and provided our own recommendations to consider what is necessary to support healing among Black communities impacted by racism. We conclude by acknowledging that although the waves of psychology can be consuming, terse, and painful, our ability to detoxify the water is possible with perspectives that cultivate deep pools of inquiry, mutual understanding, and action. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Truth and reconciliation for whom? Transitional justice for Indigenous peoples in American psychology.

In October 2021, the American Psychological Association apologized to people of color in the United States for its role in systemic racism. Spurred by a national racial reckoning, Indigenous Peoples have been regularly incorporated into initiatives redressing America's legacy of racism. Although Indigenous Peoples have been racialized during the formation of the United States, this process is intertwined with colonization-the systematic dispossession and exploitation of Indigenous communities by Europeans. We first examine how the American Psychological Association (APA) has been complicit in colonialism by failing to oppose government policies that disenfranchise Indigenous communities, which it recently recognized in a separate apology to First Peoples in the United States in February 2023 (American Psychological Association, APA Indigenous Apology Work Group [APA IAWG], 2023). Second, we explore methods for APA to reconcile historical and contemporary wrongs inflicted on Indigenous Peoples through transitional justice, an approach to addressing human rights violations that seeks justice and opportunities for healing (United Nations, 2008). In particular, we consider the implications that Truth and Reconciliation Commissions have for Indigenous Peoples. Third, we provide recommendations for APA to repair relations with Indigenous Peoples in education, research, and practice. We specifically interrogate what possibilities for truth, reconciliation, and healing exist vis-à-vis transitional justice in psychology. We conclude with the potential that APA has to advance meaningful structural reforms while cautioning against superficial efforts towards reconciliation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Each one, teach one: Critical history as counterstories, antiracist affordances, and cues for belonging.

Recently, there have been several calls for psychologists to dismantle systemic racism within the field (e.g., Buchanan et al., 2021; Dupree & Boykin, 2021; Wilcox et al., 2022). In this article, we discuss why incorporating critical histories into psychology curricula can be beneficial to this effort. We focus on three potential pathways: critical histories provide counterstories that challenge racist narratives, critical histories promote contexts that encourage antiracism practices (antiracist affordances), and critical histories can signal identity safety and belonging. To adequately integrate critical histories into psychology curricula, we make three recommendations. First, create and support a departmental curriculum that engages critical histories in the field of psychology at the undergraduate and graduate level (we offer some example topics and readings). Second, based on our own training experiences, we recommend that psychology graduate programs facilitate opportunities to take interdisciplinary courses that cover the history of race and racism in domestic and/or global contexts. Finally, we recommend funding research and supporting student projects that produce critical histories in psychology to expand the knowledge base of our field. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A historic apology: The American Psychological Association's commitment to dismantling systemic racism and advancing racial equity in psychology.

In 2021, the American Psychological Association offered an apology to people of color for harms, actions, and inactions and accepted responsibility for contributing to systemic inequities. The field of psychology has a complicated and long history of contributing to American racism and the belief in human hierarchy. This article illustrates the strategy the American Psychological Association followed to issue an apology at a scale that incorporated the voices and perspectives of the association's senior leaders and racial equity experts. The authors shed light on the organizational changes that were necessary to approve the apology and the changes that followed the apology to create long-term, institutional, and sustainable change and advance racial equity within psychology and society. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The manifestation of health equity tourism in psychological science and research.

Health equity tourism (HET) represents yet another example of how structural racism may manifest in our discipline. While not a new phenomenon, HET was coined recently in the context of medicine and is defined as investigators without the requisite experience or commitment to health equity work "parachuting into the field in response to timely and often temporary increases in public interest and resources" (Lett et al., 2022, p. 2). To determine how HET manifests in psychological science, we interviewed 18 health equity experts. Data were analyzed using reflexive thematic analysis. Results revealed that HET manifests as a passing interest in health equity research, minimal engagement with communities under study or with health equity experts, and a failure to appreciate health equity scholarship as a specialty area of psychological science. Consequences of HET include poor quality research, harm to communities under study, funneling of resources away from health equity experts, frustration with and disengagement from the field and academia (leading to slow career advancements and attrition), and a maintenance of structural racism in psychological science. We provide recommendations for preventing the further manifestation of HET in psychology and for reducing the associated harms. These recommendations include education and training regarding the construct of HET, engagement in reflective practice, and a reconsideration of how research with minoritized populations is approached and evaluated. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Nuevas tecnologías y atención en Salud Mental. Encuesta a psiquiatras y psicólogos de Argentina sobre el uso del WhatsApp.

OBJETIVOS: La comunicación entre pacientes y profesionales de la salud mental mediante plataformas de mensa- jería en el intervalo entre encuentros presenciales o virtuales se convirtió en una modalidad de teleconsulta asincrónica (TA) cuya utilidad y efecto en la carga de trabajo de los profesionales de salud mental no se han explorado. Método: Profesionales del campo de la salud mental que trabajan en Argentina fueron invitados a responder a una encuesta que exploraba la intensidad y utilidad de la TA, y la sobrecarga resultante. RESULTADOS: Se recibieron un total de 527 respuestas de profesionales que trabajan en todo el país. El 69 % de los encuestados mensajes con un promedio de 1-10 pacientes/día y el 31 % con más de 10 pacientes/día; el 75 % respondió mensajes por teléfono móvil los fines de semana. Mientras que el 68 % calificó estas interacciones como positivas para  el seguimiento clínico, el 47 % las consideró una fuente de sobrecarga laboral. CONCLUSIONES: La adopción generalizada de la TA puede requerir una autorregulación adicional por parte de los profesionales y un seguimiento regular de los niveles de sobrecarga (especialmente, entre los psiquiatras) para que su práctica clínica diaria sea eficiente y sostenible.

Carta de lectores. Mitología y psicología: el teatro del inconsciente.

Carta de Elisenda Muns Tubau. Historiadora de arte. Correspondencia: elisenda.muns@gmail.com.

Validation of the Italian Version of the Telepresence in Videoconference Scale (TVS) in a Sample of Psychologists and Psychotherapists During the COVID-19 Pandemic.

OBJECTIVE: Telepresence may play a fundamental role in establishing authentic interactions and relationships in online psychological interventions and can be measured by the Telepresence in Videoconference Scale (TVS), which was validated only with patients to date. This post hoc study aimed to validate the Italian version of the TVS with mental health professionals. METHOD: The Italian TVS was included in an online survey, whose primary aim was to assess the experiences of Italian psychologists and psychotherapists with online interventions during the first wave of the COVID-19 pandemic and was filled in by 296 participants (83.4% females, mean age = 42 years old). RESULTS: Exploratory factor analysis supported the original factor structure only partially because the scale 'Absorption' (i.e., the feeling of losing track of time), as it was formulated, did not measure telepresence. Correlations were also explored between the TVS scales and some survey items pertaining to intimacy and emotional closeness to patients, comfort and positive as well as negative experiences with online interventions. CONCLUSION: The TVS may be a useful tool to measure physical and social telepresence in online interventions, both in patients and in professionals.

The racial economy of psychological care: Professionalism, social justice, and political action during american psychology's communitarian moment.

The 1960s and 1970s saw the overt "politicization" of the American Psychological Association as an organization. Politics in this context carried a dual meaning referring to both political lobbying to promote the interests of psychology as a health profession and grassroots political action to advance social justice causes. In the years between the passage of the Community Mental Health Act (1963) and the Vail Conference on levels and patterns of professional training in psychology (1973), these two forms of politics were intertwined. The first significant political mobilization of professional psychologists in the postwar era occurred over the staffing of community mental health centers in the mid-1960s. These creations of the Great Society social welfare programs provided a platform for pursuing bold experiments in structural interventions to improve the lives and mental health of minoritized Americans and came to serve as hubs for the Black psychology movement of the early 1970s. This alternative model for the profession received careful consideration at the Vail Conference. However, a different relationship between politics and the profession crystalized by 1980. The politics of professionalism in psychology took the form lobby on behalf of practitioners working independent practices to receive reimbursement from third-party health insurance providers. This shift in the political economy of mental health has obscured this earlier, communitarian moment in American psychology. The racial economy of psychology's professionalization was structural, but not inevitable. It resulted from a series of historical choices. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Opinion, Use and Knowledge About Transcranial Magnetic Stimulation in Spain: A National Survey of Mental Health Professionals.

Transcranial magnetic stimulation (TMS) is a non-invasive method of neuromodulation with heterogeneous usage between countries, which may be potentially influenced by healthcare professionals' opinions. This study aimed to assess the knowledge, acceptability, and attitudes of mental health professionals in Spain towards TMS. A cross-sectional multicentric study was conducted using an online survey, with 219 participants including psychiatrists, psychologists, and residents. Nearly 100% of participants correctly answered theoretical aspects related to the rationale and indications of TMS. Although only 55% considered TMS effective, 80% would refer patients if TMS were available at their workplace, and 74% would undergo TMS if experiencing depression. 85% believed neuromodulation training should be increased in residency, and 73% demanded TMS inclusion in public hospitals. Teaching staff and psychologists defined TMS as a last resort (p = 0.03 and 0.045). Both disagreed on its ease of use (p < 0.001) and patient referral (p = 0.01), considering an impact on the therapeutic bond (p = 0.029). Previous TMS training, clinical experience, or availability of TMS at the workplace, were associated with better knowledge, a higher perception of efficacy and utility in treating resistant patients (all p < 0.05). In conclusion, surveyed mental health professionals in Spain demonstrated good knowledge of the technique and positive opinions regarding its utility. Findings emphasized limited clinical experience of the sample, a call for training programs, and the demand for the inclusion of TMS in the portfolio of Spanish public hospitals.