Field social psychology.

Field social psychology is a conceptual and methodological approach to describe, examine, and explain psychological phenomena at multiple levels of analysis with emphasis on the sociocultural environments in which people are embedded, the unfolding of psychological processes over time, and the use of ecologically valid multiple methods in conjunction. In this essay, we first define a contemporary form of field social psychology from its roots in the history of psychological study. Second, we argue for the necessity of the reemergence of this approach given the limitations of the dominant current social psychological paradigm exposed by the replication crisis. Third, we outline an integrative and actionable model of field social psychological research. We describe two contemporary examples of field social psychological research concerning climate change protests in Norway and restorative justice in the U.S.A. to illustrate this framework. We end with implications of field social psychology for developing psychological science. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Autonomia política como prática de cuidado: a gramática da educação zapatista / La autonomía política como práctica del cuidado: la gramática de la educación zapatista / Political autonomy as a practice of care: the grammar of zapatista education

RESUMO. Este artigo tem como objetivo discutir, com bases em diferentes registros, a gramática presente na discursividade de informes oficiais do Movimento Zapatista, no que tange especificamente à educação zapatista, em especial desde a noção de autonomia como modo de organizar esta dimensão da vida em sociedade, entendendo a autonomia como resistência à tutela do Estado na gestão da escola e, micropoliticamente, a ruptura da tutela do processo educativo pelo promotor de educação. Observamos, a partir do estudo das Declarações da Selva Lancadona e da Escuelita Zapatista, que estas fundam-se numa crítica aos modelos estatais de governo da educação, refutando a perspectiva intercultural, defendendo a pluridiversidade. Este modo de compreender o processo educativo, e o modo de praticar o cuidado nos leva a uma compreensão mais ampla para a psicologia, refletindo sobre possibilidades de conexão entre novas invenções psi no trabalho junto à infância e à psicologia da educação.

RESUMÉN Este artículo tiene como objetivo discutir, a partir de diferentes registros, la gramática presente en el discurso de los informes oficiales del Movimiento Zapatista, con respecto específicamente a la educación zapatista, especialmente desde la noción de autonomía como una forma de organizar esta dimensión de la vida en sociedad, entendiendo la autonomía como resistencia a la tutela del Estado en la gestión de la escuela y, micropolíticamente, la ruptura de la tutela del proceso educativo por parte del promotor de la educación. Observamos, a partir del estudio de las Declaraciones de la Selva Lancadona y Escuelita Zapatista, que estos se basan en una crítica a los modelos estatales de gobierno en educación, refutando la perspectiva intercultural, defendiendo la pluridiversidad. Esta forma de entender el proceso educativo, y la forma de practicar el cuidado, nos lleva a una comprensión más amplia de la psicología, reflexionando sobre las posibilidades de conexión entre los nuevos inventos psi en el trabajo con los niños y la psicología de la educación.

ABSTRACT. This article aims to discuss, based on different records, the grammar present in the discourse of Zapatista Movement official reports, specifically regarding the Zapatista education, especially from the idea of autonomy as a way of organizing this dimension of life in society, understanding this autonomy as resistance to State tutelage in the management of schools, as well as the rupture of the educational process tutelage by the promoters of education in micropolitical terms. We observed, based on the study of the Statements of the Selva Lancadona and Escuelita Zapatista, that these are centered on a criticism of state models of government in education, refuting the intercultural perspective, defending pluridiversity. This way of understanding the educational process, and the way of practicing care, leads us to a broader understanding of psychology, reflecting on possibilities of connection between new psychology inventions at work with children and the psychology of education.

A psicologia e a questão da diversidade sexual no Brasil: a Resolução CFP nº 1/99 / Psychology and the issue of sexual diversity in Brazil: Resolution CFP nº 1/99

Nesta tese indagamos acerca do lugar da psicologia no debate público sobre diversidade sexual no Brasil da atualidade. Através da análise de publicações, fontes documentais públicas e entrevistas, exploramos diversos modos em que o saber e autoridade da profissão de psicólogo são invocados para sustentar posicionamentos públicos sobre a questão homossexual no país. Nesse âmbito, destacamos a Resolução nº 1/99 do Conselho Federal de Psicologia (CFP), que estabelece normas de atuação para os psicólogos em relação à questão da orientação sexual. Há mais de vinte anos essa normativa é um marco na conquista dos direitos LGBTQIA+ no país. Para essa discussão, reconstruímos os debates que precederam as condições institucionais e o contexto de elaboração da Resolução. Os efeitos da mesma extrapolam o âmbito da regulação profissional da psicologia. A seguir, abordamos as trajetórias de figuras com diferentes perfis de atuação que ganharam notoriedade por atacar publicamente a Resolução, suscitando, desta maneira, polêmicas em torno da mesma. Em seguida, exploramos as frequentes contestações à Resolução CFP nº 1/99 que se deram na arena legislativa e o deslocamento dessas ofensivas para a arena da justiça e para a disputa pela condução dos Conselhos de Psicologia em 2019. A compreensão destes processos como cenas de uma controvérsia pública busca jogar luz sobre a disputa entre diferentes visões da diversidade sexual e de gênero, que transitam pela ciência, religião e política. Acreditamos que esta investigação contribua para expandir a compreensão da evolução, dos efeitos e dos desafios que se colocam à expansão de abordagens afirmativas da diversidade sexual e de gênero no campo da Psicologia.

In this thesis, we inquire about the place of psychology in the public debate on sexual diversity in Brazil today. Through the analysis of publications, public documentary sources, and interviews, we explore different ways in which the knowledge and authority of Psychology as a profession are invoked to support public positions on homosexuality as an issue in the country. In this context, we highlight Resolution 1/99 of the Federal Council of Psychology (CFP), that establishes standards of action for psychologists in relation to the issue of sexual orientation. For over decades, this regulation has been a milestone in the achievement of LGBTQIA+ rights in the country. For this discussion, we reconstructed the debates that preceded the institutional conditions and the context in which the Resolution was drafted. Its effects go beyond the regulation of professional psychology. Next, we address the trajectories of figures with different profiles of action who gained notoriety for publicly attacking the Resolution, thus raising controversies around it. Then, we explore the frequent challenges to Resolution CFP 1/99, that took place in the legislative arena, and the migration of these offensives to the arena of justice, and to the dispute for the presidence of the Psychology Councils in 2019. An understanding of these processes as scenes of a public controversy sheds light on the dispute between different visions of sexual and gender diversity, which transit through science, religion and politics.. This investigation expand the understanding of the evolution, effects and challenges facing the expansion of affirmative approaches to sexual and gender diversity in the field of Psychology.

Perceptions of custody: Similarities and disparities among police, judges, social psychologists, and laypeople.

OBJECTIVE: Custody is a legal state that requires police to Mirandize suspects and, in some jurisdictions, to record their interrogation. The present study compared the custody perceptions of police, judges, social psychologists, and laypeople. HYPOTHESES: We predicted that (a) high-custody vignettes would elicit less perceived freedom than low-custody vignettes; (b) police and judges would see these situations as less custodial relative to social psychologists and laypeople; (c) these differences would arise mostly in ambiguous vignettes; and (d) participants in general would perceive suspects as objectively having more freedom to leave than they subjectively feel they have. METHOD: Police officers (n = 223), trial judges (n = 219), social psychologists (n = 228), and laypeople (n = 205) read a vignette of a police-suspect encounter that presented high-, ambiguous, or low-levels of custody and indicated their perceptions of the suspect's freedom to leave. RESULTS: Participants perceived the most freedom in the low-custody vignettes, followed by ambiguous and high-custody vignettes, and all groups differed significantly from each other (ηp2 = .39). Police and judges overestimated how free they thought the suspect would feel compared to social psychologists and laypeople, who did not differ from each other (ηp2 = .085). Participants in general saw the suspect as objectively freer than they thought he felt, and themselves as feeling freer than they believed the suspect did (ηp2 = .35). Police defined a "reasonable person" as someone who is mentally stable, whereas judges were more likely to cite a person of average intelligence. CONCLUSION: Despite the assumption that custody can be defined by the effects of objective circumstances on the reasonable person, results revealed substantial variation of perceptions between police and judges on the one hand, and social psychologists and laypeople on the other. As a result, legal safeguards triggered by custodial interrogation may be inconsistently applied to real suspects. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The qualitative imagination in counseling psychology: Enhancing methodological rigor across methods.

Fifteen years have passed since the publication of a landmark issue of the Journal of Counseling Psychology on qualitative and mixed methods research (Haverkamp et al., 2005), which signaled a methodological shift in counseling psychology and related fields. At the time, qualitative research was certainly less popular in the field and arguably less respected than it is now. This special issue charts advances in qualitative and mixed methods research since the publication of that issue, reflects on how these diverse approaches are conducted today, and points toward new methodological frontiers. The articles in this special issue include a range of methodological tools and theoretical perspectives that extend thinking about the ethics, practice, evaluation, and implications of psychological research. Notably, the articles are linked by a shared commitment to conducting psychological research critically-that is, to both critique dominant norms in the discipline and to sensitize psychological methods to power and inequality-and to advancing social justice. In this introduction, the guest editors survey authors' contributions and synthesize their insights to offer recommendations for future qualitative and mixed methods work in the field, particularly in terms of interdisciplinarity, methodological rigor, critical psychology, and social justice. They propose that counseling psychologists should cultivate a "qualitative imagination" with respect to all forms of empirical research (qualitative and quantitative) and offer specific guidance for enhancing methodological sophistication and sensitivity to power. Accordingly, this special issue is an important opportunity to set an agenda for the next decade-plus of critical inquiry in counseling psychology. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Decolonization as methodological innovation in counseling psychology: Method, power, and process in reclaiming American Indian therapeutic traditions.

Decolonization harbors great potential as a transformative methodological innovation for advancing social justice in counseling psychology. One domain of colonized knowledge with relevance for the field is therapeutic expertise in American Indian communities. In this article, I draw extensively on vignettes from the life narrative of a historical Aaniiih-Gros Ventre medicine man to reveal various facets of his healing practices. I do so as an illustrative case example of a decolonial reclamation of Indigenous therapeutic traditions for the discipline. In discussing method, power, and process in association with decolonization, I first summarize emergent divergences between Indigenous traditional healing and modern counseling based on excerpted vignettes. Then, I observe that method in pursuing decolonization through Indigenous therapeutic reclamation is currently open to various forms of qualitative inquiry, that power in pursuit of Indigenous therapeutic reclamation must appraise the role of therapeutic regimes in the creation of modern subjects, and that process in pursuit of Indigenous therapeutic reclamation must allow for decolonization to extend to the repatriation of Indigenous relationships to land. Finally, I gesture beyond the consideration of Indigenous therapeutic traditions to trace the profound implications of a decolonization agenda for knowledge, practice, and training in counseling psychology. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Implementation and Evaluation of a Standardized Nurse-Administered Assessment of Functional and Psychosocial Issues for Patients in Acute Care.

BACKGROUND: Increasingly, adults presenting to healthcare facilities have multiple morbidities that impact medical management and require initial and ongoing assessment. The interRAI Acute Care (AC), one of a suite of instruments used for integrated care, is a nurse-administered standardized assessment of functional and psychosocial domains that contribute to complexity of patients admitted to acute care. AIM: This study aimed to implement and evaluate the interRAI AC assessment system using a multi-strategy approach based on the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. METHODS: This nurse-led quality improvement study was piloted in a 200-bed public hospital in Brisbane, Australia, over the period 2017 to 2018. The interRAI AC is a set of clinical observations of functional and psychosocial domains, supported by software to derive diagnostic and risk screeners, scales to measure and monitor severity, and alerts to assist in care planning. Empirical data, surveys, and qualitative feedback were used to measure process and impact outcomes using the RE-AIM evaluation framework (Reach, Efficacy, Adoption, Implementation, and Maintenance). RESULTS: In comparison to usual practice, the interRAI assessment system and supporting software was able to improve the integrity and compliance of nurse assessments, identifying key risk domains to facilitate management of care. Pre-implementation documentation (630 items in 45 patient admissions) had 39% missing data compared with 1% missing data during the interRAI implementation phase (9,030 items in 645 patient admissions). Qualitative feedback from nurses in relation to staff engagement and behavioral intention to use the new technology was mixed. LINKING EVIDENCE TO ACTION: Despite challenges to implementing a system-wide change, evaluation results demonstrated considerable efficiency gains in the nursing assessment system. For successful implementation of the interRAI AC, study findings suggest the need for interoperability with other information systems, access to training, and continued leadership support.

Reconsidering the Conditions for Conducting Confirmatory Factor Analysis.

There is a series of conventions governing how Confirmatory Factor Analysis gets applied, from minimum sample size to the number of items representing each factor, to estimation of factor loadings so they may be interpreted. In their implementation, these rules sometimes lead to unjustified decisions, because they sideline important questions about a model's practical significance and validity. Conducting a Monte Carlo simulation study, the present research shows the compensatory effects of sample size, number of items, and strength of factor loadings on the stability of parameter estimation when Confirmatory Factor Analysis is conducted. The results point to various scenarios in which bad decisions are easy to make and not detectable through goodness of fit evaluation. In light of the findings, these authors alert researchers to the possible consequences of arbitrary rule following while validating factor models. Before applying the rules, we recommend that the applied researcher conduct their own simulation studies, to determine what conditions would guarantee a stable solution for the particular factor model in question.

Assessment of Problem-Solving Skills and Inhibitory Control in Mice Using Water Escape Detour Test.

Despite the importance of emotional intelligence, its biological mechanism is still not well understood. For this reason, we have developed a rodent detour task which requires an animal to reach a highly desired object placed directly behind a transparent barrier that blocks the direct route to the target. This apparently simple task is highly dependent on the emotional control that is necessary to inhibit prepotent and counterproductive responses driven by the sight of a desired object. The water escape detour task designed for mice enables testing the ability to solve emotionally challenging problems, as well as identification of an impairment termed perseveration. Such a maladaptive reaction to a challenging situation is characterized by difficulty in terminating an unsuccessful response, leading to persistent repetition of inappropriate behavior. This issue is important because perseveration is associated with schizophrenia, drug abuse, and aging. © 2020 Wiley Periodicals LLC. Basic Protocol: Water escape detour task Support Protocol 1: Preparation of escape platform Support Protocol 2: Preparation of the transparent barrier Alternate Protocol: Water escape detour task for testing acute effects.

Improving the assessment of measurement invariance: Using regularization to select anchor items and identify differential item functioning.

A common challenge in the behavioral sciences is evaluating measurement invariance, or whether the measurement properties of a scale are consistent for individuals from different groups. Measurement invariance fails when differential item functioning (DIF) exists, that is, when item responses relate to the latent variable differently across groups. To identify DIF in a scale, many data-driven procedures iteratively test for DIF one item at a time while assuming other items have no DIF. The DIF-free items are used to anchor the scale of the latent variable across groups, identifying the model. A major drawback to these iterative testing procedures is that they can fail to select the correct anchor items and identify true DIF, particularly when DIF is present in many items. We propose an alternative method for selecting anchors and identifying DIF. Namely, we use regularization, a machine learning technique that imposes a penalty function during estimation to remove parameters that have little impact on the fit of the model. We focus specifically here on a lasso penalty for group differences in the item parameters within the two-parameter logistic item response theory model. We compare lasso regularization with the more commonly used likelihood ratio test method in a 2-group DIF analysis. Simulation and empirical results show that when large amounts of DIF are present and sample sizes are large, lasso regularization has far better control of Type I error than the likelihood ratio test method with little decrement in power. This provides strong evidence that lasso regularization is a promising alternative for testing DIF and selecting anchors. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Deductive data mining.

Data mining methods offer a powerful tool for psychologists to capture complex relations such as interaction and nonlinear effects without prior specification. However, interpreting and integrating information from data mining models can be challenging. The current research proposes a strategy to identify nonlinear and interaction effects by using a deductive data mining approach that in essence consists of comparing increasingly complex data mining models. The proposed approach is applied to 3 empirical data sets with details on how to interpret each step and model comparison, along with simulations providing a proof of concept. Annotated example code is also provided. Ultimately, the proposed deductive data mining approach provides a novel perspective on exploring interactions and nonlinear effects with the goal of model explanation and confirmation. Limitations of the current approach and future directions are also considered. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Modeling of self-report behavior data using the generalized covariates in a uniform and shifted binomial mixture model: An empirical example and Monte Carlo simulation.

Social scientists routinely collect data using questionnaires and surveys. Items on these instruments frequently involve scales with multiple ordered options that respondents use to report intensity of feelings or behaviors. Given their popularity, a variety of statistical models have been developed for analyzing data collected using these items. A model that has been recently described for working with ordinal items is the covariates in a uniform and shifted binomial mixture (CUB). The CUB model characterizes responses to ordinal items as a function of two parameters: (a) response feeling (or intensity), and (b) response uncertainty. This model has been extended to include a third parameter measuring likelihood of respondents selecting a socially desirable or safe response, known as the shelter option. This model has been primarily used to investigate items measuring political opinions or product preferences. However, the CUB with a shelter parameter and covariates generalized covariates in a uniform and shifted ninomial mixture model (GeCUB) seems particularly well suited for characterizing self-reported behaviors, particularly those that are not considered positive (i.e., substance abuse). The purpose of this study is to apply this extension of the CUB to the modeling of self-reported substance use behavior by teenagers. Results from the GeCUB model estimation revealed that subjects used the "no use" response as a shelter option at relatively high rates for marijuana use but not for cigarettes or alcohol. In addition, females reported less use and less certainty in their responses than did males. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Comparing estimators for latent interaction models under structural and distributional misspecifications.

Estimation methods for structural equation models with interactions of latent variables were compared in several studies. Yet none of these studies examined models that were structurally misspecified. Here, the model-implied instrumental variable 2-stage least square estimator (MIIV-2SLS; Bollen, 1995; Bollen & Paxton, 1998), the 2-stage method of moments estimator (2SMM; Wall & Amemiya, 2003), the nonlinear structural equation mixture model approach (NSEMM; Kelava, Nagengast, & Brandt, 2014), and the unconstrained product indicator approach (UPI; Marsh, Wen, & Hau, 2004) were compared in a Monte Carlo simulation. The design included structural misspecifications in the measurement model involving the scaling indicator or not, the size of the misspecification, normal and nonnormal data, the indicators' reliability, and sample size. For the structural misspecifications that did not involve the scaling indicator, we found that MIIV-2SLS' parameter estimates were less biased compared with 2SMM, NSEMM, and UPI. If the reliability was high, the RMSE for all approaches was very similar; for low reliability, MIIV-2SLS' RMSE became larger compared with the other approaches. If the structural misspecification involved the scaling indicator, all estimators were seriously biased, with the largest bias for MIIV-2SLS. In most scenarios, this bias was more severe for the linear effects than for the interaction effect. The RMSE for conditions with misspecified scaling indicators was smallest for 2SMM, especially for low reliability scenarios, but the overall magnitude of bias was such that we cannot recommend any of the estimators in this situation. Our article showed the damage done when researchers omit cross-loadings of the scaling indicator and the importance of giving more attention to these indicators particularly if the indicators' reliability is low. It also showed that no one estimator is superior to the others across all conditions. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Controlling decision errors with minimal costs: The sequential probability ratio t test.

For several years, the public debate in psychological science has been dominated by what is referred to as the reproducibility crisis. This crisis has, inter alia, drawn attention to the need for proper control of statistical decision errors in testing psychological hypotheses. However, conventional methods of error probability control often require fairly large samples. Sequential statistical tests provide an attractive alternative: They can be applied repeatedly during the sampling process and terminate whenever there is sufficient evidence in the data for one of the hypotheses of interest. Thus, sequential tests may substantially reduce the required sample size without compromising predefined error probabilities. Herein, we discuss the most efficient sequential design, the sequential probability ratio test (SPRT), and show how it is easily implemented for a 2-sample t test using standard statistical software. We demonstrate, by means of simulations, that the SPRT not only reliably controls error probabilities but also typically requires substantially smaller samples than standard t tests and other common sequential designs. Moreover, we investigate the robustness of the SPRT against violations of its assumptions. Finally, we illustrate the sequential t test by applying it to an empirical example and provide recommendations on how psychologists can employ it in their own research to benefit from its desirable properties. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Assessing the Role of Health Behaviors, Socioeconomic Status, and Cumulative Stress for Racial/Ethnic Disparities in Obesity.

OBJECTIVE: This study aimed to examine the explanatory role of health behaviors, socioeconomic position (SEP), and psychosocial stressors on racial/ethnic obesity disparities in a multiethnic and multiracial sample of adults. METHODS: Using data from the Chicago Community Adult Health Study (2001-2003), Oaxaca-Blinder decomposition analysis was conducted to quantify the extent to which health behaviors (fruit and vegetable consumption and physical activity), SEP, and cumulative stressors (e.g., perceived discrimination, financial strain) each explained differences in obesity prevalence in Black, US-born Hispanic, and non-US-born Hispanic compared with non-Hispanic White participants. RESULTS: SEP and health behaviors did not explain obesity differences between racial/ethnic minorities and White individuals. Having high levels of stress in four or more domains explained 4.46% of the differences between Black and White individuals, whereas having high levels of stress in three domains significantly explained 14.13% of differences between US-born Hispanic and White. Together, the predictors explained less than 20% of differences between any racial/ethnic minority group and White individuals. CONCLUSIONS: Exposure to stressors may play a role in obesity disparities, particularly among Black and US-born Hispanic individuals. Other obesity-related risk factors need to be examined to understand the underlying mechanisms explaining obesity disparities.

The big, the bad, and the ugly: Geographic estimation with flawed psychological data.

The geographic distribution of psychological constructs has long been an area of focus for psychological researchers. Recently, however, there has been increased interest in investigations of the so-called subnational distribution of psychological variables, which focus on localized groupings of individuals within spatial units, such as counties or states. By estimating the subnational distribution of a given outcome (e.g., estimating its state- or county-level means), researchers have been able to address questions about the spatial variation of a variety of psychological constructs and investigate the regional association between psychological phenomena and real-world outcomes, such as health outcomes, prosocial behavior, and racial inequity. Unfortunately, however, there are many challenges to estimating a construct's subnational distribution, such as those raised by response biases and subnational sparsity. To help psychological researchers address these issues, we provide a comprehensive discussion of subnational estimation and introduce multilevel regression and poststratification (MrP), a method that is widely considered to be the gold standard for subnational estimation with random samples. As psychologists often do not have access to large, national random samples, we also report 3 studies evaluating MrP's performance under simulated and real-world conditions of sample biases. Ultimately, we find that MrP is likely to outperform the subnational estimation methods that psychological researchers currently use. Based on this, we suggest that psychologists interested in understanding how psychological phenomena vary below the nation level use MrP to conduct these investigations. To help facilitate this, we have made all code and data used for the reported studies publicly available. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Comparison of YouthCHAT, an Electronic Composite Psychosocial Screener, With a Clinician Interview Assessment for Young People: Randomized Controlled Trial.

BACKGROUND: Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consuming clinician-administered Home, Education, Eating, Activities, Drugs and Alcohol, Sexuality, Suicide and Depression, Safety (HEEADSSS) interview. The Youth version, Case-finding and Help Assessment Tool (YouthCHAT) is a relatively new, locally developed, electronic tablet-based composite screener for identifying similar psychosocial issues to HEEADSSS. OBJECTIVE: This study aimed to compare the performance and acceptability of YouthCHAT with face-to-face HEEADSSS assessment among 13-year-old high school students. METHODS: A counterbalanced randomized trial of YouthCHAT screening either before or after face-to-face HEEADSSS assessment was undertaken with 129 13-year-old New Zealand high school students of predominantly Maori and Pacific Island ethnicity. Main outcome measures were comparability of YouthCHAT and HEEADSSS completion times, detection rates, and acceptability to students and school nurses. RESULTS: YouthCHAT screening was more than twice as fast as HEEADSSS assessment (mean 8.57 min vs mean 17.22 min; mean difference 8 min 25 seconds [range 6 min 20 seconds to 11 min 10 seconds]; P<.01) and detected more issues overall on comparable domains. For substance misuse and problems at home, both instruments were roughly comparable. YouthCHAT detected significantly more problems with eating or body image perception (70/110, 63.6% vs 25/110, 22.7%; P<.01), sexual health (24/110, 21.8% vs 10/110, 9.1%; P=.01), safety (65/110, 59.1% vs 17/110, 15.5%; P<.01), and physical inactivity (43/110, 39.1% vs 21/110, 19.1%; P<.01). HEEADSSS had a greater rate of detection for a broader set of mental health issues (30/110, 27%) than YouthCHAT (11/110, 10%; P=.001), which only assessed clinically relevant anxiety and depression. Assessment order made no significant difference to the duration of assessment or to the rates of YouthCHAT-detected positive screens for anxiety and depression. There were no significant differences in student acceptability survey results between the two assessments. Nurses identified that students found YouthCHAT easy to answer and that it helped students answer face-to-face questions, especially those of a sensitive nature. Difficulties encountered with YouthCHAT included occasional Wi-Fi connectivity and student literacy issues. CONCLUSIONS: This study provides preliminary evidence regarding the shorter administration time, detection rates, and acceptability of YouthCHAT as a school-based psychosocial screener for young people. Although further research is needed to confirm its effectiveness in other age and ethnic groups, YouthCHAT shows promise for aiding earlier identification and treatment of common psychosocial problems in young people, including possible use as part of an annual, school-based, holistic health check. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Network Registry (ACTRN) ACTRN12616001243404p; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371422.

Psychiatric Risk Assessment from the Clinician's Perspective: Lessons for the Future.

Accurate prediction of risk-states in Serious Mental Illnesses (SMIs) is critical for reducing their massive societal burden. Risk-state assessments are notably inaccurate. Recent innovations, including widely available and inexpensive mobile technologies for ambulatory "biobehavioral" data, can reshape risk assessment. To help understand and accelerate clinician involvement, we surveyed 90 multi-disciplinary clinicians serving SMI populations in various settings to evaluate how risk assessment is conducted and can improve. Clinicians reported considerable variability in conducting risk assessment, and few clinicians explicated their procedures beyond tying it to broader mental status examinations or interviews. Very few clinicians endorsed using currently-available standardized risk measures, and most reported low confidence in their utility. Clinicians also reported spending approximately half the time conducting individual risk assessments than optimally needed. When asked about improvement, virtually no clinicians acknowledged biobehavioral, objective technologies, or ambulatory recording. Overall, clinicians seemed unaware of meaningful ways to improve risk assessment.