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"Werth, James L"
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College Students' Intentions to Seek Help for Suicidal Ideation: Accounting for the Help-Negation Effect
Prior research has identified a negative association between suicidal ideation and help‐seeking, a phenomenon called “help‐negation.” Help‐negation has been documented to occur for both professional and nonprofessional sources of help. In this study help‐seeking attitudes, stigma concerns, and perceptions of social support were examined as possible mediators of help‐negation. Data were collected from a nonclinical sample of college undergraduates at a midwestern university (N = 321). Findings provided partial support for the mediation hypotheses. Help‐seeking attitudes and stigma were significant predictors of help‐seeking intentions (β = .34 and β = ‐.17, p < .05, respectively), but did not mediate help‐negation for professional sources. Perceptions of social support, on the other hand, fully mediated help‐negation for nonprofessional sources (β = .27, p < .05).
Journal Article
Perceptions Concerning College Student Suicide: Data from Four Universities
The issue of suicide, including prevention, intervention, and postvention, continues to be a problem on college campuses. For this study, data concerning a variety of issues related to college student suicide were collected from 1,865 students at four different universities. Incidence, risk factors, and potential solutions are described, as well as implications for mental health professionals in university settings.
Journal Article
Counseling clients near the end of life
\"I found this book to be a well-written, sensitively presented, and important resource for those engaged in this critical area of work.Thank you, Dr.Werth, for making such a substantial contribution to this field.\"-- Journal of Palliative Care \"[This book offers] over 20 contributors, all with impeccable credentials, covering many perspectives.
eBook
Amicus Curiae Brief for the United States Supreme Court on Mental Health Issues Associated With \Physician-Assisted Suicide\
After providing background material related to the Supreme Court cases on “physician‐assisted suicide” (Washington v. Glucksberg, 1997, and Vacco v. Quill, 1997), this article presents the amicus curiae brief that was submitted to the United States Supreme Court by 2 national mental health organizations, a state psychological association, and an ad hoc coalition of mental health professionals. The document focuses on the role mental health professionals can play in discussions about hastened death. In particular, it is asserted that mental health professionals can assess capacity the decision‐making process, and the role of coercion in such decisions. The effect of the brief on the Supreme Court and within the organizations involved is also discussed.
Journal Article
Rational Suicide: An Empirical Investigation of Counselor Attitudes
This study investigated attitudes of mental health counselors toward rational suicide. Over 80% of respondents were moderately supportive of the idea that people can make well‐reasoned decisions that death is their best option, and further, they identified a consistent set of criteria to evaluate such decisions. Additionally, analyses revealed that as the scenario moved from client, to friend, to self, rational suicide seemed to gain in acceptability for these professionals. Implications for training and practice in light of the apparent responsibilities with suicidal clients defined in the 1995 American Counseling Association's Code of Ethics and Standards of Practice are discussed.
Journal Article
Concerns About Decisions Related to Withholding/ Withdrawing Life-Sustaining Treatment and Futility for Persons With Disabilities
Disability rights advocates have expressed significant concern about the potential dangers assisted suicide poses for persons with disabilities. This article extends this examination of concerns to withholding and withdrawing treatment in general and, in the specific case of physicians, using the futility rationale to discontinue or not start treatment. The arguments set forth against assisted suicide are applied to withholding and withdrawing treatment and futility and are shown to be at least as applicable to these other forms of hastening death. The article concludes with some policy suggestions.
Journal Article
THE ROLE OF THE MENTAL HEALTH PROFESSIONAL IN HELPING SIGNIFICANT OTHERS OF PERSONS WHO ARE ASSISTED IN DEATH
The involvement of mental health professionals with people who are considering assisted death due to a terminal illness is beginning to be discussed more frequently in the professional literature; however , one neglected area is working with the significant others of the person who is suffering. This article covers ways both before and after the death that counselors can help significant others cope with the dying process , the decision to request assisted death , and the death itself .
Journal Article
The Influence of Cultural Diversity on End-of-life Care and Decisions
The heath care system in the United States is based on specific cultural beliefs that are sometimes inappropriate with groups that have different belief systems. These cultural differences can be seen in various end-of-life situations. To familiarize providers with some of the ways that culture can influence end-of-life care and decisions, the authors focus on the following three individual characteristics shown to be important in the literature: age, ethnicity, and gender. The article contains a broad overview of the (a) documented differences in the cultural interpretations of the ethical meta principles (e.g., autonomy and respect), (b) provision of medical service in general and pain management in particular to different groups, and (c) attitudes toward various end-of-life interventions and the use of advance directives. Finally, the authors summarize guidelines for making end-of-life care more culturally sensitive, which emphasize that each person must be interacted with as a unique individual.
Journal Article