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U.S. Hispanic adolescents are at risk for negative health outcomes due to risk-taking behaviors involving sex, drugs, and alcohol. Mother-daughter communication can reduce these risk-taking behaviors and reinforce parents' expectations. The purpose of this study was to explore mothers' descriptions of their communication about risk-taking behaviors with their early adolescent Hispanic daughters. This qualitative descriptive study involved focus groups with 21 Hispanic mothers of 7th grade (12–14 years old) girls. Conventional content analysis was conducted to identify the strategies they used during these conversations. Strategies mothers used included warning, focusing on negative consequences, creating opportunities to express maternal expectations, and stressing the importance of positive influences. Communication was also influenced by daughters' physical development and social media. The mothers were concerned about their daughters' exposure to risk-taking behaviors but were unsure about how to talk to their daughters about how to avoid them, particularly regarding topics related to sex. Our study results have implications on how to facilitate parent-child conversations about risk-taking behaviors and to equip mothers and parents to teach their children how to avoid engaging in these behaviors. [ABSTRACT FROM AUTHOR]

Suicide is a public health problem that disproportionately affects bisexual youth more than heterosexual, lesbian/gay, and other sexual minority youth. Teen dating violence (TDV) consists of physically, emotionally, and/or psychologically aggressive behavior in adolescent relationships and has been linked to increased suicidality among sexual minority youth. Although biological sex differences in suicide and TDV have been noted, limited research currently exists regarding the importance of these differences in bisexual youth. This study employed a cross-sectional descriptive design to investigate the relationship between biological sex, TDV, and suicide risk among bisexual youth in grades 9–12. This study used structural equation modeling to conduct a secondary analysis of pooled 2015 and 2017 national Youth Risk Behavior Surveillance Survey data that examined whether TDV mediated the relationship between biological sex and suicide risk among bisexual youth. Results indicated that TDV did not mediate the relationship between biological sex and suicide risk among bisexual youth. Biological sex was a significant predictor of suicide risk with male youth reporting lower suicide risk than female youth, when controlling for dating history, TDV, age, and race. TDV predicted suicide risk, with youth reporting TDV having higher suicide risk, when controlling for dating history, biological sex, age, and race. In addition, black and Hispanic youth reported lower suicide risk compared to white youth. There is a dire need for research that addresses issues of TDV and suicide among bisexual youth. Understanding factors influencing suicide risk following TDV experiences among bisexual youth will inform interventions to mitigate negative mental health outcomes. [ABSTRACT FROM AUTHOR]

• Populations with high percentages of cost-burdened households may be at a higher risk for suicide. • As a measure of SES, housing status may be a predictor of suicide risk than income, employment, or education. • Incorporating assessments of housing status in suicide risk screening may help to identify those at risk for suicide. Socioeconomic factors have been linked to suicide, but little research has explored the effects of these determinants on suicide risk in US populations. This population-based study assessed socioeconomic determinants of suicide risk to inform suicide assessment and intervention. Secondary analysis of the Monroe County Florida 2016 Behavioral Risk Factor Surveillance Survey suicide behavior questions among adult residents (n = 528). Univariate analysis and logistic regression assessed associations of self-reported socioeconomic status (education, employment, income, housing), health care access, quality of life, substance use, mental illness and suicide risk. Among respondents, 7.34% (n = 49, CI = 4.27–10.41) were at risk for suicide. Persons at risk reported more depression (χ2 [1, n = 417] = 105.5, p =.001), poorer mental health (χ2 [2, n = 411] = 36.6, p =.001), and more activity limitation due to health (χ2 [1, n = 408] = 34.3, p =.001) than those not at risk. Persons at risk were more likely to be renting homes (63.5%, n = 19, CI = 43.53–80.52) than persons not at risk (36.9%, n = 86, CI = 28.53–43.29). 32% missing data supports replication of study findings using larger data sets. Maximum likelihood estimation handled missing data in regression analyses. Low prevalence of suicide risk required collapsing some conceptually different categories. Housing was a stronger socioeconomic predictor of suicide risk than income, employment, or education. This finding supports exploring housing status in suicide assessment and research. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for, birth transition success of late preterm infants. A retrospective, case-control chart review was used to compare the characteristics of successful and unsuccessful birth transition of late-preterm infants delivered in a large tertiary-care center. Categorical and numeric variables related to maternal, birth, and physiologic constructs were analyzed. Four predictor variables were associated with birth transition failure: labor (OR = .42, P = .014), 5-minute Apgar score (OR = 1.79, P = .003), gender (OR = .47, P =.043) and respiratory rate (OR = 2.08, P < .001). The overall classification rate for the model was 70.3%. Transition success and failure were accurately assigned at a rate of 66.7% and 74%, respectively. The primary implication of this research is that the absence of labor, male gender, low Apgar scoring, and tachypnea (>60) were identified as a risk factors for transition failure of late preterm infants. [Copyright &y& Elsevier]

In contrast to adolescents attending traditional universities, adolescents attending community colleges represent a large but relatively unstudied population with respect to stress and mental health issues. The purpose of this study was to determine what factors increase and decrease stress in a sample of adolescent community college students (N = 166). Findings from a self-administered questionnaire indicated that students had moderate levels of stress and resilience. Contrary to predictions, males demonstrated statistically significant higher levels of stress than females, but as expected, resilience had a significant negative effect on stress (p < .05). Practice and research implications are discussed for nurses in pediatric settings. [Copyright &y& Elsevier]

Abstract: Arab immigrant women are vulnerable to post-traumatic stress disorder (PTSD) because of gender, higher probability of being exposed to war-related violence, traditional cultural values, and immigration stressors. A valid and reliable screen is needed to assess PTSD incidence in this population. This study evaluated the reliability and validity of an Arabic language version of the symptom items in Foa et al.''s [Foa, E.B., Cashman, L., Jaycox, L., and Perry, K. 1997. The validation of a self report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale. Psychological Assessment 9(4), 445–451]. Post-traumatic Diagnostic Scale (PDS) in a sample of Arab immigrant women (n =453). Reliability was supported by Cronbach''s alpha values for the Arabic language version (0.93) and its subscales (0.77–0.91). Results of group comparisons supported validity: Women who had lived in a refugee camp or emigrated from Iraq — a country where exposure to war and torture is common — were exhibiting depressive symptoms (Center for Epidemiological Studies-Depression Scale (CES-D) score above 18), or reported moderately to severely impaired functioning had significantly higher mean PDS total and symptom subscale scores than women who had not had these experiences or were not exhibiting depressive symptoms. Scores on the PDS and its subscales were also positively correlated with the Profile of Mood States (POMS) depression and anxiety subscales and negatively correlated with the POMS vigor subscale (r =−.29 to−.39). [Copyright &y& Elsevier]

This longitudinal study of 253 ever-depressed former Soviet immigrants (1) examined the life circumstances, demographic characteristics, and immigration demands of individuals whose depression lifted, or who remained or became depressed over a 2-year period; and (2) investigated whether immigration demands, local relatives, age at immigration, gender, education, employment, and marital status differed among the three groups. Depression was determined based on depression scores at baseline and at 2-year follow-up. Forty-three percent of the sample remained depressed, 26% became depressed, and 30% had their depression lift over the course of 2 years. The three groups did not differ with regard to demographic characteristics or loss of employment or a negative change in marital status over the 2-year study period. They did differ with respect to the presence of local family and immigration demands (P < .05). Those who remained depressed were less likely to have family in the area and had the highest immigration demand score at both time points. However, the effect for presence of local family was not significant when immigration demands were included in the analysis (P = .32). Analysis of variance (ANOVA) for repeated measures revealed that the group whose depression lifted experienced the greatest change in immigration demand scores over the 2-year study period. Our findings argue that clinicians should not expect immigrants' depression to always decrease over time and should assess depression by asking about immigration demands, even if depression was not present during an earlier clinical encounter. [ABSTRACT FROM AUTHOR]