American Psychologist最新文献

{"title":"It's not just about being queer: Intersectional risk of suicide and premature mortality in later life among LGBT veterans.","authors":"Sherry A Beaudreau, Julie A Lutz, Marcela C Otero, Allison R Warren, Gabriella Imbriano, Eve A Rosenfeld, Joseph L Goulet","doi":"10.1037/amp0001719","DOIUrl":"10.1037/amp0001719","url":null,"abstract":"<p><p>Suicide is a serious public health crisis, and lesbian, gay, bisexual, and transgender (LGBT) adults are at particularly high risk. The present study examined risk factors for mortality by suicide and other causes in LGBT versus non-LGBT middle-aged and older adult veterans who used Veterans Affairs health care services between 2009 and 2019 (<i>n</i> = 834,774). We hypothesized that LGBT veterans (<i>n</i> = 167,676) would be at increased risk of premature mortality from suicide, overdose, and other causes of death compared with non-LGBT veterans (<i>n</i> = 667,774), due to minority stress as measured by proxy risk factors of health and social determinants of health. In bivariate models, LGBT veterans had significantly higher rates of death by suicide and overdose compared with non-LGBT veterans. After controlling for proxy risk factors of minority stress in multivariate analyses, the risk associated with LGBT status was nonsignificant. Sociodemographic variables (e.g., race/ethnicity, age), mental health diagnoses, substance use, and other risk factors contributed significantly to differences in risk. Findings highlight the critical importance of interventions (e.g., U.S. Department of Veterans Affairs Whole Health) for LGBT veterans to manage multiple health risk factors that contribute to mortality risk. Suicide prevention is crucial, especially for middle-aged, older adult, and LGBT veterans. Initiating targeted suicide prevention earlier in life may prevent suicide deaths. Findings also implicate subgroups of veterans who may particularly benefit from systematic improvements to health care delivery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":" ","pages":""},"PeriodicalIF":12.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical risk prevention in client generative artificial intelligence (genAI) use: Applying the primary risk-management model.","authors":"Gihun Im","doi":"10.1037/amp0001731","DOIUrl":"https://doi.org/10.1037/amp0001731","url":null,"abstract":"<p><p>As clients increasingly use generative artificial intelligence for emotional support, psychologists now deal with unfamiliar ethical challenges that go beyond conventional risk-management strategies. While generative artificial intelligence systems like ChatGPT or therapy chatbots can be easily accessible, low cost, and oddly compassionate, using them without oversight introduces empirically documented risks such as misinformation and sycophancy, as well as emerging concerns related to cultural bias and potential therapeutic alliance disruption. Drawing from the American Psychological Association (2017) and ethical reflections offered by Chenneville et al. (2024), this conceptual and practice-oriented article applies Crowley and Gottlieb's (2012) primary risk-management model to build a forward-looking, preventive approach to these new challenges. The primary risk-management model emphasizes five iterative stages: resource accumulation, attention and detection of potential risk, initial appraisal of potential risk, preliminary risk-management efforts, and elicitation and use of feedback. Through conceptual mapping and application to a worst-case illustration, this article shows how primary risk-management model-based prevention can strengthen ethical alertness and reflexive judgment in psychologists facing generative artificial intelligence-related dilemmas. The discussion concludes with suggestions for education, professional policy, and empirical research, all aimed at reinforcing preparedness and reducing predictable harm. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":" ","pages":""},"PeriodicalIF":12.3,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systems of survivance: Reimagining indigenous suicide through the lens of culturo-behavior systems science.","authors":"Louis Busch,Traci M Cihon,Joseph P Gone","doi":"10.1037/amp0001721","DOIUrl":"https://doi.org/10.1037/amp0001721","url":null,"abstract":"Indigenous suicide prevention continues to be dominated by individual-focused interventions that neglect historical, cultural, and structural contexts. This article reviews culturo-behavior systems science (CBSS) as a complementary analytic approach that extends the transactional-ecological model proposed by Alcántara and Gone (2007). CBSS concepts, including macrocontingency, metacontingency, elaborated metacontingency, culturo-behavioral hypercycle, and matrix analysis, are introduced and applied to Indigenous life-promotion initiatives. Using illustrative examples, we show how CBSS can clarify multilevel contingencies, feedback systems, and systemic selectors that shape the organization and sustainability of life-promoting practices. CBSS aligns with Indigenous relational worldviews and offers analytic tools for examining culturally grounded, community-led approaches to life promotion. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"1 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Assessing the safety and efficacy of prescribing psychologists in New Mexico and Louisiana\" by Hughes et al. (2025).","authors":"","doi":"10.1037/amp0001733","DOIUrl":"https://doi.org/10.1037/amp0001733","url":null,"abstract":"Reports an error in \"Assessing the safety and efficacy of prescribing psychologists in New Mexico and Louisiana\" by Phillip M. Hughes, Joshua D. Niznik, Robert E. McGrath, Casey R. Tak, Robert B. Christian, Betsy L. Sleath and Kathleen C. Thomas (American Psychologist, 2025[Oct], Vol 80[7], 1019-1031; see record 2025-07510-001). In the article, the subheadings and N (%) values under \"Psychologists versus psychiatrists\" and \"Psychologists versus primary care physicians\" headings were transposed. The correct placements of headings and N (%) values are shown in the erratum. (The following abstract of the original article appeared in record 2025-07510-001). This study aimed to compare patient outcomes between prescribing psychologists, psychiatrists, and primary care physicians (PCPs). Private insurance claims (2005-2021; n = 307,478) were used to conduct an active comparator, new user longitudinal cohort study developed using target trial emulation. Inverse propensity for treatment weighting was used to adjust for baseline differences in a range of sociodemographic, clinical, and contextual patient factors. Differences in the 1-year rate of health care visits for adverse drug events (ADEs), psychiatric emergency department (ED) utilization, medication adherence, and psychotropic polypharmacy were identified between prescribing psychologists and the other provider types using doubly robust Cox proportional hazards models. Compared to patients of psychiatrists, patients of prescribing psychologists had a 24% lower rate of ADEs (95% CI [0.60, 0.96]), a 20% lower rate of psychotropic polypharmacy (95% CI [0.74, 0.86]), and similar rates of psychiatric ED utilization and medication nonadherence. Compared to patients of PCPs, patients of prescribing psychologists had 138% higher rates of psychiatric ED utilization (95% CI [1.67, 3.39]), 175% higher rates of psychotropic polypharmacy (95% CI [2.53, 2.99]), 28% lower rates of medication nonadherence (95% CI [0.66, 0.78]), and similar rates of ADEs. Using robust pharmacoepidemiological methods, we noted that among mental health specialists, prescribing psychologists appear to be as safe and efficacious as psychiatrists in a large sample of privately insured patients. Notable differences in safety and efficacy when compared to PCPs may be attributable to differences between specialty and primary care. Future research on prescribing psychologists should move toward studies of care quality. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"3 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147695542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for Systems of Survivance: Reimagining Indigenous Suicide Through the Lens of Culturo-Behavior Systems Science","authors":"","doi":"10.1037/amp0001721.supp","DOIUrl":"https://doi.org/10.1037/amp0001721.supp","url":null,"abstract":"","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"7 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147708778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"David A. Washburn (1961–2025).","authors":"Michael J. Beran","doi":"10.1037/amp0001728","DOIUrl":"https://doi.org/10.1037/amp0001728","url":null,"abstract":"","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"3 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking psychological distress and multilevel socioeconomic disadvantage: A representative population-based study of 15,851 U.K. adults.","authors":"Emma K Bridger,John Maltby,Eiko I Fried,Omid V Ebrahimi,Ludvig Daae Bjørndal","doi":"10.1037/amp0001705","DOIUrl":"https://doi.org/10.1037/amp0001705","url":null,"abstract":"Despite extensive attention on psychological distress and socioeconomic disadvantage, no study has mapped conditional associations between specific distress symptoms and disadvantage across both household and neighborhood levels. Here, we estimated a preregistered network analysis to examine the conditional associations between eight specific aspects of psychological distress on the one hand and 15 household- (e.g., household crowding, income, financial ability to keep house warm in winter) and neighborhood-level (e.g., area-level deprivation, perceptions of pollution, vandalism) disadvantage variables on the other, using the U.K. Household Longitudinal Study (N = 15,851). Limitations on social activities and daily roles as a result of emotional and physical health problems were most strongly interconnected with socioeconomic disadvantage while feeling depressed showed no conditional associations with disadvantage. Being unable to afford replacement of large electrical items was the disadvantage variable most associated with distress, including sleep loss and worthlessness. Distress variables were associated with aspects of disadvantage across both the neighborhood and household levels, although the latter associations were more frequent and stronger. Our findings highlight a core role for functional impairments due to emotional problems and underline the need to assess and address the psychological consequences of socioeconomic circumstances across multiple levels. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"115 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patrick W. Corrigan (1956-2026).","authors":"Amy C Watson, Valerie A Earnshaw, Jonathon Larson","doi":"10.1037/amp0001726","DOIUrl":"https://doi.org/10.1037/amp0001726","url":null,"abstract":"<p><p>Memorializes Patrick W. Corrigan (1956-2026). Corrigan was an internationally recognized expert in psychiatric disability, rehabilitation, stigma, and mental health equity. He was a pioneer in research on the nature, causes, and consequences of mental illness stigma and strategies to reduce stigma and health disparities among people with psychiatric disabilities. His Chicago Health Disparities Center engaged people with serious mental illness in community-based participatory research to conduct research on peer navigators for people with psychiatric disabilities and interventions to promote healthy lifestyle behaviors. Pat was also an incredible educator and mentor to many graduate students, researchers, and practitioners. He was open about his own mental health struggles, which paved the way for others in the field. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":" ","pages":""},"PeriodicalIF":12.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Charles J. Gelso (1941–2025).","authors":"Clara E. Hill, Robert W. Lent, Mary Ann Hoffman, Dennis M. Kivlighan","doi":"10.1037/amp0001716","DOIUrl":"https://doi.org/10.1037/amp0001716","url":null,"abstract":"","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"17 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Still WEIRD, still underreported: An updated benchmark for psychological science.","authors":"Alison Jane Martingano,Neema Trivedi-Bateman,Lance Gauger,Megan Huggett,Beth Allcock,Rebecca E Jackson,Grace Holschuh","doi":"10.1037/amp0001703","DOIUrl":"https://doi.org/10.1037/amp0001703","url":null,"abstract":"Psychological science has long been critiqued for relying on samples drawn primarily from Western, educated, industrialized, rich, and democratic societies. The present study examines the current state of this critique by integrating three lines of evaluation: national sample origins, demographic representativeness, and adherence to American Psychological Association reporting standards. We analyzed all human subjects research published in 2024 in six leading psychology journals (k = 1,217) and compared their samples with previous reviews. While the proportion of U.S.-based samples continues to decline, U.S. participants remain vastly overrepresented (59% of samples in 2024). For demographic representativeness, we found substantial improvements in demographic reporting since 2014, but participants' race, ethnicity, socioeconomic status, and education are still frequently omitted. For reporting standards, we evaluated compliance with Journal Article Reporting Standards for Race, Ethnicity, and Culture (APA, 2023). We find wide variation across journals in the adoption of practices, with some, such as including sample justifications, almost unanimously adopted, whereas others, such as conducting analyses of diversity, are much less common. Overall, our findings show that psychology still depends heavily on Western, educated, industrialized, rich, and democratic samples, with only modest and uneven progress toward inclusivity and transparency. By combining three evaluation criteria, we establish a holistic benchmark that can be used to systematically monitor change in these research practices in the future. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"64 1","pages":""},"PeriodicalIF":16.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}