Although depression is strongly associated with suicide attempts and suicide deaths, most depressed youth do not make an attempt, indicating the need to identify additional risk factors. We examined suicide attempts among 451 depressed primary care patients, 13 to 21 years of age. In bivariate analyses, youth classified as suicide attempters…

Context: Despite screening for colorectal cancer, mortality in the United States remains substantial. In northern New England, little is known about predictors of stage at diagnosis, an important determinant of survival and mortality. Purpose: The objective of this study was to identify predictors of late stage at diagnosis for colorectal cancer…

Context: To help meet rural Appalachian needs, and with initial support from the W.K. Kellogg Foundation, East Tennessee State University partnered with 2 counties to implement a health curriculum for nursing, public health, and medical students in a rural setting. The Community Partnerships Program 3-year longitudinal curriculum included…

The article discusses a survey of Family Practice Physicians as to their attitudes on the role of the family nurse clinician in utilizing them in their practices. (BP)

The need for a role definition for health educators in primary health care programs is discussed. A program in diabetic education is offered as an illustration of health educator involvement in health care delivery. (MJB)

Public interest in health is very high in 1978. This situation provides a powerful stimulus for the life sciences. A wide spectrum of research is needed to meet long-range health problems. (Author/BB)

Presents a path analytic model that both measures local health system differentiation and explains differences between communities in a causal manner. The policy relevance of this model is discussed. (Author/AM)

Evaluated economic costs for nursing home patients and elderly living in their own homes. Using time records compiled by nurses or family members, the costs incurred annually in caring for a senile demented elderly person at home were estimated to average $11,735, and in a nursing home, $22,458. (Author/BL)

Recognizing that school-based health centers are one of the most promising recent innovations to address the health and related needs of adolescents, this report provides information on these centers as a strategy to improve the access of adolescents to primary care. The report is intended to assist state and local Maternal and Child Health (MCH)…

A simulated learning exercise based on genograms was used with professionals in multidisciplinary primary health-care teams. Evaluation supported the importance of a positive learning environment, constructive use of personal and professional experiences, learner control, intellectual challenge and relevance, and reflection and debriefing. (SK)

Investigated the tobacco-related attitudes, behaviors, and needs of smoking and nonsmoking teens being seen for routine primary care, identifying tobacco use predictors. Most teens approached were willing to receive tobacco and diet interventions. Smoking predictors included older age, lower educational aspirations, having parents or friends who…

Examined coping styles and health behaviors of 25 hypertensive patients and 25 normal patients visiting primary care setting for acute medical problems. Hypertensive individuals were more likely to display "high monitoring" (information-seeking) mode of coping than normal individuals, who tended to be "low monitoring" (information avoiding) in…

Describes a continuing education module that addresses care in the community, influences on patients' experience, current social policy, and the role of the carer. The module is designed to help trained nurses integrate patient care from hospital to community setting. (SK)