Disclosure and nondisclosure of suicidality to romantic partners: Understanding the decision-making process

2021 ◽  
pp. 026540752110089
Author(s):  
Heather A. Love ◽  
Leah E. LeFebvre ◽  
Joshua R. Pederson

The stigmatization of suicidal thoughts and behaviors often prevents disclosure to others, including romantic partners. Minimal research has examined the disclosure or withholding of this stigmatized identity, resulting in a lack of knowledge about the benefits or consequences of informing others. Participants ( n = 61) were recruited from Reddit and completed open-ended questions about their prior suicidal ideation and behaviors while in a romantic relationship. Responses were separated by disclosers ( n = 31) and non-disclosers ( n = 30) to romantic partners. After utilizing a thematic analysis, the Disclosure Decision-Making Model (DD-MM) was applied to the results to make sense of decision-making processes. The three primary themes (assessing information, assessing emotional capacity, and assessing the receiver) provide insight into the psychological and communicative progression as well as the differences that arise for each individual. Findings discuss theoretical adaptations, implications, and future directions.

2015 ◽  
Vol 4 (4) ◽  
pp. 531-547
Author(s):  
Mbuyiseni Goodlife Ntuli ◽  
Lawrence Mpela Lekhanya

This paper advocates the adoption of systemic thinking in decision-making processes in municipalities. Most importantly, in this epoch of managing in complex and thought-provoking business environment, decision making is one of the most important skills required by any manager to remain effective. The success of a municipality or any business hinges on how well decisions are taken and implemented. In this paper, I intend to scrutinize decision making processes at strategic management levels in the municipalities within the province of KwaZulu-Natal. In doing that, a mixed method approach of qualitative and quantitative techniques was adopted in gathering data from sixty-one municipalities within the province of KwaZulu-Natal. This was done in order to substantiate theoretical perspectives from different erudite scholars on the discourse of systemic thinking in decision making processes. This notion of systemic thinking is coined upon the universally used rational decision making process model. Thus, the conceptualization of rational decision-making model was also considered in this paper, the possibility of decision failure, the complexity of the municipality, and systemic thinking as the recommended option of dealing with complexity was explored. The results indicates that the theory that underpins the adoption of systemic thinking in dealing with complexity today’s business environment is relevant.


Diagnosis ◽  
2014 ◽  
Vol 1 (2) ◽  
pp. 189-193 ◽  
Author(s):  
David Allan Watters ◽  
Spencer Wynyard Beasley ◽  
Wendy Crebbin

AbstractProceduralists who fail to review their decision making are unlikely to learn from their experiences, irrespective of whether the operative outcome is successful or not. Teaching junior surgeons to develop ‘insight’ into their own decision making has long been a challenge. Surgeons and staff of the Royal Australasian College of Surgeons worked together to develop a model to help explain the processes around clinical decision making and incorporated this model into a Clinical Decision Making (CDM) training course. In this course, faculty apply the model to specific surgical cases, within the model’s framework of how clinical decisions are made; thus providing an opportunity to identify specific decision making processes as they occur and to highlight some of the learning opportunities they provide. The conversation in this paper illustrates the kinds of case-based interactions which typically occur in the development and teaching of the CDM course.The focus in this, the second of two papers, is on reviewing post-operative clinical decisions made in relation to one case, to improve the quality of subsequent decision making.


Author(s):  
Luigina Mortari ◽  
Roberta Silva

An intensive care unit (ICU) is a demanding environment, defined by significant complexity, in which physicians must make decisions in situations characterized by high levels of uncertainty. This study used a phenomenological approach to investigate the decision-making (DM) processes among ICU physicians’ team with the aim of understanding what happens when ICU physicians must reach a decision about the infectious status of a patient. The focus was put on the identification of how the discursive practices influence physicians’ DM processes and on how different ICU environments make different discursive profiles emerge, particularly when a key issue is at the center of the physicians’ discussion. A naturalistic approach used in this study is particularly suitable for investigating health care practices because it can best illuminate the essential meaning of the “lived experiences” of the participants. The findings revealed a common framework of elements that provide insight into DM processes in ICUs and how these are affected by discursive practices.


2016 ◽  
Vol 44 (1) ◽  
pp. 117-130 ◽  
Author(s):  
Qingyao Wan ◽  
Dongyu Chen ◽  
Weihua Shi

We explored lenders' decision-making processes in online peer-to-peer (P2P) lending by drawing on trust theory and the valence framework to develop an integrated decisionmaking model, which we then tested empirically using data from a survey conducted with 474 online lenders in China. The results showed that initial trust and perceived benefit determined willingness to lend, and that the fear of borrower opportunism did not have a significant impact on this willingness. Initial trust increased willingness to lend both directly and indirectly, increased it by increasing perceived benefit. We have identified the specific features of online P2P lending and provided valuable insights for borrowers, lenders, and intermediaries.


2015 ◽  
Vol 5 (1) ◽  
pp. 175-205 ◽  
Author(s):  
Gitanjali Nain Gill

AbstractThis article argues that the involvement of technical experts in decision making promotes better environmental results while simultaneously recognizing the uncertainty in science. India’s record as a progressive jurisdiction in environmental matters through its proactive judiciary is internationally recognized. The neoteric National Green Tribunal of India (NGT) – officially described as a ‘specialised body equipped with necessary expertise to handle environmental disputes involving multi-disciplinary issues’ – is a forum which offers greater plurality for environmental justice. The NGT, in exercising wide powers, is staffed by judicial and technical expert members who decide cases in an open forum. The experts are ‘central’, rather than ‘marginal’, to the NGT’s decision-making process.This article draws on theoretical insights developed by Lorna Schrefler and Peter Haas to analyze the role of scientific experts as decision makers within the NGT. Unprecedented interview access provides data that grants an insight into the internal decision-making processes of the five benches of the NGT. Reported cases, supported by additional comments of bench members, illustrate the wider policy impact of scientific knowledge and its contribution to the NGT’s decision-making process.


2019 ◽  
Vol 9 (2) ◽  
pp. 88-107
Author(s):  
Elpiniki Spanoudaki ◽  
Maria Ioannou ◽  
John Synnott ◽  
Calli Tzani-Pepelasi ◽  
Ntaniella Roumpini Pylarinou

PurposeThe purpose of this paper is to explore investigative decision-making processes in the context of major crimes as experienced by the law enforcement agents.Design/methodology/approachEpisodic interviews were conducted with six agents from medium-sized police forces in the UK. Following the framework of naturalistic inquiry, qualitative content analysis took place with the assistance of Atlas.ti software. To ensure the validity of findings, the within method triangulation was preferred, by additionally analysing the interview transcripts with Alceste.FindingsFindings from this study revealed a variety of internal factors at play, shaping the decision-making course into an act of balancing various desired goals. Detectives appear to assess a situation based on their experiences confirming that the naturalistic decision-making model may assist in understanding investigative decision-making.Research limitations/implicationsDue to the busy schedule of law enforcement agents the number of participants was limited and availability difficult; therefore, this study can be thought of as a pilot study that will inspire researchers to use the same method for in-depth understanding of investigative decision-making.Practical implicationsResults captured the ill-defined goals in the police environment and provided ways of decreasing their impact on investigative decision-making thus should help detectives to understand their decision-making limitations and strengths.Social implicationsThis project will enhance the psychological understanding of investigative decision-making.Originality/valueThis project assists in understanding the psychological aspect of investigative decision-making during police duty and provides the opportunity to law enforcement agents to re-evaluate situations in order to improve the investigative decision-making process; while adds to existing literature.


2014 ◽  
Vol 15 (4) ◽  
pp. 255-268 ◽  
Author(s):  
Michael Gogas ◽  
Konstantinos Papoutsis ◽  
Eftihia Nathanail

Abstract The management models pursued in logistics terminals determine their performance to a great extent. Terminals managed by public actors usually incorporate more social criteria into their decision-making processes. In addition, private management focuses on economic viability of the initiative. Decision-making is a complex process regardless the structure of management or the decision models useddue to the fact that a wide range of diverse criteria are embedded into this process. The objective of this paper it to determine a prioritization of a set of alternative options for investment projects which were suggested by port executives taking into account criteria and evaluation that have already validated by them. In order to perform the analysis a multi-criteria decision-making model was used: the Analytic Hierachy Process. The outcomes support a low-biased and efficient strategic planning through a balanced decision-making framework.


2021 ◽  
Author(s):  
◽  
Hendrik Prins

<p>Over the last 25 years building rating systems have been developed to quantify and promote sustainable development in the construction industry. Many countries have now developed their own rating system and some systems have been adapted for international use. The different outcomes and results from their use have been under much scrutiny from developers, clients, industry, and academics. Concerns such as increased cost, points buying, and discrepancies between the rated design and completed projects have been identified.   In order to better understand why these concerns occur, the Green Star New Zealand rating system – adapted from Green Star Australia – was studied to quantify its effects on rated projects. The overall aim of this thesis was to investigate the effects of Green Star New Zealand on the decision making process. Specifically, the way in which this system affects the decision making processes during the design of a rated building was investigated to provide insight into reasons why these different outcomes may occur.   This was undertaken through a classic grounded theory study during which professionals experienced in the use of Green Star were interviewed, and the data collected from the interviews was inductively analysed to generate conceptual theory and concepts. The interview data and discussion with the participants identified that decision making is affected largely through the different constraints and conditions encountered when using Green Star and how they are adapted to. These are applied to decision making through a number of different ways, being directly or indirectly related to Green Star, something decided on with or without prior experience, or internal or external to the design team.  The analysis identified several categories which explained processes and behaviours resulting from the use of Green Star. These are ‘managing Green Star requirements’, ‘credit targeting’, ‘working with unknowns’, ‘disconnection of knowledge’, and ‘balancing project requirements’. It is these categories that caused adaptation to emerge as the primary process of resolving constraints, with ‘adapting to constraints’ emerging as the core variable.</p>


2019 ◽  
Vol 128 (2) ◽  
pp. 106-118 ◽  
Author(s):  
Alexander J. Millner ◽  
Hanneke E. M. den Ouden ◽  
Samuel J. Gershman ◽  
Catherine R. Glenn ◽  
Jaclyn C. Kearns ◽  
...  

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