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Papers by Vanessa McNeill
Journal of Men's Health, Jan 19, 2022
Background: To explore the differences in young adult male and female attitudes towards and motiv... more Background: To explore the differences in young adult male and female attitudes towards and motivations for suicide, beliefs about help-seeking behavior, and attitudes towards helping others to prevent suicide. Methods: In-depth interviews and focus groups with adolescent and young adult males and females (n = 50, ages 14-24) were conducted before and after a community-based play on suicide prevention. Two focus groups and 30 individual interviews (n = 50, 22 males, 28 females) were conducted before the intervention at one location, and 12 in-depth interviews (4 males, 8 females) were conducted with some of the same individuals after the play. The transcripts were coded by two independent coders for gender differences. Emergent categories were analyzed to identify differences in responses to issues surrounding suicide and depression. Results: Three key gender differences were found in communication styles around emotional vulnerabilities: (1) Females were more likely to talk about the importance of reaching out to others and giving counsel, while males were more likely to expect others in need to seek them out for help. (2) Females talked about psychological distress as something "everyone" experiences, while males tended to see their suffering as an individual phenomenon. (3) Females tended to advocate disclosure while males talked about the pressure not to talk about personal problems. Conclusions: Young males and females may need different coping strategies, and interventions, therefore, must be tailored to address the needs of each gender separately. Campaigns and programs specifically for men should address the barriers that men face with disclosure and help-seeking, and strategies should be sensitive to the expectations of heteronormative masculinity.
Journal of Applied Communication Research, May 24, 2017
Young adults from Montana have a higher rate of suicide than their national counterparts. There i... more Young adults from Montana have a higher rate of suicide than their national counterparts. There is a clear need for targeted interventions to address this disparity. The authors evaluate a communitybased, narrative theater project designed to increase awareness and use of suicide prevention resources among eastern Montana youth. As a first step, seven group interviews with Montana young adults (n = 27) were conducted to identify current perceptions about suicide and suicide prevention. Interviews were conducted before and after subjects were exposed to a communitybased theater production about suicide. Emergent thematic categories were organized using the four main constructs of the extended parallel process model. After the performance, participants expressed increased awareness of prevention resources; perceived susceptibility to the threat of suicide and depression; and self-efficacy for accessing help and assisting others. There were mixed results for perceived response efficacy. Implications and recommendations for intervention development are discussed.
International Journal of Environmental Research and Public Health, Jun 8, 2021
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
International Journal of Environmental Research and Public Health, Jan 26, 2019
Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little ... more Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little detail is provided on what types of stigma interfere with help-seeking, how stigma is expressed, and how to reduce it. Five groups of two ethnically diverse community theatre programs were formed to analyze differences in Eastern Montana Caucasian and Native American adolescents and young adults' experiences with stigma about mental illness and mental health treatment that affect help-seeking for suicidal thoughts and experiences. Over a ten-week period, a grassroots theatre project was used to recruit members from the same population as the audience to write and perform a play on suicide and depression (n = 33; 10 males, 23 females; 12 Native American, 21 Caucasian, ages 14-24). Using textual analysis, the community-and campus-based performance scripts were coded for themes related to stigma. Both ethnic groups reported that stigma is a barrier to expressing emotional vulnerability, seeking help, and acknowledging mental illness. We found that Caucasians' experiences were more individually oriented and Native Americans' experiences were more collectively oriented. Understanding the cultural bases of experiences with stigma related to mental health treatment for suicide is necessary to create educational programs to reduce stigma for diverse groups of adolescents and young adults.
Journal of Men's Health, 2022
Background: To explore the differences in young adult male and female attitudes towards and motiv... more Background: To explore the differences in young adult male and female attitudes towards and motivations for suicide, beliefs about help-seeking behavior, and attitudes towards helping others to prevent suicide. Methods: In-depth interviews and focus groups with adolescent and young adult males and females (n = 50, ages 14–24) were conducted before and after a community-based play on suicide prevention. Two focus groups and 30 individual interviews (n = 50, 22 males, 28 females) were conducted before the intervention at one location, and 12 in-depth interviews (4 males, 8 females) were conducted with some of the same individuals after the play. The transcripts were coded by two independent coders for gender differences. Emergent categories were analyzed to identify differences in responses to issues surrounding suicide and depression. Results: Three key gender differences were found in communication styles around emotional vulnerabilities: (1) Females were more likely to talk about t...
International Journal of Environmental Research and Public Health, 2019
Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little ... more Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little detail is provided on what types of stigma interfere with help-seeking, how stigma is expressed, and how to reduce it. Five groups of two ethnically diverse community theatre programs were formed to analyze differences in Eastern Montana Caucasian and Native American adolescents and young adults’ experiences with stigma about mental illness and mental health treatment that affect help-seeking for suicidal thoughts and experiences. Over a ten-week period, a grassroots theatre project was used to recruit members from the same population as the audience to write and perform a play on suicide and depression (n = 33; 10 males, 23 females; 12 Native American, 21 Caucasian, ages 14–24). Using textual analysis, the community- and campus-based performance scripts were coded for themes related to stigma. Both ethnic groups reported that stigma is a barrier to expressing emotional vulnerability, se...
International Journal of Environmental Research and Public Health, 2021
Evidence indicates that stigma impedes an individual’s chance of seeking professional help for a ... more Evidence indicates that stigma impedes an individual’s chance of seeking professional help for a mental health crisis. Commonly reported aggregate-level results for stigma-reduction efforts obfuscate how much stigma reduction is needed to incur a practically meaningful change within an individual, defined here as an attitudinal shift and openness towards seeking mental health for oneself and/or support for others. When basing conclusions and recommendations about stigma-reducing interventions on aggregate scales, it is unclear how much stigma reduction is needed to incur meaningful change within an individual. We explored the impact of reductions in stigma of help-seeking scores in response to an online suicide prevention video among young adults in the United States, using online surveys to collect qualitative and quantitative data. We compared mean changes in the stigma scores from pre- to post-test (video exposure) of 371 young U.S. adults using standard t-tests and individual le...
Journal of Applied Communication Research, 2017
Young adults from Montana have a higher rate of suicide than their national counterparts. There i... more Young adults from Montana have a higher rate of suicide than their national counterparts. There is a clear need for targeted interventions to address this disparity. The authors evaluate a community-based, narrative theater project designed to increase awareness and use of suicide-prevention resources among eastern Montana youth. As a first step, seven group interviews with Montana young adults (n = 27) were conducted to identify current perceptions about suicide and suicide prevention. Interviews were conducted before and after subjects were exposed to a community-based theater production about suicide. Emergent thematic categories were organized using the four main constructs of the extended parallel process model. After the performance, participants expressed increased awareness of prevention resources; perceived susceptibility to the threat of suicide and depression; and self-efficacy for accessing help and assisting others. There were mixed results for perceived response efficacy. Implications and recommendations for intervention development are discussed. Give sorrow words; the grief that does not speak Whispers the o'er-frought heart and bids it break. (Shakespeare, Macbeth) Montana currently has the highest suicide rate in the nation (Centers for Disease Control and Prevention [CDC], 2015). In an effort to understand why, researchers collaborated under NIH 1 funding to pilot a community-based, peer-to-peer, theater-centered suicide-prevention program throughout the eastern region of the state for three years. The Let's Talk program engaged young adults to write and perform original theater productions about suicide for their peers and communities. Each performance was followed by an actor-audience discussion, facilitated by a licensed mental health counselor. Let's Talk was designed to increase people's awareness of suicide, and promote helpseeking and referrals for at-risk individuals. Let's Talk was chosen as the name for the program in order to confront common misconceptions surrounding communication and disclosure of suicidal ideation. Research indicates that talking is precisely what needs to happen to prevent suicide; one team dubbed this association a 'Papageno
Neurotoxicology and Teratology, 2022
This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex ... more This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex differences in behavior problems in middle childhood and whether there are sex differences in the way in which parasympathetic functioning mediates the relations between PCE and behavior problems within a diverse low-income sample. Participants included 164 high risk mother-child dyads including 89 PC exposed children and 75 control children participating in an ongoing longitudinal study. Respiratory sinus arrhythmia (RSA) was measured to assess parasympathetic functioning at 13 months of age and maternal reports of child behavior problems were collected at 7 years of age. Results revealed no significant association between PCE and behavior problems for the full sample. A 2X2 Anova revealed a significant interaction between PCE and child sex on internalizing, externalizing, and total behavior problems (F (3, 160) = 13.45, p < .001) with cocaine exposed females averaging the highest behavior problem scores. Results also revealed a statistically significant indirect effect linking cocaine exposure to lower externalizing problems via lower baseline RSA among males. Findings indicate that cocaine exposed females may be more vulnerable to developing behavior problems than cocaine exposed males and that high baseline RSA may present a sex specific risk factor for externalizing problems among exposed males.
Neurotoxicology and Teratology, 2022
This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex ... more This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex differences in behavior problems in middle childhood and whether there are sex differences in the way in which parasympathetic functioning mediates the relations between PCE and behavior problems within a diverse low-income sample. Participants included 164 high risk mother-child dyads including 89 PC exposed children and 75 control children participating in an ongoing longitudinal study. Respiratory sinus arrhythmia (RSA) was measured to assess parasympathetic functioning at 13 months of age and maternal reports of child behavior problems were collected at 7 years of age. Results revealed no significant association between PCE and behavior problems for the full sample. A 2 × 2 Anova revealed a significant interaction between PCE and child sex on internalizing, externalizing, and total behavior problems (F (3, 160) = 13.45, p < .001) with cocaine exposed females averaging the highest behavior problem scores. Results also revealed a statistically significant indirect effect linking cocaine exposure to lower externalizing problems via lower baseline RSA among males. Findings indicate that cocaine exposed females may be more vulnerable to developing behavior problems than cocaine exposed males and that high baseline RSA may present a sex specific risk factor for externalizing problems among exposed males.
Journal of Men's Health, Jan 19, 2022
Background: To explore the differences in young adult male and female attitudes towards and motiv... more Background: To explore the differences in young adult male and female attitudes towards and motivations for suicide, beliefs about help-seeking behavior, and attitudes towards helping others to prevent suicide. Methods: In-depth interviews and focus groups with adolescent and young adult males and females (n = 50, ages 14-24) were conducted before and after a community-based play on suicide prevention. Two focus groups and 30 individual interviews (n = 50, 22 males, 28 females) were conducted before the intervention at one location, and 12 in-depth interviews (4 males, 8 females) were conducted with some of the same individuals after the play. The transcripts were coded by two independent coders for gender differences. Emergent categories were analyzed to identify differences in responses to issues surrounding suicide and depression. Results: Three key gender differences were found in communication styles around emotional vulnerabilities: (1) Females were more likely to talk about the importance of reaching out to others and giving counsel, while males were more likely to expect others in need to seek them out for help. (2) Females talked about psychological distress as something "everyone" experiences, while males tended to see their suffering as an individual phenomenon. (3) Females tended to advocate disclosure while males talked about the pressure not to talk about personal problems. Conclusions: Young males and females may need different coping strategies, and interventions, therefore, must be tailored to address the needs of each gender separately. Campaigns and programs specifically for men should address the barriers that men face with disclosure and help-seeking, and strategies should be sensitive to the expectations of heteronormative masculinity.
Journal of Applied Communication Research, May 24, 2017
Young adults from Montana have a higher rate of suicide than their national counterparts. There i... more Young adults from Montana have a higher rate of suicide than their national counterparts. There is a clear need for targeted interventions to address this disparity. The authors evaluate a communitybased, narrative theater project designed to increase awareness and use of suicide prevention resources among eastern Montana youth. As a first step, seven group interviews with Montana young adults (n = 27) were conducted to identify current perceptions about suicide and suicide prevention. Interviews were conducted before and after subjects were exposed to a communitybased theater production about suicide. Emergent thematic categories were organized using the four main constructs of the extended parallel process model. After the performance, participants expressed increased awareness of prevention resources; perceived susceptibility to the threat of suicide and depression; and self-efficacy for accessing help and assisting others. There were mixed results for perceived response efficacy. Implications and recommendations for intervention development are discussed.
International Journal of Environmental Research and Public Health, Jun 8, 2021
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
International Journal of Environmental Research and Public Health, Jan 26, 2019
Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little ... more Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little detail is provided on what types of stigma interfere with help-seeking, how stigma is expressed, and how to reduce it. Five groups of two ethnically diverse community theatre programs were formed to analyze differences in Eastern Montana Caucasian and Native American adolescents and young adults' experiences with stigma about mental illness and mental health treatment that affect help-seeking for suicidal thoughts and experiences. Over a ten-week period, a grassroots theatre project was used to recruit members from the same population as the audience to write and perform a play on suicide and depression (n = 33; 10 males, 23 females; 12 Native American, 21 Caucasian, ages 14-24). Using textual analysis, the community-and campus-based performance scripts were coded for themes related to stigma. Both ethnic groups reported that stigma is a barrier to expressing emotional vulnerability, seeking help, and acknowledging mental illness. We found that Caucasians' experiences were more individually oriented and Native Americans' experiences were more collectively oriented. Understanding the cultural bases of experiences with stigma related to mental health treatment for suicide is necessary to create educational programs to reduce stigma for diverse groups of adolescents and young adults.
Journal of Men's Health, 2022
Background: To explore the differences in young adult male and female attitudes towards and motiv... more Background: To explore the differences in young adult male and female attitudes towards and motivations for suicide, beliefs about help-seeking behavior, and attitudes towards helping others to prevent suicide. Methods: In-depth interviews and focus groups with adolescent and young adult males and females (n = 50, ages 14–24) were conducted before and after a community-based play on suicide prevention. Two focus groups and 30 individual interviews (n = 50, 22 males, 28 females) were conducted before the intervention at one location, and 12 in-depth interviews (4 males, 8 females) were conducted with some of the same individuals after the play. The transcripts were coded by two independent coders for gender differences. Emergent categories were analyzed to identify differences in responses to issues surrounding suicide and depression. Results: Three key gender differences were found in communication styles around emotional vulnerabilities: (1) Females were more likely to talk about t...
International Journal of Environmental Research and Public Health, 2019
Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little ... more Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little detail is provided on what types of stigma interfere with help-seeking, how stigma is expressed, and how to reduce it. Five groups of two ethnically diverse community theatre programs were formed to analyze differences in Eastern Montana Caucasian and Native American adolescents and young adults’ experiences with stigma about mental illness and mental health treatment that affect help-seeking for suicidal thoughts and experiences. Over a ten-week period, a grassroots theatre project was used to recruit members from the same population as the audience to write and perform a play on suicide and depression (n = 33; 10 males, 23 females; 12 Native American, 21 Caucasian, ages 14–24). Using textual analysis, the community- and campus-based performance scripts were coded for themes related to stigma. Both ethnic groups reported that stigma is a barrier to expressing emotional vulnerability, se...
International Journal of Environmental Research and Public Health, 2021
Evidence indicates that stigma impedes an individual’s chance of seeking professional help for a ... more Evidence indicates that stigma impedes an individual’s chance of seeking professional help for a mental health crisis. Commonly reported aggregate-level results for stigma-reduction efforts obfuscate how much stigma reduction is needed to incur a practically meaningful change within an individual, defined here as an attitudinal shift and openness towards seeking mental health for oneself and/or support for others. When basing conclusions and recommendations about stigma-reducing interventions on aggregate scales, it is unclear how much stigma reduction is needed to incur meaningful change within an individual. We explored the impact of reductions in stigma of help-seeking scores in response to an online suicide prevention video among young adults in the United States, using online surveys to collect qualitative and quantitative data. We compared mean changes in the stigma scores from pre- to post-test (video exposure) of 371 young U.S. adults using standard t-tests and individual le...
Journal of Applied Communication Research, 2017
Young adults from Montana have a higher rate of suicide than their national counterparts. There i... more Young adults from Montana have a higher rate of suicide than their national counterparts. There is a clear need for targeted interventions to address this disparity. The authors evaluate a community-based, narrative theater project designed to increase awareness and use of suicide-prevention resources among eastern Montana youth. As a first step, seven group interviews with Montana young adults (n = 27) were conducted to identify current perceptions about suicide and suicide prevention. Interviews were conducted before and after subjects were exposed to a community-based theater production about suicide. Emergent thematic categories were organized using the four main constructs of the extended parallel process model. After the performance, participants expressed increased awareness of prevention resources; perceived susceptibility to the threat of suicide and depression; and self-efficacy for accessing help and assisting others. There were mixed results for perceived response efficacy. Implications and recommendations for intervention development are discussed. Give sorrow words; the grief that does not speak Whispers the o'er-frought heart and bids it break. (Shakespeare, Macbeth) Montana currently has the highest suicide rate in the nation (Centers for Disease Control and Prevention [CDC], 2015). In an effort to understand why, researchers collaborated under NIH 1 funding to pilot a community-based, peer-to-peer, theater-centered suicide-prevention program throughout the eastern region of the state for three years. The Let's Talk program engaged young adults to write and perform original theater productions about suicide for their peers and communities. Each performance was followed by an actor-audience discussion, facilitated by a licensed mental health counselor. Let's Talk was designed to increase people's awareness of suicide, and promote helpseeking and referrals for at-risk individuals. Let's Talk was chosen as the name for the program in order to confront common misconceptions surrounding communication and disclosure of suicidal ideation. Research indicates that talking is precisely what needs to happen to prevent suicide; one team dubbed this association a 'Papageno
Neurotoxicology and Teratology, 2022
This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex ... more This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex differences in behavior problems in middle childhood and whether there are sex differences in the way in which parasympathetic functioning mediates the relations between PCE and behavior problems within a diverse low-income sample. Participants included 164 high risk mother-child dyads including 89 PC exposed children and 75 control children participating in an ongoing longitudinal study. Respiratory sinus arrhythmia (RSA) was measured to assess parasympathetic functioning at 13 months of age and maternal reports of child behavior problems were collected at 7 years of age. Results revealed no significant association between PCE and behavior problems for the full sample. A 2X2 Anova revealed a significant interaction between PCE and child sex on internalizing, externalizing, and total behavior problems (F (3, 160) = 13.45, p < .001) with cocaine exposed females averaging the highest behavior problem scores. Results also revealed a statistically significant indirect effect linking cocaine exposure to lower externalizing problems via lower baseline RSA among males. Findings indicate that cocaine exposed females may be more vulnerable to developing behavior problems than cocaine exposed males and that high baseline RSA may present a sex specific risk factor for externalizing problems among exposed males.
Neurotoxicology and Teratology, 2022
This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex ... more This study was designed to assess whether prenatal cocaine exposure (PCE) is associated with sex differences in behavior problems in middle childhood and whether there are sex differences in the way in which parasympathetic functioning mediates the relations between PCE and behavior problems within a diverse low-income sample. Participants included 164 high risk mother-child dyads including 89 PC exposed children and 75 control children participating in an ongoing longitudinal study. Respiratory sinus arrhythmia (RSA) was measured to assess parasympathetic functioning at 13 months of age and maternal reports of child behavior problems were collected at 7 years of age. Results revealed no significant association between PCE and behavior problems for the full sample. A 2 × 2 Anova revealed a significant interaction between PCE and child sex on internalizing, externalizing, and total behavior problems (F (3, 160) = 13.45, p < .001) with cocaine exposed females averaging the highest behavior problem scores. Results also revealed a statistically significant indirect effect linking cocaine exposure to lower externalizing problems via lower baseline RSA among males. Findings indicate that cocaine exposed females may be more vulnerable to developing behavior problems than cocaine exposed males and that high baseline RSA may present a sex specific risk factor for externalizing problems among exposed males.