Official Urges Greater Accountability by Euro Members


BRUSSELS — Olli Rehn, the European Union commissioner in charge of the euro currency, on Friday defended the bloc’s austerity policies and urged legislators to pass a law that would let him push countries even harder to shore up their finances.


Signaling little let-up in the need for wrenching adjustments in Europe, Mr. Rehn also issued warnings to a wide range of countries — including some with the region’s largest economies — to keep to the reform path and contribute to overall growth.


France and Finland need to address their declining competitiveness while Germany should do more to open up its services market, Mr. Rehn told a meeting organized by the European Policy Center, a research group.


Meanwhile Cyprus, which is negotiating a European bailout, needs to ease suspicions its financial sector is a hub for money-laundering, he said.


Mr. Rehn acknowledged the value of recent studies by economists at the International Monetary Fund suggesting that damage created by austerity was up to three times more severe than previously thought. But Mr. Rehn also warned those studies may not take sufficient account of the need to restore faith in countries blocked from borrowing money on international markets.


“We have not only the quantifiable effect, which is something that the economists like to emphasize, but we also have the confidence effect,” said Mr. Rehn.


“What would have happened if Italy would have loosened its fiscal policy in November 2011?” he asked, referring to a period when Italy's borrowing costs were rocketing upwards. That situation threatened “both an economic crisis and political dead-end,” but recent reforms and belt-tightening had helped Italy’s economy to stabilize, he said.


Mr. Rehn said efforts were underway among the European Commission, the I.M.F. and the European Central Bank to reach a consensus on the impact of austerity policies.


Mr. Rehn also highlighted evidence showing that public debt levels in excess of 90 percent of Gross Domestic Product — a level in many parts of Europe — meant that economies were more likely to lack dynamism and to experience low growth lasting many years.


Underscoring the plight of Cyprus, the ratings agency Moody’s on Friday cut the country’s debt rating by three notches because of the capital needs of its banks that were heavily afflicted by an earlier debt write-down in Greece. Cypriot banks had invested heavily in Greek bonds, in large part to make use of money that had flooded into the banks by Russian depositors seeking a non-ruble haven.


In a sign of how difficult it will be to help Cyprus out of its financial black hole, Mr. Rehn gave no indications of when an assistance package would be finished. That package was still “very much a work in progress” and any decision would be made “in due course,” he said.


Cyprus still needed to implement "new laws against money laundering” as a precondition for aid, he said. Once “Cyprus reforms its financial sector in line with European principles, we will work alongside Cyprus as we did in Spain,” said Mr. Rehn. He was apparently referring to an agreement reached last year with the government in Madrid to extend tens of billions of euros in loans to restructure and recapitalize its banking sector.


Mr. Rehn also urged members of the European Parliament to speed up an agreement on fiscal legislation.


Those rules would require member states to present their public finance plans to the European Commission in greater detail, and sooner, than is currently required. The commission could then demand revisions, as deemed necessary. For member states that are already in financial trouble, those rules would let the commission conduct regularly scheduled reviews and require more information about a country’s financial sector than is currently the case.


The rules would give “stronger possibilities of pre-emptive oversight as to national budgets before they are finally presented to national parliaments” in order “to ensure that the member states practice what they preach,” said Mr. Rehn.


Failing to pass the law could invite a rerun of events in the middle of the past decade, when Germany and France essentially ignored their deficit-cap provisions, contributing to the current debt-crisis in Europe, warned Mr. Rehn.


“It’s a very serious issue,” he said.


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Vacation, ’60s Style



Joe Mamola of Wyckoff, N.J., has brought “Station Wagon Living” into the 21st century with his 1964 Ford Fairlane 500 Ranch Wagon.



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Netflix announces ‘Super HD’ and 3D streaming for select ISPs






Netflix (NFLX) on Tuesday announced new enhanced streaming options for users on select ISPs. Following a series of rumors that suggested as much, Netflix has confirmed the availability of “Super HD” streaming — which is simply Netflix’s branding for 1080p content — and 3D video streaming. Both services are available immediately with a huge caveat: only Netflix subscribers with Cablevision or Google Fiber Internet service have access to the new content. For those lucky subscribers, Super HD and 3D content is accessible using a number of devices including the Wii U, compatible Roku players, the Apple TV, Windows 8 PCs and select smart TVs and Blu-ray players. Netflix’s full press release follows below.



Netflix “Open Connect” Delivery Network Gains Widespread Global Acceptance
Cablevision Most Recent Major Provider to Join Open Connect
New Super HD and 3D Video Formats Available on Open Connect






[More from BGR: Apple’s next iPhone to reportedly feature larger screen and ‘brand new exterior design’]


Jan 8, 2013


LAS VEGAS, Jan. 8, 2013 /PRNewswire/ — Netflix Open Connect, the single purpose video content delivery network launched last year, is now delivering the majority of Netflix international traffic and is growing at a rapid pace in the domestic market.


In early 2012 Netflix began enabling Internet service providers (ISPs) to receive, at no cost to them, Netflix video directly at the interconnection point of the ISP’s choice. By connecting directly through Open Connect, ISPs can more effectively manage their networks and more efficiently deliver Internet services to consumers, including the more than 1 billion hours of Netflix TV shows and movies consumers watch every month.


Netflix Open Connect is now widely deployed around the world, serving the vast majority of Netflix video in Europe, Canada and Latin America, and a growing proportion in the U.S., where Netflix has over 25 million streaming members.


“Leading-edge ISPs around the world such as Cablevision, Virgin Media, British Telecom, Telmex, Telus, TDC, GVT, among many others, are already participating in Open Connect to provide the highest-possible quality Netflix service to consumers,” said Netflix Chief Executive Officer Reed Hastings. “Our goal is to have all of our members served by Open Connect as soon as possible.”


“Optimum is committed to providing the highest-quality TV, phone and Internet to our customers, and our new partnership with Netflix supports this critical objective,” said James L. Dolan, president and CEO of Cablevision, the most recent major provider to join Open Connect. “With Open Connect, we are establishing a direct local connection with Netflix that delivers a higher-quality Netflix viewing experience for Optimum customers than Verizon or AT&T can provide, including access to new Netflix Super HD and 3D TV shows and movies.”


Netflix Super HD and 3D


Now available through Open Connect partners, Netflix Super HD is the highest quality video format offered by Netflix, providing an even better picture on 1080p HDTVs.


In the U.S., Netflix is also for the first time offering a small number of titles streaming in 3D through Open Connect partners. Available for 3D viewing are, among other titles, the action fantasy drama “Immortals,” Red Bull Media House’s snowboarding documentary “The Art of Flight,” and a number of titles from the Discovery/Sony/Imax joint venture 3net Studios – including the native, original 3D series “African Wild,” “Scary Tales,” and “Live Fire.” Depending on member demand, Netflix will consider adding 3D titles and expanding availability to international markets.


“These new Super HD and 3D formats are more challenging to deliver than our other video streams, which is why we will deliver them through Open Connect,” said Ken Florance, vice president of content delivery at Netflix. “Any ISP that wants to be able to deliver our new formats can do so easily and for free.”


Netflix members can verify if their ISP is part of Open Connect and provides access to Netflix Super HD and, in the U.S. only, 3D on this Web site: http://www.netflix.com/superhd


ISPs that are not yet on Open Connect can contact Netflix at openconnect.netflix.com to start their Open Connect relationship. As part of Open Connect, Netflix is also sharing its hardware design and the open source software components. These designs are suitable for any other provider of large media files and are very cost efficient.



Linux/Open Source News Headlines – Yahoo! News





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Mass. charge against Gene Shalit to be dismissed


GREAT BARRINGTON, Mass. (AP) — A misdemeanor driving charge against retired television movie critic Gene Shalit is set to be dismissed in Massachusetts.


The 86-year-old Shalit was cited in October after his vehicle struck a utility pole and came to rest against a house in Lenox, in western Massachusetts. Shalit, who lives in nearby Stockbridge, wasn't hurt. He told police he fell asleep.


The agreement between police and Shalit's lawyer was approved during a probable cause hearing Wednesday in Southern Berkshire District Court. The hearing was continued to April 2, when the driving to endanger charge will be dismissed.


Shalit's lawyer tells The Berkshire Eagle (http://bit.ly/VL5eMe ) his client won't drive until the next hearing, at which time his driving status will be re-assessed.


Shalit, known for his bushy hair and mustache, reviewed movies for NBC's "Today" show from 1973 until 2010.


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Information from: The Berkshire (Mass.) Eagle, http://www.berkshireeagle.com


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Flu Widespread, Leading a Range of Winter’s Ills





It is not your imagination — more people you know are sick this winter, even people who have had flu shots.




The country is in the grip of three emerging flu or flulike epidemics: an early start to the annual flu season with an unusually aggressive virus, a surge in a new type of norovirus, and the worst whooping cough outbreak in 60 years. And these are all developing amid the normal winter highs for the many viruses that cause symptoms on the “colds and flu” spectrum.


Influenza is widespread, and causing local crises. On Wednesday, Boston’s mayor declared a public health emergency as cases flooded hospital emergency rooms.


Google’s national flu trend maps, which track flu-related searches, are almost solid red (for “intense activity”) and the Centers for Disease Control and Prevention’s weekly FluView maps, which track confirmed cases, are nearly solid brown (for “widespread activity”).


“Yesterday, I saw a construction worker, a big strong guy in his Carhartts who looked like he could fall off a roof without noticing it,” said Dr. Beth Zeeman, an emergency room doctor for MetroWest Medical Center in Framingham, Mass., just outside Boston. “He was in a fetal position with fever and chills, like a wet rag. When I see one of those cases, I just tighten up my mask a little.”


Massachusetts General Hospital in Boston started asking visitors with even mild cold symptoms to wear masks and to avoid maternity wards. The hospital has treated 532 confirmed influenza patients this season and admitted 167, even more than it did by this date during the 2009-10 swine flu pandemic.


At Brigham and Women’s Hospital, 100 patients were crowded into spaces licensed for 53. Beds lined halls and pressed against vending machines. Overflow patients sat on benches in the lobby wearing surgical masks.


“Today was the first time I think I was experiencing my first pandemic,” said Heidi Crim, the nursing director, who saw both the swine flu and SARS outbreaks here. Adding to the problem, she said, many staff members were at home sick and supplies like flu test swabs were running out.


Nationally, deaths and hospitalizations are still below epidemic thresholds. But experts do not expect that to remain true. Pneumonia usually shows up in national statistics only a week or two after emergency rooms report surges in cases, and deaths start rising a week or two after that, said Dr. Gregory A. Poland, a vaccine specialist at the Mayo Clinic in Minnesota. The predominant flu strain circulating is an H3N2, which typically kills more people than the H1N1 strains that usually predominate; the relatively lethal 2003-4 “Fujian flu” season was overwhelmingly H3N2.


No cases have been resistant to Tamiflu, which can ease symptoms if taken within 48 hours, and this year’s flu shot is well-matched to the H3N2 strain, the C.D.C. said. Flu shots are imperfect, especially in the elderly, whose immune systems may not be strong enough to produce enough antibodies.


Simultaneously, the country is seeing a large and early outbreak of norovirus, the “cruise ship flu” or “stomach flu,” said Dr. Aron J. Hall of the C.D.C.’s viral gastroenterology branch. It includes a new strain, which first appeared in Australia and is known as the Sydney 2012 variant.


This week, Maine’s health department said that state was seeing a large spike in cases. Cities across Canada reported norovirus outbreaks so serious that hospitals were shutting down whole wards for disinfection because patients were getting infected after moving into the rooms of those who had just recovered. The classic symptoms of norovirus are “explosive” diarrhea and “projectile” vomiting, which can send infectious particles flying yards away.


“I also saw a woman I’m sure had norovirus,” Dr. Zeeman said. “She said she’d gone to the bathroom 14 times at home and 4 times since she came into the E.R. You can get dehydrated really quickly that way.”


This month, the C.D.C. said the United States was having its biggest outbreak of pertussis in 60 years; there were about 42,000 confirmed cases, the highest total since 1955. The disease is unrelated to flu but causes a hacking, constant cough and breathlessness. While it is unpleasant, adults almost always survive; the greatest danger is to infants, especially premature ones with undeveloped lungs. Of the 18 recorded deaths in 2012, all but three were of infants under age 1.


That outbreak is worst in cold-weather states, including Colorado, Washington, Wisconsin, Minnesota and Vermont.


Although most children are vaccinated several times against pertussis, those shots wear off with age. It is possible, the authorities said, that a new, safer vaccine introduced in the 1990s gives protection that does not last as long, so more teenagers and adults are vulnerable.


And, Dr. Poland said, if many New Yorkers are catching laryngitis, as has been reported, it is probably a rhinovirus. “It’s typically a sore, really scratchy throat, and you sometimes lose your voice,” he said.


Though flu cases in New York City are rising rapidly, the city health department has no plans to declare an emergency, largely because of concern that doing so would drive mildly sick people to emergency rooms, said Dr. Jay K. Varma, deputy director for disease control. The city would prefer people went to private doctors or, if still healthy, to pharmacies for flu shots. Nursing homes have had worrisome outbreaks, he said, and nine elderly patients have died. Homes need to be more alert, vaccinate patients, separate those who fall ill and treat them faster with antivirals, he said.


Dr. Susan I. Gerber of the C.D.C.’s respiratory diseases branch, said her agency has not seen any unusual spike of rhinovirus, parainfluenza, adenovirus, coronavirus or the dozens of other causes of the “common cold,” but the country is having its typical winter surge of some, like respiratory syncytial virus “that can mimic flulike symptoms, especially in young children.”


The C.D.C. and the local health authorities continue to advocate getting flu shots. Although it takes up to two weeks to build immunity, “we don’t know if the season has peaked yet,” said Dr. Joseph Bresee, chief of prevention in the agency’s flu division.


Flu shots and nasal mists contain vaccines against three strains, the H3N2, the H1N1 and a B. Thus far this season, Dr. Bresee said, H1N1 cases have been rare, and the H3N2 component has been a good match against almost all the confirmed H3N2 samples the agency has tested.


About a fifth of all flus this year thus far are from B strains. That part of the vaccine is a good match only 70 percent of the time, because two B’s are circulating.


For that reason, he said, flu shots are being reformulated. Within two years, they said, most will contain vaccines against both B strains.


Joanna Constantine, 28, a stylist at the Guy Thomas Hair Salon on West 56th Street in Manhattan, said she recently was so sick that she was off work and in bed for five days — and silenced by laryngitis for four of them.


She did not have the classic flu symptoms — a high fever, aches and chills — so she knew it was probably something else.


Still, she said, it scared her enough that she will get a flu shot next year. She had not bothered to get one since her last pregnancy, she said. But she has a 7-year-old son and a 5-year-old daughter, “and my little guys get theirs every year.”


Jess Bidgood contributed reporting.



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Daily Stock Market Activity





Stocks rose on Wall Street at the opening of trading on Thursday as stronger-than-expected exports in China, the world’s second-biggest economy, raised hopes for a more robust recovery in the global economy this year.


The Standard & Poor’s 500-stock index added 0.4 percent, the Dow Jones industrial average rose 0.3 percent and the Nasdaq composite index gained 0.5 percent in morning trading.


Data showed China’s export growth rebounded sharply to a seven-month high in December, a strong finish to the year after seven straight quarters of slowdown, even as demand from Europe and the United States remained subdued.


Ford shares gained 3.2 percent after it doubled its first-quarter dividend to 10 cents a share, despite a recent drop in market share.


Adding to the bullish sentiment, Spanish benchmark government bond yields fell below 5 percent to a 10-month low on the back of a strong bond auction that raised more than the targeted amount. European stock markets were trading higher after the European Central Bank kept benchmark interest rates steady.


“The market’s more positive and it owes a lot of that to the Chinese economic data,” said Art Hogan, managing director of Lazard Capital Markets in New York, adding that the success of the Spanish auction was also of note.


Shares of the upscale jeweler Tiffany dropped 6 percent after it said earnings for the year through Jan. 31 will be at the lower end of its forecast.


Molycorp shares dropped 20 percent after the company said revenue and cash flow would be lower than expected this year due to lower rare-earth prices.


Nokia shares jumped 14 percent on Wall Street after the Finnish handset maker said its fourth-quarter results were better than expected and that the mobile phone business achieved underlying profitability.


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National Cathedral to Host 1st Same-Sex Weddings


WASHINGTON (AP) — The Washington National Cathedral, where the nation gathers to mourn tragedies and celebrate new presidents, will soon begin hosting same-sex marriages.


Cathedral officials tell The Associated Press the church will be among the first Episcopal congregations to implement a new rite of marriage for gay, lesbian, bisexual and transgender members. The church will announce its new policy Wednesday.


As the nation's most prominent church, the decision carries huge symbolism. The 106-year-old cathedral has long been a spiritual center for the nation, hosting presidential inaugural services and funerals for Ronald Reagan and Gerald Ford. The Rev. Martin Luther King Jr. delivered his last sermon there in 1968. The cathedral draws hundreds of thousands of visitors each year.


In light of the legality of same-sex marriage in the District of Columbia and now Maryland, the Rt. Rev. Mariann Edgar Budde, the Episcopal bishop of Washington, decided in December to allow an expansion of the Christian marriage sacrament. The diocese covers the district and four counties in Maryland. The change is allowed under a "local option" granted by the church's General Convention, church leaders said. Each priest in the diocese can then decide whether to perform same-sex unions.


The Very Rev. Gary Hall, the cathedral's dean, said performing same-sex marriages is an opportunity to break down barriers and build a more inclusive community "that reflects the diversity of God's world."


"I read the Bible as seriously as fundamentalists do," Hall told the AP. "And my reading of the Bible leads me to want to do this because I think it's being faithful to the kind of community that Jesus would have us be."


Celebrating same-sex weddings is important beyond the Episcopal Church, Hall said. Church debate is largely settled on the matter, allowing for local decisions, he said. The move is also a chance to influence the nation.


"As a kind of tall-steeple, public church in the nation's capital, by saying we're going to bless same-sex marriages, conduct same-sex marriages, we are really trying to take the next step for marriage equality in the nation and in the culture," Hall said.


Hall is the 10th dean of the cathedral and began serving there in October 2012. He has been an ordained minister for more than 35 years. He said he has long been an advocate for gay marriage and began performing same-sex blessings in 1990 when he served at All Saints Church in Pasadena, Calif.


The Human Rights Campaign, the nation's largest gay rights group, applauded the cathedral's change Wednesday as a milestone.


"Today, the church sent a simple but powerful message to LGBT Episcopalians — you are loved just the way you are, and for that we embrace you," said the Rev. MacArthur Flournoy, the deputy director of HRC's religion and faith program.


Gay weddings will be allowed immediately. But It will likely be six months to a year before the first marriages are performed due to the cathedral's busy schedule and its pre-marital counseling requirement. Generally, only couples affiliated with the cathedral will be eligible. Church leaders had not received any requests for weddings ahead of Wednesday's announcement.


While Hall does not expect any objections within the National Cathedral congregation, he said the change may draw criticism from outside. It may be divisive for some, just as it was to preach against segregation or to push for the ordination of women, Hall said.


The New York-based Episcopal Church is the U.S. body of the 77 million-member Anglican Communion. The House of Bishops voted last year 111-41 to authorize a provisional rite for same-sex unions. Some congregations have left the church over its inclusion of gays and lesbians over the years.


Same-sex marriage is now legal in nine states and the District of Columbia. Legislators in Illinois and Rhode Island are set to take up bills to possibly join them, and the Supreme Court is scheduled to hear cases on gay marriage in March.


The first same-sex wedding performed last month at West Point's Cadet Chapel drew some protests from conservatives. The National Cathedral is even more visible.


Hall, the cathedral dean, said the church has a long history of taking stands on public issues. But he said he sees marriage as a human issue, not a political issue.


"For us to be able to say we embrace same-sex marriage as a tool for faithful people to live their lives as Christian people," he said, "for us to be able to say that at a moment when so many other barriers toward full equality and full inclusion for gay and lesbian people are falling, I think it is an important symbolic moment."


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Washington National Cathedral: http://www.nationalcathedral.org


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European businesses slow to go online: study






BRUSSELS (Reuters) – European businesses are not doing enough to use the internet to grow their customer base and promote products, Belgian database and marketing firm Email-Brokers said after studying 13 million websites.


Belgium, Germany and the Netherlands have the highest proportion of companies online but even in these countries 40 percent of business have no internet presence, it found.






The European Commission has estimated that companies which exploit the full potential of the internet create, on average, more than twice as many jobs.


“It is one of the ways to create employment and economic growth and it is not Star Trek, it exists today,” Email-Brokers head William Vande Wiele said.


Britain and Liechtenstein were the most advanced in terms of e-commerce – defined as being able to process orders and payments, with 16 percent and 17 percent, respectively, of business sites offering it, compared with 6 percent in Belgium and 9 percent in Austria, Germany and the Netherlands.


Vande Wiele said many corporate websites were badly designed, and did not provide basics such as adequate contact information or company details.


In Belgium, 91 percent of all corporate websites did not meet such basic standards, compared with about 20 percent in Luxembourg and France, the study concluded.


“Sites which do not comply with such minimum standards do not inspire confidence and before buying something online a user will need a minimum level of confidence,” Vande Wiele said.


Many websites are not kept up to date, the study also found, with more than 80 percent of business sites in Belgium, Greece, Italy and Spain not updated for more than a year.


(Reporting by Robert-Jan Bartunek; Editing by Dan Lalor)


Internet News Headlines – Yahoo! News





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Beyonce, Clarkson to perform at Obama inauguration


WASHINGTON (AP) — Beyonce will sing the national anthem at President Barack Obama's inauguration ceremony.


The committee planning the Jan. 21 event also announced Wednesday that Kelly Clarkson will perform "My Country 'Tis of Thee" and James Taylor will sing "America the Beautiful" at the swearing-in ceremony on the Capitol's west front.


Richard Blanco, the son of Cuban exiles, is the 2013 inaugural poet, joining the ranks of Maya Angelou and Robert Frost to have served in that capacity. Blanco's works explore his family's exile from their native country and "the intersection of his cultural identities as a Cuban-American gay man," the inaugural planners announced.


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Gaps Seen in Therapy for Suicidal Teenagers





Most adolescents who plan or attempt suicide have already received at least some mental health treatment, raising questions about the effectiveness of current approaches to helping troubled youths, according to the largest in-depth analysis to date of suicidal behaviors in American teenagers.




The study, in the journal JAMA Psychiatry, found that 55 percent of suicidal teenagers had received some therapy before they thought about suicide, planned it or tried to kill themselves, contradicting the widely held belief that suicide is due in part to a lack of access to treatment.


The findings, based on interviews with a nationwide sample of more than 6,000 teenagers and at least one parent of each, linked suicidal behavior to complex combinations of mood disorders like depression and behavior problems like attention-deficit and eating disorders, as well as alcohol and drug abuse.


The study found that about one in eight teenagers had persistent suicidal thoughts at some point, and that about a third of those who had suicidal thoughts had made an attempt, usually within a year of having the idea.


Previous studies have had similar findings, based on smaller, regional samples. But the new study is the first to suggest, in a large nationwide sample, that access to treatment does not make a big difference.


The study suggests that effective treatment for severely suicidal teenagers must address not just mood disorders, but also behavior problems that can lead to impulsive acts, experts said. According to the Centers for Disease Control and Prevention, 1,386 people between the ages of 13 and 18 committed suicide in 2010, the latest year for which numbers are available.


“I think one of the take-aways here is that treatment for depression may be necessary but not sufficient to prevent kids from attempting suicide,” said Dr. David Brent, a professor of psychiatry at the University of Pittsburgh, who was not involved in the study. “We simply do not have empirically validated treatments for recurrent suicidal behavior.”


The report said nothing about whether the therapies given were state of the art or carefully done, said Matt Nock, a professor of psychology at Harvard and the lead author, and it is possible that some of the treatments prevented suicide attempts. “But it’s telling us we’ve got a long way to go to do this right,” Dr. Nock said. His co-authors included Ronald C. Kessler of Harvard and researchers from Boston University and Children’s Hospital Boston.


Margaret McConnell, a consultant in Alexandria, Va., said her daughter Alice, who killed herself in 2006 at the age of 17, was getting treatment at the time. “I think there might have been some carelessness in the way the treatment was done,” Ms. McConnell said, “and I was trusting a 17-year-old to manage her own medication. We found out after we lost her that she wasn’t taking it regularly.”


In the study, researchers surveyed 6,483 adolescents from the ages of 13 to 18 and found that 9 percent of male teenagers and 15 percent of female teenagers experienced some stretch of having persistent suicidal thoughts. Among girls, 5 percent made suicide plans and 6 percent made at least one attempt (some were unplanned).


Among boys, 3 percent made plans and 2 percent carried out attempts, which tended to be more lethal than girls’ attempts.


(Suicidal thinking or behavior was virtually unheard-of before age 10.)


Over all, about one-third of teenagers with persistent suicidal thoughts went on to make an attempt to take their own lives.


Almost all of the suicidal adolescents in the study qualified for some psychiatric diagnosis, whether depression, phobias or generalized anxiety disorder. Those with an added behavior problem — attention-deficit disorder, substance abuse, explosive anger — were more likely to act on thoughts of self-harm, the study found.


Doctors have tested a range of therapies to prevent or reduce recurrent suicidal behaviors, with mixed success. Medications can ease depression, but in some cases they can increase suicidal thinking. Talk therapy can contain some behavior problems, but not all.


One approach, called dialectical behavior therapy, has proved effective in reducing hospitalizations and suicide attempts in, among others, people with borderline personality disorder, who are highly prone to self-harm.


But suicidal teenagers who have a mixture of mood and behavior issues are difficult to reach. In one 2011 study, researchers at George Mason University reduced suicide attempts, hospitalizations, drinking and drug use among suicidal adolescent substance abusers. The study found that a combination of intensive treatments — talk therapy for mood problems, family-based therapy for behavior issues and patient-led reduction in drug use — was more effective than regular therapies.


“But that’s just one study, and it’s small,” said Dr. Brent of the University of Pittsburgh. “We can treat components of the overall problem, but that’s about all.”


Ms. McConnell said that her daughter’s depression had seemed mild and that there was no warning that she would take her life. “I think therapy does help a lot of people, if it’s handled right,” she said.


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