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Objective: This study investigates the effect of cognitive load on guidance of visual attention. Background: Previous studies have shown that cognitive load can undermine driving performance, particularly drivers' ability to detect safety-critical events. Cognitive load combined with the loss of exogenous cues, which can occur when the driver briefly glances away from the roadway, may be particularly detrimental. Method: In each of two experiments, twelve participants engaged in an auditory task while performing a change detection task. A change blindness paradigm was implemented to mask exogenous cues by periodically blanking the screen in a driving simulator while a change occurred. Performance measures included participants' sensitivity to vehicle changes and confidence in detecting them. Results: Cognitive load uniformly diminished participants' sensitivity and confidence, independent of safety relevance or lack of exogenous cues. Periodic blanking, which simulated glances away from the roadway, undermined change detection to a greater degree than did cognitive load; however, drivers' confidence in their ability to detect changes was diminished more by cognitive load than by periodic blanking. Conclusion: Cognitive load and short glances away from the road are additive in their tendency to increase the likelihood of drivers missing safety-critical events. Application: This study demonstrates the need to consider the combined consequence of cognitive load and brief glances away from the road in the design of emerging in-vehicle devices and the need to provide drivers with better feedback regarding these consequences.

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The WCST is not sensitive enough to detect aging-related cognitive changes in the Taiwanese population, and there are different performances on WCST between Taiwanese and USA people. The adult norms for WCST in Taiwan will provide an important reference for future research and clinical practice.

Our study confirms some previous Western reports that adolescents with depressive disorders commonly manifest suicide attempts. There are, however, some cultural differences in risk factors. School-related problems play an important role in Taiwan among the adolescent suicides, and prior suicide attempts predict future suicidal behavior. Enhancing school-based screening for adolescents with suicide risk and transferring them to psychiatric professionals for intervention is important. We should focus suicide prevention resources mainly on the adolescent population with psychiatric illness, prior suicide attempts, and with high risk factors.

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