Stress and suicide are we well-equipped to study this issue?

Stress almost always precedes suicidality. Stress also is a harbinger of a variety of psychiatric disorders, most notably depression. Depression is a major precursor of suicidal behavior. Consequently, the question of whether stress is an epiphenomenon or a decisive factor in the causation of suicidality and (certain forms of) mood disorders is crucial. Certainty about this question can only be obtained when it can be demonstrated that stress phenomena may induce changes in brain functioning similar to the ones supposedly associated with suicidality and with (certain forms of) depression. Since the phenomenology of stress syndromes, as well as their emotional intensity, are highly variable, careful definition of the stress syndrome to be studied is a first requirement. In studies into the significance of stress in the occurrence of suicidality and depression, this degree of finesse has not been achieved. The major shortcomings have been discussed. These should be systematically addressed to provide research into the relation between stress and psychopathology with the necessary acuity.     

Crisis occurrence and resolution in patients with severe and persistent mental illness: the contribution of suicidality

Assertive community treatment appears to have limited impact on the risk of suicide in persons with severe and persistent mental illness (SPMI). This exploratory prospective study attempts to understand this observation by studying the contribution of suicidality to the occurrence of crisis events in patients with SPMI. Specifically, an observer-rated measure of the need for hospitalization, the Crisis Triage Rating Scale, was completed at baseline, crisis occurrence, and resolution to determine how much the level of suicidality contributed to the deemed level of crisis. Second, observer-ratings of suicidal ideation, the Modified Scale for Suicide Ideation, and psychopathology and suicidality, Brief Psychiatric Rating Scale, were measured at baseline, crisis occurrence, and resolution. A self-report measure of distress, the Symptom Distress Scale, was completed at baseline, crisis occurrence, and resolution. Finally, the patients' crisis experiences were recorded qualitatively to compare with quantitative measures of suicidality. Almost 40% of the subjects experienced crisis events and more than a quarter of these events were judged to be severe enough to warrant the need for hospitalization. Our findings suggest that elevation of psychiatric symptoms is a major contributor to the crisis occurrences of individuals with SPMI; although the risk of suicide may have to be conceived as somewhat separate from crisis occurrence.     

Outcome of suicidal ideation and behavior in a young, help-seeking population over a 2-year period

Suicidal behavior is associated with negative outcomes, including completed suicide. This study examined the prevalence of suicidal behavior in a sample of referrals to a youth psychiatric service and investigated the stability of suicidality over 2 years. Of the 140 people (mean age 17.8) who were referred to a youth psychiatric service, 82 who were accepted for treatment (RA group) and 58 who were not accepted (RNA group) were assessed; 57% reported considering suicide and 39% reported attempting suicide in the 12 months prior to referral. Participants who reported suicidal ideation were significantly more likely than nonsuicidal participants to have multiple Axis I diagnoses and lower levels of functioning. At the 2-year follow-up there was a significant reduction in suicidality in the RA group, but not in the RNA group. In conclusion, suicidality is prevalent among young people referred to psychiatric services. Even brief contact with services results in a reduction in suicidality over 2 years.     

Suicidal behavior in patients with adjustment disorders

This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.     

Suicidality of chronic schizophrenic patients in long-term community care

In the provision of mental health care for chronic schizophrenic patients, the specific problems and requirements of long-term community care of suicidal behavior is an area of research not yet fully explored. This study focuses on a 4 1/2-year prospective assessment of normative and subjective needs for care related to this specific area for a cohort living in the Dresden region (Germany). One significant result of this study shows the constant high level of needs for care in the area of suicidal behavior imposed on community services by 30-40% of this diagnostic group. Furthermore, the study identified a special high-risk subgroup for suicides as well as specific needs for care. This subgroup is characterized by clinical reasons for the index hospitalization (suicidal risk or attempt) as well as by psychopathological features (suicidal thoughts and higher levels of anxiety/depression) 1 month after release from index hospitalization. Four items of care were rated as potentially effective for addressing suicidality in the community setting: clinical assessment, increased supervision or systematic recording of (suicidal) behavior, medication, and a sheltered environment. Because these care measures are provided, the percentage of unmet normative needs for the area of suicidal behavior was rather low. Due to limitations of the instrument used for assessment of normative needs, the Needs for Care Assessment (NFCAS), the care measures most frequently provided do not define a quality standard of community care for this problem. A subjective needs assessment differing from the normative approach has to be integrated in establishing guidelines for effective community care.     

Political development and economic development: A regional assessment of contemporary theories

Conclusion This paper has been devoted to an assessment of contemporary theories of political and economic development. Specifically, it operationalized and evaluated the hypotheses of the most influential current approach referred to as developmental theory. A comparative study of four regional areas in Latin America concluded that this theory was conceptually and empirically inadequate to the task of explaining the results. Although the theory of structured underdevelopment was not specifically addressed by the research design, it did conform better to the results and suggested an alternative theoretical statement. The hypothesis put forward for subsequent evaluation stresses structural factors related to comprehensive and coordinated organizational forms which, in turn, are explicitly related to varieties of economic development.     

Norms,persuasion and practice: landmine monitor and civil society

This paper describes a key aspect of the Israeli seizure and incorporation of Palestinian Arab lands that has been little examined to date, namely the dynamics of the Judaisation of Palestinian land as a result of circumstances of war, peace and conjunct agreements. I argue that this process has capitalised on a dynamics of disorder concomitant with armed hostilities. And, during peace negotiations, a policy of land takeover was pursued grounded in the power disparity between the two partners. I further emphasise that this policy has been in keeping with an ethnocratic state ideology and the perceived need to control ever more area within the Land of Israel for settlement and absorption of immigrants. The Israeli political class has repeatedly expropriated borderland space when such a window of opportunity for implementing its ethnocratic territorial imperative has arisen. This ideological imperative predated the formation of the state and has been central to the broader political enterprise of which the Israeli state was and remains the expression. The paper examines cases of land ‘expropriation’ in the early years of the state and specifically after the immediate termination of military hostilities, focusing on case studies in the northern demilitarised area, the Latrun area and in East Jerusalem. This fundamental state policy continues down into the present, evident in the land being seized from Palestinian territory for the building of the Separation Wall, an instrument of a significant new ‘grab’ of land.     

Representative bureaucracy and unconscious bias: Exploring the unconscious dimension of active representation

Representative bureaucracy theory explores the effects of representation on bureaucracies, but less attention has been paid to date as to how agents represent values or interests. Addressing this omission, this article highlights the unconscious dimension of active representation and, more specifically, the role of unconscious bias in representation. Unconscious bias has received limited attention to date in public administration, but has clear relevance for understanding how representation occurs at the individual level. This article proposes a framework for understanding unconscious bias. Drawing on Bourdieu's habitus, but making explicit its unconscious dimension, I argue that unconscious bias enhances our understanding of how active representation occurs in bureaucracies today. The article applies these insights to the case of unconscious gender bias as found in the Australian Public Service (APS) and concludes by exploring the methodological challenges involved in building a research agenda into tackling unconscious bias.     

Interviewing Jihadists: On the Importance of Drinking Tea and Other Methodological Considerations

The field of terrorism research has arguably long been characterized by a separation of the scholars from their subject of inquiry. Interviews can be used to bridge this chasm, but making contact with potential interviewees, conducting interviews, and analyzing the data pose unique challenges when conducting research into jihadists, especially active ones. This article focuses on the author's experience of interviewing both former and active jihadi foreign fighters. It is specifically intended to contribute to a better methodological understanding of conducting first-hand empirical research into jihadi foreign fighters and builds on fieldwork conducted in Sweden, Iraq, and Lebanon.     

Risk,Reflexivity and Sub-politics: Environmental Politics in Hong Kong

Increasing attention has been drawn to the risk posed by air pollution, a risk that has wide-ranging effects (on the environment, health, the economy, culture, urban design and politics). New environmental movements and political agendas have emerged in the past 10 years. A growing number of social groups have been formed to express their concerns and challenge established laws and rules. This paper will borrow Ulrich Beck's concepts of risk, reflexivity and sub-politics to analyse the new social movement that addresses air quality in Hong Kong. While previous environmental problems were considered manageable, air pollution is a risk that seems to defy solution. As a result of the institutional failure to deal with this risk, there has been a new alignment of interests and the emergence of a new form of politics—a sub-politics that leads to a sharing of power between established and informal politics, and the government and society. Although established political institutions have been receptive, altering the rules and increasing public participation, the extent of sub-politicization is still limited. This is due, in part, to the overall absence of reflexive self-regulation among individuals in the society, which might lead to a state of ‘disorganized irresponsibility’.     

The E-Marketing Strategy of Hamas

Operations to counterterrorism in the southern Philippines have resulted in the arrest and incarceration of a significant number of key militants. As a result, the Philippine government has expressed concern that these inmates may radicalize others and continue to operate while incarcerated. As a preventive measure, the government has considered a number of “soft” counterstrategies, including the development of a de-radicalization program. To study the feasibility of running such a program in the Philippine corrective system, this article examines two interrelated areas of enquiry concerning how terrorist inmates are housed and whether prison gangs foster or discourage radicalization in the Philippine prison system. Initial findings suggest that the integration of terrorist inmates with prison gangs may temporarily encourage disengagement and set the foundations for de-radicalization. However, without a specifically designed intervention strategy, the terrorist inmates may revert to militancy once they have returned to their original social settings.     

Disaggregating and Defeating Terrorist Safe Havens

Terrorist organizations’ physical safe havens continue to shape the terrorist threat to the United States by extending the groups’ longevity and increasing the threat they pose. As a result, eliminating terrorist safe havens has been a key component of U.S. counterterrorism policy since at least 2001. However, some scholars challenged the post-9/11 policy consensus that terrorists find sanctuary in weak states and so-called ungoverned spaces. This article seeks to bridge this gap between scholarship and policy by offering a typology for disaggregating different kinds of terrorist safe havens. Our typology operates on two axes based on host government will (i.e., the host government's posture toward each group with haven inside its borders), as well as government capability, (specifically whether the host government possesses the specific capabilities needed to oust each group). This intersection of will and capability produces three types of havens. We briefly illustrate each type of haven using the exemplar case study of Pakistan—a location often described as an overarching safe haven, but which is actually home to several sanctuaries—and offer policy recommendations for addressing them. A need exists to disaggregate and identify how the United States can approach haven elimination. This typology and the analysis that stems from it offer a starting point for devising such strategies.     

A GENDER ANALYSIS OF WOMEN IN PUBLIC–PRIVATE–VOLUNTARY SECTOR ‘PARTNERSHIPS’

The nature of work and traditional notions of the public sector have been changing with increasing collaborative governance and delivery of public services among public, private and voluntary sector organizations. In the UK, governments at national and devolved levels of government have adopted collaborative governance for service delivery through various networks and partnerships. This article explores collaborative governance from a gender perspective, specifically the perceptions of women in public–private–voluntary sector partnerships. While previous research in this area has explored aspects of collaborative governance such as power, trust, accountability, decision‐making, performance, exchange of information and participation, there is very little research on women within these networks. The article therefore provides a gendered analysis, disaggregating survey data to better understand the dynamics, for women, of collaborative governance and partnerships among public, private and voluntary sector organizations.     

The Influence of Leader Behaviors on Organizational Commitment: A Study in the Australian Public Sector

Abstract

Over the past decade the area of organizational commitment has received considerable attention from both researchers and managers. Of particular interest are the links between this and other constructs such as trust, task performance, and turnover. Despite the widespread acknowledgment of the importance and value of organizational commitment, there has been limited research that has specifically addressed the relationship between leader behavior and employee commitment, particularly in the public sector. The present study examines the nature of the relationships between organizational commitment and two dimensions of leader behavior—supportive behaviors and extinction behaviors—in an Australian Federal Government organization. It was found that, while controlling for demographic variables, both extinction and supportive leader behaviors affect organizational commitment. Furthermore, a significant interaction of these two variables was found. This indicates that an increase in supportive leader behaviors together with a decrease in extinction leader behaviors will likely lead to a more than proportionate increase in levels of organizational commitment. Implications for managers and further research directions are discussed.     

Beyond risk theory: suicidal behavior in its social and epidemiological context

The effect of exposure to risk factors for suicidal behavior varies from place to place and from period to period. This may be due to contextual influences, which arise if individuals' suicide risk depends not only on their personal exposure to risk or protective factors, but also on how these are distributed in their social, cultural, economic, or even physical environments. There has been relatively little explicit attention in suicide research for such contextual influences even though they are an important component of the cross-level bias, which can arise when aggregate level associations are assumed to also apply in individuals and vice versa. Contextual effects are conceptually related to the issues of social selection vs. causation, population density, and network effects. Because of a lack of prospective multilevel research, it is unclear exactly which mechanisms underlie the phenomenon that the distribution of risk factors in an individual's context may affect their suicide risk above and beyond their personal exposure. A number of mechanisms, like deviancy amplification, formalization of restraints, and buffering effects of social support are proposed. Contextual effects may result in a concentration of suicide risk in persons when the risk factors they are exposed to become rare--whether spontaneously or through focused prevention. This has important but mostly overlooked implications for population-based prevention strategies.     

The Politics of Infrastructural Projects: A Case for Evidence-Based Policymaking

Many developing countries currently face tightening fiscal constraints as a result of the global financial crisis and associated reduction in both credit and demand. Policymarkers therefore have less fiscal space within which to undertake projects, so the opportunity cost of any misallocation of resources will be correspondingly higher. There is therefore an increasing need to rely more on evidence-based policymaking (EBPM). The is particularly so for large infrastructural projects, as these tend to be costly, and especially for transportation projects as these are particularly prone to result in sub-optimal outcomes. This paper examines the policy process for the implementation of the Jamaican Highway 2000, one of the largest and most costly infrastructure projects in Jamaica in recent years. A number of primary and secondary data sources were explored to ascertain the extent to which the decision to implement the project reflects a case for evidence-based decision-making in practice. This made it clear that the decision was taken at least partly on political grounds, largely in the absence of any supportive evidence, and on the basis of over-optimistic and unrealistic assumptions, and that this has created a number of serious, long-term challenges for Jamaica.     

An Exploration of Victimization in the Older Lesbian Population

Research on lesbian, gay bisexual, or transgender (LGBT) victimization typically focuses on bias crime and intimate partner violence, with little focus on the experience of victimization more generally in this minority community. Meanwhile, the LGBT population has aged with an increasing number falling in the over 65 years old age group. This older population, however, has been largely sidelined in research on LGBT victimization. The authors aim to fill this gap by exploring the victimization experiences of a sample of older lesbians. The findings suggest that older lesbians have a unique victimization experience including a decreasing experience with bias victimization with age.     

Social security in the european community: co-ordination,harmonization or thirteenth state?

As the magical date December 31, 1992 is drawing closer full economic integration in the European Community is becoming a reality. At the same time it is getting clear that the future economic union has no social counterpart. International, as well as European social security law has been developed along the lines of two different techniques: co-ordination and harrnonization. While the former technique leaves the national legislation intact, only regulating cases with international aspects, the latter does have consequences for national law. The co-ordination of national social security law within the European Community is ruled by co-ordination Regulations 140817 1 and 574172. The mere amendment of the existing Regulations seems insufficient to create a social dimension within the European Community.Moreover, the co-ordination technique seems handicapped by its intrinsical complexity. A genuine harmonization, on the other hand, seems both for political and technical reasons impossible

in the short run. The Thirteenth State scenario aims both at offering an alternative for the complexity of co-ordination and providing a first impetus towards harmonization. This scenario was elaborated by a team of specialists at the University of Leuven, Belgium. The result of this research is an extensive blue-print for a European Community social insurance scheme.The authors offer an overview of the main goals of the scenario and a number of basic choices that have been made in develop-ing it. Finally they give some comments on the legal grounds for a European social insurance scheme and on the problems concerned with the elaboration of the administrative structure for such a scheme.     

Self-disclosure, depression, anxiety, and suicidal behavior in adolescent psychiatric inpatients

The objectives of this paper were to examine the personality variable of self-disclosure, or the tendency to share feelings with others, and its relationship to depression, anxiety, and suicidal behavior in adolescent psychiatric inpatients. Of the 87 adolescents who were assessed, 53 had made a suicide attempt and 34 had never shown any suicidal behavior during their lifetime. There was a significant relationship between suicidality and low levels of self-disclosure, which appears to be mediated by anxiety and depression. This sharing difficulty was most significantly marked between the adolescent and his/her family and seemed to be mediated by feelings of depression and anxiety.     

Sub-Optimality in NHS Sourcing in the UK: Demand-Side Constraints on Supply-Side Improvement

The UK NHS and its Purchasing and Supply Agency (PASA) are implementing reforms for the procurement of goods and services. One aspect of the new approach creates regional confederations in order to overcome the current inability to enforce 'National Framework Agreements' within individual NHS Trusts. This is a sensible approach to resolving a lack of effective consolidation of demand within the NHS at the Trust level, but recent research into the procurement practices of regionally based NHS Trusts has highlighted a number of internal demand problems that this new approach is unlikely to overcome. These include the failure by the Trusts individually, and by the NHS centrally, to control and manage the NHS design and specification process effectively and, in many cases, an inability to measure or collect information on the clinical and cost effectiveness of medical interventions. It is argued, therefore, that while the new reforms may be an improvement on the past, it is likely that the confederations are destined to fail. This is largely the result of the NHS – centrally, regionally and locally – lacking an understanding of how to align demand and supply effectively so as to provide the levers to manage the procurement of goods and services proactively.