Emergence of fentanyl-related deaths in Travis County,Texas and surrounding areas: A retrospective review of postmortem fentanyl-related drug toxicities from 2020 to 2022

The opioid epidemic has affected the United States (US) for decades with fentanyl and its analogs accounting for a recent surge in morbidity and mortality. Currently, there is a relative lack of information characterizing fentanyl-related fatalities specifically in the Southern US. A retrospective study was conducted to examine all postmortem fentanyl-related drug toxicities in Travis County, Texas, encompassing Austin (one of the fastest-growing cities in the US), from 2020 to 2022. Fentanyl contributed to 2.6% and 12.2% of deaths submitted for toxicology between 2020 and 2022, respectively, representing a 375% increase in fentanyl-related deaths over this 3-year period (n = 517). Fentanyl-related fatalities primarily occurred in males in their mid-30s. Fentanyl and norfentanyl concentrations ranged from 0.58 to 320 ng/mL and 0.53 to 140 ng/mL with mean (median) concentrations of 17.2 ± 25.0 (11.0) and 5.6 ± 10.9 (2.9) ng/mL, respectively. Polydrug use was present in 88% of cases, with methamphetamine (or other amphetamines) (25%), benzodiazepines (21%), and cocaine (17%) representing the most frequently identified concurrent substances. Co-positivity rates of various drugs and drug classes widely varied over time. Scene investigations reported illicit powder(s) (n = 141) and/or illicit pill(s) (n = 154) in 48% (n = 247) of fentanyl-related deaths. Illicit oxycodone (44%, n = 67) and illicit “Xanax” (38%, n = 59) pills were frequently reported on scene; however, toxicology only identified oxycodone and alprazolam in 2 and 24 of these cases, respectively. The results of this study provide a better understanding of the fentanyl epidemic in this region creating an opportunity to promote increased awareness, shift focus to harm reduction, and aid in minimizing public health risks.     

Book Reviews

Books reviewed in this issue. Carlos Eduardo Poggio Teixeira, Brazil, the United States, and the South American Subsystem: Regional Politics and the Absent Empire. Lanham: Lexington Books, 2014. Abbreviations, bibliography, index, 169 pp.; hardcover $80, paperback $36.99, ebook $22.07. Matthew E. Carnes, Continuity Despite Change: The Politics of Labor Regulation in Latin America. Stanford: Stanford University Press, 2014. Tables, figures, bibliography, index, 256 pp.; hardcover $65. Tasha Fairfield, Private Wealth and Public Revenue in Latin America: Business Power and Tax Politics. New York: Cambridge University Press, 2015. Figures, tables, acronyms, appendixes, bibliography, index, 364 pp.; hardcover $99, ebook $79. Eduardo Moncada, Cities, Business, and the Politics of Urban Violence in Latin America. Stanford: Stanford University Press, 2016. Bibliography, index, 248 pp.; hardcover $65, ebook. Teri L. Caraway, María Lorena Cook, and Stephen Crowley, eds., Working Through the Past: Labor and Authoritarian Legacies in Comparative Perspective. Ithaca: Cornell University Press, 2015. Photographs, illustrations, notes, bibliography, index, 296 pp.; hardcover $79.95, paperback $27.95. Elin Skaar, Camila Gianella Malca, and Trine Eide, After Violence: Transitional Justice, Peace, and Democracy. New York: Routledge, 2015. Figures, tables, index, 232 pp.; hardcover $145, paperback $54. David A. Steinberg, Demanding Devaluation: Exchange Rate Politics in the Developing World. Ithaca: Cornell University Press, 2015. Illustrations, figures, tables, appendix, notes, bibliography, index, 288 pp.; hardcover $45. UN Women, Progress of the World's Women 2015–16: Transforming Economies, Realizing Rights. New York: United Nations, 2015. Figures, tables, maps, notes, index, bibliography, 342 pp.; web version, http://progress.unwomen.org/en/2015     

The second edition of the EPAC expert survey on ethnonationalism in party competition – testing for validity and reliability

This research note presents EPAC 2017, a dataset resulting from the second round of an expert survey on ethnonationalism in party competition. EPAC provides cross-sectional data on the positions of (ethno-) national and mainstream parties on an ethnonational (also often referred to as ‘territorial’ or ‘centre-periphery’) dimension, as well as other important dimensions of political competition. The 2017 edition covers 222 political parties in 22 multinational European countries. The research note presents the main survey items and performs a series of validity and reliability tests on the data. Results show that EPAC 2017 provides valid and reliable measures of party positions on an ethnonational dimension. A short analysis of party system changes in Spain and Bosnia and Herzegovina illustrates the opportunities of combining the 2011 and 2017 editions. The combined dataset allows studying the mobilization of the centre-periphery cleavage in party competition across Eastern and Western Europe and over time.     

Dysfunctional Parenting and Intimate Partner Violence Perpetration and Victimization among College Women: the Mediating Role of Schemas

Early Maladaptive Schemas (EMS) are negative cognitions about self and relationships that develop early in life, distort our perceptions of life experiences and are sustained via confirmatory information processing (Young et al. 2003). Although empirical evidence supports the relationship between EMS and psychopathology, there is a relative paucity of research regarding the relationship between EMS and intimate partner violence (IPV). The goal of the present study was to elucidate the complex relations between recollections of dysfunctional parenting, EMS, and IPV victimization and perpetration in adulthood. A sample of 305 women college students completed measures of perceptions of parental bonding, EMS, and relationship conflict behaviors. Results revealed that the EMS of subjugation and self-sacrifice accounted for 13.9% of the variance in IPV victimization; however, the EMS of subjugation was the only significant predictor of IPV victimization and mediated the relationship between recollections of dysfunctional parenting and IPV victimization. Additionally, although the EMS of entitlement, insufficient self-control, mistrust/abuse, abandonment, and social isolation accounted for 11.3% of the variance in IPV perpetration, only the EMS of insufficient self-control and mistrust/abuse were significant predictors of IPV perpetration and mediated the relationship between recollections of dysfunctional parenting and IPV perpetration. Results suggest that these cognitive schemas may be the mechanism through which dysfunctional parenting renders one vulnerable to violence in relationships.     

Disproportionate minority contact in the juvenile justice system: An investigation of ethnic disparity in program referral at disposition

Historically, minority youth have experienced harsher punishments and more negative outcomes than White youth even when risk assessment is used. The current study investigated the role of ethnicity in an understudied dispositional decision–program referral–and the outcomes associated with said referral using a sample of juvenile offenders (N = 2,678). The study used the Youth Level of Service/Case Management Inventory (YLS/CMI) to determine (1) if ethnicity predicted program referral when accounting for risk assessment and (2) if program referral predicted recidivism. Results indicated that ethnicity predicted program referral, and program referral predicted recidivism. Future directions for Disproportionate Minority Contact (DMC) research and implications for court officials are discussed.