Predictors of length of stay in forensic psychiatry: The influence of perceived risk of violence

This study describes the prevalence of adverse events and length of stay in forensic psychiatric patients with and without a restriction order. Detailed clinical and administrative information from medical records and written court decisions was gathered retrospectively from admission until discharge for a Swedish population-based, consecutive cohort of forensic psychiatric patients (n = 125). The median length of stay for the whole cohort was 951 days, but patients with a restriction order stayed in hospital almost five times as long as patients without. Restriction orders were related to convictions for violent crime, but not for any other differences in demographic or clinical variables. The majority of the patients (60%) were involved in adverse events (violence, threats, substance abuse, or absconding) at some time during their treatment. Patients with restriction orders were overrepresented in violent and threat events. Previous contact with child and adolescence psychiatric services, current violent index crime, psychotic disorders, a history of substance, and absconding during treatment predicted longer length of stay. Being a parent, high current Global Assessment of Functioning scores, and mood disorders were all significantly related to earlier discharge. In a stepwise Cox regression analysis current violent index crime and absconding remained risk factors for a longer hospital stay, while a diagnosis of mood disorder was significantly related to a shorter length of stay.     

Why are occupational safety crimes increasing?

The objective of this article is to analyse the structure of, and trends in, reported occupational safety crimes. The central focus is directed at analysing how we might understand the substantial increase in the number of reported offences witnessed during the first decade of the 21st century. In order to analyse trends in occupational safety crimes we proceed from both official crime statistics and data that have been compiled specifically for the purposes of this study, including a nationally representative sample of offence reports relating to the occupational safety crimes reported to the police. The results show that the increase in reported offenses is primarily due to a shift in definitions and in the reactions of the authorities rather than to a powerful increase in the number of actual crimes committed. This leads to the conclusion that registered occupational safety offences should first and foremost be viewed as a measure of the work of the authorities, rather than as an indicator of real crime trends.     

Candidate Entry and Political Polarization: An Antimedian Voter Theorem

We study a citizen‐candidate‐entry model with private information about ideal points. We fully characterize the unique symmetric equilibrium of the entry game and show that only relatively “extreme” citizen types enter the electoral competition as candidates, whereas more “moderate” types never enter. It generally leads to substantial political polarization, even when the electorate is not polarized and citizens understand that they vote for more extreme candidates. We show that polarization increases in the costs of entry and decreases in the benefits from holding office. Moreover, when the number of citizens goes to infinity, only the very most extreme citizens, with ideal points at the boundary of the policy space, become candidates. Finally, our polarization result is robust to changes in the implementation of a default policy if no citizen runs for office and to introducing directional information about candidates’ types that is revealed via parties.     

Hezbollah and the framing of resistance

Abstract

Hezbollah is a holistic network whose social, political, military and cultural dimensions are all parts of a discourse of resistance. Conducting a qualitative frame analysis of speeches by Hezbollah’s General Secretary Nasrallah, supported by interviews with Hezbollah leadership privy to its ideology, this study analyses the construction of muqawama (resistance). It argues that resistance is a complex social phenomenon, which can be manifested, for example, in the differences in how resistance is framed in varying contexts, often addressing different audiences. However, three unifying themes emerged from the frame analysis: diversity of resistance, normalisation of resistance and social dimensions of resistance.     

Absolutism and the ‘rule of law’ in Denmark 1660–c. 1750

With the introduction of absolutism in Denmark, the country became one of the two most absolute monarchies in Europe. The question arises whether the concept of the ‘rule of law’ was compatible with absolutism, or whether it was totally contrary to this form of government. Through an analysis of the criteria central to the concept of the ‘rule of law’, for example, the public proclamation of laws, the independence of the courts, predictable proceedings, the right of appeal, due care, legal aid, promptness of legal proceedings etc., and evidence of practice from public records, the present article concludes that although the ‘rule of law’ was fragile, as it depended on the absolute king's mercy, there was an ideal among the ruling elite that the ‘rule of law’ ought to be respected, and the rural and urban population trusted the system.     

Polytraumatization and trauma symptoms in adolescent boys and girls: interpersonal and noninterpersonal events and moderating effects of adverse family circumstances

The objective of this study was to investigate the cumulative effect of interpersonal and noninterpersonal traumatic life events (IPEs and nIPEs, respectively) on the mental health of adolescents and to determine if the adverse impacts of trauma were moderated by adverse family circumstances (AFC). Adolescents (mean age 16.7 years) from the normative population (n = 462) completed the questionnaire, the Link?ping Youth Life Experience Scale (LYLES), together with Trauma Symptom Checklist for Children (TSCC). The lifetime accumulation of interpersonal, noninterpersonal, and AFC was independently related to trauma-related symptoms in both boys and girls. The number of AFCs moderated the mental health impact of both IPEs and nIPEs in boys but not in girls. Cumulative exposure to both interpersonal and noninterpersonal traumatic events is important for the mental health of adolescents, and, at least for boys, family circumstances seem to be relevant for the impact of trauma. Our results suggest that broader approaches to the study, prevention, and treatment of trauma, including consideration of cumulative exposure, different types of trauma, and additional social risk factors, could be fruitful.     

Practice of forensic entomology--usability of insect fragments in the estimation of the time of death

Forensic entomology analyzes and evaluates the presence of necrophagous or necrophilic insects on human corpses to estimate the post-mortem interval. The three cases presented are good examples illustrating that not only the various stages of development of the necrophagous insects from egg via larva to pupa are useful for forensic assessment. Depending on the situation in the individual case, even inconspicuous remains of past insect activity such as empty pupal cases or larval skins may supply important entomological information. For this purpose it is indispensable to preserve such evidence, which may appear only as fragments or pieces at first sight, for proper entomological assessment.     

Research capacity building through twinning: experiences from a Danish–Malaysian twinning project

Twinning and its contribution to institutional capacity building in developing countries is the theme of an ongoing debate in Public Administration and Development. Unlike earlier contributions this article focuses on twinning in the context of research capacity enhancement. Using a 3 year Danish–Malaysian twinning research project as case our objective is to evaluate whether the general premises regarding a twinning project, as formulated by the Danish Development Cooperation Agency (Danida), appropriately support the twinning ambitions when the capacities in focus concern research. Besides institutional capacity building, twinning is expected to favour local ownership, involvement of the Danish resource base and continuing of cooperation after termination of funding. From 21 semi‐structured interviews with project participants it was found that although new research capacities had been gained, the prospects on continued cooperation are rather discouraging, both sides pointing to the lack of truly joint research experiences as the main reason. To care for this important incentive, the twinning premises are recommended to be modified to allow for the Northern resource base to advance its own research, and for Southern partner to demonstrate in‐house research capacities. Further, the North–South balance in project management needs to be more equal. This apart, the twinning premises appear sound. Copyright © 2007 John Wiley & Sons, Ltd.     

Anti-depressants, suicide, and drug regulation.

Policymakers are increasingly concerned that a relatively new class of anti-depressant drugs, selective serotonin re-uptake inhibitors (SSRI), may increase the risk of suicide for at least some patients, particularly children. Prior randomized trials are not informative on this question because of small sample sizes and other limitations. Using variation across countries over time in SSRI sales and suicide, we find that an increase of one pill per capita (a 13 percent increase over 1999 levels) is associated with a 2.5 percent reduction in suicide rates, a relationship that is more pronounced for adults than for children. Our findings suggest that expanding access to SSRIs for adults may be a cost-effective way to save lives, although policymakers are right to remain cautious about pediatric use of SSRIs.     

Modernisierung als Peripetie des Sozialstaats?

Tief greifende Veränderungen wie der demographische Wandel, zunehmende Frauenerwerbstätigkeit, wachsende Beschäftigungsprobleme gering Qualifizierter sowie die ethnisch-kulturelle Heterogenisierung als Resultat von Migrationsprozessen setzen die Sozialpolitik europäischer Gesellschaften zunehmend unter Veränderungsdruck. Welche politischen Maßnahmen ergriffen werden, bestimmt sich daraus, was politische Eliten für geboten erachten und einflussreiche Verbände und Wähler für akzeptabel halten. Die Analyse des jüngsten Wandels der Sozialpolitik in den Mitgliedstaaten der EU zeigt, dass die Ausdehnung traditioneller sozialpolitischer Programme zwar zu Beginn der 90er Jahre ihren Höhe- und Wendepunkt erreicht hat, dass Umstrukturierungen der Leistungs- und Finanzierungsstruktur des Sozialstaats sich bislang aber in engen Grenzen hielten. Die aktuelle Suche nach einem neuen Dritten Weg zwischen liberaler angelsächsischer Wachstumspolitik und sozialdemokratischer europäischer Arbeits- und Sozialpolitik ist von einer erheblichen Ambivalenz gekennzeichnet. Geht es einerseits darum, die Formierung einer Unterklasse durch die möglichst breite Integration gering Qualifizierter in den Arbeitsmarkt zu verhindern, so sind andererseits mit der Verpflichtung zur Eigenverantwortung und Arbeitsaufnahme auch disziplinierende und repressive Elemente verbunden. Die Anpassung des Sozialstaats an gesellschaftliche Veränderungen besteht insofern keineswegs ausschließlich in seiner Flexibilisierung im Sinne des Abrückens von Normalitätsfiktionen, sondern auch in der Durchsetzung von Standards des Wohlverhaltens, die in ethnisch-kulturell heterogenisierten Gesellschaften als Fremdkontrollen an die Stelle weniger allgemeiner Selbstkontrollen treten.