Motives for suicide--a study of Australian suicide notes

Analysis of a large sample of suicide notes from 262 suicides in Australia found that men less often had escape from pain as a motive for their suicides and more often had love/romantic problems. The suicides of older persons were more often motivated by escape from pain and less often had love/romantic problems.     

Explaining a health care paradox

The paradox of a statistically weak linkage between physician density and measures of health based on outcome has recently received much attention because of its importance to health planning policy. It is demonstrated here that the linkage is stronger than indicated by previous studies if the statistical model is more carefully specified. A single case-type is chosen so that the impact of physician services is not filtered out by the aggregation process and a quantitative variable measuring case severity is derived. When statistical techniques are applied to correct for case-risk and for the inherent heteroscedasticity in observed mortality rates across states and time, the positive effect of physician density on health is shown to be statistically highly significant. Thus the apparently paradoxical findings in previous studies may be a result of failing to correct not only for differences in case severity but also for variations in sample errors. Also, even though the magnitude of physician impact is small compared to non-medical variables, an exploratory estimate of the impact of government programs focused on prevention suggests that present allocations between prevention and treatment may approximate optimality.The project upon which this paper is based was performed pursuant to Research Grant HS01036 from the Bureau of Health Services Research and Evaluation, U.S. Department of Health, Education and Welfare. The author wishes to acknowledge the advice and encouragement of Llad Phillips and H. E. Frech.     

Stealing Thunder as a Courtroom Tactic Revisited: Processes and Boundaries

Stealing thunder refers to a dissuasion tactic in which an individual reveals potentially incriminating evidence first, for the purpose of reducing its negative impact on an evaluative audience. We examined whether it was necessary to frame the negative revelation in a manner that downplayed its importance, and found that stealing thunder successfully dissuaded mock jurors even without framing. We also sought to determine the mechanism by which stealing thunder operated, and found that stealing thunder led mock jurors to change the meaning of incriminating evidence to be less damaging to the individual. We also found that stealing thunder's effectiveness did not hinge on whether or not opposing counsel also mentioned the thunder evidence, and that the stealing thunder tactic was no longer effective when opposing counsel revealed to the mock jurors that the stealing thunder tactic had been used on them.     

External quality assessment of laboratory performance in analysis of toxicological cases

A mean of 44 members of the United Kingdom national external quality assessment scheme (UKNEQAS) for toxicology reported analytical findings on 10 toxicological cases circulated between December 1995 and February 2000. Material distributed usually consisted of a 5ml blood and a 20ml urine sample simulated by quantitative addition of drugs and their metabolites to material donated by volunteers and patients. The samples were accompanied by a brief outline of the circumstances surrounding the case. Laboratories were requested to report their analytical findings, list methods of analysis, and provide interpretation of their findings. The mean overall success rate for identification of drugs or their pharmacological group was 76%, failure being largely by laboratories providing an immunoassay-based screening service for a fixed range of drug groups. The latter laboratories indicated that cases would be referred to regional toxicology centres for further investigation or confirmation. The coefficient of variation of measurements was <7% for routine analytes, such as ethanol and paracetamol, but 26-44% for tricyclics and opiates. There were 3% false positive reports. The quantity and content of interpretative comment provided by the laboratories was very variable. A number provide nothing in addition to the analytical result.     

Latent fingerprint detection using a scanning Kelvin microprobe

Electrochemical interactions between latent human fingerprints and metal surfaces in ambient air are investigated using a scanning Kelvin microprobe. Inorganic salts present in sweat deposited at fingerprint ridges locally depassivate the metal surface producing a Volta potential decrease of greater than 200 mV. Volta potential patterns may persist for months and prints may be visualized by potential mapping, even when overcoated with a polymer layer. Because the Volta potential differences are produced by involatile salts they persist when the organic components of the fingerprint residue have been volatilized by heating to 600 degrees C.