Long- and short-term risk factors in the prediction of inpatient suicide: review of the literature

The prediction of suicide remains a major challenge for health care professionals in inpatient settings. A clearer identification of factors specific to inpatient suicide is required to improve both practice and research within this area. This paper provides an overview of the inpatient suicide literature to date focusing on two particularly salient themes: Long term and short term prediction of suicide. Since the concept of short-term suicide risk dominates clinical practice, issues in relation to dynamic risk factors are emphasized.     

Exploring the relationships of women's sexual assault disclosure, social reactions, and problem drinking

The goal of this exploratory study was to examine correlates of sexual assault disclosure and social reactions in female victims with and without drinking problems. An ethnically diverse sample of sexual assault survivors was recruited from college, community, and mental health agencies. Ethnic minority women were less likely to disclose assault, and women with a greater number of traumatic life events disclosed assault more often. Although there were no differences in disclosure likelihood by drinking status; of those disclosing, problem drinkers told more support sources and received more negative and positive social reactions than nonproblem drinkers. Correlates of receiving negative social reactions were similar for normal and problem drinkers; however, negative social reactions to assault disclosure were related to more problem drinking for women with less frequent social interaction. Implications for future research and possible support interventions with problem-drinking victims are provided.     

Medico-legal secrecy in New Zealand

In the absence of the right to sue for medical negligence, the New Zealand Health and Disability Commissioner (HDC) and the Health Practitioners Disciplinary Tribunal (HPDT) have become the centrepieces of New Zealand's medico-legal system. This article examines the claim that for both bodies secrecy, by name suppression, is the default position and that the private interests of doctors are elevated above the legitimate public interest in the performance of medical professionals. In particular, it examines HDC's blanket policy of suppressing the names of complainants, practitioners, hospitals, District Health Boards and geographical locations, and HPDT's stated but wavering commitment to openness. The authors conclude that both bodies may have failed, albeit in different ways, to recognise the legitimate and significant public interest in the names of those few practitioners found in breach of professional standards.     

The Problem of Social Order: What Should We Count as Law?

In these two fine contributions to the relatively small body of empirically‐grounded theoretical accounts of law, Fred Schauer and Richard McAdams focus on the two key elements of any legal system: the coordination of conduct that individuals have an incentive to engage in if they believe others will also, and the coercive force that is needed to deter conduct when coordination incentives are absent or insufficient. Both contributions deepen our understanding of the dynamics of coordination and coercion. But both also focus primarily on the concept of law as a set of rules generated and enforced exclusively by government. In this comment, drawing on recent work with Barry Weingast, I emphasize the importance of extending the scope of analysis to include settings in which governments are missing or weak and where legal order has not yet been achieved or stabilized—the challenge that faces many poor and developing countries around the world and the challenge that today's advanced legal regimes overcame historically. In our account, coordination and coercion are not substitute mechanisms, but are deeply linked: prior to the establishment of wealthy stable governments (and perhaps even in the presence of such governments), coercive penalties are delivered only if the decentralized application of punishment by ordinary individuals is successfully coordinated and incentivized.     

Comparison of the variables affecting the recovery of DNA from common drinking containers

As the boundaries of forensic DNA profiling continue to expand, less obvious sources of biological evidence are being collected at crime scenes for DNA profiling. One example is the recovery of biological evidence from common drink containers, such as bottles and cans, which have been found at crime scenes. There are many variables that may have an impact on recovering a DNA profile from such exhibits. In this research, the effects of person to person variation, time, type of drink (including alcoholic and non-alcoholic beverages), and type of drink container, were assessed for their impact on the major analytical outcomes of the DNA process. The results show that the alpha-amylase activity varies from individual to individual and is reduced in the presence of some alcoholic drinks. A reasonable DNA yield was obtained from all samples, however, the concentrations exhibited significant person to person variation. The type of drink container influenced the DNA yield with cans giving a higher yield than bottles of the same drink type. To a reduced extent the presence or absence of alcohol affected the overall DNA yield and when partial or failed DNA profiles were produced they were more likely to be associated with alcoholic drinks than non-alcoholic drinks.     

International pressure and North Korea's current options: Will Inter‐Korean relations improve?

Since the US identified North Korea as part of the “axis of evil,” the forecast for North‐South Korean relations has worsened. However, this article suggests that contrary to popular opinion, the advent of the six‐party talks may prove surprisingly conducive to the improvement of inter‐Korean relations. Three tactical moves seem currently open to North Korea: threatening the use of force in an effort to stall international pressure; attempting to mend diplomatic relations with the US; or the initiation of closer ties with Seoul, with the good offices provided by Beijing. The last option may prove to be the best from a North Korean point of view and may be the first step towards achieving the longed‐for Korean reunification.