Toxicology and Circumstances of Completed Suicide by Means Other than Overdose*

Abstract: To determine the prevalence and circumstances of psychoactive substances amongst nonoverdose completed suicide, 1436 consecutive cases autopsied at the NSW Department of Forensic Medicine over the period 1/1/1997–12/31/2006 were analyzed. Substances were detected in 67.2% of cases, and illicit drugs in 20.1%. Alcohol was present in 40.6% of cases. Males were more likely to be positive for alcohol, cannabis, and psychostimulants, and females for pharmaceuticals. Illicits were associated with younger age. Alcohol was most prominent amongst toxicity cases, as were opioids, psychostimulants amongst gunshot cases, and pharmaceuticals amongst drownings. Cases in which drug and alcohol histories were noted were more likely to have a substance detected. Alcohol was more common where a suicide note was left and where relationship problems were involved. Pharmaceuticals were more common where a previous attempt was noted. Licit and illicit substances are strongly associated with suicide, even when the method does not involve drug overdose.     

Civil society and its outside: Analysing the boundary between civil and uncivil society in the Danish anti-radicalization discourse

The literature on the boundary between civil and uncivil society has reached an impasse between approaches that oppose these societies to each other and those that dismiss the boundary altogether. This article suggests an analytical shift to a governmental approach that asks how the relation between civil and uncivil society figures in social practices. The approach is applied to the case of the Danish anti-radicalization discourse which revolves around subjects that cross the boundary. Through a discourse analysis of governmental papers, the author argues that the boundary appears twice. First, as a categorical difference that is simultaneously erected and annulled. This is not a paradox that must be superseded but one which structures a rationality of the governed in Civil Society that a governmental rationality pegs itself to inside an indefinite time. Second, this rationality is only possible through the rejection of violence. This creates a void which serves as an object of the discourse while existing outside the indefinite time of governmentality.     

To be continued . . . Syntheses and trends in follow-up of quality assurance in West European higher education

The authors report on West European trends in follow-up arrangements of national quality assurance procedures. They argue that external quality assurance ought to adopt a broader conception of quality than is now often the case. Next, the general public ought to have a guarantee that external quality assurance is valid (through meta-evaluation) and has consequences (through follow-up arrangements). Follow-up currently is not well developed in many European countries in a formal sense, but is receiving more attention as external quality assurance is maturing. Finally, the authors link national quality assurance to the European dimension; an international network could fulfil important functions in making quality assurance transparent and credible across Europe. This revised version was published online in August 2006 with corrections to the Cover Date.     

Changing Issue Ownership through Policy Communication

Issue ownership has been an important concept in the analysis of party competition for several decades. Traditionally, issue ownership has been regarded as a stable phenomenon where parties are advantaged by different political issues. However, several recent studies have reported change in voters’ perceptions of parties’ issue ownership. To investigate the changeability of issue ownership and how it can be altered, this article investigates the impact of parties’ communication attempts through a web-based survey in Sweden. Two major political issues are in focus: employment and healthcare. The results show that parties can indeed improve their ownership by communicating on an issue. Indications were also found that the effects decrease as other parties simultaneously communicate on the same issue, and when those who receive the messages are ideologically distant from the party. However, in several cases results are weak. Many important conditionalities therefore remain to be explored in future studies.     

Death from Nitrous Oxide

Nitrous oxide is an inflammable gas that gives no smell or taste. It has a history of abuse as long as its clinical use, and deaths, although rare, have been reported. We describe two cases of accidental deaths related to voluntary inhalation of nitrous oxide, both found dead with a gas mask covering the face. In an attempt to find an explanation to why the victims did not react properly to oncoming hypoxia, we performed experiments where a test person was allowed to breath in a closed system, with or without nitrous oxide added. Vital signs and gas concentrations as well as subjective symptoms were recorded. The experiments indicated that the explanation to the fact that neither of the descendents had reacted to oncoming hypoxia and hypercapnia was due to the inhalation of nitrous oxide. This study raises the question whether nitrous oxide really should be easily, commercially available.     

Rolled up to death. An unusual autoerotic fatality

Recently, an unusual case of autoerotic death in which a man died of hypoxia after having enclosed himself in plastic was reported in this Journal (1). We present a second case showing many similarities to the one published previously.     

Noncompetition Clauses: Unreasonable or Efficient?

Generally, legislators and courts look upon noncompetition agreements unfavourably. This paper questions the assumptions underlying the traditional theories on noncompetition clauses and advances two theories that have previously not been found in the legal literature. It is argued that noncompetition clauses are used as a device to self-select employees who desire a long-term contract with the firm. Furthermore, employees agree to these clauses to guarantee that the employer will make specific investments in the employment relationship. The noncompetition agreement protects the creation and distribution of the surplus of the employment relationship. Legal restrictions on noncompetition clauses have the danger of decreasing the ex ante value of the employment relationship. The result will be lower investments and lower wages.