Antecedents of Suicide among Youth Aged 11–15: A Multistate Mixed Methods Analysis

Suicide is the second leading cause of death for youth aged 11 to 15, taking over 5,500 lives from 2003 to 2014. Suicide among this age group is linked to risk factors such as mental health problems, family history of suicidal behavior, biological factors, family problems, and peer victimization and bullying. However, few studies have examined the frequency with which such problems occur among youth suicide decedents or the context in which decedents experience these risk factors and the complex interplay of risk that results in a decedent’s decision to take his/her own life. Data from a random sample of 482 youth (ages 11–15) suicide cases captured in the National Violent Death Reporting System from 2003 to 2014 were analyzed. The sample had fewer girls than boys (31 vs. 69?%) and comprised primarily White youth (79?%), but also African Americans (13?%), Asians (4?%), and youth of other races (4?%). Narrative data from coroner/medical examiner and law enforcement investigative reports were coded and analyzed to identify common behavioral patterns that preceded suicide. Emergent themes were quantified and examined using content and constant comparative analysis. Themes regarding antecedents across multiple levels of the social ecology emerged. Relationship problems, particularly with parents, were the most common suicide antecedent. Also, a pattern demonstrating a consistent progression toward suicidal behavior emerged from the data. Narratives indicated that youth were commonly exposed to one or more problems, often resulting in feelings of loneliness and burdensomeness, which progressed toward thoughts and sometimes plans for or attempts at suicide. Continued exposure to negative experiences and thoughts/plans about suicide, and/or self-injurious acts resulted in an acquired capacity to self-harm, eventually leading to suicide. These findings provide support for theories of suicidal behavior and highlight the importance of multi-level, comprehensive interventions that address individual cognitions and build social connectedness and support, as well as prevention strategies that increase awareness of the warning signs and symptoms of suicide, particularly among family members of at-risk youth.     

Rules,institutions and the economic vote: clarifying clarity of responsibility

Abstract

Institutions are thought to matter for vote choice, and work on economic voting is exemplary in this regard. The strength of the economic vote varies considerably cross-nationally and this seems to emanate from differences in the clarity of responsibility. Still, this conceptual frame, dominant in the field, appears to have some cracks. First, almost all work presents analyses of the economic vote in smaller, split samples of low- and high-clarity contexts separately. Second, the literature appears rather dispersed when the conceptual and empirical indicators are examined. The article attempts to overcome these limitations by analysing a large pool of democratic elections with a series of objective indicators. It investigates these indicators separately, and as components within two cumulative indices (institutional rules and power patterns). The results indicate that, even though there are indications of differences in the strength of the economic vote in high- and low-clarity contexts respectively, institutional rules or power patterns fail to significantly deflect the overall electoral impact of economic growth.     

Where there's no green man: child road-safety education in Ethiopia

Traffic crashes kill 1.2 million people annually, and the number is growing fast, particularly in developing countries. Although child road-safety education is widely considered important, few programmes have resulted in demonstrated improvements in safety. We review road-safety education in Ethiopia and conclude that it is often locally inappropriate and impractical. Such programmes are frequently based on dominant but ineffective educational models imported from other contexts. Drawing on our experience of establishing a community-managed child road-safety education programme in Ethiopia, we suggest how road-safety education in developing countries might become more effective.     

Discriminatory decision making at the legislative level

This paper is an analysis of the Comprehensive Drug Abuse Prevention and Control Act of 1970. Consistent with value-conflict perspectives, previous research on the social origins of drug legislation suggests that coercive laws occur when the behavior of minority and other subordinate groups become threatening. Liberalizing drug legislation is enacted when the interests of dominant groups seem juxtaposed to existing punitive legislation. The present analysis explores the process of legislative decision making when both subordinateand superordinate groups engage in drug-related behaviors which run counter to dominant norms and values. To do so, a detailed analysis of the congressional committee hearings and floor debates which preceded enactment of the 1970 Act was conducted. This analysis revealed that Congress did not pass a strictly coercive drug control policy at the risk of stigmatizing superordinate groups. Nor did it choose to liberalize drug penalties across the board. Congress perceived that strictly liberal policies might undermine both the instrumental goal of reducing illicit drug activity, and the symbolic goal of expressing general societal disapproval of illicit drug use. Instead, the legislation that emerged from congressional debates contained both liberal and coercive provisions reflecting the requirements of dealing with two targeted populations: young middle and upper class white drug users who became identified as victims of drug traffickers; and large-scale and professional drug dealers who became identified as enemy deviants—the true source and symbol of the drug problem. Liberal, and essentially discriminatory, provisions permitted the protection of the former from stigmatization as criminal felons. Coercive, but apparently nondiscriminatory, provisions provided the threat and potential for severe punishment of the latter. The discriminatory features of the 1970 Act are identified and explicated. And, the implications of the Act's provisions for race- or class-based decisions in the application of sanctions are discussed.     

Overcoming ethnic inequalities: Lessons from Malaysia

Beginning in 1971, Malaysia took unprecedented steps to improve the welfare of ethnic Malays vis-à-vis the country's large Chinese minority. The programs included quotas in education, employment, and ownership, as well as a variety of subsidies, credit schemes, and political measures. The circumstances were favorable: The disadvantaged ethnic group was a majority and held the political reins, and soaring export prices generated much new growth to redistribute. But enormous efforts at “affirmative action” led to only marginal changes in the interethnic distribution of income. Malaysia's new policies reduced racial inequalities less than one might have hoped, but they also had fewer bad effects on economic efficiency and political stability than one might have feared.     

Ontario adopts "blood samples" legislation

Under the new legislation, a Medical Officer of Health can order blood testing when victims of crime, emergency service workers, "good Samaritans," and others have reason to believe that they may have been exposed to a communicable disease.