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.     

Group Identity and Alienation: Giving the We Its Due

The purpose of this paper is to argue for greater understanding and valuing of group affiliation and the formation of allegiances to groups during early adolescence. An overemphasis on themes of individual identity, self-reliance, and autonomy as the developmental trajectory of adolescence leads to a lack of attention to the positive, normative mechanisms that permit young adolescents to achieve a sense of belonging and connection. We propose developmental processes which underlie the capacity for reflection about groups, 4 basic components of group identity, and 6 propositions about new capacities that emerge as young adolescents struggle with the dialectic between group identity and alienation. The final section suggests opportunities that can emerge through a more appropriate emphasis on group identity as a valued, normative aspect of development during the early adolescent years.     

Constitutional Conversations

This is a review essay of Rajeeva Bhargava's Politics and Ethics of the Indian Constitution (5th ed., 2012), Sudhir Krishnaswamy's Democracy and Constitutionalism in India: A Study of the Basic Structure Doctrine (3rd ed., 2012), and Madhav Khosla's The Indian Constitution, Oxford India Short Introductions (2012).     

A New ‘New Liberalism’? – Directions in Government and Public Policy in Britain

Books reviewed in this article:
David Marquand and Anthony Seldon (eds.), The Ideas that Shaped Post-War Britain
Geoff Mulgan (ed.), Life After Politics – New Thinking for the Twenty-first Century