Coping with youth suicide and overdose: one community's efforts to investigate, intervene, and prevent suicide contagion

From 2000-2005, Somerville, MA, experienced a number of youth overdoses and suicides. The community response followed CDC recommendations for contagion containment. A community coalition, Somerville Cares About Prevention, became a pivotal convener of community partners and a local research organization, the Institute for Community Health, provided needed expertise in surveillance and analysis. Mayoral leadership provided the impetus for action while community activists connected those at risk with mental health resources. Using a variety of data sources (including death certificates, youth risk surveys, 911 call data, and hospital discharges) overdose and suicide activity were monitored. Rates of suicide and overdose for 10-24-year-olds were higher than in previous years. Using case investigation methods, the majority of suicide victims were found to be linked through common peer groups and substance abuse. Subsequent community action steps included: a community-based trauma response team, improved media relationships, focus groups for suicide survivors, and prevention trainings to community stakeholders. Youth suicide and overdose activity subsided in May of 2005. The community partnerships were critical elements for developing a response to this public health crisis. This collaborative approach to suicide contagion used existing resources and provides important lessons learned for other communities facing similar circumstances.     

Corruption and Popular Support for Democracy and Government in Transitional Contexts: The Case of Kyrgyzstan

Abstract

Many studies have argued that corruption undermines perceived democratic legitimacy, trust in state institutions, and government support. However, few prior studies have included transitional or hybrid regimes in their analyses, or simultaneously examined multiple aspects of this relationship. Using focus groups and a nationally representative survey conducted throughout a tumultuous transitional period in Kyrgyzstan, we find evidence for our hypotheses that citizens with greater corruption concerns will be more pro-democratic when evaluating democracy or its institutional components in the abstract; yet, they distrust existing government institutions. Even in a hybrid regime lacking democratic experience, citizens exhibit attributes of distrusting democrats.     

Black Cricket,the College at Haringey and the England and Wales Cricket Board

This article makes a contribution, based on previously unseen archival materials, to debates about the so-called ‘decline’ of black cricket in England. It discusses the historical context of the development of black cricket in the postwar period and presents a case study of the Haringey Cricket College—1984–1997—a black-led project in and around the deprived areas of Tottenham, north London, which, during the period of its existence, produced more first class cricketers than many of the most expensive, elite ‘cricket schools’ in England. In so doing, it achieved national and international acclaim. The article goes on to provide detailed evidence regarding the closure of the college, arguing that the college's demise should not be seen simply as part of a wider process of decreasing interest in cricket within England's black communities, but involved active decisions by the cricket establishment not to support the college. The article raises wider questions about when and how it has been possible to be perceived as legitimately black and English in cricketing terms, and how cricket's authorities should respond to these historical problems.     

The Impact of the Registered Intermediary on Adults’ Perceptions of Child Witnesses: Evidence from a Mock Cross Examination

Registered intermediaries are communication specialists appointed to facilitate the communication of vulnerable witnesses participating in the criminal justice system in England and Wales. Intermediaries assess the vulnerable individual’s communication and provide recommendations to practitioners for how to obtain the individual’s ‘best evidence’ during police interviews and in court. The scheme was implemented nationally in 2008, but has not been subject to rigorous research. The aim of the current article is to provide an account on adults’ perceptions of the vulnerable individual when an intermediary assists their communication in court. In the present study 100 participants viewed a mock cross examination of a child witness either with or without an intermediary present. Participants rated the child’s behaviour and communication, and the quality of the cross examination, across a number of different variables. The age of the child was also manipulated with participants viewing a cross examination of a four or a 13 year old child. The results showed the children’s behaviour and the quality of the cross-examination were more highly rated when the intermediary was involved during cross-examination. The older child’s cross-examination was rated as more developmentally appropriate, however no other age differences or interactions emerged. The findings have positive implications for jury perceptions of children’s testimony when they are assisted by an intermediary in court, regardless of the age of the child witness. The success of the intermediary scheme in England and Wales may encourage the implementation of intermediaries internationally.     

Lake Taupo: a multi‐sector collaborative partnership towards sustainable development

This paper explores the motivations for and processes of a unique multi‐stakeholder collaboration aimed at the long‐term sustainable development of a region. The region is that of Australasia's largest lake, Lake Taupo, New Zealand. Lake Taupo has geographic features that have not only enabled the development of a strong economy based on tourism, forestry and agriculture but have also generated particular environmental problems. The findings of the case study present highly innovative solutions that are premised on collaboration and on a ‘business case’ for sustainability. From extensive interviews with a wide range of stakeholders, the case confirms extant literature that looks at the roles of leadership, stakeholder engagement, and first movers in bringing about change, but it also highlights further findings that include the surprisingly important role of fringe stakeholders, the difficulties presented by uncertain regulation, and the need to innovate in tailoring solutions to fit the peculiarities of a specific problem. Copyright © 2014 John Wiley & Sons, Ltd.     

Shaping perceptions during the latest Balkans Imbroglio

While it might seem as though the confrontation with Slobodan Milosevic is old news, recent events in Serbia, Kosovo and Montenegro point to the probability that events this summer will likely bring US policy vis‐à‐vis the Federal Republic of Yugoslavia back to the front pages. All sides in the 1999 conflict over Kosovo attempted to manipulate the regional and international perception of the struggle. This perception conflict was in many ways more important than the casualties sustained or the land controlled. This article examines the attempt to gain the informational ‘high ground’ and addresses how perception management should affect current US policy towards Serbia and the Milosevic government.     

Acute Bacterial Meningitis with Coincident Methamphetamine Use: A Case Report and Review of the Literature

Methamphetamine is a synthetic stimulant that can adversely affect the central nervous system and the immune system. Through various mechanisms, methamphetamine is toxic to neurons, endothelial cells, lymphocytes, granulocytes, and macrophages resulting in systemic damage. Reported is the sudden demise of an otherwise healthy 31‐year‐old woman with a history of stimulant abuse. At autopsy, acute bacterial meningitis was identified. Microbiology cultures grew a single isolate of Streptococcus pneumoniae. Toxicology was positive for amphetamine (0.13 mg/L) and methamphetamine (0.8 mg/L). The cause of death was classified as acute bacterial meningitis with methamphetamine use. Either the acute bacterial meningitis or the methamphetamine toxicity would have been sufficient to result in death; however, the concurrent pathophysiology of the two entities must be understood. A review of the current literature assesses the mechanisms of injury attributed to acute and chronic methamphetamine use, bacterial meningitis, and the synergy between the two.