Risk assessment and suicide prevention in primary care

General practitioners (GPs) are assumed to occupy an important position in the prevention of suicide through the introduction of risk assessment techniques commonly used in psychiatric practice. Despite this theoretical role for primary care services, it remains unclear how frequently GPs implement risk assessment in patients who may be vulnerable to suicide. To address this, a retrospective survey of probable suicides was conducted within a primary care setting utilizing a questionnaire of GPs who had experienced a patient suicide and was augmented by hospital and coroners' records. 85% of questionnaires were returned and 61 deaths were adjudged as suicides during the year long census period. 75% of suicides were male and 54% were aged under 35.28% were in contact with psychiatric services prior to death, although 60% had some diagnosis of mental disorder. GPs had little knowledge of a patient's life circumstances in up to half of cases. Recording of risk assessment occurred in 38% of subjects, was positively associated with prior psychiatric contact (p = 0.001) but negatively associated with presence of physical illness (p = 0.004), older patient age (p = 0.04), and GPs length in practice (p = 0.05). One GP felt their suicide case was preventable. The low rate of risk assessment and limited knowledge of patient lifestyle point to the need for active engagement of GPs in future suicide prevention strategies and should influence the content of training programs in primary care.     

西伯利亚发展的社会风险

通过从社会视角剖析地区发展问题,厘清西伯利亚发展的社会风险:居民贫困,人口社会结构落后.在收入高度集中的背景下,贫困人口占比高,中产阶层占比低,富裕人口占比极低.人口经济分层的地区差异明显.西伯利亚联邦区大多数联邦主体居民实际收入减少,生活水平下降.研究得出的结论是,最近18年俄罗斯经济的技术结构没有实质性进步,而经济...     

为什么中国的居民收入分配比俄罗斯更不平等?(上)

本文是德国劳动研究所研究人员B.古斯塔夫森、李实以及俄罗斯罗斯托夫国家经济大学的卢德米拉.尼沃若兹基那于2010年12月合作撰写的题为《为什么中国的居民收入分配比俄罗斯更不平等?》的研究论文。文章使用统一的微观数据研究了中俄两     

工科院校学生工程素质培养探微

摘要：工程素质是工科应用型人才综合素质的主要组成部分，工程院校学生在校学习期间工程素质的培养，是教学改革的目标之一，也是任课教师的责任使然。实现这一目标，可以从三方面着手：一是在理论教学过程中培养工程意识，二是在实践教学中提升工程素质，三是在社会实践活动中渗入工程意识。     

泄愤型群体性事件的滋生及演化逻辑

作为当前社会矛盾最激烈的表现形式，泄愤型群体性事件的触发及其发展演变具有比一般群体性事件更强的不确定性，但无论就发生的社会背景、体制根源，还是发生、演变的基本过程和基本要件而言，它仍然表现出了相当清晰的内生演进逻辑。只有深刻地理解和把握这种演变逻辑，建立健全预警机制，阻断偶发性事件与非直接利益相关者的情绪关联，才能最大限度减少泄愤型群体性事件对公共安全秩序的冲击。     

俄罗斯联邦公民在中国境内居留的法律依据

探讨俄罗斯联邦公民在中华人民共和国境内的法律地位问题之一个方面，即在中国境内居留的法律依据对于建立和发展中俄两国的睦邻友好合作伙伴关系越来越具有现实意义。根据中华人民共和国法律的规定，我们可以把俄罗斯联邦公民在中国境内居留的法律依据划分为取得入境签证、取得外国人居留证和国际直接过境三种。     

没有敌人的革命:政治学中的重要转型

美国政治科学一直是一门先天性动荡不安的学科,它见证了一系列旨在对其基本特性进行重新定位的运动。本文比较了四次重大的运动:分别是伴随着学科早期专业化的国家主义(statism)