Suicide in developing countries (3): prevention efforts

Until now, suicide prevention efforts have been limited in developing countries, although there are pockets of excellent achievement. Various universal, selective, and indicated interventions have been implemented, many of which target a different pattern of risk factors to those in developed countries. In the absence of sufficient mental health services, developing countries rely heavily on nongovernment organizations (NGOs) to provide crisis interventions for suicidal individuals, as well as proactive interventions aimed at raising community awareness and building resilience. Often these NGOs work within a social and public health framework, collaborating with others to provide nested suicide prevention programs that are responsive to local community needs. There is a clear need to develop appropriate, relevant and effective national suicide prevention plans in developing countries, since, to date, only Sri Lanka has done so. These plans should focus on a range of priority areas, specify the actions necessary to achieve positive change in these priority areas, consider the range of collaborators required to implement these actions, and structure their efforts at national, regional, and local levels. The plans should also promote the collection of accurate data on completed and attempted suicide, and should foster evaluation efforts.     

Acheiving Full Employment: Four Perspectives

Books reviewed in this article.
Samuel Bowles, David M. Cordon, and Thomas E. Weisskopf, Beyond the Wasteland: A Democratic Alternative to Economic Decline
Economic Report of the President 1981
Helen Cinsburg, Full Employment and Public Policy: The United States and Sweden
Elliot Jaques, Free Enterprise, Fair Employment     

Explanations of protectionism in international trade votes

In this study, we analyze the voting records of U.S. senators on three recent international trade bills. Our objective is to assess the importance of ideology and constituent interest as forces that influence protectionist vs. free trade voting behavior. The methodology uses discriminant analysis supplemented with expert judgement. The first conclusion is that ideology is the more important force in generic protectionism issues, and local constituent interests are more important for commodity-specific issues. Second, we find that protectionism is especially associated with liberal ideology, high import impact, and low export dependence. Although the discriminant analysis outperforms expert judgement in classifying protectionist vs. free trade votes in two of the three bills studied, the best explanation is obtained by using both methods together.We are indebted to Dennis Quinn, Tom Brewer, Michael Czinkota, Karen Gaertner, Annette Shelby, and Melanie Hayes. Errors remain our responsibility.     

Children,COVID, and confusion: How frontline workers cope with the challenges of vaccine mandates

With the emergence of COVID-19, many governments around the world co-oped non-health actors into enforcing comprehensive mandatory vaccination policies. Implementing these policies can be challenging, creating irreconcilable goals and problems with knowledge and understanding of areas outside the implementers’ direct field of expertise or scope of work. We know very little about how such frontline workers cope with these challenges associated with implementing policies whose goals lie well outside their remit (which we describe as generating exogenous policy pressures), and what this means for the operation of the policies. This article uses policies in place prior to the pandemic to fill this gap. It examines attitudes and experiences of frontline childcare educators who implement Australia's No Jab, No Play childhood vaccine mandate policies within the states of New South Wales, Queensland, and Victoria. Through qualitative analysis of interview and focus group data, we find that these frontline workers cope with moral conflict, confusion, and a lack of knowledge by moving against clients: they rigidly follow the rules beyond legislative requirements, and sometimes break them, generating a new coping category we call ‘rigid rule breaking’. However, their need to employ coping strategies is informed by the extent to which government has designed the policy to coerce the behaviour of the providers, families, or both. The implementation of more coercive variants of No Jab, No Play policies deviates more from what legislators intended, while providers given scope to make their own decisions about enrolling unvaccinated children report satisfaction in their decision-making.

Points for practitioners

• Australian state mandatory vaccination policies generally require childcare providers to exclude unvaccinated children.
• Street level bureaucrats face pressures when implementing coercive policies exogenous to their remit.
• They may simplify policy implementation in ways that counter governments’ goals.
• Actors given more discretion about passing on coercion to policy targets demonstrate better understanding and ownership of policies.