Assessment and aftercare for deliberate self-harm patients provided by a general hospital psychiatric service

We report on a sample of 135 deliberate self-harm (DSH) patients who were assessed by a general hospital DSH service, and on those who were offered aftercare by, or telephone open access to, the service. Patients' satisfaction with assessment and treatment, and their outcome were investigated at follow-up 12-20 months later. Four-fifths of patients reported the assessment following DSH to have been helpful and the assessor sympathetic. Thirty-three (24%) of the 135 patients assessed were offered treatment by the DSH service but 13 declined or failed to attend. Of the 20 who engaged in treatment, 17 (94%) were satisfied with their care. Open access to the DSH service by telephone was offered to 53 (39%) patients, nine (22%) of whom reported at follow-up that they had used this facility. A specialist DSH service can effectively assess and treat patients following DSH. It is important that the service is accessible and acceptable to patients.     

The Department Secretaries:A Profile of a Changing Profession

The position of departmental secretaries has been under debate. There are claims they have been politicised; they have been placed on term appointments. This article examines the careers of departmental secretaries for the last 50 years. It illustrates the changes in their length of tenure, age of departure, mobility and qualifications. The recent profile shows the need for debate about the position and the future of departmental secretaries.     

You’ve got to fight to be white: the rural foundation of the new militia for race control

In this paper, we situate the recent rise of racialized and often violent political discourse within a framework of a class-based conception of nature and property. In this theoretical work, we contribute to thinking about how Whites are racially constituted by showing how an understanding of whiteness among the far right is significantly linked to narratives surrounding rural spaces as havens of individualism and in sharp contrast to the perceived multiculturalism of the city. In developing our argument, we utilize public statements made by Ted Nugent as observable examples of this far-right, violent, and racialized rhetoric. We argue that the far right is able to create a common ground with moderate conservatives around a shared understanding of rural places as embodiments of virtuous white culture, private property, and individualism. This politicized whiteness project, we argue, helps to galvanize and strengthen a conservative coalition while simultaneously pulling their collective ideology further to the right.