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.     

Introduction: Meritocracy in Perspective. The Rise of the Meritocracy 60 Years On

Sixty years after its publication, Michael Young’s The Rise of the Meritocracy remains one of the most important texts for understanding the changing intellectual politics of postwar Britain. Young’s fictional vision of a meritocratic society explores the consequences of a society where each citizen is judged according to the formula ‘I.Q. + Effort = Merit’. The successful meritocrats hoard ever-greater rewards for themselves, crystallising into a rigid and repressive elite who rule over an increasingly powerless and depressed underclass. While the concept has evolved and adapted, the language of meritocracy is one of the great survivors of postwar British politics. In an age characterised by the rise of populist leaders and movements, as well as a backlash against educated ‘liberal elites’, revisiting, reinterpreting and re-evaluating Young’s influential satire and the central place the concept of meritocracy occupies in the history of postwar Britain has never been more important.     

Identity as Dependent Variable: How Americans Shift Their Identities to Align with Their Politics

Political science generally treats identities such as ethnicity, religion, and sexuality as “unmoved movers” in the chain of causality. I hypothesize that the growing salience of partisanship and ideology as social identities in the United States, combined with the increasing demographic distinctiveness of the nation's two political coalitions, is leading some Americans to engage in a self-categorization and depersonalization process in which they shift their identities toward the demographic prototypes of their political groups. Analyses of a representative panel data set that tracks identities and political affiliations over a 4-year span confirm that small but significant shares of Americans engage in identity switching regarding ethnicity, religion, sexual orientation, and class that is predicted by partisanship and ideology in their pasts, bringing their identities into alignment with their politics. These findings enrich and complicate our understanding of the relationship between identity and politics and suggest caution in treating identities as unchanging phenomena.     

论涵括（一）：一种初步探索

经验法则是司法证明中的一项基础性法则,大陆法系司法证明理论对其进行了概括论述,其理论形态具有较高的概括性、抽象性。英美国家的司法证明学者在“涵括”概念下也具体探讨了经验法则相关的内容,与大陆法系学者对经验法则的概括论述有所区别,英美学者在阐述“涵括”理论时,更注重其在证据能力和证明力评断以及具体司法推论过程中的方法论和工具作用,为我们研究经验法则的内容、作用机制提供了一个新的观察视角。     

Disputes in Japan: A cross-cultural test of the procedural justice model

Research on procedural justice has provided ample evidence that people are concerned not only with the outcome of disputes but also with the fairness of the procedures used to resolve disputes. The majority of the studies examining the importance of procedural justice have been conducted in the United States and Western European countries. This study tests the generality of the procedural justice model by examining the importance of fair procedures to people in a non-Western country, Japan. This study also examines the meaning of a fair procedure from a legal perspective. Past studies have drawn the procedural justice criteria considered from social psychology. We examine several additional criteria derived from the legal concept of due process of law. Results indicate that fair procedures are more important to subjects than fair outcomes in both a traffic accident dispute and a breach of contract case. Furthermore, across both types of disputes, fairness concerns are more important than nonfairness concerns. These results are consistent with findings from studies conducted in Western countries. A new finding that emerges from the study is that the clarity with which a procedure is formulated and presented is a strong determinant of procedural justice judgments.     

Effects of positional restraint on oxygen saturation and heart rate following exercise

This report assesses the effects on peripheral oxygen saturation and heart rate that positional restraint induces when a person is prone, handcuffed, and "hog-tied." Peripheral oxygen saturation and heart rate were monitored at rest, during exercise, and during recovery from exercise for 10 adult subjects. The effects of positional restraint produced a mean recovery time that was significantly prolonged. Consequently, the physiological effects produced by positional restraint should be recognized in deaths where such measures are used.