Medicolegal death investigator workplace safety hazards: A scoping review of the literature

In the United States, medicolegal death investigation practices and policies pertaining to sudden unexpected deaths are mandated by state government. Practices vary across states, which contributes to inconsistency in job prerequisites and training. In preparation for a study focused on occupational safety and health of medicolegal death investigators in their on-scene and follow-up activities, a scoping review was conducted to document known occupational safety risks and health-related conditions associated with death investigation. Searches used Boolean and subject heading operators both broad and narrow in scope, and search terms included scene responder, hazard, investigator, forensic pathology, injury, and safety. Twenty-five articles met inclusion criteria, which included seventeen survey-mixed method designs, two systematic reviews, five quasi-experimental designs, and one case study. Twelve articles addressed mental health and eleven focused on risks associated with infectious disease. One article addressed the risk of chemical exposure from cyanide among autopsy personnel (including forensic pathologists) and nine included a wide range of employees within the setting of medical examiner or coroner offices. One article, addressing burnout, included employees in a forensic science laboratory setting as well as medicolegal death investigators and two articles included forensic pathologists and medicolegal death investigators. Only one article addressed medicolegal death investigators specifically. Articles addressing occupational and environmental hazards of medicolegal death investigators associated with musculoskeletal, respiratory, cardiovascular, radiological, nuclear, electrical, or explosive threats were not identified. There is little published about safety risks inherent in conducting death investigations. Research is needed to adequately inform health promotion and injury prevention strategies.     

Intergovernmental Organizations,Interaction, and Member State Interest Convergence

This article presents a general theory of how the interaction of state agents within intergovernmental organizations (IGOs) leads to a convergence in member state interests over time. The theory is based on the notion that, all else being equal, IGOs that facilitate more interaction between individuals from various states are conducive to greater member state interest convergence over time because there are more opportunities for agents from one or more member states to persuade agents from other member states to accept new ideas that affect how they define their states’ interests. I argue that such persuasion does not necessarily have to involve a shift in state identities but can also involve a diffusion of ideas about cause-and-effect relationships. Also, by focusing on IGOs as structures within which state agents interact, I argue against a narrow focus on socialization defined as the induction of new members into community norms. I present three hypotheses regarding which institutional attributes are conducive to member state interest convergence and test them using an original IGO data set. The findings are supportive of my general theory but provide some interesting support for existing theory that runs counter to one of the hypotheses presented here.     

Adolescent Sexual Debut and Later Delinquency

Does sexual debut (i.e., experiencing sexual intercourse for the first time) increase the risks of participating in later delinquent behavior? Does this risk increase if adolescents experience early sexual debut relative to the timing experienced by one’s peers? Although many factors have been linked to sexual debut, little research has examined whether sexual initiation is linked to later behavioral outcomes. Using data on adolescents participating in three waves of the National Longitudinal Study of Adolescent Health (N=7,297), we examine the interconnections between sexual debut and later delinquency. In addition, we pay particular attention to the role of timing of sexual debut. We find that experiencing sexual debut is associated with delinquency one year later. In addition, those adolescents who experience early sexual debut relative to their peers are at higher risk of experiencing delinquency compared to those who debut on-time; adolescents who experience late sexual debut are the least likely to participate in delinquency. Moreover, the protective effect of late sexual debut appears to persist for several years. Findings are interpreted by drawing on developmental theory and life course research.     

School-Based Prevention of Problem Behaviors: A Meta-Analysis

This study examines the features of effective school-based prevention of crime, substance use, dropout/nonattendance, and other conduct problems. It summarizes, using meta-analytic techniques, results from 165 studies of school-based prevention activities that ranged from individual counseling or behavior modification programs through efforts to change the way schools are managed. The results highlight several inadequacies in the existing research for guiding policy and practice, the most notable of which is that many popular school-based prevention approaches have not been well studied to date. The study shows, however, that school-based prevention practices appear to be effective in reducing alcohol and drug use, dropout and nonattendance, and other conduct problems. The size of the average effect for each of the four outcomes was small and there was considerable heterogeneity across studies in the magnitude of effects, even within program type after adjusting for measured method and population differences. Non-cognitive-behavioral counseling, social work, and other therapeutic interventions show consistently negative effects, whereas self-control or social competency promotion instruction that makes use of cognitive-behavioral and behavioral instructional methods show consistently positive effects. Also effective are noninstructional cognitive-behavioral and behavioral methods programs. Environmentally focused interventions appear to be particularly effective for reducing delinquency and drug use.