Trends in US emergency department visits for suicide attempts, 1992-2001

This article describes trends in suicide attempt visits to emergency departments in the United States (US). Data were obtained from the National Hospital Ambulatory Medical Care Survey using mental-health-related ICD-9-CM, E and V codes, and mental-health reasons for visit. From 1992 to 2001, mental-health-related visits increased 27.5% from 17.1 to 23.6 per 1000 (p < .001). Emergency Department (ED) visits for suicide attempt and self injury increased by 47%, from 0.8 to 1.5 visits per 1000 US population (p(trend) = .04). Suicide-attempt-related visits increased significantly among males over the decade and among females from 1992/1993 to 1998/1999. Suicide attempt visits increased in non-Hispanic whites, patients under 15 years or those between 50-69 years of age, and the privately insured. Hospitalization rates for suicide attempt-related ED visits declined from 49% to 32% between 1992 and 2001 (p = .04). Suicide attempt-related visits increased significantly in urban areas, but in rural areas suicide attempt visits stayed relatively constant, despite significant rural decreases in mental-health related visits overall. Ten-year regional increases in suicide attempt-related visits were significant for the West and Northeast only. US emergency departments have witnessed increasing rates of ED visits for suicide attempts during a decade of significant reciprocal decreases in postattempt hospitalization. Emergency departments are increasingly important sites for identifying, assessing and treating individuals with suicidal behavior.     

A Three-Step Latent Class Analysis to Identify How Different Patterns of Teen Dating Violence and Psychosocial Factors Influence Mental Health

Although multiple forms (i.e., physical, threatening, psychological, sexual, and relational abuse) and patterns (i.e., perpetration and victimization) of violence can co-occur, most existing research examines these experiences individually. Thus, the purpose of this study is to investigate: (1) homogenous subgroups based on victimization and perpetration of multiple forms of teen dating violence; (2) predictors of membership in these subgroups; and (3) mental health consequences associated with membership in each subgroup. Nine hundred eighteen adolescents in the 9^th or 10^th grade at seven public high schools in Texas participated in the survey (56?% female, White: 30?%, Hispanic: 32?%, African American: 29?%, others: 9?%). A three-step latent class analysis was employed. Five latent teen dating violence classes were identified: (1) nonviolence; (2) emotional/verbal abuse; (3) forced sexual contact; (4) psychological?+?physical violence; and (5) psychological abuse. Females, African Americans, and youth who had higher acceptance of couple violence scores and whose parents had less education were more likely to members of dating violence classes compared with the nonviolence class. Adolescents who experienced multiple types of dating violence reported greater mental health concerns. Prevention programs may benefit by identifying the homogenous subgroups of teen dating violence and targeting adolescent teen dating violence accordingly.     

A Life Sentence in Installments: A Qualitative Analysis of Repeat Offending Among Short-Sentenced Offenders

Short-sentenced (less than 12 months) offenders in the United Kingdom consistently account for the greatest number of discharges from prison and demonstrate the highest risk and rate of reoffending. Moreover, until recent changes in UK legislation in 2015, individuals serving short sentences were released into the community with little support postrelease. The present study presents an exploration of (re)offending in individuals who have already served multiple short sentences in custody and aims to understand their experiences, perceptions, and insight into their offending. Is there anything apropos short sentences specifically, or those who continually serve them, that can explain the high rates of reoffending in this population? Semistructured interviews were conducted with eight prisoners currently serving short custodial sentences. Interpretative phenomenological analysis was implemented deriving three superordinate themes from the rich dataset: (a) living short sentences, (b) “You’d do the same if you were me,” and (c) negotiating an identity.     

Inclusive Development and the Asymmetric State: Big Projects and Local Communities in the Brazilian Amazon

In 2003, the Workers’ Party took federal office in Brazil on an agenda of social inclusion and popular participation. This paper explores attempts to implement that agenda in big infrastructure projects in the Amazon: the BR-163 road and the Belo Monte dam. We argue that overlapping inequalities (between social groups, within the bureaucracy and between territorial centre and periphery) result in uneven state capacities for implementing projects in the Amazon. This framework helps explain why the government has moved much faster in building infrastructure than in implementing participatory social and environmental programmes that would benefit affected local communities.     

Toward universal sisterhood

Relatively little has been written about the women's internationalist movement which originated in the late nineteenth century and culminated in opposition to World War I. This article briefly sketches its growth during those years and suggests that the war, far from sundering the bonds between women, provided the opportunity for women to explore their common values and perspectives. In addition, it proposes alternatives and objectives for subsequent scholarly treatments of the topic.     

Cultural Challenges to Biotechnology: Native American Genetic Resources and the Concept of Cultural Harm

This article examines the intercultural context of issues related to genetic research on Native peoples. In particular, the article probes the disconnect between Western and indigenous concepts of property, ownership, and privacy, and examines the harms to Native peoples that may arise from unauthorized uses of blood and tissue samples or the information derived from such samples. The article concludes that existing legal and ethical frameworks are inadequate to address Native peoples' rights to their genetic resources and suggests an intercultural framework for accommodation based on theories of intergroup equality and fundamental human rights.