Long- and short-term risk factors in the prediction of inpatient suicide: review of the literature

The prediction of suicide remains a major challenge for health care professionals in inpatient settings. A clearer identification of factors specific to inpatient suicide is required to improve both practice and research within this area. This paper provides an overview of the inpatient suicide literature to date focusing on two particularly salient themes: Long term and short term prediction of suicide. Since the concept of short-term suicide risk dominates clinical practice, issues in relation to dynamic risk factors are emphasized.     

Rational Management, Performance Targets and Executive Agencies: Views from Agency Chief Executives in Northern Ireland

The way in which central government services are delivered in both Britain and Northern Ireland has changed significantly since 1988. Executive Agencies have been created with the aim of improving the efficiency and effectiveness of service delivery, with changes being supported by an increasing focus on the rational management model as a basis for improving management in the public sector. This paper is a case study of nine agencies within the Northern Ireland 'family of agencies' and is the first study of its type in the UK. It presents the results of a series of interviews with agency Chief Executives that attempted to identify perceptions with respect to the development, use and impact of mission statements, objectives, targets and performance measures (components of a rational management approach). The main findings of the research include: Northern Ireland Chief Executives perceive an increased focus on quantification since agencification; this focus is viewed as helpful in providing a basis for improving management; systems in practice are considered to be much more flexible than a rigid management model would normally suggest; and, it is thought that the potential adverse consequences of such an approach can be managed.     

Medico-legal secrecy in New Zealand

In the absence of the right to sue for medical negligence, the New Zealand Health and Disability Commissioner (HDC) and the Health Practitioners Disciplinary Tribunal (HPDT) have become the centrepieces of New Zealand's medico-legal system. This article examines the claim that for both bodies secrecy, by name suppression, is the default position and that the private interests of doctors are elevated above the legitimate public interest in the performance of medical professionals. In particular, it examines HDC's blanket policy of suppressing the names of complainants, practitioners, hospitals, District Health Boards and geographical locations, and HPDT's stated but wavering commitment to openness. The authors conclude that both bodies may have failed, albeit in different ways, to recognise the legitimate and significant public interest in the names of those few practitioners found in breach of professional standards.     

Transnational Information Politics: NGO Human Rights Reporting, 1986–2000

What shapes the transnational activist agenda? Do non-governmental organizations with a global mandate focus on the world's most pressing problems, or is their reporting also affected by additional considerations? To address these questions, we study the determinants of country reporting by an exemplary transnational actor, Amnesty International, during 1986–2000. We find that while human rights conditions are associated with the volume of their country reporting, other factors also matter, including previous reporting efforts, state power, U.S. military assistance, and a country's media profile. Drawing on interviews with Amnesty and Human Rights Watch staff, we interpret our findings as evidence of Amnesty International's social movement-style "information politics." The group produces more written work on some countries than others to maximize advocacy opportunities, shape international standards, promote greater awareness, and raise its profile. This approach has both strengths and weaknesses, which we consider after extending our analysis to other transnational sectors.     

“If You've Got Friends and Neighbours”: Constituency Voting Patterns for the UK Labour Party Leader in 2010

Most attention in British electoral studies has been paid to the pattern of voting for parties, with relatively little to that for individual candidates. In intra-party elections, however, candidates may perform better in some areas than others, illustrating V. O. Key's well-known “friends and neighbours” effect. This paper explores whether that was so at the election for the leader of the UK Labour party in 2010, expecting each of the five candidates to perform better in their own constituency and its environs and also with those constituency parties whose MPs supported their candidature. The results are in line with the expectations, especially for one of the candidates who ran an explicitly geographical campaign.     

MPs' Responses to a Proposed New Constituency Map: Electoral Prospects,Community Ties and Party Organisation

Until new legislation was passed in 2011, community ties and continuity of representation were the major criteria deployed by the United Kingdom's Boundary Commissions when defining parliamentary constituency boundaries. Equality of electorates is now the paramount criterion, and the Commissions' first proposals using that new format substantially fractured many of the existing constituencies. MPs were able to respond to the Commissions' proposals under the altered public consultation procedures. Only a small majority did so, however: there were significant differences across the political parties in both response rates and the nature of the responses, the majority of which used community ties as the main grounds for either supporting or opposing the Commissions' proposals.