Monitoring deliberate self-harm presentations to general hospitals

Monitoring of deliberate self-harm (DSH) presentations to hospitals (and in other settings) is receiving increased attention in many countries. This is due to greater recognition of the size of the problem and awareness of its relevance to suicide prevention policy initiatives, because of the strong association between DSH and suicide. A system for monitoring all DSH presentations has been in place in the general hospital in Oxford for 30 years. Based on our experience, in this paper we describe procedures for monitoring, including case definition and identification, linkage of persons and episodes in order to investigate repetition of DSH and other outcomes (including deaths), and data protection and ethical issues. We also provide details of how to carry out monitoring, including different models of data collection, and what data to collect. Finally we consider the potential uses of the data for both clinical and research purposes, including evaluation of national suicide prevention initiatives.     

An Archival Analysis of Actual Cases of Historic Child Sexual Abuse: A Comparison of Jury and Bench Trials

Logistic regression analyses were used to predict verdicts from 466 Canadian jury and 644 Canadian judge-alone criminal trials involving delayed or historic allegations of child sexual abuse. Variables in regard to the complainant and offence were selected from the legal, clinical, and experimental literatures, including mock juror research. Of six variables that had been related to decisions reached in mock juror research concerning delayed allegations of child sexual abuse (i.e., repressed memory testimony, involvement in therapy, length of delay, age of complainant, presence of experts, and frequency of abuse) two (age of complainant and presence of expert) predicted verdicts. An additional five variables (duration, severity, complainant–accused relationship, threats, and complainant gender) were also examined: of these, threats and the complainant–accused relationship reliably predicted jury verdicts. For judge-alone trials, five variables predicted verdict: length of the delay, offence severity, claims of repression, the relationship between complainant and accused, and presence of an expert. Implications of the jurors' and judges' differential sensitivity to these variables for future simulation and archival research are discussed.     

Delayed Prosecutions of Historic Child Sexual Abuse: Analyses of 2064 Canadian Criminal Complaints

Recently, in many English-speaking countries, legal principles that had the effect of barring delayed criminal prosecutions have been abrogated. In these jurisdictions, criminal prosecutions of child sexual abuse that is alleged to have occurred in the distant past (historic child sexual abuse or HCSA) are a growing legal challenge. These cases raise myriad issues relevant to research and the development of public policy that would benefit from a considered exchange of ideas that is informed by a clear understanding of the phenomenon. Based on 2064 judicial decisions of Canadian criminal complaints of HCSA we describe the trial, the complainant, the accused, and the offence. In the context of these legal cases, we raise some of the germane issues as well as suggestions for future research and discussion that we believe are particularly current and pressing.     

Using the Investment Model to Understand Battered Women's Commitment to Abusive Relationships

We replicate and extend research using the Investment Model (Rusbult, 1980, J. Exp. Social Psychol., 45, 101–117) to understand battered women's commitment to abusive relationships. The Investment Model is a nonpathologizing theory that views commitment as a function of one's satisfaction with, alternatives to, and investments in the relationship. These factors were examined in a shelter-based sample of battered women. Investment model variables, particularly satisfaction, were also examined as mediators of the relationship between abuse exposure and commitment. Both Investment Model and abuse exposure constructs were assessed using instruments more fully developed than in previous research. Results indicated that each of the Investment Model factors contributed uniquely to women's commitment, and that relationship satisfaction mediated the relationship between psychological (but not physical) abuse and commitment. Implications for future research and intervention are discussed.

Identification of human skeletal remains by comparison of bony details of the cranium using computerized tomographic (CT) scans

A case is described where a cranium from an unknown individual is identified by comparison of antemortem and postmortem computerized tomographic (CT) images of the bony structure of the skull. While on at least one occasion CT scans of individual cranial landmarks have been used to identify unknown remains, this study is remarkable because positive identification of a deceased individual was accomplished by performing a CT scan on an unidentified cranium and comparing multiple landmarks and images with corresponding features in an antemortem CT scan of a missing man. Bony details of the frontal and sphenoid sinuses, ethmoid and mastoid air cells, sagittal cranial suture, and the torcula (the internal occipital protuberance) were exactly the same on both CT scans, confirming them as the same person.     

A shortened child behavior checklist for delinquency studies

This study examines the reduction of the number of items in the scales of the Child Behavior Checklist, while maintaining the reliability and predictability of its original scales. For that purpose, the original scales were replicated with data from the Pittsburgh Youth Study. New, abbreviated scales were constructed using the most potent items. This process yielded trimmed scales that were highly correlated with the full scales and that still reflect the original meanings of the scales. Further, there was no loss of reliability or predictability with the trimmed as opposed to the full scales. The results were replicated in an analysis with identical variables from the Rochester Youth Development Study. This replication produced equally high reliabilities with similar levels of prediction of delinquent behavior.We would like to thank Terence P. Thornberry for helpful comments and advice on early drafts of this paper.     

The Shadow Negotiation and the Interest-Based Approach at Kaiser Permanente

As interesting and significant as the Kaiser Permanente case is in and of itself, there were many parallel negotiations that took place just below the surface of the overt negotiations. The author focuses on this "shadow negotiation," exploring a series of strategic moves that took place in the case, enabling the parties to craft their negotiation process. These shadow negotiations involved positioning moves, process moves, power moves, and appreciative moves. The parallel shadow negotiation was a significant factor in the success of the Kaiser Permanente negotiations.