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.     

Predicting violent behavior in stalkers: a preliminary investigation of Canadian cases in criminal harassment.

This study examined the factors associated with violent/aggressive behavior in stalkers using a sample of 100 Canadian cases of persons charged with criminal harassment (more commonly known as stalking). Results revealed that the typical profile of a "simple obsessional" type of stalker was a middle-aged male, single or separated/estranged, with a history of emotional and/or anger management problems. The most common initial strategies used by the victims to cope with the stalkers were oriented towards legal resources. Initial legal remedies, including court orders or police warnings, seemed to be ineffective as a strategy to stop stalking given that most stalkers chose to ignore them. The study also provided partial support for a preliminary model of predictors of violent/aggressive behavior in stalkers. Stalkers with previous violent behaviors, strong negative emotions. and obsessional tendencies toward the victim may be most at risk of future violent and aggressive acts.     

Differentiating between physically violent and nonviolent stalkers: an examination of Canadian cases

This study is one of a few that empirically investigated factors that differentiated the physically violent stalker from the nonviolent stalker. Using discriminant analysis, 103 Canadian cases of "simple obsessional" stalking were examined. Overall, the success of the model for classifying cases into one of two groups was 81%. Results revealed that the physically violent stalker is more likely to: (a) have a stronger previous emotional attachment toward their victim; (b) be more highly fixated/obsessed with their victim; (c) have a higher degree of perceived negative affect towards their victim; (d) engage in more verbal threats toward the victim; and (e) have a history of battering/domestic abuse towards the victim. Overall, the variables that best differentiate the physically violent stalker from the nonviolent one appear to characterize underlying themes of anger, vengeance, emotional arousal, humiliation, projection of blame, and insecure attachment pathology.     

Convergence in the Dutch Health Insurance: Possibilities and Obstacles in a European Perspective

Convergence in Dutch Health Insurance presents possibilities and obstacles considered from a European perspective. The idea is to converge the two existing systems of social and private health insurance. Private health insurers will be obliged to offer a minimum level of health insurance cover based on community rating. In this article consequences of the EC Treaty are in focus. Extensive convergence can be legally allowed in the interests of the common good. The European Court of Justice plays a decisive role in deciding whether convergence is approved according to the rules of the EC Treaty.     

Politics versus culture: Which is stronger?

This article examines the assertion that cultural factors, more than anything else, explain the rapid economic progress of Asian countries in recent years, as against the slow progress (and even retrogression) of African countries. In considering the relationship of politics to culture, it begins by examining various quandaries: the meaning of culture; the causes and manifestations of culture; the possibilities of rapid acculturation; and the importance of Westernization for development. Examples are presented to indicate that cultural barriers to development are often politically created and, as such, politically vulnerable. Political elasticity theory is introduced here to explain the capacity of leaders to influence and change culture, as shown in three case studies. The article ends with an examination of the implications of the propositions presented for World Bank lending programs, suggesting, not only the importance of taking culture into account, but going beyond it into the political requisites for changing culture. After receiving his Ph.D. from the University of California, Berkeley, Herb Werlin taught African studies in the political science departments at SUNY, Stony Brook and The University of maryland, College Park. From 1977 to 1984, he edited the newsletterThe Urban Edge for the World Bank. In 1993 he retired from the urban studies department at the University of Maryland. He is currently an independent consultant in urban development and development administration fields. This article is being adapted for a chapter of a book,Exploring the Mysteries of Development: Using Political Elasticity Theory.