Caring Letters Project: a military suicide-prevention pilot program

Background: The Caring Letters Project (CLP) is a suicide prevention program that involves sending brief caring letters to discharged inpatients following psychiatric hospitalization. Several studies suggest that repeatedly sending caring messages may reduce suicides and suicide attempts in high-risk populations. Aims: The aims of this study were to (1) evaluate feasibility of use in the military setting, (2) explore trends toward reduction of psychiatric rehospitalizations, (3) assess preference for and test e-mail correspondence, and (4) identify best practices and gather data to inform a randomized controlled study. Methods: A total of 110 psychiatric inpatients at a military treatment facility consented, were interviewed, and then received personalized handwritten letters or e-mails at regular intervals following discharge. Data collected included demographics, clinical characteristics, preference for e-mail versus postal mail, rates of undeliverable and return correspondence, rehospitalizations, and adverse events requiring safety procedures. Results: A total of 436 letters and e-mails have been sent to date. Most participants indicated preference for e-mail versus postal mail. Fifteen participants were readmitted for treatment compared to 20 patients in usual care. Twenty participants sent responses and all were positive statements about the program. There were no adverse events. Conclusions: This program is feasible for use at a military treatment facility. A randomized controlled trial is needed to determine whether the intervention can reduce suicide rates among military and veteran populations.     

Inconsistencies in children's recall of witnessed events: The role of age,question format and perceived reason for question repetition

Purpose. Children's inconsistencies when answering repeated questions about past events are a source of concern in forensic, educational, and other contexts. Theoretical accounts of these inconsistencies have predominantly assumed that children shift because they infer adult dissatisfaction with their initial answer. This study aimed to test this account via examination of the effects of question format on shifting, as well as via direct questioning of children. Method. Four‐, five‐, and seven‐year‐olds (N = 226) were asked 17 recall questions about a recent classroom activity, with eight target questions repeated in one of four formats: no‐correct (mildly misleading questions to which the correct answer was ‘no’), yes‐correct (mildly misleading questions to which the correct answer was ‘yes’), specific open wh‐ questions, and forced‐choice questions. They were then asked about the adult's reasons for repetition. Accuracy, shifting, and interpretations of question repetition were examined. Results. Shifting from accuracy decreased with age, and was affected by question format in 4‐year‐olds only, who shifted more to no‐correct than to forced‐choice questions. Shifting towards accuracy was more common in forced‐choice questions than either no‐correct or open questions, but there were no significant age differences. First‐answer‐unsatisfactory interpretations of question repetition were rare, especially in the two younger groups. The oldest group offered a wider range of interpretations and also showed some evidence of an association between first‐answer‐unsatisfactory interpretations and shifting. Conclusions. Overall, our findings present a challenge to first‐answer‐unsatisfactory explanations of young children's shifting in recall settings, at least where overt pressure to shift is low. Forensic implications are considered.     

Urban renewal as policy innovation in China: From growth stimulation to sustainable development

A major policy innovation in China, urban renewal creates an opportunity to promote sustainable inner‐city development and to foster economic growth in an environmentally and culturally sound way, which demands a close investigation of its context, internal and external dynamics, and policy features. Property‐led redevelopment dominated China's urban renewal since the early 1990s, as a result of the market reform and political decentralization. Recently, it has become important to meet the interests of local communities and the diverse stakeholders in the effort to preserve the urban history and cultural fabric of cities. Contextual factors in urban renewal policy and its innovation are investigated by analyzing a pioneering case in Guangzhou from a longitudinal study approach. The impact of the structural‐instrumental, cultural‐institutional, and environmental perspective on policy innovation with the change of contextual factors that transformed the development ideology and the managerial practice are identified to provide a new angle of studying policy innovation in the urban field.     

Longitudinal Change in High-Cost Prosocial Behaviors of Defending and Including during the Transition to Adulthood

Despite high profile examples that are highlighted in the popular media, we know little about high-cost prosocial behaviors such as defending and including, and how these behaviors might change over time and vary by individual. Thus, this study explored defending and including behaviors across the transition to adulthood by assessing growth and profiles of these high-cost prosocial behaviors over a four-year time span. In addition the study explored gender, emotional (sympathy), cognitive (personal values), individual (self-esteem), and relational (maternal warmth) factors during adolescence that predicted profiles of defending and including during the transition to adulthood. Participants were 469 individuals (52% female, 70% European American) who participated at four time points (ages 18–21). Growth curve analyses showed that defending and including behaviors decreased slightly across the transition to adulthood and these behaviors tended to vary as a function of the target of the behavior. Latent profile analyses revealed three groups at each age, one with low, one with medium, and one with high levels of defending and including. The discussion focused on the prevalence and change in defending and including behaviors during the transition to adulthood, as well as the variability that exists in high-cost behavioral profiles.     

Tangles,tears and messy conversations: using a media discussion group to explore notions of strong women

In this article, we discuss the experiences of six female secondary-school students participating in a media group that encouraged critical discussion and analysis of gender, particularly with respect to notions of strong women in popular media texts. Throughout the study, the participants viewed various forms of media and critically discussed gender representations. We describe the ways that we encouraged critical discussion that prompted the participants to challenge dominant perspectives and develop personal positions regarding gendered representations in popular media. Many discussions were convoluted and often contradictory. Throughout these debates, however, moments emerged in which participants identified complexities associated with gendered representations of strong women as related to privilege, beauty ideals and autonomy. We identify these moments as messy yet critical, requiring the researchers to challenge participants’ postfeminist notions of strong women. We emphasize the importance of ongoing dialogue and the potential of media for encouraging discussion.     

Independent Professional Bureaucracies and Street-Level Bribery: Comparing Changes in Civil Service Law and Implementation in Latin America

Using cross-sectional data, studies of the relation between merit-based bureaucracies and corruption usually find that nations with more professional and politically independent bureaucracies have lower corruption. However, cross-section designs cannot test this policy claim. This study adopts a pre-test?post-test design using lagged data comparing changes in civil service laws and implementation in eight Latin American countries from 2004 to 2012 and data reporting subsequent change in bribe requests by the bureaucrats that the laws are intended to affect. Raising questions about the validity of previous results, it is found that improved laws and implementation were associated with no or increased bribe requests.     

Terrorist Assassinations and Target Selection

This research note examines political institutional changes in the aftermath of terrorist assassinations. Contemporary assassinations are more often a component of wider campaigns of political violence rather than a singular attack on a head of state. The Global Terrorism Database counts 16,831 terrorist assassinations from 1970–2014, indicating significant frequency of these events and includes a wide range of targets from law enforcement officials to foreign diplomats. Utilizing survival analysis, the span of time from a terrorist assassination event to a change in political institutions within states is measured between target types. Outcome differences between target types are identified.     

De-radicalizing Pakistani society: the receptivity of youth to a liberal religious worldview

The reported rise in radicalism among youth in Pakistan since 9/11/2001 has been attributed to religious education in madrasas and schools. However, education in Pakistan is only part of the historical and contemporary forces that contribute to the prevailing exclusivist religio-political discourse. Although most policy papers have recommended a secularization of public education, such efforts by the Pakistani Government have been counterproductive. These efforts by the Pakistani Government to reshape education, with massive funding from international donors, have faced strong opposition and there are signs of psychological reactance as evidenced by even greater levels of religious radicalism among Pakistani youth. The current study suggests a viable alternative for reshaping education in Pakistan. A nationwide survey of educated urban youth (N = 386) conducted by the first author, revealed that when considering radical religious, Western secular and liberal religious ideas, Pakistani youth were overwhelmingly supportive of a liberal religious approach to education that highlights an inclusive Islam emphasizing freedom and compassion. Findings have implications for Government reforms, peace education initiatives and long-term conflict transformation in Pakistan.