Toxicology and Circumstances of Completed Suicide by Means Other than Overdose*

Abstract: To determine the prevalence and circumstances of psychoactive substances amongst nonoverdose completed suicide, 1436 consecutive cases autopsied at the NSW Department of Forensic Medicine over the period 1/1/1997–12/31/2006 were analyzed. Substances were detected in 67.2% of cases, and illicit drugs in 20.1%. Alcohol was present in 40.6% of cases. Males were more likely to be positive for alcohol, cannabis, and psychostimulants, and females for pharmaceuticals. Illicits were associated with younger age. Alcohol was most prominent amongst toxicity cases, as were opioids, psychostimulants amongst gunshot cases, and pharmaceuticals amongst drownings. Cases in which drug and alcohol histories were noted were more likely to have a substance detected. Alcohol was more common where a suicide note was left and where relationship problems were involved. Pharmaceuticals were more common where a previous attempt was noted. Licit and illicit substances are strongly associated with suicide, even when the method does not involve drug overdose.     

Group Identity and Alienation: Giving the We Its Due

The purpose of this paper is to argue for greater understanding and valuing of group affiliation and the formation of allegiances to groups during early adolescence. An overemphasis on themes of individual identity, self-reliance, and autonomy as the developmental trajectory of adolescence leads to a lack of attention to the positive, normative mechanisms that permit young adolescents to achieve a sense of belonging and connection. We propose developmental processes which underlie the capacity for reflection about groups, 4 basic components of group identity, and 6 propositions about new capacities that emerge as young adolescents struggle with the dialectic between group identity and alienation. The final section suggests opportunities that can emerge through a more appropriate emphasis on group identity as a valued, normative aspect of development during the early adolescent years.     

Constitutional Conversations

This is a review essay of Rajeeva Bhargava's Politics and Ethics of the Indian Constitution (5th ed., 2012), Sudhir Krishnaswamy's Democracy and Constitutionalism in India: A Study of the Basic Structure Doctrine (3rd ed., 2012), and Madhav Khosla's The Indian Constitution, Oxford India Short Introductions (2012).     

A New ‘New Liberalism’? – Directions in Government and Public Policy in Britain

Books reviewed in this article:
David Marquand and Anthony Seldon (eds.), The Ideas that Shaped Post-War Britain
Geoff Mulgan (ed.), Life After Politics – New Thinking for the Twenty-first Century     

Race,Social Welfare,and the Decline of Postwar Liberalism: A New or Old Key?

Fifty-one years ago, when liberalism and social welfare democracy were expanding in all advanced industrialized nations, V.O. Key, Jr., forecast the decline of postwar liberalism in the United States. Current discussion of the decline of liberalism has ignored Key or, when evidence is lacking, has incorrectly cited him. In contrast to Key's relatively direct, simple, and heavily documented reasoning, current explanations are multifactorial, complex, less well documented, and often ideologically loaded. Some explanations for the "postwar" decline identify causal factors more than six years after the war, yet they ignore events in 1945–47. At the fifty-first anniversary of V.O. Key's Southern Politics in State and Nation, attention to Key's forecast and Occam's razor is called for. Key argued that racism in the South, exerted through congressional committees, would lead to a decline of liberalism in the nation. Using "legislative histories," this article compares Key's single-factor "racial" explanation with a two-factor explanation—and by implication with multifactor ones—and finds Key's more compelling and parsimonious. Archival sources indicate that more than two years before the 1948 Democratic Convention, Charlie Ross, Truman's closest advisor, and Truman himself encouraged Key to assess the emerging postwar politics of the South. As Key anticipated, institutionalized racism sunk the Fair Deal and postwar social democracy, despite Truman's efforts. The effects of racism on postwar and current politics and public administration should be reexamined as a key to understanding American distinctiveness or exceptionalism.