Refusing medical treatment after attempted suicide: rethinking capacity and coercive treatment in light of the Kerrie Wooltorton case

The inquest into the death of Kerrie Wooltorton in Norfolk, England, ignited extensive public debate on the scope of the common law right to refuse medical treatment where a patient is distressed, depressed or actively suicidal. In Australia, a patient's wishes need not be honoured if the patient is not legally competent, if he or she falls within the ambit of the compulsory treatment provisions in the mental health legislation, and possibly also if there is a recognised public interest in preventing suicide which is sufficient to override the patient's choice. This article argues that decisions about whether to give medical treatment despite an apparent refusal should be based solely on a determination of the patient's competence to make their own choice. However, the test for legal competence must take into account the person's agency in making the decision, and decisions which will effectively end the person's life must be shown to be thought through.     

Electronic and School-Based Victimization: Unique Contexts for Adjustment Difficulties During Adolescence

Previous research suggests that school-based and electronic victimization have similar negative consequences, yet it is unclear whether these two contexts offer overlapping or unique associations with adolescents’ adjustment. 802 ninth-graders (43% male, mean age = 15.84 years), majority being Caucasian (82%), completed measures assessing the prevalence of school and electronic victimization, as well as self-reports on self-esteem, self-efficacy, anxiety, depressive symptoms, and locus of control. Results revealed that the majority of adolescents did not report being victimized in either the electronic (75.3%) or the school (72.9%) context. Victimization in both contexts was associated with lower self-esteem and self-efficacy as well as higher stress, anxiety, depressive symptoms, and locus of control. Importantly, even after controlling for school-based victimization, electronic victimization remained as a significant predictor for all outcome measures. Different types of electronic victimization were also associated with different psychological outcomes. The findings suggest that it is important to distinguish between victimization contexts and specific adjustment outcomes as school and health officials continue to battle the effects of peer victimization.     

Reactions to participating in dating violence research: are our questions distressing participants?

In recent years, there has been increased research focus on dating violence, producing important information for reducing these violent relationships. Yet Institutional Review Boards (IRBs) are often hesitant to approve research on dating violence, citing emotional distress of participants as a possible risk of participation. However, no known research has examined the reactions of research participants to questions about dating violence. The current study examined the reactions among college students to completing a self-report measure on dating violence. Results showed that participants reported numerous positive experiences as a result of their research participation, with only mildly increased negative emotional reactions evident for some. Findings are discussed in relation to IRB proposals and appropriate informed consent for research participants.     

Returning to the child welfare system: Understanding the wellbeing,health, education,and placement of children who return

Using longitudinal archival Child Welfare System (CWS) data, this study describes child health and wellbeing at their initial entrance into the CWS and subsequent returns. Associations between child wellbeing, health, placement stability, and frequency of returning to the system were also investigated. Results indicated most children were healthy and developmentally on target. In addition, emotional distress, behavioral concerns, and number of placements in the CWS were significantly correlated with placement stability. Future work should utilize the use of developmental assessments to systematically and reliably document the concerns for children in the system, and investigate factors contributing to stable placements.     

Dynamics of Polarizing Rhetoric in Congressional Tweets

Affective polarization is pervasive in modern US politics, and can be intensified by strategic messaging from members of Congress. But there are gaps in our knowledge of the dynamics of polarizing appeals from elected representatives on social media. We explore the usage of polarizing rhetoric by members of Congress on Twitter using the 4.9 million tweets sent by members of Congress from 2009 to 2020, coded for the presence of polarizing rhetoric via a novel and highly accurate application of supervised machine learning methods. Fitting with our expectations, we find that more ideologically extreme members, those from safer districts, and those who are not in the president’s party are more likely to send polarizing tweets, and that polarizing tweets garner more engagement, increasing campaign funding for more polarizing members.