Swedish Drug Policy: A Successful Model?

The shift in Swedish drug policy since around 1980 towards a more strict model has according to the official point of view been successful by comparison with the earlier, more lenient drug policy. However, available systematic indicators show that the prevalence of drug use has increased since around 1980, that the decrease in drug incidence was particularly marked during the 1970s and that some indicators point towards an increase during the 1990s. The shift towards a more strict policy.     

Forensic Autopsies can Determine Latent Prostate Cancer Prevalence

To evaluate the usefulness of forensic autopsies in determining latent prostate cancer (PC) prevalence, we examined latent PC prevalence from autopsies and compared our findings between decedents with and without cancer. Data from forensic autopsies performed in Japan from 2004 to 2014 were obtained. For each prostate, histopathological examinations were performed in both the base and the apex sections. Three hundred and seventeen Japanese decedents were selected for analysis. The mean age of decedents was 56.4 ± 17.8 years (range, 14–94 years). Among this population, 39.4% died suddenly of disease and 60.6% died of external causes. Latent PC was identified in 45 (14.2%) decedents, who ranged from 27 to 93 years old (mean, 71.1 ± 12.9 years). The prevalence of clinically significant PC with a Gleason score of 7 or more was 8.8%, and the rate increased with age. Fifteen males had cancers other than PC. The prevalence of overall latent PC was significantly higher for those with cancer compared with those without (40.0% vs. 12.9%; P = 0.003). In this study, the use of forensic autopsy materials provided the opportunity to obtain a more accurate natural history of PC, as the decedents in this situation would have been more likely to have died suddenly while behaving as normal prior to death, and less likely to have been impacted by long-term medical interventions.     

Severe Sexual Sadism—An Underdiagnosed Disorder? Evidence from a Sample of Forensic Inpatients

Abstract:  Severe sexual sadism is a disorder of sexual preference that focuses on humiliation and subjugation of the victim, sometimes causing grievous injury or death. Sexual sadists pose a particular risk. However, the diagnosis as such is unreliable and prevalence estimates vary. In a sample of male high-security forensic inpatients who had committed sexual offenses, we found two-thirds of sexual sadists had not been identified as such prior to commitment. Possible reasons for missing the diagnosis are many fold. Present data support the notion that unrecognized sexual sadists more closely resembled non-sadistic sex offenders than accurately diagnosed sadists. In particular, initially unrecognized sexual sadists had less severe previous convictions, less vocational training, and experienced a less supportive upbringing than their correctly identified sadistic counterparts. The latter, in contrast, more often reached media coverage through their offense(s). We conclude that severe sexual sadism is likely an underdiagnosed, yet forensically highly relevant disorder.     

Intellectual and developmental disabilities and Ontario’s forensic inpatient system: a population-based cohort study

Individuals with intellectual and developmental disabilities (IDD) in forensic inpatient beds are both complex and understudied. Previous studies have been limited and largely based on smaller clinical samples. We used data from a population-based cohort of Ontario adults with IDD (H-CARDD cohort, n?=?66,000) to describe their prevalence in forensic inpatient beds during 2005–2015 and compare their demographic and clinical profiles with non-IDD forensic patients. Results show that forensic patients with IDD and without IDD have similar profiles, with the exception that patients with IDD are more likely to have a psychiatric disorder and to be younger, rural, and have high or very high morbidity. Strong support was found for disproportionate admission: individuals with IDD are 12.2% of forensic inpatients but only 0.8% of the general population (d?=?1.57). Support for disproportionate utilization was less dramatic and mixed. Little difference was found in terms of the per cent of longer-stay (treatment) admissions or multiple forensic admissions; however, patients with IDD did have longer number of bed days over 10 years (averaging 220.6 days more, d?=?0.28). A better understanding of the barriers to discharge for individuals with IDD will support implementation of appropriate pathways out of the hospital.     

Estimates of Repeat Victimization Using the National Crime Victimization Survey

Many crime victims experience multiple victimizations over time. Estimating the rate of repeat victimization from a longitudinal survey, however, is difficult because individuals often have missing data for some of the interviews. We use data from the 1996–98 U.S. National Crime Victimization Survey to explore potential effects of missing data on estimated rates of repeat violent victimizations in individuals. We introduce two algorithms for estimating repeat victimization rates, using logistic models to impute values for individuals who have partial data. These models are applied to estimate rates of repeat victimization for all violent crimes, and separately for crimes of domestic violence. Estimates show substantial sensitivity to the form of the model used.     

Epidemiological Considerations in the Conceptualization and Utilization of “Prevalence” and “Incidence Rate” in Family Violence Research: A Reply to Brownridge and Halli (1999)

Brownridge and Halli (1999) have argued that the literature on family violence is beset by confusion in the conceptualization and utilization of incidence and prevalence terminology. Although we basically agree with the authors' diagnosis of the field, definitions of prevalence and incidence that they propose as gold standards are sometimes discrepant with established concepts in epidemiology. Drawing on the epidemiologic literature, we present more solidly based and operational definitions of these terms and try to understand the meaning of each measure. The same confusion surrounding use of prevalence and incidence also reigns in child maltreatment research, as revealed in our review of major studies. We address some of the main but often overlooked issues associated with use of epidemiologic measures in an area of social research such as family violence and make some proposals.     

广东省乳牛隐孢子虫病的流行病学调查

对广东省 10个奶牛场进行了隐孢子虫病的流行病学调查 ,并按大致 10 %的采样率采集了 10 87头乳牛的新鲜粪便 ,以饱和蔗糖漂浮法和改良抗酸染色法检查隐孢子虫卵囊 ,其中检出卵囊的阳性牛 92头 ,阳性率为 8.4 6 % ;有 7个场检出隐孢子虫卵囊 ,场阳性率为 70 %。这 7个奶牛场的卵囊阳性检出率分别是 10 .0 0 %、7.19%、6 .6 7%、9.80 %、6 .72 %、12 .76 %和 6 .72 %。调查发现 ,乳牛隐孢子虫的阳性率和感染强度与乳牛年龄呈负相关关系 ,而且可能与气候有关 ;所检出的隐孢子虫卵囊经形态学鉴定为鼠隐孢子虫 (Cryptosporidiummuris)。     

Review of point-of-reception mental health screening outcomes in an Australian Prison

The point-of-reception into prison is a critical juncture as it provides early opportunities to identify mental illness and initiate treatment. Although large numbers of mentally ill prisoners are received into prison each day, research investigating mental health screening outcomes at the point-of-reception is limited. This study aimed to address this gap by examining reception screening outcomes for all prisoners received into an Australian prison during 2009 (n?=?4229). Overall, 19% of all prisoners were mentally ill, and another 20% had a history of psychiatric illness that required ongoing care. Mentally ill prisoners had a higher risk of suicide or self-harm and required more observation than other prisoners. At reception, no mentally ill prisoners were transferred to the state’s forensic hospital and few were transferred to the prison’s mental health unit, or provided support service referrals. These findings highlight that outcomes made at the point-of-reception are heavily influenced by the availability of prison mental health resources.     

Drug Policies and Drug Prevalence: The Role of Demand and Supply

Changes in drug policy within countries and variations in drug policy across countries do not show clear cut relationships with drug prevalence levels. Neither liberal nor repressive policies promote or reduce drug use. Though policy might affect supply, factors associated with demand seem to exert a greater impact. Socio-economic conditions and attitudes of the populations towards drugs and related areas might be more important than policy in determining the prevalence level of cannabis and the turnover rate to hard drug use.     

Gender Differential Influences of Early Adolescent Risk Factors for the Development of Depressive Affect

Based on a model by Cyranowski, J., et al. (2000), Arch. Gen. Psychiatry 57: 21–27, adolescents at-risk for the development of depressive symptoms were identified. Adolescents were considered at-risk if they had 2 or more of the following early adolescent risk factors: (1) insecure parental attachment, (2) anxious/inhibited temperament, (3) low instrumental coping skills, and (4) early pubertal maturation. Nonrisk adolescents had zero or just one risk factor. Using data from a 10-year longitudinal study on the development of adolescents’ health, with 5 points of data assessment (i.e., 6th, 7th, 8th, 12th, and 12 + 4 follow-up), the impact of the four early adolescent risk factors on the development of emotional tone was investigated. Emotional tone was measured by the Emotional Tone Scale of the SIQYA (Petersen, A. C., et al. (1984), J. Youth Adolesc. 13: 93–111), an indicator for positive emotional tone and low depressed affect. Growth curve modeling was applied to reveal significant gender differences in level and slope for the development of emotional tone over the adolescent years. Latent Growth Curve Models can be seen as a combination consisting of repeated measures analysis of variance and autoregressive analyses to evaluate the latent change of the variables under investigation (Rovine, M. J., and Molenaar, P. C. M. (2000), Multivar. Behav. Res. 35(1): 51–88). At-risk girls revealed poorer levels of emotional tone which stayed almost at the same low level up to young adulthood (i.e., 12 + 4), indicating a long lasting impact of the specified risk factors. In contrast, at-risk boys showed poorer emotional tone in early adolescence, but at the end of adolescence boys at-risk had the same level of emotional tone as nonrisk boys. At-risk girls showed significantly higher levels of depressive symptoms at grade 12 and at 12 + 4.Assistant Professor at the Department of Psychology, University of Erlangen-Nuremberg. He received his master’s degree from the Technical University Berlin in 1989 and his PhD from the Pennsylvania State University in 1993. His research interests encompass developmental psychology and methodology.Senior Vice President for Programs at the W. K. Kellogg Foundation, Battle Creek, Michigan. She received her PhD from the University of Chicago.