The Mental Health of 13–17 Year-Olds in Australia: Findings from the National Survey of Mental Health and Well-Being

The prevalence of 3 mental disorders (Depressive Disorder, Conduct Disorder and Attention-Deficit/Hyperactivity Disorder), the prevalence of mental health problems, and rates of health-risk behaviours among those with problems, along with patterns of service utilisation, are reported for 1490 adolescents aged 13–17 years in Australia. Mental disorders were assessed using the Diagnostic Interview Schedule for Children Version IV completed by parents. Parents and adolescents also completed standard questionnaires designed to assess mental health problems, health-risk behaviours and service use. On the basis of parent reports, 13% of adolescents were identified as having mental health problems, while 19% were identified as having problems on the basis of adolescent reports. Many of the adolescents with mental health problems also had problems in other areas of their lives. Only 31% of those identified by parents as having mental health problems and 20% of adolescents who identified themselves as having problems, had attended a professional service during the 6 months prior to the survey. School counselling was the service most frequently attended. Clinical and population health interventions must take into account the presence of co-morbid problems and low rates of health service usage reported amongst adolescents with mental health problems.

White Paper Prepared for The Secretary of Defense Task Force on DoD Nuclear Weapons Management: Tradeoffs and Paradoxes: Terrorism,Deterrence and Nuclear Weapons

This article was written at the request of the Secretary of Defense Task Force on DoD Nuclear Weapons Management. While this analysis suggests that certain types of terrorists can be deterred from certain types of attacks, it is less optimistic about the use of nuclear weapons in a terrorist deterrent strategy. A broad approach to deterrence may be effective against certain types of terrorist groups and attacks, making it crucially important to disaggregate the terrorist threat when setting policy. The article goes on to address two types of terrorist groups with a “global reach” that pose a serious threat to the United States: non-state actors driven by doctrines permitting catastrophic attacks and state-sponsored groups capable of carrying out catastrophic attacks. The analysis reveals a number of previously unappreciated tradeoffs and paradoxes associated with the deterrence of terrorists.     

Cardiac blood pH as a possible indicator of postmortem interval

Postmortem changes in the pH of blood and selected tissues in rats were evaluated at intervals ranging from 2 min to 96 h. Cardiac blood pH was significantly and reproducibly decreased in all groups at all postmortem intervals, independent of the method of sacrifice used. A preliminary study using cardiac blood obtained at autopsy from a limited number (n = 11) of human subjects demonstrated a significant negative correlation (r = -0.908, P less than 0.01) between postmortem interval (range 2 to 20 h) and cardiac blood pH.     

Conspiracism in Populist Radical Right Candidates: Rallying the Base or Mainstreaming the Fringe?

International Journal of Politics, Culture, and Society - As evidenced by the 2016 US presidential election, conspiracy theories such as birtherism, the belief that Barack Obama is not a...     

Factors related to suicide in New York state prisons

OBJECTIVE: Examine factors related to prison suicides to aid prevention. METHOD: Review the mental health records of all 76 suicides that occurred between 1993 and 2001 in New York State Department of Correctional Services (NYSDOCS) prisons that had some contact with mental health services during their incarceration. (This represented 84% of all NYSDOCS suicides.) Extract data from the psychological autopsies for a sample of 40 of these suicides. RESULTS: Of the suicide victims with some mental health contact, 95% had a substance abuse history, 70% displayed agitation or anxiety prior to the suicide, and 48% had a behavioral change. Common stressors preceding the suicide were inmate-to-inmate conflict (50%), recent disciplinary action (42%), fear (40%), physical illness (42%), and adverse information (65%) such as loss of good time or disruption of family/friendship relationships in the community. Forty-one percent had received a mental health service within 3 days of the suicide. Compared to the about 7200 inmates actively receiving mental health services in state prison, African-Americans and patients with a Major Mood (Bi-polar or Major Depression) were under-represented. Adjustment Disorder, Schizophrenia, and Personality Disorder diagnoses were over-represented. Suicide victims were more likely to have been incarcerated for a violent crime. CONCLUSION: Mental illness, anxiety/agitation, behavior change, stressors, history of substance abuse, and non-African-American were important risk factors.     

A participatory approach to community-based HIV / AIDS awareness

This paper examines a participatory approach to community-based HIV/AIDS awareness campaigns in South Africa. The SARAR methodology, developed by Lyra Srinivasan, Ron Sawyer, and Jake Pfohl, was adapted specifically to the water supply and environmental sanitation sector through the PROWWESS and Participatory Hygiene and Sanitation Transformation (PHAST) initiative. The SARAR methodology of participatory learning is based on the innate ability of the people to address and resolve their own problems. The application of this methodology in HIV/AIDS awareness was explored through a training session held in KwaZulu/Natal, South Africa. The course seeks to demonstrate how participatory methods could intensify mass media campaigns. A summary of this approach, together with the outcome of the workshop, was presented. This paper concludes that participatory methodologies, such as modified versions of SARAR and PHAST, could open up discussions on HIV/AIDS. It could also assist in developing and strengthening existing household-coping strategies, and emphasize alternative ways for health care professionals to play a supportive, proactive, and constructive role at the community level.     

Associations between Social Support from Family,Friends, and Teachers and depressive Symptoms in Adolescents

Approximately 20% of adolescents develop depressive symptoms. Family, friends, and teachers are crucial sources of social support for adolescents, but it is unclear whether social support impacts adolescents directly (principle-effect model) or by moderating the effect of stress (stress-buffer model) and whether each source of social support remains meaningful when their influence is studied simultaneously. To help fill this gap, we followed 1452 Australian students (average age at enrollment?=?13.1, SD?=?0.5; range: 11–16 years; 51.9% female) for 5 years. Based on our findings, each source of support is negatively related to depressive symptoms one year later when studied independently but when combined, only family and teacher support predicted depressive symptoms. Family support in all grades and teacher support in grade 8 to 10 but not in grade 11 directly impacted adolescent depressive symptoms 1 year later. Family support in grades 8 and 11 also buffered against the negative impact of stress on depressive symptoms one year later. Based on the unexpected findings, the most important limitations seem to be that the used instruments do not allow for a separation of different groups of friends (e.g., classmates, same-gender peers, romantic partners), types of social support, and stress. In addition, the high, nonrandom attrition rate with adolescents reporting less social support, more stressful events, a higher frequency of depressive symptoms, and/or being of Torres Strait Islander or Aboriginal background limits the generalizability of our findings. Summarized, our findings demonstrate that adolescents facing stress might benefit more from family support compared to their peers without stressful life events and that friends may have a weaker presence in adolescent lives than expected.     

Mental Health Service Recipients and Prison Work Release: How Do the Mentally Ill Fare Compared to Other Inmates in Prison Work Release Programs?

The objective of this study was to compare the success rate of the mentally ill and other inmates on prison work release within gender groups. Mentally ill (MI) men (n = 42) had a higher success rate (79%) than other men (NMI) (61%) (n = 49), but this difference only approached statistical significance (p = 0.07), and mental illness did not distinguish male success/failures in regression analyses. Mentally ill women (n = 51) had a statistically significant lower success rate (58%) than other women inmates (n = 49) (83%) on work release. The difference in rates, however, only occurred in the group of women who were currently in prison due to a parole violation, not new court commitments. Regression analysis confirmed the importance of mental illness and current commitment as a parole violator. A greater number of MI men should be allowed to participate in work release. Women with mental health issues who had prior trouble on parole may need enhanced services.