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An analysis of risk factors for child suicide in three centres from 2008 to 2017. 2008年至2017年三个中心的儿童自杀风险因素分析。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-08-23 DOI: 10.1177/00258024241274914
Kelly L Olds, Rexson Tse, Simon Stables, Andrew M Baker, Kathryn Hird, Neil E Langlois, Roger W Byard
{"title":"An analysis of risk factors for child suicide in three centres from 2008 to 2017.","authors":"Kelly L Olds, Rexson Tse, Simon Stables, Andrew M Baker, Kathryn Hird, Neil E Langlois, Roger W Byard","doi":"10.1177/00258024241274914","DOIUrl":"https://doi.org/10.1177/00258024241274914","url":null,"abstract":"<p><p>As a part of a study of suicide in children aged 17 years and under in three centers-Hennepin County in the United States (US), Auckland in New Zealand (NZ), and South Australia in Australia (AUS) from 2008 to 2017 it was decided to characterize potential risk factors and to determine whether these differed by jurisdiction. Reviewed data included a history of psychiatric illness, symptoms prior to suicide, events preceding suicide, previous suicidal ideation or suicide attempts, and communication of suicidal intent. The most common events preceding suicide were arguments with family/friends and relationship issues; in addition depression with or without expressed suicidal ideation, self-harming behavior, sadness, distress, drug/substance abuse, and anorexia were documented. Suicidal intent was on occasion communicated via technological means. In 79.5% of cases in South Australia decedents had a previously diagnosed psychiatric illness, with 62% in Hennepin County. This compared to a much lower proportion of cases in Auckland (23.8%). Whether this reflects more limited access to psychiatric services or a reluctance to seek support and therapy in Auckland is unclear. It does, however, demonstrate that risk factors for child suicide are not uniform among communities and so extrapolation of data from one area to another may not be appropriate. Disturbingly parents/carers were not aware of the decedent's suicidal intent in 84-87.2% of cases.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241274914"},"PeriodicalIF":1.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The legal rights of the fetus: Nepali perspective. 胎儿的法律权利:尼泊尔的观点。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-08-18 DOI: 10.1177/00258024241275896
Alok Atreya, Ritesh G Menezes, Sagar Adhikari
{"title":"The legal rights of the fetus: Nepali perspective.","authors":"Alok Atreya, Ritesh G Menezes, Sagar Adhikari","doi":"10.1177/00258024241275896","DOIUrl":"https://doi.org/10.1177/00258024241275896","url":null,"abstract":"<p><p>This article provides an analysis of the legal rights and protection accorded to fetuses under the Nepali law and the comparative common statues. It also analyses the abortion law in Nepal, which aims to balance the needs of women seeking abortion with limited protections for late-term fetuses. The article considers the case, \"Lakshmi Dhikta v. the Government of Nepal,\" which held that access to abortion was a constitutionally formed right. However, barriers to this right still exist, especially among disadvantaged women. Globally, the debate continues between those who advocate for the rights of the fetus and those who put the autonomy of the women first. While some countries grant the fetus limited legal rights, others grant the fetus personhood rights. It is therefore pertinent to discuss the ethics of prenatal harm, sex-selective abortion, and the possible conflict between maternal and fetal interests. The multifaceted law should regulate maternal health, the interest of the fetus, and discrimination while ensuring feasible and affordable abortion.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241275896"},"PeriodicalIF":1.5,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing research on femicide prevention: A mixed methods approach. 推进预防杀戮女性的研究:混合方法。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-08-16 DOI: 10.1177/00258024241270818
Reena Sarkar, Nicholas Dempsey, Clare Toulmin, Joel Forthun, Annika Spiers, Chloe Dalla-Fontana, Richard Bassed
{"title":"Advancing research on femicide prevention: A mixed methods approach.","authors":"Reena Sarkar, Nicholas Dempsey, Clare Toulmin, Joel Forthun, Annika Spiers, Chloe Dalla-Fontana, Richard Bassed","doi":"10.1177/00258024241270818","DOIUrl":"https://doi.org/10.1177/00258024241270818","url":null,"abstract":"<p><p>Femicide, the killing of women, girls, and infants, is a pervasive problem affecting all global societies. Policy and research are impeded by inaccurate and missing prevalence data, gaps in understanding of femicide, especially for hard-to-reach marginalized populations, and conflicting perceptions between jurisdictions. Leveraging on a combined socio-ecologic model and Public Health approach, the paper spans the methods of a computed tomography-based injury study, an in-depth media-analysis, a legislation evaluation study, and a data barriers' study. Injury patterns, media depiction, and end-user consultations will close the loop on residual problems such as implementation, data gaps, and cultural perceptions. By mixed methods research representing multiple regions, and stakeholders, this project will enhance knowledge on interpersonal, institutional, and societal factors of femicide, advancing the humanitarian forensic discipline. The research method will identify emerging trends and facilitate improvements in tertiary prevention of femicide, specific to resource settings.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241270818"},"PeriodicalIF":1.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing age and lethal opiate use. 年龄增长与鸦片制剂的致命使用。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-26 DOI: 10.1177/00258024241266578
Jeremy Ws Hunter, Corinna van den Heuvel, Lilli Stephenson, Lauren Elborough, Roger W Byard
{"title":"Increasing age and lethal opiate use.","authors":"Jeremy Ws Hunter, Corinna van den Heuvel, Lilli Stephenson, Lauren Elborough, Roger W Byard","doi":"10.1177/00258024241266578","DOIUrl":"https://doi.org/10.1177/00258024241266578","url":null,"abstract":"<p><p>Opioid abuse is a leading cause of drug-related morbidity and mortality worldwide. It has been suggested that the age of opiate users in Australia is rising. To evaluate this further in a local population, toxicology and pathology case files from Forensic Science SA, Adelaide, South Australia, were examined for all cases with lethal opioid levels from 2000 to 2019 (<i>n</i> = 499; M:F 2.3:1; age range 18-91 years, median age 42 years). The median age of opiate deaths increased significantly by approximately 16 years (<i>p </i>= 0.007, <i>R</i><sup>2 </sup>= 0.34) with a significant increase in total deaths in the 45-54 years and 55-64 years age groups (<i>p </i>= 0.009, <i>R</i><sup>2 </sup>= 0.32) (<i>p </i>= < 0.001, <i>R</i><sup>2 </sup>= 0.54). Deaths due to heroin overdose showed the lowest median age (39 years, <i>n</i> = 184), with deaths from tramadol toxicity having the highest (50.5 years, <i>n</i> = 32). Recent changes in the demographic profile of opioid users in cases of lethal overdose involve an aging population. Forensic and clinical practitioners should be aware of significant opioid abuse in certain individuals at older ages as this raises the possibility that this may exacerbate the effects of age-related chronic diseases in this group and/or contribute to fatalities.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241266578"},"PeriodicalIF":1.5,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing an initial programme theory for a model of social care in prisons and on release (empowered together): A realist synthesis approach. 为监狱和刑满释放人员社会关怀模式(共同赋权)制定初步方案理论:现实主义综合方法。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-25 DOI: 10.1177/00258024241264762
Deborah Buck, Lee D Mulligan, Charlotte Lennox, Jana Bowden, Matilda Minchin, Lowenna Kemp, Lucy Devine, Joshua Southworth, Falaq Ghafur, Catherine Robinson, Andrew Shepherd, Jennifer J Shaw, Katrina Forsyth
{"title":"Developing an initial programme theory for a model of social care in prisons and on release (empowered together): A realist synthesis approach.","authors":"Deborah Buck, Lee D Mulligan, Charlotte Lennox, Jana Bowden, Matilda Minchin, Lowenna Kemp, Lucy Devine, Joshua Southworth, Falaq Ghafur, Catherine Robinson, Andrew Shepherd, Jennifer J Shaw, Katrina Forsyth","doi":"10.1177/00258024241264762","DOIUrl":"https://doi.org/10.1177/00258024241264762","url":null,"abstract":"<p><p>Many people are living in prison with a range of social care needs, for example, requiring support with washing, eating, getting around safely, and/or maintaining relationships. However, social care for this vulnerable group is generally inadequate. There is uncertainty and confusion about who is legally responsible for this and how it can best be provided, and a lack of integration with healthcare. We used realist-informed approaches to develop an initial programme theory (IPT) for identifying/assessing social care needs of, and providing care to, male adults in prison and on release. IPT development was an iterative process involving (a) an initial scoping of the international prison literature; (b) scoping prison and community social care policy documents and guidelines; (c) full systematic search of the international prison social care literature; (d) insights from the community social care literature; (e) stakeholder workshops. Information from 189 documents/sources and stakeholder feedback informed the IPT, which recommended that models of prison social care should be: trauma-informed; well integrated with health, criminal justice, third-sector services and families; and person-centred involving service-users in all aspects including co-production of care plans, goals, and staff training/awareness programmes. Our IPT provides an initial gold standard model for social care provision for people in prison and on release. The model, named Empowered Together, will be evaluated in a future trial and will be of interest to those working in the criminal justice system, care providers and commissioners, local authorities, housing authorities, voluntary groups, and service-users and their families.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241264762"},"PeriodicalIF":1.5,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When missing becomes murder: An analysis of missing-femicide cases from the Republic of Ireland. 当失踪变成谋杀:对爱尔兰共和国失踪杀戮女性案件的分析。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-23 DOI: 10.1177/00258024241265060
Bernadette M Manifold
{"title":"When missing becomes murder: An analysis of missing-femicide cases from the Republic of Ireland.","authors":"Bernadette M Manifold","doi":"10.1177/00258024241265060","DOIUrl":"https://doi.org/10.1177/00258024241265060","url":null,"abstract":"<p><p>Many femicide cases are initially reported as missing persons to the police. Women who go missing have a greater risk of being a victim of homicide. This study explores the circumstances surrounding the disappearance and killing of women and girls in the Republic of Ireland from 1962 to 2023. A total of fifty-four cases were analysed, 52 cases were homicides. Most femicides occurred during 1990-1999 (n = 13; 24%) and 2000-2009 (n = 17; 32%). Twenty-five victims knew the offender and the leading cause of death was strangulation with 27 cases. Dumping/leaving the body on open ground with little or no concealment was the predominant method of disposal. The leading risk factors were the engagement of the victim in a fight or row before disappearance and domestic violence. The '<i>suicide narrative'</i> should be treated with extreme caution in the disappearance of women.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241265060"},"PeriodicalIF":1.5,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatal cerebral air embolism post esophageal endoscopy with dilatation: A case report. 食管内窥镜扩张术后致命的脑空气栓塞:病例报告。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-01 Epub Date: 2024-01-18 DOI: 10.1177/00258024241227712
Pieter Bothma, Mohammed Asim Hussain
{"title":"Fatal cerebral air embolism post esophageal endoscopy with dilatation: A case report.","authors":"Pieter Bothma, Mohammed Asim Hussain","doi":"10.1177/00258024241227712","DOIUrl":"10.1177/00258024241227712","url":null,"abstract":"","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"250-251"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social care in prisons: Urgent development required. 监狱中的社会关怀:急需发展。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-01 Epub Date: 2024-02-25 DOI: 10.1177/00258024241233462
Adam O'Neill, Jenny Shaw, Emma Plugge, Nicola Brimblecombe, Claire Hargreaves, Catherine Robinson, Katrina Forsyth
{"title":"Social care in prisons: Urgent development required.","authors":"Adam O'Neill, Jenny Shaw, Emma Plugge, Nicola Brimblecombe, Claire Hargreaves, Catherine Robinson, Katrina Forsyth","doi":"10.1177/00258024241233462","DOIUrl":"10.1177/00258024241233462","url":null,"abstract":"","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"175-178"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139972575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A proposed method for differentiating knives from cut marks on bone: A forensic anthropological approach. 从骨头上的切割痕迹区分刀具的拟议方法:法医人类学方法。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-01 Epub Date: 2023-09-16 DOI: 10.1177/00258024231198912
Melodi Ghui, Constantine Eliopoulos, Matteo Borrini
{"title":"A proposed method for differentiating knives from cut marks on bone: A forensic anthropological approach.","authors":"Melodi Ghui, Constantine Eliopoulos, Matteo Borrini","doi":"10.1177/00258024231198912","DOIUrl":"10.1177/00258024231198912","url":null,"abstract":"<p><p>Knife cut marks have been extensively studied in forensic literature, and the results have been beneficial in identifying both the cut mark and implement type on bone. For this study, an assessment in differentiating knife cut marks has been attempted by using sword cut mark characteristics. In addition, a flowchart was created to assist in interpreting such marks. Knives of different serrations (non-serrated, macro- and micro-serrated) were used to inflict cut marks on pig ribs with a forward and backward stab thrust. The analysis revealed that some traits adapted from previous studies applied to knife cut marks and that non-serrated and serrated marks could be distinguished accurately using the flowchart. The distinction between different types of serrated blades was not as successful. However, results show that further research and development of the flowchart can be invaluable in similar analyses.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"199-203"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10272927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Police perspectives on the economic considerations of providing healthcare in short-term custodial settings in Australia. 澳大利亚警方对在短期拘留所提供医疗保健服务的经济考量的看法。
IF 1.5 4区 医学
Medicine, Science and the Law Pub Date : 2024-07-01 Epub Date: 2023-09-10 DOI: 10.1177/00258024231198915
Caitlin Brandenburg, Julia Crilly, Stuart Thomas, Paul Gardiner, Stuart A Kinner, Ed Heffernan, Cathy Lincoln, Annabel Somerville, Peter Davidson, Daniel Wilson, David Green, Joshua Byrnes
{"title":"Police perspectives on the economic considerations of providing healthcare in short-term custodial settings in Australia.","authors":"Caitlin Brandenburg, Julia Crilly, Stuart Thomas, Paul Gardiner, Stuart A Kinner, Ed Heffernan, Cathy Lincoln, Annabel Somerville, Peter Davidson, Daniel Wilson, David Green, Joshua Byrnes","doi":"10.1177/00258024231198915","DOIUrl":"10.1177/00258024231198915","url":null,"abstract":"<p><p>Providing appropriate healthcare to people in short-term police custody settings (i.e. watch-houses) is challenging due to the complexity of detainee health needs and the limitations of the custodial environment. However, little is known about how detainee healthcare is managed in Australia, including economic considerations. This study had two aims: (1) to understand police perspectives on the costs associated with the delivery of healthcare to watch-house detainees in Queensland, Australia and (2) to scope the applicability of the Prison Healthcare Expenditure Reporting Checklist (PHERC) tool for the Australian watch-house context. The study employed an exploratory qualitative descriptive approach. A purposive sample comprised 16 watch-house staff from six regions in Queensland, Australia, interviewed between April and November 2021. A key finding was that police viewed healthcare expenditure as a major, but largely unavoidable cost for Australian watch-houses. Participants reported that direct expenditure comprised mostly of in-house healthcare services (of which there were a variety of models), but also costs of medication and health-related consumables. Indirect costs included costs of escorting and guarding detainees requiring transfer to hospital for health assessment and treatment. Participants reported that the PHERC was not applicable to the Australian watch-house context. Future research should explore the cost-effectiveness of different watch-house healthcare delivery models and how best to measure this.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"217-223"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10201762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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