Military Versus Civilian Murder-Suicide

2015 ◽  
Vol 32 (17) ◽  
pp. 2566-2590 ◽  
Author(s):  
Christina L. Patton ◽  
Matthew R. McNally ◽  
William J. Fremouw
Keyword(s):  
Logistic Regression ◽  
Physical Health ◽  
Violent Behavior ◽  
Health Problems ◽  
Violence Risk ◽  
Chi Square ◽  
Physical Health Problems ◽  
Military Populations ◽  
Using Data ◽  
The Military

Previous studies have implicated significant differences between military members and civilians with regard to violent behavior, including suicide, domestic violence, and harm to others, but none have examined military murder-suicide. This study sought to determine whether there were meaningful differences between military and civilian murder-suicide perpetrators. Using data from the Center for Disease Control’s (CDC) National Violent Death Reporting System (NVDRS), military ( n = 259) and civilian ( n = 259) murder-suicide perpetrators were compared on a number of demographic, psychological, and contextual factors using chi-square analyses. Logistic regression was used to determine which variables predicted membership to the military or civilian perpetrator groups. Military murder-suicide perpetrators were more likely to be older, have physical health problems, be currently or formerly married, less likely to abuse substances, and to exhibit significantly different motives than civilian perpetrators. Logistic regression revealed that membership to the military, rather than the civilian, perpetrator group was predicted by age, physical health problems, and declining heath motive—reflecting the significance of a more than 15-year difference in mean age between the two groups. Findings point to the need to tailor suicide risk assessments to include questions specific to murder-suicide, to assess attitudes toward murder-suicide, and to the importance of assessing suicide and violence risk in older adult military populations.

Older Adults and Financial Bequests

2000 ◽  
Vol 50 (3) ◽  
pp. 227-244 ◽  
Author(s):  
Marsha A. Goetting ◽  
Peter Martin ◽  
Christine Johnson
Keyword(s):  
Physical Health ◽  
Psychological Functioning ◽  
Structural Equation ◽  
Health Problems ◽  
Equation Modeling ◽  
Sense Of Control ◽  
Negative Effects ◽  
Physical Health Problems ◽  
Health Dynamics ◽  
Using Data

Using data from Aging and Health Dynamics (AHEAD), this research investigated a model predicting an older adult's assessment regarding the chances (from 0 to 100) of leaving a financial bequest. Structural equation modeling analyses revealed three significant predictors of a high assessment (i.e., older age, high sense of control, and high socioeconomic status) and three predictors of a low assessment (i.e., race, physical health problems, and assessment of the chances of medical expenses depleting savings). Whites had higher financial bequests assessments than non-Whites. Physical health problems and the depleting savings assessment exerted negative effects on the financial bequest assessment. Marital status and negative psychological functioning exerted indirect effects through sense of control and through the depleting savings assessment.

scholarly journals Physical health symptoms among Ethiopian returnees who were trafficked aboard

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lemma Derseh Gezie ◽  
Asmamaw Atinafu
Keyword(s):  
Physical Health ◽  
Human Trafficking ◽  
Health Problems ◽  
Severe Form ◽  
Chi Square ◽  
New Approach ◽  
Health Symptoms ◽  
Content Type ◽  
Physical Health Problems ◽  
Chi Square Test

Purpose There is a growing evidence of considering human trafficking as a severe form of violence which usually results in various health outcomes including symptoms of physical health problems. This study aims to examine the magnitude of physical health symptoms during the trafficking period and compare it with that of the period prior to it. Design/methodology/approach A total of 1,387 trafficking returnees from abroad via three trafficking corridors of Ethiopia were recruited consecutively. Among socio-demographic and other characteristics, data on various physical health symptoms that were experienced during the trafficking period and in the two years prior to trafficking were collected. The proportions of physical health symptoms experienced during the two periods were determined and compared using chi-square test. Findings Among all participants, 598 (46.79%) of them experienced weight loss during the trafficking period and 106 (8.28%) before the trafficking period. The extra 38.50% which was experienced during the trafficking period was statistically significant (p < 0.0001). Similar significant differences were observed for symptoms such as forgetfulness (p < 0.0001), stomachache (p = 0.0039), gynecological problems (p = 0.041), bone fracture (p < 0.0001), back pain (p < 0.0001), and wound (p < 0.0001); but not significantly different for symptoms such as skin disease (p-value = 0.1944), tooth pain (p-value =0.6587) and sight problem (p-value = 0.1306). Originality/value Comparing the frequencies of physical health symptoms before and during the trafficking period among victims of trafficking is relatively a new approach to measure the nexus between Human trafficking and health problems.

scholarly journals Mental and Physical Health Problems as Conditions of Ex-Prisoner Re-Entry

2021 ◽  
Vol 18 (14) ◽  
pp. 7642
Author(s):  
Anna Pękala-Wojciechowska ◽  
Andrzej Kacprzak ◽  
Krzysztof Pękala ◽  
Marta Chomczyńska ◽  
Piotr Chomczyński ◽  
...  
Keyword(s):  
Juvenile Offenders ◽  
Physical Health ◽  
Social Stigma ◽  
Prison Population ◽  
Health Problems ◽  
Juvenile Detention ◽  
Detention Centers ◽  
Physical Health Problems ◽  
Group Interviews ◽  
Mental And Physical Health

The article focuses on a less-discussed issue of social marginalization of people leaving penitentiaries, which is the prevalence of multifaceted health problems experienced by people in this category. It includes poor health status, resulting from, among others, poor housing conditions, harmful or risky lifestyle, and lack of access to medical services. Data from the District Inspectorate of the Prison Service in Lodz, Poland on the health conditions of inmates was accessed. These data were supplemented by qualitative research conducted in 21 juvenile detention centers and 8 prisons across the country, conducting direct observations and In-Depth Interviews (IDI). A total of 198 IDIs were conducted with incarcerated (72) and released (30) juvenile offenders, and incarcerated (68) and released (28) adult offenders. These were complemented by IDIs with experts (50) and Focus Group Interviews (FGIs; 8) with male and female inmates in 4 Polish prisons. The study revealed that mental and physical health is a serious obstacle to social reintegration of ex-prisoners. It is rarely addressed by state institutions. There are strong associations between neglect of health issues in the prison population and increasing social exclusion after leaving prison. As Poland has a restrictive penal policy, former prisoners remain a group with social stigma and little support.

scholarly journals The Australian Child Maltreatment Study (ACMS): protocol for a national survey of the prevalence of child abuse and neglect, associated mental disorders and physical health problems, and burden of disease

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047074
Author(s):  
Ben Mathews ◽  
Rosana Pacella ◽  
Michael Dunne ◽  
James Scott ◽  
David Finkelhor ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Mental Disorders ◽  
Physical Health ◽  
Burden Of Disease ◽  
Emotional Abuse ◽  
Health Problems ◽  
Risk Behaviours ◽  
Exposure To Domestic Violence ◽  
Physical Health Problems ◽  
Health Disorders

IntroductionChild maltreatment (physical abuse, sexual abuse, emotional abuse, neglect and exposure to domestic violence) is widely understood to be associated with multiple mental health disorders, physical health problems and health risk behaviours throughout life. However, Australia lacks fundamental evidence about the prevalence and characteristics of child maltreatment, its associations with mental disorders and physical health, and the associated burden of disease. These evidence gaps impede the development of public health strategies to better prevent and respond to child maltreatment. The aims of this research are to generate the first comprehensive population-based national data on the prevalence of child maltreatment in Australia, identify associations with mental disorders and physical health conditions and other adverse consequences, estimate attributable burden of disease and indicate targeted areas for future optimal public health prevention strategies.Methods and analysisThe Australian Child Maltreatment Study (ACMS) is a nationwide, cross-sectional study of Australia’s population aged 16 years and over. A survey of approximately 10 000 Australians will capture retrospective self-reported data on the experience in childhood of all five types of maltreatment (physical abuse, sexual abuse, emotional abuse, neglect and exposure to domestic violence). A customised, multimodule survey instrument has been designed to obtain information including: the prevalence and characteristics of these experiences; diagnostic screening of common mental health disorders; physical health; health risk behaviours and health service utilisation. The survey will be administered in March–November 2021 to a random sample of the nationwide population, recruited through mobile phone numbers. Participants will be surveyed using computer-assisted telephone interviews, conducted by trained interviewers from the Social Research Centre, an agency with extensive experience in studies of health and adversity. Rigorous protocols protect the safety of both participants and interviewers, and comply with all ethical and legal requirements. Analysis will include descriptive statistics reporting the prevalence of individual and multitype child maltreatment, multiple logistic and linear regression analyses to determine associations with mental disorders and physical health problems. We will calculate the population attributable fractions of these putative outcomes to enable an estimation of the disease burden attributable to child maltreatment.Ethics and disseminationThe study has been approved by the Queensland University of Technology Human Research Ethics Committee (#1900000477, 16 August 2019). Results will be published to the scientific community in peer-reviewed journals, scientific meetings and through targeted networks. Findings and recommendations will be shared with government policymakers and community and organisational stakeholders through diverse engagement activities, a dedicated Advisory Board and a systematic knowledge translation strategy. Results will be communicated to the public through an organised media strategy and the ACMS website.

scholarly journals The employment and mental health impact of integrated improving access to psychological therapies services: Evidence on secondary health care utilization from a pragmatic trial in three English counties

2021 ◽  
pp. 135581962199749
Author(s):  
Veronica Toffolutti ◽  
David Stuckler ◽  
Martin McKee ◽  
Ineke Wolsey ◽  
Judith Chapman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Physical Health ◽  
Health Problems ◽  
Care Utilization ◽  
Psychological Therapies ◽  
Physical Health Problems ◽  
Secondary Health Care

Objective Patients with a combination of long-term physical health problems can face barriers in obtaining appropriate treatment for co-existing mental health problems. This paper evaluates the impact of integrating the improving access to psychological therapies services (IAPT) model with services addressing physical health problems. We ask whether such services can reduce secondary health care utilization costs and improve the employment prospects of those so affected. Methods We used a stepped-wedge design of two cohorts of a total of 1,096 patients with depression and/or anxiety and comorbid long-term physical health conditions from three counties within the Thames Valley from March to August 2017. Panels were balanced. Difference-in-difference models were employed in an intention-to-treat analysis. Results The new Integrated-IAPT was associated with a decrease of 6.15 (95% CI: −6.84 to −5.45) [4.83 (95% CI: −5.47 to −4.19]) points in the Patient Health Questionnaire-9 [generalized anxiety disorder-7] and £360 (95% CI: –£559 to –£162) in terms of secondary health care utilization costs per person in the first three months of treatment. The Integrated-IAPT was also associated with an 8.44% (95% CI: 1.93% to 14.9%) increased probability that those who were unemployed transitioned to employment. Conclusions Mental health treatment in care model with Integrated-IAPT seems to have significantly reduced secondary health care utilization costs among persons with long-term physical health conditions and increased their probability of employment.

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