Exploratory Case Study of Suicide among a Sample of 9/11 Survivors

Background: Previous research has found higher than expected suicide mortality among rescue/recovery workers (RRWs) enrolled in the World Trade Center Health Registry (WTCHR). Whether any enrollee suicides are related to the decedents’ experiences on 9/11 is unknown. We abstracted medical examiner file data to learn more about 9/11-related circumstances of suicides among WTCHR enrollees. Methods: We identified 35 enrollee suicide cases that occurred in New York City using linked vital records data. We reviewed medical examiner files on each case, abstracting demographic and circumstantial data. We also reviewed survey data collected from each case at WTCHR enrollment (2003–2004) and available subsequent surveys to calculate descriptive statistics. Results: Cases were mostly non-Hispanic White (66%), male (83%), and middle-aged (median 58 years). Nineteen decedents (54%) were RRWs, and 32% of them worked at the WTC site for >90 days compared to 18% of the RRW group overall. In the medical examiner files of two cases, accounts from family mentioned 9/11-related circumstances, unprompted. All deaths occurred during 2004–2018, ranging from one to four cases per year. Leading mechanisms were hanging/suffocation (26%), firearm (23%), and jump from height (23%). Sixty percent of the cases had depression mentioned in the files, but none mentioned posttraumatic stress disorder. Conclusions: RRWs may be at particular risk for suicide, as those who worked at the WTC site for long periods appeared to be more likely to die by suicide than other RRWs. Mental health screening and treatment must continue to be prioritized for the 9/11-exposed population. More in-depth investigations of suicides can elucidate the ongoing impacts of 9/11.

French vital records data gathering and analysis through image processing and machine learning algorithms

International audience Vital records are rich of meaningful historical data concerning city as well as countryside inhabitants that can be used, among others, to study former populations and then reveal the social, economic and demographic characteristics of those populations. However, these studies encounter a main difficulty for collecting the data needed since most of these records are scanned documents that need a manual transcription step in order to gather all the data and start exploiting it from a historical point of view. This step consequently slows down the historical research and is an obstacle to a better knowledge of the population habits depending on their social conditions. Therefore in this paper, we present a modular and self-sufficient analysis pipeline using state-of-the-art algorithms mostly regardless of the document layout that aims to automate this data extraction process.

Cumulative Rates of Child Protection Involvement and Terminations of Parental Rights in a California Birth Cohort, 1999–2017

Objectives. To document the cumulative childhood risk of different levels of involvement with the child protection system (CPS), including terminations of parental rights (TPRs). Methods. We linked vital records for California’s 1999 birth cohort (n = 519 248) to CPS records from 1999 to 2017. We used sociodemographic information captured at birth to estimate differences in the cumulative percentage of children investigated, substantiated, placed in foster care, and with a TPR. Results. Overall, 26.3% of children were investigated for maltreatment, 10.5% were substantiated, 4.3% were placed in foster care, and 1.1% experienced a TPR. Roughly 1 in 2 Black and Native American children were investigated during childhood. Children receiving public insurance experienced CPS involvement at more than twice the rate of children with private insurance. Conclusions. Findings provide a lower-bound estimate of CPS involvement and extend previous research by documenting demographic differences, including in TPRs. Public Health Implications. Conservatively, CPS investigates more than a quarter of children born in California for abuse or neglect. These data reinforce policy questions about the current scope and reach of our modern CPS. (Am J Public Health. Published online ahead of print April 15, 2021: e1–e7. https://doi.org/10.2105/AJPH.2021.306214 )

The Quality of Vital Registration of the Jews in East-Central Europe in the Nineteenth Century

Vital records are one of the main sources providing insight into the demographic past. For most of the nineteenth century, however, the degree of under-registration of vital events among Jews was much higher than among non-Jews. These omissions undermine the credibility of demographic data on fertility and mortality published in contemporary statistical yearbooks. The analysis shows that the male-to-female ratio at birth aggregated on a regional level reveals the highest under-registration among Jews in the Russian Empire, including Congress Poland, until World War I. On the other hand, Prussian registration covers the Jewish population most completely and already in the 1820s shows no signs of under-registration. Despite the general low quality of registration systems, records from selected individual towns still pass quality tests. Top-down imposition of the registration duties, corporatism, defective legal regulations, bureaucratic inefficiency and personal characteristics of civil registrars were the main reasons for under-registration.

Reliability of fetal–infant mortality rates in perinatal periods of risk (PPOR) analysis

The Fetal–Infant mortality rate (FIMR) is the basic surveillance statistic in perinatal periods of risk (PPOR) analyses. This paper presents a model for the FIMR as the ratio of two Poisson random variables. From this model, expressions for estimators of variance, standard error, and relative standard error are developed. The coverage properties of interval estimators for the FIMR are investigated in a simulation study for both small and large populations and FIMR rates. Results from these studies are applied to a PPOR analysis of NC vital records. Results suggest that the sample size guidance provided in the literature to ensure statistical reliability is overly conservative and interval construction methodology should be selected based on population size.

“Killed in An Explosion in the House of the Supreme Ruler”: Concerning the Analysis of Death Records of the Officers of the Admiral A. V. Kolchak’s Convoy, August 27, 1919

The study is devoted to the analysis of a group of unknown sources from the Historical Archive of the Omsk Region (fond of the Omsk Spiritual Consistory) that are being introduced into scientific use for the first time. These documents are associated with a tragic incident that resulted in the death of seven lower ranks, who provided security for Admiral A. V. Kolchak in Omsk. The contemporaries’ memoirs have served as an auxiliary source in the study. The relevance of this work is justified by contradictions in modern historiographic discussion regarding the cause of the explosion in the vicinity of the private residence of the Supreme Ruler in Omsk on August 25, 1919, as well as by great interest of the national scientific community in his person. Anthropological approach, principle of consistency, historical-systemic and comparative-historical method have served as methodological basis for the study. This theoretical totality suggests two points. First, consideration of the identified vital records as a natural consequence of the work of the Institute of the Russian Orthodox Church; second, critical comparative analysis of the new data and previous developments in historiography. The identified records have made it possible to establish the exact number of servicemen who died as a result of the tragedy, as well as their names, belonging to the service category of the lower ranks of the White Army, date of death, place and date of the funeral service and burial. The authors point out that the analyzed sources are also of key importance for studying the last days of the Omsk poet Yuri (Peter Ivanovich) Sopov, one of the victims of the explosion. In the conclusion, the thesis is emphasized of the need for basic and contextual use of vital records as a valuable documentary source on the past for conducting research on various aspects of the history of the Civil War. This publication may be of interest to specialists in source studies, researchers of the Civil War in the East of Russia, state security agencies of the anti-Bolshevik authorities, biography of Admiral A. V. Kolchak, local Omsk history.

PENENTUAN ARSIP VITAL MELALUI KEGIATAN IDENTIFIKASI ARSIP VITAL PADA ARSIP NASIONAL REPUBLIK INDONESIA

The vital records program is a mandate of the Republic of Indonesia Act, that must be implemented by state institutions and government agencies both central and regional including ANRI. The purpose of organizing this vital records program is to protect, secure and save the very important records. The vital records program must be supported by the determination of vital records in the form of a list as a reference for managing vital records. ANRI as a non-ministerial government institution does not have the determination of vital records yet, so there are still many obstacles in implementing the vital records program. This study will determine the vital records of ANRI using descriptive research methods with case study types. Records criteria are determined based on ANRI's Regulation and according to criteria from NARA, while the stages used are in accordance with the stages listed in ANRI's Regulation. The implementation of this study concluded that 18 work units obtained 11 work units that had vital records, with a total of 20 types of vital records.

Pandemics, Public Health Interventions and Fertility: Evidence from the 1918 Influenza

Understanding how pandemics — and the policy interventions to counter them — interact with demographic processes is of urgent scientific importance. Leveraging vital records from 26 major cities in the United States, we assess how variation in non-pharmaceutical interventions (NPIs), during the 1918 influenza pandemic influenced fertility. We find a strong reduction in fertility 9 months after pandemic peaks, with fertility dropping 20% in cities with short NPIs. Fertility a year later returns to pre-pandemic levels only in the cities with longer implementation of NPIs. The interplay between longer NPIs and reduced virus transmission appears to be the main mechanism increasing fertility 9 months after implementation.