9 results
Search Results
2. Managing ethical issues in community-based adolescent self-harm research. ethical practice in an adolescent self-harm preventative intervention research project with pupils in secondary schools in wales.
- Author
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Parker, R.
- Subjects
SECONDARY school students ,YOUNG adults ,STUDENT projects ,TEENAGERS ,SECONDARY research - Abstract
Introduction: Adolescent self-harm in Europe is a major public health challenge and shares a risk continuum with suicide. Recent research demonstrates a strong risk correlation with attempting suicide in the community-based adolescent self-harm population group, similar to research findings for populations in health settingbased research. In the UK increasing rates in hospital admissions represent the "tip of the iceberg" within the community, with potentially two thirds of the population group not accessing health services for support. This brings many health risks, including an increased suicide risk. Finding a solution to these issues requires a preventative intervention approach for young people, including community-based delivery to address service access barriers. Secondary schools are posited as key settings where this type of support could be delivered. But emerging UK research demonstrates challenges in completing adolescent self-harm research with young people in schools. Objectives: This paper centres on a current adolescent self-harm preventative intervention research project in Cardiff University. It focuses on ethical research practice in community-based adolescent self-harm research. Methods: This paper appraises some of the core ethical issues, challenges and their management in completing adolescent selfharm prevention intervention research in secondary school settings in Wales. It also provides an overview of the project's innovative safety protocol design. Results: This project was successful in managing the potential risks to the school-based adolescent research participants. Conclusions: This work helps address some of the current research barriers to completing adolescent self-harm prevention intervention research in schools, to facilitate shared solutions to the urgent public health challenge of adolescent self-harm. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
3. DEVOLUTION, INDEPENDENCE AND WALES' FISCAL DEFICIT.
- Author
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Ifan, Guto, Siôn, Cian, and Wincott, Daniel
- Subjects
BALANCE of payments ,ECONOMIC forecasting - Abstract
Debate around Wales' place in the United Kingdom has intensified over recent years, with radically differing visions for the union of the Welsh and UK governments emerging alongside growing (though still minority) support for Welsh independence. This article argues that these constitutional debates must be considered alongside Wales' current fiscal position. Wales' estimated fiscal deficit is reflective of long-standing economic underperformance as part of the UK, which we argue is unlikely to be addressed under current economic, fiscal and constitutional arrangements. On the other hand, it also suggests a difficult economic outlook for an independent Wales, which would require tough fiscal and economic choices to address Wales' apparent balance of payments deficit. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
4. Suicide in Wales.
- Author
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Evans, Timothy N., Mok, Pearl L. H., Kapur, Navneet, Windfuhr, Kirsten, Appleby, Louis, Leyland, Alastair H., Platt, Stephen, and Webb, Roger T.
- Subjects
SUICIDE statistics ,MEN'S health ,WOMEN'S health ,CAUSES of death ,SUICIDE ,ACQUISITION of data - Abstract
The article presents a response to a paper by Mok et al. on the suicide rate for men and women in Wales, Scotland and England. The suicide rate in Scotland and Northern Ireland is higher than those for Wales. The paper also shows that there is a high incidence of frowning in Scotland, which is attributed to the presence of 90% standing freshwater in all of Great Britain.
- Published
- 2012
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5. Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis.
- Author
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Fazel, Seena, Fimińska, Zuzanna, Cocks, Christopher, and Coid, Jeremy
- Subjects
PREVENTIVE mental health services ,MENTAL health service costs ,MENTAL health promotion ,PSYCHIATRIC hospitals ,MENTAL health facilities ,FINANCE ,CRIME statistics ,MENTAL illness treatment ,META-analysis ,MORTALITY ,RESEARCH funding ,SUICIDE ,SYSTEMATIC reviews ,DISCHARGE planning ,PATIENT readmissions - Abstract
Background: Secure hospitals are a high-cost, low-volume service consuming around a fifth of the overall mental health budget in England and Wales.Aims: A systematic review and meta-analysis of adverse outcomes after discharge along with a comparison with rates in other clinical and forensic groups in order to inform public health and policy.Method: We searched for primary studies that followed patients discharged from a secure hospital, and reported mortality, readmissions or reconvictions. We determined crude rates for all adverse outcomes.Results: In total, 35 studies from 10 countries were included, involving 12 056 patients out of which 53% were violent offenders. The crude death rate for all-cause mortality was 1538 per 100 000 person-years (95% CI 1175-1901). For suicide, the crude death rate was 325 per 100 000 person-years (95% CI 235-415). The readmission rate was 7208 per 100 000 person-years (95% CI 5916-8500). Crude reoffending rates were 4484 per 100 000 person-years (95% CI 3679-5287), with lower rates in more recent studies.Conclusions: There is some evidence that patients discharged from forensic psychiatric services have lower offending outcomes than many comparative groups. Services could consider improving interventions aimed at reducing premature mortality, particularly suicide, in discharged patients. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
6. Free healthy breakfasts in primary schools: a cluster randomised controlled trial of a policy intervention in Wales, UK.
- Author
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Murphy, Simon, Moore, GF, Tapper, K, Lynch, R, Clarke, R, Raisanen, L, Desousa, C, and Moore, L
- Subjects
SCHOOL breakfast programs ,RANDOMIZED controlled trials ,CHILD nutrition ,SCHOOL food ,CROSS-sectional method ,FOLLOW-up studies (Medicine) - Abstract
ObjectiveThe present study evaluated the impact of a national school programme of universal free healthy breakfast provision in Wales, UK.DesignA cluster randomised controlled trial with repeated cross-sectional design and a 12-month follow-up. Primary outcomes were breakfast skipping, breakfast diet and episodic memory. Secondary outcomes were frequency of eating breakfast at home and at school, breakfast attitudes, rest-of-day diet and class behaviour.SettingPrimary schools in nine local education authority areas.SubjectsA total of 4350 students (aged 9–11 years) at baseline and 4472 at follow-up in 111 schools.ResultsStudents in intervention schools reported significantly higher numbers of healthy food items consumed at breakfast and more positive attitudes towards breakfast eating at 12 months. Parents in intervention schools reported significantly higher rates of consumption of breakfast at school and correspondingly lower rates of breakfast consumption at home. No other significant differences were found.ConclusionsThe intervention did not reduce breakfast skipping; rather, pupils substituted breakfast at home for breakfast at school. However, there were improvements in children’s nutritional intake at breakfast time, if not the rest of the day, and more positive attitudes to breakfast, which may have implications for life-course dietary behaviours. There was no impact on episodic memory or classroom behaviour, which may require targeting breakfast skippers. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
7. THE IMPACT OF URBANIZATION ON MURDER RATES AND ON THE GEOGRAPHY OF HOMICIDE IN ENGLAND AND WALES, 1780-1850.
- Author
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King, Peter
- Subjects
URBANIZATION ,MURDER ,INDUSTRIALIZATION ,19TH century British history - Abstract
Although higher murder rates have traditionally been associated with large cities, this view has recently been challenged by several historians who have argued that 'homicide rates were negatively correlated with urbanisation and industrialisation', and this is rapidly becoming the new consensus. By exploring the geography of homicide rates for one area undergoing rapid urbanization and industrialization - England and Wales, 1780-1850 - this article challenges this new view and re-assesses the relationship between recorded homicide rates and both modernization and urbanization. After discussing the methodological problems involved in using homicide statistics, it focuses mainly on the first fifteen years for which detailed county-based data is available - 1834-48 - as well as looking at the more limited late eighteenth-century and early nineteenth-century evidence. This data raises fundamental questions about the links historians have recently made between urbanization and low homicide rates, since the remote rural parts of England and Wales generally had very low recorded murder rates while industrializing and rapidly urbanizing areas such as Lancashire had very high ones. Potential explanations for these systematic and large variations between urban and rural areas - including the impact of age structures and migration patterns - are then explored. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
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8. English Occupations, 1670-1811.
- Author
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Lindert, Peter H.
- Subjects
INDUSTRIALIZATION ,HISTORY ,ECONOMIC history - Abstract
Examines the economic and social change in England and Wales before and after the Industrial Revolution. Analysis of data on occupations from parish burial registers and lists of inhabitants; Comparison of the analyzed data with the classic social table of Gregory King; Interpretations of trends in national product and income distribution.
- Published
- 1980
- Full Text
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9. The Red and the Green: Patterns of Partisan Choice in Wales.
- Author
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Balsom, Denis, Madgwick, P.J., and van Mechelen, Denis
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VOTING ,SURVEYS ,POLITICAL science ,POLITICAL participation ,PRACTICAL politics ,REPRESENTATIVE government ,POLITICAL campaigns - Abstract
The article discusses the electoral politics in Wales. It discusses the ongoing dominance of the Labour Party over the Plaid Cymru which is the nationalist party. It describes the history of the Plaid Cymru including the growth of the Scottish Nationalist Party and its losses to the Labour Party. The article differentiates between the British and Welsh perspectives in the analysis of elections in Wales. It also presents the results of a survey, the Welsh Election Study, which provides information on the voting behavior of Welsh people. An overview of the survey is provided.
- Published
- 1983
- Full Text
- View/download PDF
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