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In response to incidents of police brutality perpetrated against ethnic/racial minorities, there have been calls worldwide for reform in the way policing is done in minority communities. As part of this reform process, police agencies have been encouraged to examine the policing styles (or orientations) that different officers adopt when carrying out their duties. Prior research finds that ‘warrior’ and ‘guardian’ policing orientations are associated with officers’ support for either coercive or procedural justice policing, respectively. Warrior-oriented officers tend to support using coercive policing more than guardian-oriented officers, while guardian-oriented officers tend to support using procedural justice policing more than warrior-oriented officers. What remains understudied is why this is so. Drawing on survey data of 306 Australian police officers working in ethnically diverse and disadvantaged communities, this study tests whether officers’ cynicism toward the public and their confidence in their own legitimacy (i.e. self-legitimacy) might explain the tendency of warrior-oriented and guardian-oriented officers to support either coercive or procedural justice policing, respectively. Our findings confirm that the two policing orientations are conceptually distinct, and that warrior-oriented officers are more likely to support coercive policing, while guardian-oriented officers are more likely to support procedural justice policing. Importantly, we find that officers’ cynicism and self-legitimacy partially mediate some of these relationships. The implications of these findings for both policing scholarship and practice are discussed. [ABSTRACT FROM AUTHOR]

AbstractBackgroundMethodResultsConclusionAccurate identification of suicidal crisis presentations to emergency departments (EDs) can lead to timely mental health support, improve patient experience, and support evaluations of suicide prevention initiatives. Poor coding practices within EDs are preventing appropriate patient care. Aims of the study are (1) examine the current suicide-related coding practices, (2) identify the factors that contribute to staff decision-making and patients receiving the incorrect code or no code.A mixed-methods study was conducted. Quantitative data were collated from six EDs across Merseyside and Cheshire, United Kingdom from 2019 to 2021. Attendances were analyzed if they had a presenting complaint, chief complaint, or primary diagnosis code related to suicidal crisis, suicidal ideation, self-harm or suicide attempt. Semi-structured interviews were conducted with staff holding various ED positions (n = 23).A total of 15,411 suicidal crisis and self-harm presentations were analyzed. Of these, 21.8% were coded as ‘depressive disorder’ and 3.8% as ‘anxiety disorder’. Absence of an appropriate suicidal crisis code resulted in staff coding presentations as ‘no abnormality detected’ (23.6%) or leaving the code blank (18.4%). The use of other physical injury codes such as ‘wound forearm’, ‘head injury’ were common. Qualitative analyses elucidated potential causes of inappropriate coding, such as resource constraints and problems with the recording process.People attending EDs in suicidal crisis were not given a code that represented the chief presentation. Improved ED coding practices related to suicidal crisis could result in considerable benefits for patients and more effective targeting of resources and interventions. [ABSTRACT FROM AUTHOR]

Emergency department (ED) staff are often the first point of contact for individuals in suicidal crisis. Despite this, there is no published research systematically examining the factors influencing decision-making for this patient group. MedLine, CINAHL, PsycINFO, Web of Science and Cochrane Library databases were searched for three key concepts: (1) suicide, (2) accident and emergency department and (3) decision-making. Three reviewers screened titles, abstracts and full papers independently against the eligibility criteria. Data synthesis was achieved by extracting and analyzing study characteristics and findings. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of included studies. Seventeen studies met the eligibility criteria and were included in this systematic review. Studies were published from 2004 to 2020 and were of good methodological quality. A number of patient (method of self-harm, age, gender), contextual (availability of services and staff) and staff-related factors (attitudes, training, knowledge) were reported to influence decision-making for patients in suicidal crisis presenting to EDs. Decision-making in the ED is complex and is influenced by patient, contextual and staff-related factors. These decisions can have an impact on the future care and clinical pathways of patients in suicidal crisis. Additional training is needed for ED staff specifically related to suicide prevention. [ABSTRACT FROM AUTHOR]

Many young people in the criminal justice systems of both Australia and Aotearoa New Zealand will have cognitive disabilities and neurodiversity, and substantial challenges arise in efforts to provide services that will adequately meet their needs. This is despite the introduction of funding models based on an assessment of individual needs (rather than block funding to organisations). In this narrative scoping review, we argue that justice agencies will need to partner with specialist disability support services if they are to meet the needs of those in both custodial and community settings. This requires knowledge of the nature and prevalence of disability in the youth justice population, awareness of available service responses and the development of skills to engage young people in services and programmes that will support rehabilitation and community inclusion. [ABSTRACT FROM AUTHOR]

Police have been criticized for their biased treatment of minorities. While many officers do not hold prejudicial attitudes toward minorities, discrimination continues. Stereotype threat research offers one possible explanation for why this is so. Paradoxically, studies reveal that officers who feel more threatened by the 'racist cop' stereotype rely more on coercive force in interactions with minorities. This perpetuates the view that police are racist. This study examines whether officers can overcome the negative consequences of experiencing stereotype threat. It focuses on the link between stereotype threat and officers' support for procedural justice policing, and examines how social identity moderates this relationship. Using survey data from 307 police officers (22.5% females, 11.1% non-Australian ancestry, and 69.4% general duties officers), we find that stereotype threat is associated with reduced support for procedural justice, but is moderated by how officers self-identify. Officers who identify more strongly as 'guardians' (i.e. they emphasize policing as a service) are more likely to display stereotype resistance; that is, they are better able to resist the negative consequences of the 'racist cop' stereotype. Those who identify less strongly as 'guardian' officers, in contrast, fall victim to stereotype threat and display stereotype conformity. Implications are discussed. [ABSTRACT FROM AUTHOR]

Emergency departments (EDs) are often the first point of contact for individuals following self-harm. The majority of previous research relies on hospital-based data, yet only a minority of individuals who self-harm in the community present to healthcare services. The study design is cross-sectional survey design. Data from the National Institute for Health Research Applied Research Collaboration North West Coast (NIHR ARC NWC) Household Health Survey, a community-based public health survey in North West England, was collected using stratified random sampling. Three thousand four hundred twelve people were recruited in 2018 from relatively disadvantaged areas. The sample included 1490 men and 1922 women aged 18 to 100 years (M = 49.37, SD = 18.91). Logistic regression analysis was employed to examine demographic, health and socioeconomic predictors of self-harm and ED attendance for self-harm. Age (18–24 years), lower financial status, depression, anxiety and physical and mental health co-morbidity was associated with significantly higher levels of self-harm. People aged 18–24 years, with physical and mental health co-morbidity and lower levels of social support had significantly higher levels of attending EDs for self-harm. Improving people's financial situations, social connectivity, mental and physical health may help to reduce individual risk for self-harm and strain on health services. [ABSTRACT FROM AUTHOR]

Objectives: To determine whether socioeconomic status (SES) and small birthweight for gestational age (SGA) exhibit independent or joint effects on infant levels of 42 metabolites. Study design: Population-based retrospective cohort of metabolic newborn screening information linked to hospital discharge data. SGA infants defined by birthweight <10th percentile for gestational age by sex. SES was determined by a combined metric including education level, participation in the WIC nutritional assistance program, and receiving California MediCal insurance. We performed linear regression to determine the effects of SES independently, SGA independently, and the interaction of SGA and SES on 42 newborn metabolite levels. Results: 736,435 California infants born in 2005–2011 were included in the analysis. SGA was significantly associated with 36 metabolites. SES was significantly associated with 41 of 42 metabolites. Thirty-eight metabolites exhibited a dose-response relationship between SGA and metabolite levels as SES worsened. Fourteen metabolites showed significant interaction between SES and SGA. Eight metabolites showed significant individual and joint effects of SES and SGA: alanine, glycine, free carnitine, C-3DC, C-5DC, C-16:1, C-18:1, and C-18:2. Conclusions: SES and SGA exhibited independent effects on a majority of metabolites and joint effects on select metabolites. A better understanding of how SES and SGA status are related to infant metabolites may help identify maternal and newborn interventions that can lead to better outcomes for infants born SGA. [ABSTRACT FROM AUTHOR]

Recent research has consistently found declines in youth offending, and it has been suggested that youth offending may have become more concentrated in lower socio-economic communities. However, there has been limited empirical examination of this proposition. This study aimed to examine changes in the relative concentration of youth offending in low and high socio-economic communities in an Australian jurisdiction, from 2008 to 2018, and to explore socio-economic drivers of different types of youth offending over this period. Changes in offending concentration were measured using ratios of youth offending rates in low and high socio-economic communities over time and Poisson panel regression was used to explore socio-economic drivers of youth offending rates. Findings indicated disparate patterns across youth offending types, with significant decreases in one-off and low to moderate offending, and significant increases in chronic offending over the same period. Overall, youth offending was not found to have become increasingly concentrated in lower socio-economic communities, primarily due to larger relative increases in chronic offending in higher socio-economic communities. Despite a slight decrease in concentration, lower socio-economic communities continue to experience markedly higher youth offending rates. Findings indicate a need to better understand drivers of recent increases in chronic youth offending. [ABSTRACT FROM AUTHOR]

Physical distancing measures have become the first line of defence for slowing COVID-19 virus transmission. However, studies have demonstrated that compliance with physical distancing restrictions has not been uniform. Police have also encountered widespread resentment of the restrictions, defiance, and people purposefully flouting restrictions. In this study, we examined factors associated with compliance with COVID-19 restrictions among those who held defiant attitudes toward police during the early stages of the pandemic in Australia. The study draws on survey data collected from 1595 Australians during the initial lockdown period in Australia. Regression analysis was applied to determine if two forms of defiance toward police (resistance and disengagement) were associated with reduced compliance with restrictions while controlling for other known correlates of compliance. We also identified factors that were associated with compliance among highly resistant and disengaged individuals. Findings indicate that defiant individuals were significantly less likely to comply with physical distancing restrictions. Among highly resistant and disengaged individuals, recent police-initiated encounters that were deemed to be procedurally unjust were also associated with reduced compliance. In addition, highly disengaged individuals were less likely to comply if they were concerned about ongoing loss of freedoms post-COVID-19. The implications of the findings for defiance and compliance research, as well as for COVID-19 policing strategies, are discussed. [ABSTRACT FROM AUTHOR]

While there is a considerable body of evidence on the influence of individual and situational, and to a lesser extent community factors, on police use of force, little is known about the influence of police agency factors on use of force by police. Greater use of community policing approaches has recently been recommended for U.S. policing agencies, in the wake of a series of high-profile police-involved deaths of predominantly African American citizens. However, there is limited empirical evidence that community policing can influence or impact the use of force by police. The current study uses an online survey of Australian police officers to examine whether frequency of community engagement affects officers' attitudes towards coercive and non-coercive policing responses to a vignette, and whether social distance might explain this relationship. Regression analyses demonstrated that community engagement was positively related to endorsement of non-coercive policing responses and negatively related to endorsement of coercive policing responses. Social distance mediated the former relationship, but not the latter. These results suggest that community policing approaches may increase the propensity for non-coercive policing responses, and that a reduction in social distance to the community is one pathway through which this occurs. [ABSTRACT FROM AUTHOR]

Extant research on police use of force has established that force is not distributed evenly across communities, with minority threat, ecological contamination, and social disorganisation some of the most common theories used to understand the distribution of police use of force in the US. The current study aimed to test the relevance of these theories for explaining the distribution of serious police use of force events in Australia. We tested a use of force frequency model using negative binomial regression, and a use of force severity model using ordered logistic multilevel modelling. Results demonstrated support for ecological contamination theory, social disorganisation and partial support for socio-economic disadvantage in predicting the frequency of serious police use of force events across communities, while minority threat theory was not supported. In contrast, results suggested that individual and situational factors are more influential in predicting force severity than community characteristics. [ABSTRACT FROM AUTHOR]

Youth development professionals (YDPs) working at community-based organizations (CBOs) can promote adolescent sexual health through programs. This study explored the programs and resources that youth access at CBOs and training YDPs receive. Twenty-one semi-structured interviews were conducted with YDPs. Qualitative content analyses were conducted using NVivo. The study found that most YDPs described sexuality-related programs for youth. Many YDPs provided informal information and/or referrals for youth. Few YDPs were trained to address adolescent sexuality, but many sought outside resources. Also, YDPs have a unique opportunity to improve adolescent sexual health and sexuality. Five considerations for organizations that develop programs and training for CBOs are suggested. [ABSTRACT FROM PUBLISHER]

Previous studies demonstrated the utility of the minority stress model in understanding health disparities for lesbian, gay, bisexual, and transgender (LGBT) populations. Since most research has considered large metropolitan areas, predominantly in coastal regions of the United States, this research focuses on a midwestern state, Nebraska. This study sought to assess the relationships between depressive symptoms experienced by participants (N = 770) and minority stress variables, including experiences with violence, perceptions of discrimination, and respondents’ degree of self-acceptance of their LGBT identity. Regression analysis revealed that after controlling for demographic variables, self-acceptance, and perceived discrimination were correlated with depressive symptoms. These findings have implications for policy makers, public health planners, and health care providers. [ABSTRACT FROM PUBLISHER]