scholarly journals Access to firearms: essential factor for risk management in psychiatry

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S121-S121
Author(s):  
Donnchadh Walsh ◽  
Una Fallon ◽  
Sonn Patel ◽  
Elizabeth Walsh

ObjectiveIncrease awareness of the risk associated with access to firearms in clinical practice.Case reportA 57-year-old man, with a 30 year history of schizophrenia, was reviewed routinely at home. His illness is predominantly characterised by chronic delusions of a grandiose nature. He believes he has been offered various senior employment positions and has acted on these beliefs by presenting at workplaces in business attire. He has no insight into his condition. At review, he described awakening a week earlier in a panic and seizing hold of his legally held shotgun. He planned to shoot out the window as he believed people were breaking in. His wife prevented him from doing so by taking the gun and hiding it. A few days later he found the gun and intended to frighten off potential pursuers by pretending to shoot birds. He was persuaded to surrender the gun and it was taken to the local Garda (Police). A short time later, he presented to Garda Headquarters, over an hour away, seeking the return of his gun. At review, he had limited insight into the potential seriousness of the situation. The team immediately liaised with Gardaí, a HCR- 20 risk assessment was completed and clozapine levels checked.DiscussionWe had not know that our patient owned a shotgun despite very regular contact with him. During a comprehensive psychiatric history we routinely ask about risk of harm to self and others, but rarely ask specifically about access to or ownership of guns. Working on a farm, rural living or having an interest in shooting sports may raise the issue. Suicide, security breaches and homicide are the main risks conferred by firearms in mental illness. Mental illness is not necessarily prohibitive to gun ownership. Applicants for gun certificates in the UK must disclose specific medical conditions, including a psychotic illness, and an automatic medical report is sought. In the Irish Republic it is the responsibility of the applicant to declare any specific physical or mental health condition. Although a medical report may be sought, it is not automatic in all cases. Lack of insight into psychotic illness may potentially influence self-declaration upon application for a certificate.ConclusionAwareness of a persons access to firearms should be part of our routine risk assessment.

2021 ◽  
Vol 19 (1) ◽  
pp. 5-12
Author(s):  
Duncan Lawson

In terms of the history of mathematics higher education, mathematics and statistics support (MSS) is a very recent development, existing as a formal feature for less than 50 years.  However, in this short time, MSS has displayed its own characteristics.  A particularly notable feature of MSS in the United Kingdom (and in other countries) has been the way in which practitioners have collaborated with each other, almost from the outset.  This collaboration has led to the creation of a community (the sigma network) with a written constitution and formal membership.  This two-part article traces the history of the development of the MSS community in the UK from its earliest incarnations to the present day.  The first part of the article reviews the period from the early 1990s to 2005 during which time the key events were the rise and demise of the Mathematics Support Association and the creation of sigma, Centre of Excellence in University-wide Mathematics and Statistics Support. 


wisdom ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 80-94
Author(s):  
Oksana PIETSUKH

This article focuses on the proxemics, oculesics and tacesics as nonverbal communication peculiarities in the UK parliamentary debates within the scope of parliamentary discoursology as a new branch of political discourse studies. It deals with studying of metonomy-based language representations of space used to name the MPs in the UK parliamentary debates. Here the visual characteristics and behavioral patterns influencing the role and participation of MPs in the debates are highlighted. The paper determines cognitive background and extralinguistic factors influencing the usage of naming models and colour determination of MPs in the parliamentary debates. Such debates represent the events regardless the party that gains majority in the UK parliament in the post-Thatcher period. It is concluded that nonverbal have become an inseparable part of parliamentary communication, serving as a special communicative code used by the MPs. The results stipulate further modelling of the parliamentary debates to build their interactive and cognitive models for better insight into the British political life and the British national character. The received knowledge is of particular importance for teaching country studies, history of the UK, political science and theory of speech communication.


2020 ◽  
Vol 63 (1) ◽  
pp. 51-64
Author(s):  
Sam Middlemiss

Purpose Against the background of the biggest arts festival in the world, there have been some shocking findings recently about the treatment of performers and other workers at the Fringe. The purpose of this paper is to consider the type of treatment a significant number of Fringe workers experience and how it might be dealt with under the law. The mistreatment of workers includes being: required to work excessively long hours, paid low wages or no wages, subject to sexual or street harassment, lookism, ageism or deprivation of other employment rights. What is unusual about Fringe workers is they normally only work for a short time (often a maximum of two months). Also, in respect of performers and other theatre workers, they might be inclined to work on a voluntary, unpaid basis to gain the necessary experience to kickstart their careers. Employers will often be theatrical promoters in charge of productions at a number of venues. This paper highlights the issues surrounding working at the Fringe and identifies the employment law issues for its workers. This involves identifying likely breaches of legislation under the civil law and contract law by employers. Also, the consideration of how the criminal law could apply to the treatment of workers is undertaken. Finally, it involves an analysis of how the rights of Fringe workers could be better protected. The findings and recommendations in this paper will have application to any situation where someone is employed as a volunteer or worker in an artistic setting on a short-term basis. Design/methodology/approach This paper is a review of sources drawn from articles in law journals, newspapers, etc. Findings The findings of this paper suggest that there is a need for reform of the law. Research limitations/implications This paper focuses on improving the rights of Fringe workers who have a history of being neglected or abused. Practical implications This paper ensures improved rights for Fringe workers. Social implications This paper analyses issues that are relevant for all workers in the arts at festivals, etc., throughout the UK. Originality/value This paper is extremely original.


Author(s):  
Josh McLeod ◽  
Yvonne McLaren

Employment laws are put in place to protect employees from any mistreatment from their employers, and are a vital part of a country’s efforts to protect its citizens. Some countries are regarded as having very restrictive employment laws whilst others are regarded as more relaxed. According to the Organization for Economic Co-operation and Development (OECD), who analyse and compare employment protections in various countries, the UK, Canada and the USA have the most lenient laws whereas France, Spain and Turkey have the strictest. This chapter will focus on UK employment law, where workers’ rights can be traced back to the 1300s and significant changes are still occurring today. By examining the UK’s history of employment law, the contract of employment, corresponding rights and duties of both the employer and employee and the circumstances in which the contract of employment might come to an end, students will gain a valuable insight into a unique area of UK business law.


2021 ◽  
Vol 11 (1) ◽  
pp. 38-55
Author(s):  
Ravi Sadhu

This article explores how Indian and Pakistani immigrant groups from the Bay Area in North California relate to and interact with one another. There is limited research on the role of religion in shaping sentiments of distinctiveness or “groupness” among diasporic Indians and Pakistanis in the UK and North America. Through conducting qualitative interviews with 18 Indian and Pakistani immigrants in the Bay Area, I recognized three factors pertaining to religion that were salient in influencing notions of groupness—notions of modernity, sociopolitical factors, and rituals. With respect to these three variables, I flesh out the spectrum of associated groupness; while some factors were linked with high levels of groupness, others enabled the immigrant groups to find commonality with one another. This research is integral to a better understanding of the interactions between South Asians in the diaspora, as well as to gain insight into how these immigrant groups—whose countries of origin share a history of religious conflict—perceive and interact with one another. 


2020 ◽  
Vol 9 (18) ◽  
pp. 23
Author(s):  
Angela Saward

This article looks at the forgotten history of a television programme on venereal disease for teenagers broadcast in the United Kingdom (excluding Scotland) in 1973. It was produced by BBC Schools and Colleges and deemed to be very successful. The production was one of a trio of programmes entitled ‘Health Hazards’, from the series Twentieth Century Focus, which reflected issues relevant to teenagers over a period of social change from the 1960s to the 1970s. The archive record is lean on schools programming and this programme is very well documented from concept to delivery, representing a discrete, but ephemeral, intervention into 1970s sex educational broadcasting. This research contributes something new about public health and sexual education in the period immediately before AIDS.


2018 ◽  
Vol 18 (2) ◽  
pp. 86-92 ◽  
Author(s):  
Masoud Gerami ◽  
Aidan Hawes

AbstractIn this article, Masoud Gerami, Managing Director, and Aidan Hawes, Head of Commercial Development, offer an exploration of the history of Justis, and the influence the company has had on the delivery of legal information over its 30-year history. They describe the development of technology over this time, from the rise of optical media through to the features offered by today's online legal research technology, focusing on Justis’ key milestones over this period. They discuss the range of innovations Justis has been responsible for, the changes in the legal research industry, and offer an insight into the future aspirations of the company.


Itinerario ◽  
1984 ◽  
Vol 8 (1) ◽  
pp. 151-152
Keyword(s):  

As is well-known, between 1639 and 1853 the only officially allowed communication between Japan and the rest of the world flowed through the single Dutch trading post on Deshima island in the bay of Nagasaki. Even before this, and indeed for a short time thereafter, the Dutch trading establishment there provided a spyhole through which Europeans could observe some of what went on in the Land of the Rising Sun and through which Japanese could gain some insight into the rest of the world. It is therefore not surprising that since the 1880s the archives of the Dutch factory have been seen as an important source for the history of Japan. In particular the daily Daghregister (or Journal) which is unbroken between 1633 and 1860, forms the basic key to the records of the Deshima factory, especially during the annual journey to the court in Edo (Tokyo).


Author(s):  
Nicola Swinson ◽  
Jennifer Shaw

There is a widespread public perception of the mentally ill as violent. Until the early 1980s there was a consensus view that patients with severe mental illness were no more likely to be violent than the general population. Emerging evidence from various countries over the past two decades, however, has established a small, yet significant, association between mental illness and violence. There are 500–600 homicides annually in England and Wales. Perpetrators and victims are predominantly young males, especially when the victim is unknown to the perpetrator. In such ‘stranger homicides’ perpetrators are less likely to have a lifetime history of mental illness, symptoms of mental illness at the time of the offence, or contact with mental health services. Despite an increasing rate of homicides in the general population, convictions for infanticide and the rate of infant homicide has remained relatively constant, at around 4.5 per 100 000 live births. Infanticide has become a generic term for killing of infants, even though the criminal charge in England applies to a crime for which only a woman can be indicted. Multiple homicides, in particular serial homicides, have generated a great deal of public and media interest over recent decades yet this phenomenon is rare in the UK. The rarity of these events means that there is a lack of empirical evidence about the characteristics of perpetrators and victims in the UK, with most evidence emanating from the United States. Even then, however, there is an absence of systematic, robust evidence, with many studies being limited by small sample size. Around 1 in 10 perpetrators of homicide in England and Wales are female, which is consistent with data from other countries. Stranger homicide by females is rare. In one-quarter of cases the victims are the perpetrators’ own children and a current or former partner in over a third. Homicides perpetrated by the elderly are exceptionally rare. There is a well documented increased risk of violence in those with schizophrenia. The aim of the National Confidential Inquiry is to collect detailed clinical information on people convicted of homicide, focusing on those with a history of contact with mental health services. Nearly one in three Inquiry cases were seen during the week before the homicide, a similar proportion within 1–4 weeks and the remainder between 1–12 months. A substantial proportion had mental state abnormalities at final contact, often distress, depressive symptoms, hostility, or increased use of alcohol or drugs. Despite this immediate risk was judged to be low or absent in 88 per cent cases at the last contact.


1994 ◽  
Vol 18 (4) ◽  
pp. 216-217 ◽  
Author(s):  
Danny Allen ◽  
Karen Allen

A reason sometimes given for not applying a section off the Mental Health Act 1983 to patients for the first time is that this may stigmatise them in some way. A practical example off stigmatisation is that patients who have previously been ‘sectioned’ may be refused tourist or immigration visas to other countries. Since no information on this subject is available in the psychiatric literature this paper attempts to clarify the policy of diplomatic missions in the UK in relation to visa applicants who report a history of mental illness and compulsory hospital treatment.


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