This study examines the impact features of nonsuicidal self-injury (NSSI) have on predicting a suicide attempt in a sample of young adult self-injurers. Participants completed the Inventory of Statements About Self-Injury, the Self-Harm Behavior Questionnaire and demographics questionnaires to assess lifetime self-injury frequency, number of different methods used, severity of methods, the desire to stop self-harming, functions, the experience of pain, and response latency. Results indicated that NSSI frequency, high severity methods, and endorsing more intrapersonal functions predicted the presence of a suicide attempt. Additionally, those who experienced pain while selfinjuring were found to be significantly more likely to report a history of suicide attempt compared to those who did not feel pain. Given extant literature, these findings suggest that in general the relationship between NSSI and suicidality is more complex than suggested and differs depending on which feature of suicidality is being measured (e.g. ideation, threats, gestures, plans, or attempts). Aside from other important implications discussed, researchers should individually evaluate facets of suicide when establishing risk.

Background: Self-harm is used to describe a group of diseases where the persons intention is to hurt thereself. This collective name includes conditions such as anorexia, burning, poisoning and self-cutting. The act of self-harm is almost never related to the patients' wish of death, it's more of a tool for the person to calm herself. Previous research shows that nurses often see these patients as troublesome often because of a lack of knowledge. There's just a few studies that examine the patients' views. Aim: The aim of this study was to describe how patients with self-harm was experiencing the meeting with the nurse. Method: The study was designed as a literature based study based on 12 qualitative articles. All articles are read and analyzed by Friberg (2012) model with the analysis of qualitative research. Results: The result of this study showed that the nurse plays a big part in how the patients experienced their treatment. If the patient feels that the nurse doesn't see, hear or respect her, the patient starts to feel that she is not worth health care. For the patient to feel and get better it's essential that there is a functional relationship between the patient and the nurse. Conclusion: Patients who self-harm is a difficult patientgroup to treat if there is a lack of knowledge. But these patients are dependent on the care that the nurse is providing them. Therefore a caring and trusting relationship is a must to provide high quality care.

SAMMANFATTNING BAKGRUND: För att hälso- och sjukvården ska kunna hålla en hög kvalitet och fortsätta att utvecklas är det viktigt att uppmärksamma när patienter anser sig felbehandlade av vården. Vårdgivaren är skyldig att granska och utreda händelser och klagomål rörande vårdskador (SFS 2010:659), och patientnämnden har som samhällsinstans en central roll att på landstingsnivå granska patientärenden och utgöra en opartisk bro mellan patient och hälso- och sjukvård. Det är viktigt att belysa förekomsten och typen av anmälningsärenden för att kunna bedriva kontinuerligt förbättringsarbete. SYFTE: Syftet med denna studie är att kvantitativt beskriva de anmälningar rörande vårdskador som inkommit till patientnämnden i ett landsting i Mellansverige under 2015. METOD: Denna studie är en empirisk retrospektiv studie med kvantitativ ansats. Ärendena inhämtades från patientnämnden. Totalt 893 ärenden inkom till patientnämnden år 2015 och samtliga ärenden granskades. Därefter inkluderades 229 ärenden som kategoriserades med hjälp av en modifierad granskningsmall. RESULTAT: De vanligaste förekommande anledningarna till anmälan om vårdskada är misstanke eller upplevelse av felbehandling respektive feldiagnos (54 %). Kirurgi- och onkologidivsionen är den division varifrån flest ärenden kommer (41 %). Majoriteten (74 %) av ärendena anmäls av patienten själv. Kvinnor står för fler anmälningar till patientnämnden än män (65 % vs 35 %).  I 41 % av de granskade fallen har berörd divison fastställt att vårdskada inträffat. SLUTSATS: Totalt 229 ärenden bedömdes som vårdskador. Det behövs vidare forskning för att bekräfta studiens resultat. Nyckelord: patientsäkerhet, vårdskador, patienträttigheter / ABSTRACT BACKGROUND: It´s important to acknowledge when patients consider themselves mistreated, in order to strive for better and safer health care. The caregiver is obliged to investigate events and complaints resulting in patient injuries (SFS 2010:659). Patientnämnden is an organizational unit within the county and it has a central role in reviewing patient complaint cases, being an impartial bridge between the patient and the health care. OBJECTIVE: The aim of this study is to describe the complaints regarding patient injuries from a county in mid Sweden 2015. METHODS: An empirical retrospective study with a quantative approach was conducted. The data was collected from patientnämnden. A total of 893 complaints were received by patientnämnden during the year 2015. All of the complaints were reviewed. Two hundred twenty-nine complaints were included and categorized with a modified examination instrument. RESULTS: The most common reason for complaints regarding patient injuries are mistreatment and misdiagnosis (54 %). Most of the complaints come from the surgery and oncology division (41 %). The majority (74 %) of the complaints is reported by the patient, and it´s more common for women compared to men to file complaints to patientnämnden (65 % vs 35 %). In 41 % of the cases, a medical injury was confirmed by the caregiver in some way. CONCLUSION: A total of 229 complaints was categorized as patient injuries. More research are needed to confirm the result of this study. Keywords: patient safety, patient harm, patient rights

Potential reduced exposure products (PREPs) are marketed to reduce smoking’s harm, despite little information concerning their effects. This study adapts previously reported clinical laboratory methods used to evaluate combustible PREPs to investigate the acute effects of four non-combustible PREPs (Ariva, Camel Snus, Marlboro Snus, Commit nicotine lozenge) relative to own brand cigarettes, sham smoking, and one combustible PREP that delivers no measurable nicotine (Quest). Twenty-eight smokers participated in 7 Latin-squared ordered, 2.5-hr sessions in which each product was administered twice (60-minute inter-administration interval). Sessions differed by product and were separated by > 48 hours. Plasma nicotine, heart rate, expired air carbon monoxide (CO), and subjective effects were assessed. Relative to own brand, non-combustible PREPs decreased nicotine and CO exposure, did not suppress abstinence symptoms fully, and were less acceptable. These short-term clinical laboratory methods are reliable and provide valuable information concerning non-combustible PREPs for smokers.

Immaterial harm in civil law - Abstract My thesis is focused on immaterial harm in civil law. It is a topic nowadays broadly discussed because its creation is most often associated with interference in the personal rights and its consequences are very severe. The aim of my thesis is to provide a comprehensive overview of the possibilities of creation immaterial harm and the ways of remedying its consequences. The work deals with the effective legislation, meaning mainly the Act No. 89/2012 Coll. Civil Code (hereinafter "the new Civil Code"). In some parts of my work is pointed towards now uneffective legislation of Act No. 40/1964 Coll. Civil Code from the year 1964 which is siginificantly different from the new Civil Code. The first chapter defines the basic terms associated with the topic of immaterial harm. The following chapter discusses the development of creation of immaterial harm in our area and describes the reasons for the necessity of protecting the personal rights and also creation of obligation to compensate for losses by unlawful encroachments. The third chapter deals with individual partial values of human personality and evaluates its regulation and protection method. Associated with each term is given its definition and terms of exercising their protection. The fourth chapter is concerned...

As ideias políticas e filosóficas que influenciaram a criação da regra da legalidade penal e do princípio da ofensividade têm origem no Iluminismo. Principalmente durante a Idade Média e o Antigo Regime, confundia-se crime com pecado e as pessoas podiam ser punidas por mero capricho do soberano, sem que existisse lei. As arbitrariedades eram gritantes. A finalidade de ambas as teorias surgidas no período da Ilustração, portanto ao pregarem que era necessária a existência de lei prévia para que alguém fosse punido (regra da legalidade) e que o crime pressupunha uma lesão a direito ou bem jurídico de terceiro (princípio da ofensividade) , era a mesma: limitar o poder punitivo. No entanto, a regra da legalidade penal foi muito mais absorvida pelo discurso dogmático-jurídico do que o princípio da ofensividade, sendo oportuno, pois, analisar as razões pelas quais isso ocorreu. Algumas delas serão analisadas neste estudo como, por exemplo, a ausência de previsão explícita desse princípio nas Constituições, a suposta incompatibilidade desse princípio com a separação de poderes e com a própria regra da legalidade penal e a insegurança jurídica que a aplicação de princípios poderia gerar. Além disso, há um fator político de destaque: a consolidação da burguesia exigia a imposição de limites formais ao poder estatal, mas não limites materiais. Outro fator importante foi o advento do positivismo criminológico, no final do século XIX, que, ao confundir crime com doença, retornou ao paradigma do direito penal do autor que havia vigorado na Idade Média. Finalmente, para demonstrar o que impediu a consolidação do princípio da ofensividade especificamente no Brasil, será analisada a influência da doutrina europeia na dogmática nacional. / The political and philosophical ideas that influenced the creation of the principle of legality and the harm principle came from the Age of Enlightenment. Mainly during the Middle Age and the Old Regime, there was a confusion between crime and sin and people could be punished simply because of the whim of the sovereign, with no law. The arbitrariness were enormous. The reason for both theories that were born at the Age of Reason which required that the legal rules would have to be declared beforehand (principle of legality) and that the crime presupposed a harm or injury to other individuals (harm principle) were the same: to limit the power of punishment. However, it can be seen that the rule of the legality has been taken by the dogmatic and legal speech much more deeper than the harm principle, being opportune then, to analyze the reasons it happened. Some of them will be analyzed in this research, for instance, the absence of this explicit principle in the Constitutions, the alleged incompatibility of this principle with the separation of powers and the legality rule itself and the legal uncertainty that the application of principles could trigger. Furthermore, there is a major political factor: the consolidation of the bourgeoisie demanded the imposition of formal limits to the power of the state, but not material limits. Another important factor was the advent of positivist criminology, in the late nineteenth century, which, by confusing crime with illness, brought the paradigm of criminal law of the author, which was applied in the Middle Ages, back. At last, to show what stopped the consolidation of the harm principle specifically in Brazil, there will be an analysis of the influence of European doctrine in the Brazilian dogmatic.

This thesis explores the experiences of an urban population who are considered to exist at the social margins of society, but who paradoxically spend much of their time in urban public space. Often referred to as ‘street people,’ the issues they face, such as homelessness and drug addiction, become public issues. In this thesis, I introduce and develop the concept of the marginal public to refer to this population, exploring their experience of the city not through the lens of their marginalization but through their relationship to the spatial and social realms of urban life. I explore the ways in which the marginal public, through their visibility and presence in the city, are not marginal to urban life but deeply embedded in it. Their marginality is lived simultaneously yet in contestation with dominant ways of being. This manifests in the marginal public’s relationship to others in the city, as well as through debates about the placing of facilities that serve them which I explore through the unsanctioned supervised consumption site of Overdose Prevention Ottawa (OPO). Finally, through the concept of heterotopia, I explore the margins as places of otherness as well as possibility.

The notion that acts of deliberate self-harm serve an expressive or communicative function is the central premise upon which many of the main functional models of selfharm are based. However despite the importance of this notion, very little empirical evidence exists to support it. Within this project the notion that acts of DSH serve an expressive or communicative function was explored in detail. Four studies investigating the expressive and communicative qualities of acts of DSH, the content which such behaviours serve to express, and the dynamics by which several different modalities of DSH do this were performed utilising Internet methods of data collection. The use of online methods of data collection findings of this project only apply to the sub-group of individuals who engage in DSH and also participate in online discussion forums. Photographs of words and phrases engraved into the skin along with detailed first person narratives of past episodes of deliberate self-harm were used as data sources in this project. Due to their high frequency of occurrence, acts of skin-cutting, self-burning, self-hitting, and self-poisoning were the main modalities of deliberate self-harm investigated in the four studies. Acts of skin-cutting, self-burning, self-hitting, and self-poisoning were all reported to serve expressive functions which allowed emotions and issues to be released or discharged from the body. Conversely, acts of skin-cutting and self-poisoning were also reportedly used to communicate emotional distress and a need for support from others. The content expressed or communicated by such behaviours, and indeed the dynamics by which they did so depended largely upon the modality by which injuries were inflicted. However in general the content expressed and communicated by the acts of deliberate self-harm reported in this project typically related to the events which preceded such behaviours, how they were interpreted, the types of psychological experiences they represented, and the emotions which they evoked. Such events were overwhelmingly interpersonal in nature, and typically involved the dissolution or disruption of relationships with primary support group members. The dynamics by which acts of deliberate self-harm reportedly served these functions differed widely, however the concept of symbolism was central to all modalities. The data collected within this project relating to the expressive and communicative functions of acts of skin-cutting, self-burning, self-hitting, and selfpoisoning was finally collated with the existing literature on the subject.

Background. The prevalence of alcohol dependence, defined as being physically and psychologically dependent on alcohol, among homeless people is 8%-58% compared to 4%-16% of alcohol dependence prevalence in the general population. Homelessness also contributes to alcohol dependence, and alcohol dependence is more difficult to treat and manage when combined with homelessness and alcohol-related harms. Alcohol harm reduction strategies for those with severe alcohol dependence and experiencing homelessness are gaining traction. There are 22 Managed Alcohol Programs (MAPs) in several cities across Canada. MAPs can reduce harms for people with severe alcohol dependence who live with acute, chronic, and social harms. In this research, I report on MAP participants views in the first six months of being in a MAP to provide insights into implementation of MAPs. Research Question. My central research question was: What are MAP participants perspectives of MAP during the early period of transition into MAP? With an objective to understand implementation from participants perspectives, I specifically asked: How are MAP participants situated in the world, what are their experiences, and what are the relational shifts that occur during early transition into MAP? Methodology and Theoretical Perspective. In my research, I used interpretive description informed by constructivism. I drew on relational theory to interpret my findings. The use of interpretive description, informed by constructivism and relational theory, brought forth greater insight into MAP participants views of and subsequent shifts in their relationships with the environment, alcohol, themselves, and others before and during MAP. Results/Findings. Participants perspectives focused on four key findings: (a) participants shifting perspectives of non-beverage alcohol when beverage alcohol was available in MAP, (b) participants motivation to change and insights into their own drinking, (c) reasons for drinking outside of MAP, and (d) relational insights and shifts in their connections with others. Conclusions. For individuals experiencing homelessness and severe alcohol dependence and its inherent associated harms, MAPs help to support relational shifts that support safer drinking patterns and/or meaningfully interrupt cycles of uncontrolled drinking as well as help to re-establish new relationships with alcohol, themselves, family, and friends. / Graduate

The research conducted for this thesis is an exploratory study of migrant workers' experiences in UK food supply chains. This thesis provides an original contribution to criminology by discussing how some food supply chain dynamics result in various exploitative and harmful labour practices against migrant workers. Data consisted of semi-structured interviews conducted with migrant workers in the UK, as well as individual and group interviews with food supply chain stakeholders, including representatives from industry, regulation, and labour movements. This research conceptualises labour exploitation as a continuum, with severe practices including modern slavery on one extreme and 'decent work' on the other. There are a range of practices in-between these two extremes that risk being overlooked, whereby 'routine', banal exploitation is embedded and normalised within legitimate supply chain processes. The argument developed in this thesis is that a stronger emphasis is needed on the harmful consequences of routine, mundane, everyday labour exploitation in order to understand how they can result from legitimate supply chain dynamics. The key contributions of this thesis can be summarised under four themes: developing a more rigorous analysis of 'routine' labour exploitation and harm against migrant workers; understanding how legitimate food supply chain dynamics can facilitate exploitation and harm; explaining how the regulatory framework may unwittingly result in further exploitation and harm to migrant workers; and recognising the complexity of the relationship between migration and labour exploitation. The thesis findings contribute to predominant discussions of labour exploitation that typically focus on severe exploitation such as modern slavery and emphasise rogue individuals or criminal networks as the main perpetrators. The research findings demonstrate that a significant amount of routine labour exploitation and harm remains 'under the radar' in the context of legitimate supply chain practices. Police action and supply chain regulation typically focuses on the most severe labour exploitation, which results in routine exploitation being largely unaddressed. Therefore, labour exploitation has implications for the nature, organisation, and control of harms facilitated by businesses and supply chains. It is important for criminology and society to not disregard routine labour exploitation, as these practices can result in numerous harmful consequences for workers. Since the public profile of labour exploitation continues to grow, a stronger focus is needed on the routine and banal aspects, not just the most severe practices.