Suicide, category errors.

One of the problems in my field is outcome scales: they are all proxy to what really interests us. Positively, we want people to get better (be well) or at least have recovery (Live well with disability). Negatively, we want to see less death, less disability, less disadvantage. But we use scales. And even on … Continue reading Suicide, category errors.

Youth suicide in the UK.

This paper discusses trends in verdicts of suicide among adolescents in the UK over a forty-year period. The authors consider that there has not been a significant change in the way things are reported. The first graph gives the rates of suicide and accidental death for ages 10-14 and 14-19. Note the scale: in later … Continue reading Youth suicide in the UK.

The grave cost of complaints.

There is an old and cynical joke about my trade. It is that we bury our mistakes. It is not that accurate: when things go wrong the person continues to suffer, and we have a duty to continue to care and help. We also are accountable. We need to be accountable. But there are fatalities … Continue reading The grave cost of complaints.

Linking and shunning.

I'm not sure if I would use the same classification as SSM here. I'd talk about stigma or discrimination when you don't deserve it, and shunning when you do earn repugnance and rejection. And the two should not be conflated. Stigma comes in two flavors: Existential Stigma and Achieved Stigma. Existential Stigma: stigma deriving from … Continue reading Linking and shunning.