Nebraska Supreme Court Review

Nebraska Law Review takes pride in presenting the fourth annual Supreme Court Review. This section is devoted to analyses of recent Nebraska decisions of first impression or landmark rulings which substantially alter a particular area of case law in Nebraska. This section is devoted to the practitioner and intended to provide attorneys with a comprehensive study of selected case holdings and an analysis of how these decisions relate to previous Nebraska decisions and the case law of other jurisdictions. These cases discussed here were decided in the September term 1970 and the January term 1971. This section does not include those cases which are or may become the subjects of individual casenotes. Thus all recent important decisions are not contained herein. I. Constitutional Law … A. Constitutionality of Nonresident Tuition Statute II. Criminal Law … A. Coerced Consent and Standing to Challenge Search … 1. Consent … 2. Standing … B. Photographic Identification … C. Probable Cause … D. Withdrawal of Guilty Plea … 1. The Facts in Johnson … 2. The Nebraska Approach to Withdrawal of Guilty Pleas … 3. The Federal Approach … 4. The ABA Approach … 5. Comparison of Various Approaches III. Property … A. Restraint on Alienation IV. Secured Interests … A. Waiver of Security Interest V. Torts … A. Strict Liability … 1. History of Products Liability … 2. Products Liability Cases in Nebraska … 3. Strict Liabilit

Systematic review and meta-analysis of the clinical factors associated with the suicide of psychiatric in-patients

Objective: To estimate the strength of the associations between the suicide of psychiatric in-patients and demographic, historical, symptomatic, diagnostic and treatment factors. Method: A systematic review and meta-analysis of controlled studies of the suicide of psychiatric in-patients including suicides while on approved or unapproved leave. Results: Factors that were significantly associated with in-patient suicide included a history of deliberate self-harm, hopelessness, feelings of guilt or inadequacy, depressed mood, suicidal ideas and a family history of suicide. Patients suffering from both schizophrenia and depressed mood appeared to be at particular risk. The association between suicidal ideas and in-patient suicide was weak and did not reach statistical significance after a quantitative correction for publication bias. A high-risk categorization as defined by a combination of retrospectively determined individual risk factors was strongly statistically associated with in-patient suicide (OR = 10.9), with a sensitivity of 64% and a specificity of 85%. Conclusion: Despite the apparently strong association between high-risk categorization and subsequent suicide, the low base rate of inpatient suicide means that predictive value of a high-risk categorization is below 2%. The development of safer hospital environments and improved systems of care are more likely to reduce the suicide of psychiatric in-patients than risk assessment