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Internationally, rates of suicide and lifetime self-harm are higher in prisoners compared to the general population. This study aims to identify specific characteristics of self-harming behaviour and to establish a profile of prisoners who engage in self-harm.

Data from the Self-Harm Assessment and Data Analysis Project (SADA) on self-harm episodes in prisons in the Republic of Ireland during 2017–2019 was used. Annual rates per 1,000 were calculated by age and gender.

The rate of self-harm between 2017 and 2019 was 31 per 1,000 prisoners for men and six times higher at 184 per 1,000 prisoners for women. The rate of self-harm was twice as high among prisoners on remand than sentenced prisoners (60.5 versus 31.3 per 1,000). The highest rates of self-harm among sentenced prisoners were observed among 18–29-year-old men (45 per 1,000) and women (125 per 1,000). The rate of self-harm was higher among women prisoners in all age groups. Contributory factors associated with self-harm were mainly related to mental health but also linked to a prisoner’s environment and relationships.

There is a need to ensure access to timely and suitable mental health services, including both appropriate referral and provision of evidence-based mental health interventions to address the needs of these cohorts.

To the best of the authors’ knowledge, this is the first national study to systematically examine incidence and patterns of self-harm among the prison population in Ireland. The recording of severity/intent of each episode is novel when assessing self-harm among the prison population.

Emergency Department (ED) presentations in older people are associated with a wide range of adverse events, which increase the risk of lengthy hospitalisation and poor outcomes. Pathfinder is an inter-organisational initiative delivered in partnership between Beaumont Hospital Occupational Therapy and Physiotherapy departments and the National Ambulance Service. Pathfinder responds to non-serious and non-life-threatening emergency medical service (EMS) calls. This study aims to demonstrate how Pathfinder can safely treat a proportion of older people at home by using alternative care pathways (ACPs), therefore avoiding unnecessary ED presentations. Once a decision has been reached to treat the person at home, the Pathfinder follow-up team delivers functional rehabilitation and case management in the persons’ home over the subsequent days.

This paper outlines the Pathfinder assessment, management and interventions in one clinical case example. Outcome measures include the level of patient satisfaction obtained via routine telephone feedback questionnaire and re-presentation to Beaumont Hospital within 30 days.

This paper illustrates through a case example the benefit of a collaborative multi-disciplinary rapid response team for non-serious and non-life-threatening EMS calls in older adults. The patient in this case example had no further EMS calls or ED presentations for 30 days after Pathfinder intervention and reported a high level of satisfaction with the service.

ED presentation was avoided through comprehensive multi-disciplinary assessment, including immediate access to intensive follow-up support in the person’s own home.

The Pathfinder service is improving access to ACPs for older people in the Beaumont Hospital catchment area. Pathfinder will now be spread nationally, with local adaptation, so that older people in other parts of Ireland will also benefit from this integrated model of care.

Patient feedback surveys confirm older adults want access to alternative care pathways.

This paper aims to analyze the effect of a recent disruption of Mexico's gasoline supply chain on the usage of public bike-sharing systems in Mexico City and Guadalajara.

The authors use a detailed data set to understand the usage patterns of Ecobici and Mibici. The authors assess both systems with a differences-in-differences econometric model using the least popular stations as a control group.

The authors find that the number of rides increased significantly shortly after the event because less popular stations became more utilized.

The authors show that when the effects of gasoline shortages were noticeable, usage rates increased in Guadalajara and Mexico City, but the rise primarily came from the users selecting more bikes from the less popular stations. Therefore, the authors show that citizens in both cities regarded bike-sharing as an adequate means of transportation, maximizing system usage during a disruptive time. This finding suggests that cities should invest in improving public bike-sharing systems to reduce carbon emissions and increase their population's well-being.

The authors use a publicly available data set to understand how citizens answered to a major disruption. Furthermore, this is one of the first papers that align supply chain risk management with sustainable transportation and analyzes its effects on citizen behavior in a Latin American setting.

El propósito de este artículo es analizar el efecto de una interrupción en la cadena de suministro de la gasolina en México sobre el uso del sistema de bicicletas públicas en Ciudad de México y Guadalajara.

Usamos una base de datos detallada para entender los patrones de uso de Ecobici y Mibici. Analizamos ambos sistemas a través de un modelo econométrico de diferencias en diferencias utilizando las estaciones menos afectadas como grupo de control.

Encontramos que la utilización del sistema aumentó en número de viajes de manera significativa luego del evento. Esto es debido a que las estaciones menos populares se empezaron a utilizar de manera más intensiva.

Demostramos que los habitantes de las dos ciudades decidieron buscar alternativas de transporte cuando los efectos de la escasez de gasolina se sintieron con fuerza. Esto significa que los ciudadanos consideran que las bicicletas públicas son un medio de transporte adecuado y que durante episodios inoportunos decidieron buscar opciones en las estaciones menos populares maximizando el uso del sistema. Por lo que las ciudades deberían invertir en la mejora de dichos sistemas para que sean más utilizados y así se reduzcan las emisiones de carbono y para que aumente el bienestar en la población.

Utilizamos una base de datos abierta para entender cómo los ciudadanos respondieron a una interrupción importante. Adicionalmente, este es uno de los primeros trabajos que alinea la gestión de riesgos en la cadena de suministros con transporte sostenible y analiza su efecto sobre el comportamiento de los usuarios en un contexto latinoamericano.