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The research shows that early-onset, compared with late-onset injectors, are more likely to have an immediate family who inject drugs and other problematic beginnings in early life. They have an accelerated transition to injection, and differences in autonomy and motivation at first injection. These characteristics may make them more vulnerable to risk taking.

The study tested hypotheses that from 1964 to 1993: (1) suicide rates among Australian 15- to 24-year-old males rose more sharply in rural than metropolitan areas; (2) firearm suicide rates among 15- to 24-year-old males, declining throughout Australia recently, rose continuously in rural areas; (3) suicide rates among 15- to 24-year-old females did not change significantly in either metropolitan or rural areas. Suicides of those aged 10-24 years recorded by the Australian Bureau of Statistics (ABS) were classified according to the subject's residential grouping. Rates were calculated using ABS population data corresponding to these groupings. Results were analysed using log-linear analysis and chi-square statistics. The results supported the first two hypotheses, but not the third. Suicide rates for 15- to 24-year-old males rose by a factor of 2.2 in metropolitan areas, by 4-fold in towns with populations between 4,000 and 25,000, and by 12-fold in towns with populations less than 4,000. Male firearm suicide rates continued to rise in rural areas, and the greatest proportion of deaths in those locations were by firearms, though male hanging rates increased most in recent years in all locations. Female youth suicide rates did not change overall, but in towns with populations less than 4,000, they increased 4.5-fold. Possible explanations for this epidemic, which are mostly speculative and require confirmation, are discussed.

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The use of alcohol is a significant predictor of the involvement of young offenders in violent crime. This study found that in a sample of 300 incarcerated juveniles in New South Wales, more than 70% admitted to violent crime. Detainees from an Aboriginal or Torres Strait Islander culture were less likely than other detainees to be involved in violent crime. The substances most associated with violent crime were alcohol, followed by cocaine. However, when the likelihood that the young person has initiated violence as a response to alcohol or other substances is introduced into the equation, the direct effects for alcohol and cocaine predicting engagement in violent crime disappear. The Goldstein hypothesis that the effects of a substance directly facilitate violence, thereby accounting for the relationship between substances of use and violent crime, was supported. Aggr. Behav. 29:414-422, 2003. r