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This paper aims to systematically review the available evidence that explores adverse childhood experiences (ACEs) in people with intellectual disabilities (PwID). It is important to systematically review this literature as, to date, there is little known about the number of studies in this area, despite the World Health Organization declaring ACE prevention and support as a global public health priority.

Published studies were identified from electronic database searches. Key journals and reference lists were also hand searched.

Two studies met the inclusion criteria and the prevalence and frequency of ACEs experienced by participants of these studies analysed. Overall, due to the small number of studies meeting the inclusion criteria, it is difficult to establish any meaningful conclusions.

This appears to be the first systematic review to try and identify a research base looking at the prevalence of ACEs within a PwID population. Findings suggest that this is a highly neglected area of research, and the authors hope to have identified that further evidence is required to draw clearer conclusions about the impact of ACEs on PwID.

There has been significant growth in the number of people getting tattoos over recent decades. While there might be a myriad of reasons for getting a tattoo, there remains a deficit of knowledge in relation to the potential relationship between tattoos and mental health. This paper aims to explore this potential relationship, from the perspective of those with tattoos, and considers the relevance of this potential relationship for those working in mental health services.

Data was collected through an online qualitative survey which asked participants to share their experiences in relation to their tattoos and mental health. The survey was shared through social media and distributed to tattoo shops within the UK. In total, 17 participants completed the survey; the survey data was then transferred to Nvivo and subjected to thematic analysis.

Three themes emerged from the data. First, tattoos as an expression of relationship with self; second, tattoos as an expression of relationship with others, and third, tattoos as a symbol of change. The three domains provide an insight into the complex relationship between identity and tattoos and suggest that tattoos may hold significant importance in supporting people to make meaning following trauma and to communicate elements of themselves to the world around them.

The findings provide an insight into the significance of tattoos which transcends the traditional discourses of tattoos as a marker of risk or deviance. Tattoos may be significant in the process of meaning making and narrating a sense of self and identity.

Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues.

Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied.

Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory.

Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services.

Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted.

The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.

This paper aims to explore the formation of a destination image (DI) threatened by terrorism. The study sheds light mainly on the 2015 terrorist attacks targeting a beach resort. It allows us to understand the motives behind it, as well as the information stimuli and DI construction for tourists who visited the destination despite the threat of terrorism and those who changed their travel plan.

A Netnography and in-depth semi-structured interviews were carried out. The two qualitative studies offer a methodological complementarity to capture the motivations, the impressions, the beliefs and the feelings of tourists who visited the destination hit by the terrorism and those who cancelled their visit or substitute the destination.

The results suggest that rational fatalism, compassion, curiosity and better offer value are the main motivations expressed by tourists who visited the destination during the summer of 2015. On the other hand, fatalism, solidarity with the European community, worse offer value and perceived insecurity seem to be the main causes behind the traveller’s reluctance to visiting Tunisia. The findings also uncover differences regarding information sources and reflections on media coverage of the events. Indeed, some tourists develop antagonistic feelings towards the destination alternatively positive and negative.

This is one of the first studies investigating the responses of tourists visiting a destination threatened by terrorism in a real-time situation. It also elucidates the process of DI formation for both tourists visiting the destination and those who cancelled/ substituted it.