VA Reports Increase In Suicides Among Veterans, Active Military Members.

The Arizona Republic (3/20, Sexton) reports, “Suicide among veterans and active military members is not a new problem, but the number of incidents has risen significantly in the last decade, reaching what former Secretary of Defense Leon Panetta described as ‘epidemic’ levels.” The Republic adds, “Between 2000 and 2010 the number of veteran suicides rose from 20 to 22 per day, the VA reported last month. The total grew from an estimated 7,300 suicides in 2000 to an estimated 8,030 in 2010, for a difference of 730.”

Related Links:

— “As suicides rise among veterans, outreach increases, “Connie Cone Sexton, The Arizona Republic, March 19, 2013.

Report: One In Three US Adults Dies With Dementia.

USA Today (3/19, Lloyd) reports, “A new report showing one in three older adults dies with Alzheimer’s disease and other forms of dementia is raising concerns about the disease’s ‘pervasive’ scope and the spiraling costs of care,” according to a report to be released March 18 by the Alzheimer’s Association. The report found that “deaths from Alzheimer’s and other forms of dementia have increased 68% from 2000 to 2010.” USA Today adds, “The Alzheimer’s numbers ‘are simply staggering,’ says Francis Collins, director of the National Institutes of Health, the federal agency overseeing research for 233 areas of disease.”

The New York Daily News (3/19, Evans) reports, “Records released Tuesday by the federal Centers for Disease Control show that the degenerative brain disease was the cause of death for 83,494 people in 2010 and was listed as a contributing factor for 26,488 additional people.” Currently, “Alzheimer’s is the sixth leading cause of death in the US, and the fifth leading cause of death in people over 65.”

Related Links:

— “One in three elderly have dementia when they die, “Janice Lloyd, USA Today, March 19, 2013.

School Shootings Strengthen Stigma Surrounding Mental Illness.

The Louisville (KY) Courier-Journal (3/17, Ungar) reported, “A stigma continues to surround mental illness, and some advocates say it’s been strengthened in the wake of the Newtown, Conn., school shootings, which caused many to connect mental illness to violence.” The Courier-Journal added, “In reality, studies show that the mentally ill commit only a small portion of violent acts. A 2006 study in the American Journal of Psychiatry, for example, concluded that patients with severe mental illness, as identified by hospital admissions, committed about five percent of all violent crimes.” The Courier-Journal quoted American Psychiatric Association president Dilip Jeste, MD, who said in a statement made in December, “About one-quarter of all Americans have a mental disorder in any given year, and only a very small percentage of them will ever commit violent crimes.”

Related Links:

— “Stigma surrounding mental illness grows in wake of school shootings, “Laura Ungar, Courier-Journal, March 18, 2013.

Depression In Childhood Associated With Later Obesity, Smoking.

HealthDay (3/18) reported, “Teens who were depressed as children are more likely to be obese, to smoke and to be sedentary,” according to a study that was scheduled to be presented at the annual meeting of the American Psychosomatic Society. The research involved more than 500 kids who were studied from the time they were age 9 until they were age 16. The investigators found that “twenty-two percent of the kids who were depressed at age 9 were obese at age 16.” The investigators “found similar patterns when they looked at smoking and physical activity.”

Related Links:

— “Childhood Depression May Be Tied to Later Heart Risk: Study, “Robert Preidt, HealthDay, March 15, 2013.

APA’s Scully Reacts To Updated Dollars For Docs List.

In continuing coverage, Medscape (3/15, Brauser) reports that psychiatrists are at the top of ProPublica’s “updated Dollars for Docs list of large payments from pharmaceutical companies to individual US clinicians,” released March 12. Medscape Medical News spoke with James Scully, MD, CEO of the American Psychiatric Association, who said, “It surprises me because we’ve made so many changes in what we’ve done here at the APA.” He added, “Clearly, however, there are others out there who are still working closely with industry. That’s perfectly legal. But it’s important to have open communication. If people want to do marketing for drug companies, they need to be clear that that’s what they’re doing.”

Physician Groups Say Anthem Is Not Paying For Psychotherapy In Some Cases.

In continuing coverage, the Hartford (CT) Courant (3/14, Sturdevant) “Insurance Capital” blog reported, “Several doctor organizations are criticizing Anthem Blue Cross and Blue Shield in Connecticut for not covering psychotherapy in some cases after a Jan. 1 change in medical-billing codes.” Insurer “Anthem has responded to changes in medical-billing codes for psychiatry by covering only visits for an evaluation or management of medical issues, and not psychotherapy as a separate equal category when provided during the same visit, according to the Connecticut Psychiatric Society, the American Psychiatric Association and the Connecticut State Medical Society.” The blog quoted APA CEO James H. Scully, Jr., MD, who called Anthem’s practices “unethical and illegal,” and who said, “We worked very hard to enact mental health parity laws, and it is now clear that Anthem is seeking a way to avoid compliance.”

Related Links:

— “Doctors: Anthem Not Paying For Psychotherapy In Some Cases, “MSturdevant, Hartford Courant, March 14, 2013.

Sexual Masochism, Fetishism No Longer Classified As Mental Disorders.

On its website, WUSA-TV Washington (DC) Washington (3/14) reported, “The American Psychiatric Association (APA) no longer classifies sexual masochism, fetishism, transvestism, and sadism as mental disorders, according to The Daily Mail.” Now, “in order for something to be classified as a disorder, a person must ‘feel personal distress about their interest.’ These sexual interests will be renamed in an upcoming edition of Diagnostic and Statistical Manual of Mental Disorders (DSM).”

Related Links:

— “APA: Happy People Who Have Sexual Fetishes No Longer Have Mental Disorder,CBS DC, March 14, 2013.

Researchers Analyze Suicide Notes.

The Cincinnati (OH) Enquirer (3/15, Johnston) reports, “The world’s largest collection of suicide notes, more than 1,300 in all, is at Cincinnati Children’s Hospital Medical Center.” Researchers there “are using advanced computer technology to analyze the language in the notes and gain a deeper understanding of the thoughts of the people who wrote them. The goal is to create a tool, perhaps within two years, that can help mental health workers assess the likelihood a person will attempt suicide.”

Related Links:

— “Saving lives with world’s largest suicide-note collection, “John Johnston, Cincinnati.com, March 15, 2013.

Study Examines Association Between Combat Duty, Violent Crime.

The AP (3/14, Press) reports, “Young men who have served in the British military are about three times more likely than civilians to have committed a violent offense,” according to a study published online March 15 in The Lancet. One “key predictor was violent behavior before enlisting. Combat duty also raised the risk, as did witnessing traumatic events during deployment or misusing alcohol afterward,” the article notes.

Reuters (3/15, Kelland) reports that researchers arrived at these conclusions after having studied data on some 14,000 UK soldiers who were deployed in Afghanistan and Iraq and then cross-checking that data against data derived from criminal records.

BBC News (3/15, Gallagher) reports, “Overall criminal activity was slightly lower in military personnel than in people of the same age in the wider population.” But, “the researchers found violent offending was higher within members of the armed services and there was a ‘stark’ difference in men under 30 – 20.6% of the 2,728 young men followed had committed a violent offence, compared with 6.7% of young mven outside the military.” The majority of “violent offences were assaults.”

Related Links:

— “Study finds British soldiers, vets who had combat duty more likely to commit violent crimes, “Associated Press, The Washington Post, March 14, 2013.

Risk Factors Identified For Reducing Crime In Patients With BD.

Medwire (3/14, Piper) reports, “Criminal justice problems are relatively common among patients with bipolar disorder [BD], but researchers have identified an array of risk factors that they believe will provide guidance when evaluating patients and identifying preventive strategies,” according to research published online March 7 in the Journal of Affective Disorders. “The factors were identified based on 34,508 wave 2 respondents of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) with valid responses to the mania section.” Notably, “a range of historical, clinical, and contextual factors were found to increase the risk for criminal involvement, but two multivariate analyses indicated the risk was particularly high for patients who were unemployed (odds ratio [OR]=3.89-4.27), of non-White race (OR=3.68-3.93), who had previously been detained as juveniles (OR=4.25-5.17), had a prior arrest while manic or using drugs (OR=3.28-3.62), used illicit drugs in the past year (OR=3.31-3.98), or showed both social and occupational impairment (OR=4.75-4.80).”

Related Links:

— “Integrated approach needed for reducing crime in bipolar disorder patients, “Lucy Piper, Medwire News, March 14, 2013.