NPR (4/15) reports in its “Shots” blog that “studies show that young people often hesitate to get certain types of medical care, such as mental and behavioral health care, birth control and sexual health screenings, because they don’t want their parents to find out through insurance statements.” Several states are working to rectify the problem “but none has a foolproof solution.” Abigail English, president of the Center for Adolescent Health and the Law, says the “issue of maintaining confidentiality while a dependent is one that has existed for a long time” and is just now receiving attention because of the increase in dependents under the ACA.

Related Links:

— “When Keeping A Secret Trumps The Need For Care,” Maanvi Singh, National Public Radio, April 15, 2015.

The Education Week (4/16, Mader) “Rural Education” blog reports that researchers at the Ohio State University Wexner Medical Center found after analyzing “data from 1996 to 2010 from the National Center for Health Statistics” that “suicide rates among youth ages 10 to 24 are nearly twice as high in rural communities than in urban areas.”

The authors said “isolation and lack of access to health care, especially mental health care,” were factors, and they suggested that school-based programs would improve access to care. The piece mentions other recent studies exploring the problem in Alaska and on Native American reservations. The study (4/16) appeared online March 9 in JAMA Pediatrics.

Related Links:

— “Study: Youth Suicide Rates Higher in Rural Areas,” Jackie Mader , Education Week, April 15, 2015.

The Washington Post (4/16, Svrluga) reports on the suicide Monday of a sophomore at the College of William & Mary, illustrating how the incident, the fourth this year at the Virginia university, raises “concerns about the challenges college students handle on a daily basis and the mental health struggles students can face.” The article notes that William & Mary’s associate vice president for health and wellness “cautioned that it is easy to over-connect academic stress and the risk of suicide,” and that a history of mental health issues was a better predictor for suicide.

Related Links:

— “Suicide at William & Mary, fourth student death this year, triggers concern,” Susan Svrluga, Washington Post, April 15, 2015.

HealthDay (4/15, Thompson) reports a new study published online in the journal Alcoholism: Clinical & Experimental Research suggests that “drinkers who smoke marijuana as they imbibe are twice as likely to drive drunk compared with people who stick to alcohol alone.” The study of data on nearly 9,000 people also revealed that “these ‘simultaneous’ users are also three times more likely to face social troubles as a result of drinking and marijuana – drunken brawls, broken marriages, damaged relationships and ruined careers among them.”

Related Links:

— “Pot Plus Booze Doubles Odds for Drunk Driving, Study Says,” Dennis Thompson, HealthDay, April 14, 2015.

HealthDay (4/15, Preidt) reports that a study published in the April issue of the journal Sleep suggests that “depression, insomnia and exhaustion may be major risk factors for frequent nightmares.” The study of approximately 14,000 adults in Finland revealed that “frequent nightmares were reported by about 28 percent of people with severe depression and about 17 percent of those with frequent insomnia.” The study’s lead author suggested in a news release, “It might be possible that nightmares could function as early indicators of onset of depression and therefore have previously untapped diagnostic value.”

Related Links:

— “Depression, Insomnia, Fatigue Are the Stuff of Nightmares,” Robert Preidt, HealthDay, April 14, 2015.

The Washington Post (4/15, Swanson) “Wonkblog” reports that approximately “568,000 uninsured people who have been diagnosed with a serious mental health condition would have received treatment in 2014 if their states had chosen to expand Medicaid, according to the American Mental Health Counselors Association.” A report by the AMHCA found that “uninsured, low-income Americans in the east, mid-Atlantic and Pacific are receiving more treatment through the Medicaid expansion, while those in the south and central US are not.” An embedded infographic depicts the report’s findings.

Related Links:

— “These states leave the most mentally ill adults untreated. Guess what else they have in common.,” Ana Swanson, Washington Post, April 14, 2015.

HIT Consultant (4/13) reports that despite physicians’ increased use of information technology, “more than two-thirds (70 percent) of them believe that health IT has decreased the amount of time they spend with patients, according to a new survey by Accenture.” Additionally, while “EMR adoption rates have reached record highs,” the survey “found fewer physicians believe that EMRs has improved treatment decisions (46 percent in 2015 vs. 62 percent in 2012), reduced medical errors (64 vs. 72 percent) and improved health outcomes for patients (46 vs. 58 percent).”

Related Links:

— “#HIMSS15: 70% of Physicians Believe Health IT Decreased Patient Engagement,” Jasmine Pennic, HIT Consultant, April 13, 2015.

The Wall Street Journal (4/14, Landro, Subscription Publication) reports in “The Informed Patient” that US hospitals are paying more attention to the psychological cost faced by families with children struggling with serious or life-threatening illnesses. Some hospitals are now using the Psychosocial Assessment Tool to help screen families after a child receives a diagnosis. The score allows medical professionals to assess if a family needs outside assistance for problems such as post-traumatic stress disorder, anxiety or depression or could otherwise benefit from counseling to help them deal with a stressful situation.

Related Links:

— “Hospitals Help Families Cope: The Psychological Toll of a Child’s Illness,” Laura Landro, Wall Street Journal, April 13, 2015.

In a 1,300-word story on the front of its Personal Journal section, the Wall Street Journal (4/14, D1, Petersen, Subscription Publication) reports on the advice given by experts to parents for helping adolescents with mental illnesses prepare for life at college, thus ensuring that the teens will be able to handle taking medication and continuing treatment while dealing with the usual challenges the first year at college brings. Experts advise that teens find a mental healthcare professional near or on campus ahead of time if there is any chance that a condition could relapse.

Related Links:

— “Good Mental Health Away From Home Starts Before College,” Andrea Petersen, Wall Street Journal, April 13, 2015.

The Los Angeles Times (4/14, Kaplan) “Science Now” blog reports that a study published online April 13 in the journal Pediatrics “offers fresh support for the idea that teens who see drinking on the big screen are more likely to drink themselves.”

TIME (4/14, Steinmetz) reports the study found that “15-year-olds who have watched more alcohol being consumed in films than their peers are more likely to have tried alcohol, more likely to binge drink and more likely to have alcohol-related problems.” Researchers arrived at that conclusion after using “data from a longitudinal study in the United Kingdom that surveyed 5,163 15-year-olds on a wide variety of topics,” then adjusting for confounding factors.

Related Links:

— “To fight teen drinking, experts call for stricter movie ratings,” Karen Kaplan, Los Angeles Times, April 13, 2015.