CNN (7/20, Kelly) reports, “Social media platforms, including TikTok and Instagram, have come under mounting scrutiny in recent years for their potential to lead younger users to harmful content and exacerbate what experts have called a national mental health crisis among” adolescents. However, “nearly two dozen parents…told CNN that they are grappling with a different but related issue: teens using social media to diagnose themselves with mental health conditions,” a trend that “has alarmed parents, therapists and school counselors, according to interviews with CNN.” Child psychiatrist Larry D. Mitnaul, MD, MPH, MS, stated, “Teens are coming into our office with already very strong opinions about their own self-diagnosis.”

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— “Teens are using social media to diagnose themselves with ADHD, autism and more. Parents are alarmed,”Samantha Murphy Kelly, CNN Business, July 20, 2023

MedPage Today (7/18, DePeau-Wilson) reported, “While bipolar disorder is known to be associated with early mortality, deaths are more likely to be caused by external factors, such as suicide, than somatic factors, such as alcohol-related diseases,” investigators concluded in a study revealing that “in the cohort of people ages 15 to 64, those with bipolar disorder had six-fold higher mortality due to external causes…and two-fold higher mortality due to somatic causes,” when “compared with those without the disorder.”

HealthDay (7/19, Murez) reports the study authors “say this is due to a combination of external causes – such as suicide, accidents and violence – and physical health issues, with alcohol a big contributor.” The findings of the 47,018-patient study were published online May 1 in the journal BMJ Mental Health.

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The Washington Post (7/19, Ovalle) reports, “The evolving overdose crisis in the United States is making another lethal turn, federal disease trackers reported” in the CDC’s National Center for Health Statistics Data Brief No. 474. Investigators concluded that “increasingly, people dying from opioids are also using stimulants such as cocaine and methamphetamine.” In fact, the analysis “shows that between 2011 and 2021, the age-adjusted rate of overdose deaths involving opioids and cocaine nearly quintupled, far outpacing the rate of deaths involving only cocaine.”

ABC News (7/19, Kekatos) says that the report also “found the percentage of deaths involving cocaine and opioids varied by region,” with the Northeast having “the highest percentage at 84.5%” and the West having “the lowest at 73.4%.”

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HCPlive (7/18, Grossi) reports RAND Corporation investigators have “addressed the two standard procedures used to compare suicide rates among veterans and nonveterans: direct standardization and indirect standardization.” Their “analysis consisted of four years’ worth of data (2017-2020) published by the VA on suicide counts and population sizes for both veterans and nonveterans.” The data analysis “revealed significant differences in age and sex distribution between the veteran and nonveteran populations” in that “veterans tended to be older and predominantly male.” The findings were published online July 18 in a research letter in JAMA Network Open.

Related Links:

— “Understanding the Complexity of Analyzing Veteran Suicide Rates,”Giuliana Grossi, HCPlive , July 18, 2023

Medscape (7/18, Anderson, Subscription Publication) reports, “Patients with risk factors for dementia, such as diabetes and hypertension, experienced a 48% slowing of cognitive decline after wearing a hearing aid for three years,” investigators concluded in findings from the 977-participant ACHIEVE study presented at the Alzheimer’s Association International Conference and simultaneously published online in The Lancet.
        
HealthDay (7/18, Murez) reports, “Untreated hearing loss may contribute to cognitive decline in several ways, including by making the brain work harder to hear, at the detriment of other mental functions such as thinking and memory,” and “may cause the aging brain to shrink more quickly, the study suggested.” Additionally, “hearing loss may also ultimately result in brain atrophy as people become less socially engaged.”

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MedPage Today (7/17, Monaco) reports “discontinuation or dosage change of selective serotonin reuptake inhibitors (SSRIs) may be more common than one would think, according to a qualitative study of online drug reviews.” Among “667 SSRI reviews posted to an online health forum by patients or caregivers, 335 posts were about discontinuing their medication – the most common type of medication change, reported” the researchers. The findings were published online in JAMA Network Open.

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HealthDay (7/17, Gotkine) reports, “Use of oral contraceptives…especially the first two years of use, is associated with an increased risk for depression, with the association consistent with a causal relationship,” investigators concluded in a “population-based cohort study using data from 264,557 women from the U.K. Biobank.” Additionally, “Familial confounding was examined in 7,354 sibling pairs to validate causality.” The findings were published online June 12 in Epidemiology and Psychiatric Sciences.

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— “Oral Contraceptive Use May Increase Risk for Depression,”Elana Gotkine, HealthDay , July 17, 2023

Psychiatric News (7/17) reports, “Children and adolescents who have eating disorders are more likely than those without eating disorders to use most mental health and non-mental health services,” investigators concluded after examining “the health records of 1,449 patients aged five to 17 years who had eating disorders and” then comparing “them to the health records of 7,245 patients in the same age group in the general population who did not have eating disorders.” The findings were published online July 14 in the International Journal of Eating Disorders.

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— “Youth With Eating Disorders More Likely to Use Health Care Services, Psychiatric News , July 17, 2023

According to CNN (7/13, Viswanathan), as the 988 Suicide and Crisis Lifeline “heads into its second year of existence,” it “still has some hurdles to overcome when it comes to awareness, staffing and routing.” For example, “many people still don’t know that the lifeline exists or that 988 call centers face ongoing staffing challenges – and are actively seeking counselors.” What’s more, “since 988’s launch, there have been state-by-state differences in the implementation and funding of the crisis line.”

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— “One year after launch, 988 mental health crisis line still building awareness and staffing,”Jacqueline Howard and Giri Viswanathan, CNN, July 13, 2023

USA Today (7/16, Ramirez) reports, “Black suicide rates, among the nation’s lowest prior to 2000, have steadily climbed in the last two decades – and young Black people are most at risk: According to” data (PDF) from CDC, “rates among those aged 10 to 24 rose 36.6% from 2018 to 2021, the largest percentage jump among any demographic.” What’s more, “the problem is particularly acute among girls: In 2020, suicide was the leading cause of death for Black girls aged 12 to 14.”

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— “Black suicide rates, once among the nation’s lowest, have risen dramatically among youths,”Marc Ramirez, USA TODAY, July 16, 2023