Hospitalizations, ED Visits For Suicide Attempts, Ideation Appear To Have Risen Nationally Among Children, Teens From 2016 To 2021, Research Suggests

NBC News (7/19, Pandey) reported, “Hospitalizations and emergency” department (ED) “visits for suicide attempts and ideation rose nationally among children and teens from 2016 to 2021,” investigators concluded in a study that “focused on a set of more than 73,000” ED “visits and hospitalizations for suicidal ideation or suicide attempts among children and teens enrolled in commercial health insurance plans and in Medicare Advantage.” The findings were published online July 19 in JAMA Network Open.

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— “Teens have increasingly wound up in the hospital for suicidal thoughts and attempts, study shows,”Maia Pandey, NBC News , July 19, 2023

COVID-19-Related Disruptions In Healthcare Services Appear Not To Have Significantly Reduced Ability Of Adults To Remain In Treatment For OUD, Claims Data Indicate

Psychiatric News (7/20) reports, “Disruptions in healthcare services during the COVID-19 pandemic did not significantly reduce the ability of adults to remain in treatment for opioid use disorder (OUD),” investigators concluded in a study that “analyzed deidentified administrative insurance claims for adults aged 18 or older who were covered by commercial insurance or Medicare Advantage from March 2018 to February 2022.” The findings of the 13,113-adult study were published online July 18 in Psychiatric Services, a publication of the American Psychiatric Association.

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— “Study Suggests Few Disruptions in Treatment for OUD During the Pandemic, Psychiatric News, July 20, 2023

Parents Alarmed By Trend Of Adolescents Using Social Media To Diagnose Themselves With Mental Health Conditions

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

People With Bipolar Disorder Appear To Have Six-Fold Higher Early Mortality Due To External Causes And Two-Fold Higher Mortality Due To Somatic Causes, Study Indicates

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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Increasingly, People In The US Dying From Opioids Are Also Using Stimulants Such As Cocaine And Methamphetamine, Report Finds

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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Data Analysis Reveals Significant Differences In Age, Sex Distribution In Suicide Rates Between Veteran And Nonveterans

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.

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

Patients With Risk Factors For Dementia Experienced 48% Slowing Of Cognitive Decline After Wearing A Hearing Aid For Three Years, Study Indicates

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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Discontinuation, Dosage Change Of SSRIs More Common Than Expected, Study Find

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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Use Of Oral Contraceptives Tied To Increased Risk For Depression, Study Indicates

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

Children, Adolescents Who Have Eating Disorders Appear More Likely Than Those Without Eating Disorders To Use Most Mental Health And Non-Mental Health Services, Research Suggests

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