Healio (9/17, Rhoades) says a survey of “1,020 physicians, 353 residents and 350 medical students” reveals “most physicians and residents report feelings of burnout, while stigma about receiving mental health care remains prevalent.” The findings “showed that six in 10 physicians often have feelings of burnout, up from four in 10 physicians in 2018. Similarly, six in 10 residents also reported feelings of burnout.” The Physicians Foundation published the findings (PDF) on its website.

Related Links:

— “Burnout, withdrawal remain ‘alarmingly high’ among physicians and residents,”Andrew (Drew) Rhoades, Healio, September 17, 2024

The New York Times (9/17, Isaac, Singer) reports Instagram on Tuesday said it would bolster its privacy protections for children. The social media firm “said the accounts of users younger than 18 will be made private by default in the coming weeks.” The Meta-owned company “also plans to stop notifications to minors from 10 p.m. to 7 a.m. to promote sleep. In addition, Instagram will introduce more supervision tools for adults, including a feature that allows parents to see the accounts that their teenager recently messaged.”

The AP (9/17, Ortutay ) reports Instagram “says it will require” users “to verify their ages in more instances.” The company “also said it is building technology that proactively finds teen accounts that pretend to be grownups and automatically places them into the restricted teen accounts.”

According to ABC News (9/17, Kindelan ), “With the new accounts, teens will have the power to choose the age-appropriate topics they want to see more of on Instagram, like sports or art, and parents will also be able to see the topics their teens choose.”

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— “The New York Times (requires login and subscription)

According to Axios (9/16, Reed ), patients increasingly are “joining online communities to learn how to make pirated versions” of medications like “GLP-1s and other prescription drugs and medical treatments.” Some patients also are organizing “into online communities and sharing what they find.” Meanwhile, “These patients are essentially reformulating or mixing their own drugs and potentially putting themselves at a great risk for harm and even death on the advice of people they’ve never met, Bruce A. Scott, MD, president of the American Medical Association, told Axios.” Dr. Scott remarked, “I don’t think I can overemphasize the fact that this is scary stuff, and that patients should consult their physicians.”

Related Links:

— “DIY medicine draws frustrated patients to online forums,”Tina Reed, Axios , September 16, 2024

MedPage Today (9/16, DePeau-Wilson ) says, “A study of more than 8,000 kids found that those who reported severe sleep disturbances at age 10 had a higher odds of reporting suicidal ideation or attempt…at age 12.” The findings from the longitudinal cohort study were published in JAMA Network Open.

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— MedPage Today (requires login and subscription)

According to CBS News (9/16, Tin ), “Many people in [a] mental health crisis fear that if they dial 988, law enforcement might show up or they might be forced to go to the hospital,” but “involuntary emergency rescue” only occurs to “about 1% of callers, suggests new data from Vibrant Emotional Health, the administrator of the 988 Lifeline for suicide and mental health crises.” The research, however, “only spans around 2 million calls made from 2019 through 2023, tallied from a fraction of the now more than 200 locally run crisis centers that underpin the network.”

Related Links:

— “Will 988 call the police? Data suggests 1% of mental health crisis calls get “involuntary” rescues,”Alexander Tin, CBS News, September 16, 2024

HealthDay (9/13, Thompson ) reported, “Each additional hour of total screen time or social media use raises the likelihood that a kid or young teen will have eating disorder symptoms two years later,” according to findings published in Eating and Weight Disorders. These symptoms, researchers found, “include worrying about gaining weight, linking one’s self-worth to weight and binge eating, researchers said. Others include excessive exercise, restricting calories, throwing up, or taking water pills, laxatives or diet pills.”

Related Links:

— “Social Media Linked to Eating Disorders in Kids and Young Teens,”Dennis Thompson, HealthDay, September 13, 2024

Healio (9/13, Rhoades) reported a recent study published in JAMA Network Open found “new laws affecting the recreational or medicinal use of cannabis may be associated with changes in the use of prescription drugs to treat mental health disorders, but these links varied by drug class and state.” Investigators “found an association between medical cannabis laws, when in effect, and a 12.4% reduction in the benzodiazepine fill rate…and 1.3% reduction in the mean number of benzodiazepine fills per patient.” Also, “Specifically, medical cannabis laws were associated with improved self-reported mental health symptoms among older US adults, and recreational cannabis laws were associated with worsened mental health symptoms among younger US adults (≤35 years). Another recent study showed that medical cannabis use was associated with an increased risk of emergency department visits for depressive disorders.”

Related Links:

— “Medical, recreational cannabis laws may impact psychiatric prescription trends,”Andrew (Drew) Rhoades , Healio , September 13, 2024

The Hill (9/12, Choi ) reports that on Thursday, US “Sens. Dick Durbin (D-Ill.) and Mike Braun (R-Ind.) introduced bipartisan legislation…to confront the sale and misleading promotion of prescription drugs by telehealth firms and social media influencers.” The legislation, called “The Protecting Patients from Deceptive Drug Ads Online Act, would impose civil penalties on social media influencers or health care providers who make false or misleading claims regarding prescription drugs.” The legislation “would also enact reporting requirements on payments made by drug manufacturers to health care providers, telehealth firms and social media influencers.”

Related Links:

— “Senators target false prescription medication marketing on social media with new bill,” Joseph Choi , The Hill , September 12, 2024

Fierce Healthcare (9/12, Minemyer ) says Medicare and Medicare Advantage plan enrollees “have cost-sharing obligations for behavioral health services, according to” a new Government Accountability Office report. Agency investigators analyzed CMS data and “found that beneficiaries enrolled in traditional Medicare typically had deductibles and coinsurance on inpatient services as well as coinsurance for many outpatient offerings.”

Related Links:

— “GAO: A look at cost-sharing for behavioral health in traditional Medicare, MA,”Paige Minemyer, Fierce Healthcare , September 12, 2024

The New York Times (9/12, Caron ) reports a new study published Thursday in The American Journal of Psychiatry “found that among people who took high doses of prescription amphetamines such as Vyvanse and Adderall, there was a fivefold increased risk of developing psychosis or mania for the first time compared with those who weren’t taking stimulants.” Investigators also found that a medium dosage “was associated with a 3.5 times higher risk of psychosis or mania.” Meanwhile, investigators identified “no increased risk of psychosis or mania among those who used methylphenidate drugs, like Concerta or Ritalin, regardless of the dose.”

Healio (9/12, Viguers) reports the case-control study “included 1,374 case patients with new-onset psychosis or mania and 2,748 matched controls, all of whom were hospitalized between 2005 and 2019.”

HCPlive (9/12, Derman) says that while “this study does not prove causality, investigators observed a plausible biological mechanism in neurobiological changes: a release of greater levels of dopamine from amphetamines. The dopaminergic changes mimic changes observed in patients with psychosis.”

According to Psychiatric News (9/12), researchers also “found that patients with any past-month prescription amphetamine use were 2.7 times more likely to develop psychosis or mania than those with no use.”

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— “The New York Times (requires login and subscription)