Older VA Patients With Mild Cognitive Impairment, Dementia At Higher Risk For Attempting Suicide, Study Finds

MedPage Today (3/24, Grant) reports, “Older VA patients with mild cognitive impairment (MCI) or dementia were at higher risk for attempting suicide, a longitudinal study found.” Researchers found that “in a fully-adjusted model, the risk for attempting suicide was 23% higher among those diagnosed with dementia,” and was “34% higher in patients with MCI.” The findings were published in JAMA Psychiatry.

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Smoking Cessation Associated With Improvement In Mental Health Symptoms, Review Shows

HealthDay (3/24) reports, “Smoking cessation is associated with improvement in mental health symptoms, according to a review published online March 9 in the Cochrane Library.” The researchers discovered “that compared with continuing to smoke, smoking cessation correlated with an improvement in mental health symptoms: anxiety symptoms (standardized mean difference [SMD], −0.28), depression symptoms (SMD, −0.30), and mixed anxiety and depression symptoms (SMD, −0.31).” In addition, smoking cessation “correlated with an improvement in symptoms of stress (SMD, −0.19), positive affect (SMD, 0.22), and psychological quality of life (SMD, 0.11).”

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— “Mental Health Symptoms Improve With Smoking Cessation “Physician’s Briefing Staff, HealthDay, March 24, 2021

Family-Centered Psychosocial Interventions May Protect Young Black Adolescents Who Experience Frequent Racial Discrimination From Subsequent Mental Health Problems, Report Shows

Psychiatric News (3/24) says, “Family-centered psychosocial interventions may protect young Black adolescents who experience frequent racial discrimination from subsequent mental health problems, according to a report in JAMA Open Network.” The study researchers “analyzed data from two community-based randomized clinical trials – the Strong African American–Teen (SAAF–T) program, which included 502 Black adolescents (56% girls) aged 14 to 16, and the Adults in the Making (AIM) program, which included 367 Black adolescents (59% girls and women) aged 17 to 18.”

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— “Psychosocial Programs for Black Families May Mitigate Mental Health Effects of Racial Discrimination, Psychiatric News , March 24, 2021

Anxiety And Depression Symptoms May Reduce Likelihood Of Achieving Sustained Remission In PsA. Researchers Say

Healio (3/23, Laday) reports, “Anxiety and depression symptoms reduce the likelihood of achieving sustained minimal disease activity in psoriatic arthritis [PsA],” researchers concluded after following “743 adult patients at the University of Toronto Psoriatic Arthritis Clinic from 2008 to 2017.” The findings were published online in a brief report in Arthritis Care & Research.

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— “Anxiety, depression reduce odds of achieving minimal disease activity in PsA “Jason Laday, Healio, March 23, 2021

Study Characterizes Patterns Of Cannabis Use Among Patients With Parkinson’s Disease

Healio (3/23, Weller) reports, “Patients self-reported varying opinions on cannabis use and its efficacy in alleviating the symptoms of Parkinson’s disease [PD],” investigators concluded after distributing “an anonymous survey to ‘constituents’ of the Parkinson’s Foundation with PD; they reported a 17.6% response rate.” Researchers then included “1,064 patients (mean age, 71.2 years; mean disease duration, 7.4 years) who provided complete responses…in the final analysis.” The study revealed that “most patients ‘recognize that cannabis is no substitute for PD medications,’” the study’s lead author said. The findings were published online in NPJ Parkinson’s Disease.

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— “Opinions about cannabis, patterns of use vary among patients with Parkinson’s disease “Madison Weller, Healio, March 23, 2021

Experts Say Impact Of Two Recent Mass Shootings Will Be Amplified By The COVID-19 Pandemic

ABC News (3/24, Rothman, Jain) reports, “After two mass shootings in less than one week, mental health experts say the effects these horrific events have on the American public are amplified by the COVID-19 pandemic.” Dr. Ronald Acierno, professor of psychiatry and behavioral sciences at UTHealth’s McGovern Medical School, said, “When there’s something about the case that resonates with you and that you identify with, it’s going to have a pretty significant impact. In this case, it was in a store where everybody goes. It’s such a common daily activity that’s so much a part of us that it’s particularly frightening for people.” Dr. Acierno added that trauma can cause people to develop PTSD, general anxiety, depression, substance abuse, or other conditions, “And that’s only when you give it a name.” The APA “outlines common reactions following a disaster, including changes in sleep, mood changes, decreased energy, changes in appetite, problems concentrating.

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— “Mass shootings add to mental health issues already affected by COVID-19 “Dr. Samuel Rothman andDr. Tarun Jain, ABC News, March 24, 2021

Older Patients Recently Diagnosed With Dementia May Be At Increased Risk For Suicide Compared To Peers Without Dementia, Claims Data Indicate

Medscape (3/22, Anderson, Subscription Publication) reports, “Older patients recently diagnosed with dementia are at a significantly increased risk for suicide compared to their peers without dementia,” investigators concluded after using “Medicare claims linked to the National Death Index. The researchers collected data on adults aged 65 years and older who received a dementia diagnosis within the previous year.” The study revealed that people “who were diagnosed with dementia had a 54% increased risk for suicide within the first year after diagnosis,” with “the risk…particularly high among those aged 74 years and younger.” The findings were presented at the American Association for Geriatric Psychiatry 2021 virtual meeting.

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Many Asian Americans, Asian Immigrants Face Traditions That Discourage Turning To Mental Health Resources

The Washington Post (3/22, Liu) reports that over the past year, “the number of hate incidents against Asians has surged and has left the community feeling under siege. And in the face of cultural as well as systemic barriers, many Asian Americans and Asian immigrants are struggling with the constant emotional onslaught.” Furthermore, they “face some traditions that discourage speaking up and turning to mental health resources.” The Post says that “although the numbers of Asians experiencing anxiety and depression is rising, Asians in the United States access mental health care at half the rate of other racial groups, according to a 2019 study published by the American Psychiatric Association.”

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Healthcare Professionals Can Suffer From Severe Eating Disorders, Expert Says

In a special piece for Healio, Philip S. Mehler, MD, FACP, FAED, CEDS, discusses how healthcare professionals can suffer from “severe eating disorders.” What’s more, “COVID-19 and its attendant stressors appear to be exacerbating these issues in some” clinicians, “who have either recovered from an eating disorder or are living with one now,” Dr. Mehler writes. In his career, Dr. Mehler has “cared for more than 100 [healthcare professionals] with severe eating disorders.”

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— “Anorexia nervosa: Our health care colleagues are starving amid COVID-19 pandemic “Philip S. Mehler, Healio, March 22, 2021

Physicians Report Cases Of New Onset Psychosis In People Infected With SARS-CoV-2 With No Prior History Of Mental Illness

The New York Times (3/22, A1, Belluck) reports some physicians have reported cases of “psychotic symptoms emerging weeks after coronavirus infection in some people with no previous mental illness.” Physicians “say such symptoms may be one manifestation of brain-related aftereffects of Covid-19.” The New York Times adds, “Along with more common issues like brain fog, memory loss and neurological problems, ‘new onset’ psychosis may result from an immune response, vascular issues or inflammation from the disease process, experts hypothesize.”

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— “First Covid, Then Psychosis: ‘The Most Terrifying Thing I’ve Ever Experienced’ “Pam Belluck, The New York Times, March 22, 2021