Forty Percent Of Young LGBTQ People In The US Say They Have Seriously Considered Suicide Over Past 12 Months, Survey Indicates

Reuters (7/15, Caspani) reports, “Forty percent of young LGBTQ people in the United States say they have seriously considered suicide over the past 12 months,” and that “figure climbs to more than 50% for transgender and non-binary youth surveyed,” survey data indicated. The 40,000-respondent survey also revealed that 46 percent “of the 40,000 respondents said they wanted psychological or emotional counseling from a professional but were unable to receive it over the course of the past 12 months.” The survey was conducted by the Trevor Project, “a non-profit focused on suicide prevention among youth who identify as lesbian, gay, bisexual, transgender and queer including non-binary people, individuals whose gender identity or expression falls outside the categories of male and female.”

Related Links:

— “Survey finds 40% of U.S. LGBTQ youth considered suicide in past year, “Maria Caspani, Reuters, July 15, 2020

Almost 71,000 Americans Died From Drug Overdoses Last Year, Preliminary CDC Data Suggest

The AP (7/15, Johnson) reports according to preliminary data released by the CDC, “nearly 71,000 Americans died of drug overdoses last year, a new record that predates the COVID-19 crisis, which the White House and many experts believe will drive such deaths even higher.” The AP adds “the trend is driven by fentanyl and similar synthetic opioids, which accounted for 36,500 overdose deaths,” but “deaths involving cocaine and methamphetamine also are rising.”

Politico (7/15, Ehley) also covers the story.

Related Links:

— “New peak of 71K US overdose deaths in 2019 dashes hopes, “Carla K. Johnson, AP, July 15, 2020

Cost Of Esketamine For Treatment-Resistant Depression May Be Too High To Help Patient Population, Modeling Study Indicates

MD Magazine (7/14, Walter) reports, “While all signs point to esketamine as an effective medication for those suffering from treatment-resistant depression, the cost might be too high to really make a dent in this patient population,” investigators concluded in a study that “estimated the cost-effectiveness of esketamine to treat patients with treatment-resistant depression.” The modeling study revealed that “ultimately, it is unlikely that esketamine ends up as a cost-effective option to treat patients with treatment-resistant depression in the US unless prices for esketamine decrease by more than 40%.” The findings were published online July 7 in Psychiatric Services, a publication of the American Psychiatric Association.

Related Links:

— “Esketamine Effective and Costly Treating Treatment-Resistant Depression, “Kenny Walter, MD Magazine, July 14, 2020

Experts Say Therapy Slowly Losing Stigma Among Some Black Americans

The Wall Street Journal (7/13, Smith, Subscription Publication) reports that mental-health professionals say that, among some Black Americans, perceptions of therapy are beginning to change, particularly for those in younger generations. Former APA deputy medical director Annelle Primm is quoted by the Journal.

Related Links:

— “For Some Black Americans, Therapy Is Gradually Losing Its Stigma, “Ray A. Smith, The Wall Street Journal, July 13, 2020

Hospitalized Patients Who Experience Delirium May Have Elevated Risk Of Long-Term Cognitive Decline, Meta-Analysis Suggests

MedPage Today (7/13, George) reports, “Delirium was linked to long-term cognitive decline in both” hospitalized “surgical and nonsurgical patients,” investigators concluded. The 23-study meta-analysis revealed that “patients who experienced an episode of delirium were more than twice as likely to show long-term cognitive decline than patients without delirium.” The findings were published online July 13 in JAMA Neurology.

Psychiatric News (7/13) reports, “The circumstances of the delirium (following anesthesia, trauma, infection, and so on) did not affect the odds of future cognitive decline,” thereby suggesting that “the underlying mechanisms of delirium may be similar and possibly associated with inflammatory processes common to both surgical and nonsurgical contexts, the investigators noted.”

Related Links:

MedPage Today (requires login and subscription)

Experts Urge Caution On Treating Patients With Bipolar Disorder With Antidepressants, Particularly As Monotherapy

Medscape (7/13, Davenport, Subscription Publication) reports, “Although patients with bipolar disorder commonly experience depressive symptoms, clinicians should be very cautious about treating them with antidepressants, especially as monotherapy, experts asserted in a recent debate on the topic” that took place during the virtual European Psychiatric Association 2020 Congress. During the Congress, “psychiatric experts said that clinicians should also screen patients for mixed symptoms that are better treated with mood stabilizers.” In addition, “these same experts…raised concerns over long-term antidepressant use, recommending continued use only in patients who relapse after stopping antidepressants.”

Related Links:

— “Caution Urged for Antidepressant Use in Bipolar Depression, “Liam Davenport, Medscape, July 13, 2020

Women Taking Antidepressants More Likely To Develop T2D During Six Years Of Follow-Up Than Nonusers, Study Indicates

Healio (7/10, Schaffer) reported, “A cohort of French women currently taking any antidepressant medication were more likely to develop type 2 diabetes [T2D] during six years of follow-up compared with nonusers, independent of severe depressive symptoms,” investigators found after analyzing “data from 63,999 women without type 2 diabetes at baseline.” The findings were published online June 16 in the journal Diabetic Medicine.

Related Links:

— “Antidepressants elevate risk for type 2 diabetes, “Regina Schaffer, Healio, July 10, 2020

Success Of Safe Injection Site Prompts Calls To Consider More Alternative Approaches To Addiction

The Washington Post (7/10, Kornfield, Wan) reports the success of a safe injection site in the US “has prompted calls for policymakers to start considering solutions that focus on reducing harm and deaths rather than traditional law enforcement and punishment.” Experts are saying “they fear that if the country doesn’t intervene, this year will bring a wave of fatalities driven by pandemic-related isolation, unemployment and changes to the drug supply.” The piece mentions that “Nora Volkow, director of the National Institute on Drug Abuse…said it is also important to understand the effect the pandemic is having on those who use drugs.”

Related Links:

— “America needs to reduce soaring overdoses. A secret supervised injection site may show us how., “Meryl Kornfield and William Wan, The Washington Post, July 10, 2020

Stress caused by COVID-19 may have triggered increase in stress cardiomyopathy cases, research suggests

Newsweek (7/9, Gander) reports that research suggests “the stress of living through the COVID-19 pandemic may be associated with a rise in” stress cardiomyopathy.
NBC News (7/9, Sandoval) reports that investigators “looked at the medical records of 1,914 patients at two hospitals in the Cleveland Clinic health system from five eight-week periods, four of which occurred before the pandemic and the other since then.” Prior to “the pandemic, there were, on average, five to 12 cases in an eight-week period, but in the cohort observed during the pandemic, the number rose to 20.” The researchwas published in JAMA Open Network.

Related Links:

— “Stress Caused by COVID-19 May Have Triggered Rise in Broken Heart Syndrome, “Kashmira Gander, Newsweek, July 9, 2020