HealthDay (2/6, Preidt) reports, “Nurses are at elevated risk for suicide, but the issue gets little attention, researchers report,” as “their study of 2005-2016 U.S. government data found the suicide rate among female nurses was significantly higher (10 per 100,000) than that of the general female population (7 per 100,000). The rate among male nurses (33 per 100,000) was also higher than in the general male population (27 per 100,000).” The study was published online February 3 in the journal WORLDviews on Evidence Based-Nursing.

Related Links:

— “Nurses May Need Suicide-Prevention Screening, ” Robert Preidt, HealthDay, February 6, 2020

A Cleveland Clinic physician writes in an op-ed for the Wall Street Journal (2/6, Subscription Publication), that 90-day prescriptions are creating an unnecessary risk for suicidal patients, however, Barnett notes that the American Psychiatric Association has asked insurers to give physicians flexibility.

Related Links:

— “The 90-Day Prescription Isn’t for Everyone, “Brian Barnett, The Wall Street Journal, February 6, 2020

Psychiatry Advisor (2/5) reports “patients with bipolar disorder have a significantly elevated risk for suicidal ideation when they experience comorbid posttraumatic stress disorder (PTSD), according to study results published in the Journal of Affective Disorders.” In particular, “the study’s sample of 58 patients with co-occurring bipolar disorder and PTSD unanimously reported current suicidal thoughts.” Psychiatry Advisory says “investigators at the Dauten Family Center for Bipolar Treatment Innovation at Massachusetts General Hospital in Boston conducted a secondary analysis of baseline data from the Bipolar CHOICE randomized clinical trial, which sought to compare the efficacy of lithium with quetiapine for bipolar disorder.” They found “all patients with comorbid PTSD indicated that they had current suicidal ideation compared with 86.3% of patients without comorbid PTSD.” Meanwhile, “bipolar patients with comorbid PTSD had higher CHRT total and propensity scores compared with patients without PTSD.”

Related Links:

— “Comorbid PTSD Raises Risk for Suicidal Ideation in Patients with Bipolar Disorder, “Emily Pond, Psychiatry Advisor, February 5, 2020

MD Magazine reports research indicates that “general anesthesia as a major cause of increased odds of mothers developing postpartum depression (PPD) following a cesarean delivery.” For the “retrospective cohort study, the investigators examined cesarean delivery cases performed in New York State hospitals between January 2006 and December 2013.” After examining “data from 428,204 cesarean delivery cases, including 34,356 cases involving general anesthesia,” researchers found that “relative to neuraxial anesthesia, general anesthesia in cesarean delivery was linked to a 54% increased odds of postpartum depression…as well as a 91% increased odds of suicidal ideation or self-inflicted injury.” The findings were published online Jan. 29 in the journal Anesthesia & Analgesia.

Related Links:

— “General Anesthesia Increases Postpartum Depression Odds After Cesarean Deliveries, “Kenny Walter, MD Magazine, February 4, 2020

Psychiatric News (2/4) reports, “Many U.S. adults 65 and older who died of suicide between 2003 and 2016 did not have a known mental illness,” researchers concluded after analyzing “data from the National Violent Death Reporting System.” The study revealed that “of the 26,884 suicide deaths recorded during the study period,” the majority of “older men (69.1%) and women (50.2%) who died of suicide did not have a known mental illness.” The findings were published online Jan. 28 in a research brief in the American Journal of Preventive Medicine.

Related Links:

— “Many Older U.S. Adults Who Died By Suicide Did Not Have Known Mental Illness, Study Suggests, Psychiatric News , February 4, 2020

Medscape (2/4, McNamara, Subscription Publication) reports researchers found in “a large, population-based study of more than 7 million individuals” that “a small but significant increase in the risk for death by suicide occurs in the months immediately following diagnosis of specific neurologic disorders.” The researchers found that “patients diagnosed with a severe neurologic disorder were four to five times more likely to die by suicide compared to the general population.” The findings were published in JAMA.

MedPage Today (2/4, George) reports over a period of 37 years, “the suicide rate for people with a neurologic disorder was 44.0 per 100,000 person-years, compared with 20.1 per 100,000 person years for all other people.”

Related Links:

— “New Data Rank Neurologic Diagnoses by Suicide Risk, “Damian McNamara, Medscape, February 4, 2020

Psychiatric News (2/3) reports, “Children with attention-deficit/hyperactivity disorder [AD/HD] who also have aggression problems might benefit from adjustments to their stimulant regimen and behavioral therapy,” researchers concluded in a study that “enrolled 175 children aged six to 12 with” AD/HD “and either oppositional defiant disorder or conduct disorder.” The findings were published online Jan. 30 in the Journal of the American Academy of Child and Adolescent Psychiatry.

Related Links:

— “Optimizing Stimulant Treatment May Help Reduce Aggression in Children With ADHD, Psychiatric News, February 3, 2020

Healio (2/3, Gramigna) reports, “Individuals with an eating disorder are nearly four times more likely to experience exercise addiction than those without one,” investigators concluded after conducting a “systematic review of grey literature and major databases, specifically looking at studies that reported on exercise addiction prevalence among these two populations,” then also conducting “a random effect meta-analysis to calculate ORs for exercise addiction.” Included in the review were “nine studies with a total sample of 2,140 participants with a mean age of 25.06.” The findings were published online Jan. 1 in the journal Eating and Weight Disorders.

Related Links:

— “Eating disorders increase risk for exercise addiction, “Joe Gramigna, Healio, February 3, 2020

HealthDay (1/31, Preidt) reported, “Allowing pharmacists to provide the opioid overdose” medicine “naloxone without a prescription led to a huge increase in dispensing of the lifesaving” medication “in Ohio,” researchers concluded. After state legislators “gave that permission in 2015,” researchers found “a 2,328% increase in naloxone dispensing” since then. In addition, the study revealed that “counties with low-employment rates had 18% more naloxone dispensed per month than high-employment counties.” The findings were published online Jan. 31 in JAMA Network Open.

Related Links:

— “When Pharmacists Allowed to Give Anti-Opioid Med Without Rx, Access Soars, ” Robert Preidt, HealthDay, January 31, 2020

In an investigative piece, the New York Times (1/31, A1, Gabler) reported on medication mix-ups and other errors at chain pharmacies across the US. The article highlights several such incidents that led to hospitalization and even death, but says “the people least surprised by such mistakes are pharmacists working in some of the nation’s biggest retail chains.” The article says “the American Psychiatric Association is particularly concerned about CVS, America’s eighth-largest company, which it says routinely ignores doctors’ explicit instructions to dispense limited amounts of medication to mental health patients.” Dr. Bruce Schwartz, the president of APA, took aim at CVS’ policy of providing patients with a three-month supply of their prescription drugs, “Clearly it is financially in their best interest to dispense as many pills as they can get paid for.”

Related Links:

— “How Chaos at Chain Pharmacies Is Putting Patients at Risk, ” Ellen Gabler, The New York Times, January 31, 2020