The Washington Post (11/20, Wan) reports, “Years after being shot, a large proportion of gun victims continue to suffer from increased unemployment, alcohol and drug abuse, and post-traumatic stress disorder, a new study shows, and the effects persist even when the injuries were minor.” The study authors acknowledge “that treatment for gun injuries may need to change,” as “currently, patients may be discharged quickly from the hospital, often with no checks on their mental health or follow-up care. And they say growing evidence suggests that gunshot trauma is harder to recover from than other types of injuries.” The report was published Wednesday in the journal JAMA Surgery.

HealthDay (11/20, Mozes) reports, “About 70,000 Americans survive gun shootings every year, but little research has looked at the long-term aftereffects, the study team said.” For this study, they “conducted phone interviews with 183 patients who were shot between 2008 and 2017 and treated at an urban, level 1 trauma center.”

Among the news outlets covering this story are Newsweek (11/20, Gander) and Healio (11/20, Gramigna).

Related Links:

— “Shooting victims have increased risk of mental harm long after physical injuries have healed, study finds, “William Wan, The Washington Post, November 20, 2019

Reuters (11/20, Millar) reports a study published in The Lancet Psychiatry concluded that “having an abortion does not increase women’s risk of suicide.” The study was “based on data from 520,000 Danish women over 17 years” and “found pre-existing mental health problems were the strongest risk factor for women trying to end their lives.” Investigators also “found that among women who had a first-trimester abortion, 8.9 in 1,000 made a non-fatal suicide attempt in the year before the procedure, while 8.6 per 1,000 did in the year directly after,” and “said the similarities in the rate indicated that the suicide attempts could not be attributed to the abortion.”

Healio (11/20) reports the study suggests that “although women who have had an abortion have a higher risk for nonfatal suicide attempts, the abortion itself is not the cause.” Julia R. Steinberg, PhD, one of the study’s authors, said, “There are 12 states that inform women seeking abortions that abortion increases or may increase their risk for suicidal ideation or mental health problems.”

Related Links:

— “Danish study rejects link between abortion and suicide, “Molly Millar, Reuters, November 20, 2019

Bloomberg BusinessWeek (11/20, Koons) reports that more Americans “turn to out-of-network providers when seeking mental health care than when seeking medical care, and the trend continues to worsen, a new study shows, despite a law designed to prevent this problem for people seeking treatment for conditions such as depression and addiction.” In an update of a 2017 report about access to mental health treatment, researchers “found that the disparity between medical coverage and mental and behavioral health coverage continued to grow in 2016 and 2017.”
        
Forbes (11/20, Japsen) also reports on the story.

Related Links:

— “Mental Health Coverage Continues to Fall Short, Study Shows, “Cynthia Koons, Bloomberg BusinessWeek, November 20, 2019

CNN (11/19, Silverman, Alsup) reports five lawsuits were filed against JUUL this week, claiming its “advertising campaigns target young people to use nicotine without knowing the associated risks by enticing them with flavor pods.” The suits “were filed…by the states of California and New York, two Washington state counties and a school district.”

The Hill (11/19, Weixel) reports the New York complaint alleges “JUUL’s advertising and social media posts misled consumers about the content of its products by failing to warn that they contain nicotine.” JUUL faces “numerous state and federal investigations about the role it played in what public health officials have called an ‘epidemic’ of youth vaping.”

CBS News (11/19) reports “New York’s lawsuit comes one day after California filed its complaint,” which alleges “that JUUL had a marketing plan that described their target customer and the targeted customer had common characteristics of teenagers and young adults.” CBS News says, “The mounting litigation against JUUL comes in the same week that President Donald Trump has reportedly backpedaled on his intentions to ban most flavored e-cigarettes.”

Also covering the story are ABC News (11/19, Schumaker) and NBC News (11/19).

Related Links:

— “At least five lawsuits have been filed against e-cigarette company Juul this week for allegedly targeting minors, ” Hollie Silverman, CNN, November 19, 2019

The AP (11/19, Ehrmann) reports, “New safety standards aimed at limiting suicide risks have led to overhauls inside hospitals around the country, with psychiatric facilities and wards removing bathroom doors, stripping artwork from walls and requiring patients to wear paper gowns instead of their own clothes,” changes that “have forced costly renovations and caused a backlash, with some critics contending they’ve made hospital rooms feel more like jail cells.” American Psychiatric Association President Bruce Schwartz, MD, said, “We’re buying the same furniture and plumbing fixtures as prisons and jails,” measures that are “creating harsher environments in psychiatric facilities,” according to the AP. The AP adds that the current “length of stay for psychiatric patients at a psychiatric facility is seven to 10 days, according to the APA.”

Related Links:

— “Hospital psychiatric wards now feel like prisons, some say, “Chris Ehrmann, AP, November 19, 2019

Healio (11/19, Gramigna) reports research appears to underscore “the significantly higher costs for privately insured adult patients diagnosed with major depressive disorder [MDD] and suicide ideation/attempt than adults without MDD.” Investigators arrived at this conclusion after examining data on “2,061 patients aged 18 to 64 years with MDD and suicide ideation/attempt using Optum Health Care Solutions database of privately insured patients.” The findings were presented at the annual meeting of the Academy of Managed Care Pharmacy – AMCP Nexus 2019.

Related Links:

— “Patients with MDD and suicide ideation/attempt experience significant health care costs, “Joe Gramigna, Healio, November 19, 2019

Newsweek (11/18, Gander) reports, “Two thirds of parents” surveyed “in the U.S. say they feel there are barriers to them recognizing their child has depression.” In the C.S. Mott Children’s Hospital National Poll on Children’s Health, 40 percent “of the nationally representative sample of 819 parents, who lived with a child aged between 0-18 years old…said they might find it hard to tell normal changes in moods from symptoms of the mental illness.” Thirty percent “said children were good hiding their feelings.”

Related Links:

— “Two Thirds Of Parents Say Barriers Like Mood Swings Could Make It Hard To Spot Depression In Their Kids, “Kashmira Gander, Newsweek, November 18, 2019

Psychiatric News (11/18) reports, “Women with schizophrenia are only half as likely as women in the general population to receive mammograms,” researchers concluded in an 11-study meta-analysis, the findings of which were published online Nov. 14 in Psychiatric Services, a publication of the American Psychiatric Association.

Related Links:

— “Many Women With Schizophrenia Do Not Receive Mammograms, Meta-Analysis Suggests, Psychiatric News, November 18, 2019

“Fewer” physicians “would have to wait for permission to prescribe addiction treatment” medications “under new, bipartisan legislation being unveiled this week by two lawmakers on the House Energy and Commerce Committee,” STAT (11/18, Facher) reports. The new bill, as written by Representatives Paul Tonko (D-NY) and David McKinley (R-WV), would ban “the practice of ‘prior authorization,’ in which insurers require doctors to seek approval before they can proceed with a prescription or procedure,” in state “Medicaid programs for addiction treatment medicines like buprenorphine.” The measure “comes amid part of a broader movement to expand addiction treatment as the overdose crisis continues to claim roughly 70,000 American lives each year.” STAT adds, “In a 2017 survey conducted by the American Medical Association, 64% of physicians reported waiting at least a day for authorization to prescribe addiction” medications.

Related Links:

— “A new bill would let more doctors prescribe addiction treatments without waiting for insurers’ permission, ” Lev Facher, STAT, November 18, 2019

The Dallas Morning News (11/19, Smith) reports that “more needs to be done to provide mental and behavioral health services for children – especially those living in poverty,” according to Children’s Health annual report examining “the quality of life for kids in six North Texas counties.” In Collin and Dallas counties, the report found “the number of children receiving mental health diagnoses through Medicaid managed care has more than doubled in recent years.” The report noted that “funding for child-specific mental health services has decreased from 2016-17 to 2018-19,” while “child mortality and adolescent suicides are on the rise, with Dallas County experiencing a 27% increase in adolescent suicides in 2016.” This is the first year in the report’s “16-year history” where a specific recommendation was made to target mental health specifically.

Related Links:

— “With suicide rates and child mortality on rise in Dallas, experts urge for more help for kids’ mental health, “Corbett Smith, The Dallas Morning News, November 18, 2019