Gun Injuries Sent 75,000 US Children, Teens To EDs Over Nine Years At A Cost Of Nearly $3 Billion, Study Finds

The AP (10/29, Tanner) reports, “Gun injuries, including many from assaults, sent 75,000 U.S. children and teens to emergency” departments (EDs) “over nine years at a cost of almost $3 billion,” researchers concluded in “a first-of-its-kind study.” The study revealed that “11 of every 100,000 children and teens treated in U.S.” EDs “have gun-related injuries,” amounting “to about 8,300 kids each year.” The findings, which were published online in a research letter in JAMA Pediatrics, “highlight that gun violence involving kids extends beyond mass shootings that gain the most attention, said Dr. Robert Sege, co-author of an American Academy of Pediatrics gun injuries policy.” Dr. Sege had no involvement in the study.

HealthDay (10/29, Preidt) reports, “Males were five times more likely than females to be treated for gunshot wounds, and the rate was highest among males aged 15 to 17, at nearly 86” ED “visits per 100,000 people,” investigators found. The principal “causes of gunshot wounds were assault (49 percent), unintentional injuries (39 percent) and suicide (two percent).”

Related Links:

— “Gun-Related Injuries Send More Than 8,000 Kids a Year to the Emergency Room: Study, “Lindsey Tanner, AP, October 29, 2018.

Minorities Face Numerous Barriers To Mental Healthcare

U.S. News & World Report (10/26, Levine) reported, “According to the American Psychiatric Association, most racial and ethnic minority groups have similar rates of mental disorders than whites.” But, minorities “face numerous barriers to treatment that make them less likely to get the care they need and, as a result, the consequences of mental illness in minorities may be long lasting.” Minority patients may lack health insurance, not speak English, lack access to mental healthcare professionals, or harbor “distrust” of the healthcare system, thereby hampering them from “getting proper mental” healthcare.

Related Links:

— “Helping Patients in Minority Communities Cope With Serious Mental Illness, ” David Levine, U.S. News & World Report, October 26, 2018.

Having Asthma During Pregnancy May Be Associated With Roughly Double The Risk Of Developing Postpartum Depression, Researchers Say

MedPage Today (10/27, Boyles) reported, “Having asthma during pregnancy was associated with roughly double the risk of developing postpartum depression,” researchers concluded “in an observational study involving more than 35,000 women with asthma and close to 200,000 women without the respiratory disorder.” The findings were published online Oct. 5 of the Journal of Allergy and Clinical Immunology: In Practice.

Related Links:

— “Requires login, October 27, 2018.

Amnesty Policies May Encourage College Students To Call For Help Before Serious Alcohol-Related Emergencies Ensue, Researchers Say

Reuters (10/25, Banerjee) reports, “Amnesty policies may encourage college students to call for help with alcohol-related issues before they or their intoxicated peers become seriously ill,” researchers concluded after reviewing records of Georgetown University’s emergency medical services (EMS) “agency for three years before and three years after” an “amnesty policy went into effect in August 2014.” The study revealed that while “the average daily number of alcohol-related calls to the school’s” EMS “agency went up…calls requiring advanced life support services fell by nearly 60 percent.” The findings were published online Oct. 4 in the Journal of Adolescent Health.

Related Links:

— “Amnesty Policies May Encourage College Students To Call For Help Before Serious Alcohol-Related Emergencies Ensue, Researchers Say, “Ankur Banerjee, Reuters, October 25, 2018.

Anxiety, Depression, Panic Attacks Sending US College Students To Mental Health Clinics In Record Numbers, Study Indicates

HealthDay (10/25, Reinberg) reports, “Anxiety, depression and panic attacks are sending U.S. college students to mental health clinics in record numbers,” researchers concluded after examining “data from the American College Health Association to collect information on more than 450,000 undergraduates.” The study revealed “a significant increase in the diagnosis and treatment for eight of 12 mental problems…examined, with anxiety, depression and panic attacks accounting for the biggest increases.” The findings were published online Oct. 24 in the Journal of American College Health.

Related Links:

— “More College Students Seeking Mental Health Care, ” Steven Reinberg, HealthDay, October 25, 2018.

Caregivers For People With Dementia Have Higher Levels Of Stress, Depression Than Other Caregivers, Research Suggests

According to TIME (10/25, Ducharme), “research suggests that dementia caregivers have higher levels of stress and depression than other types of caregivers.” That is probably due to “the progressive nature of Alzheimer’s, which eventually requires virtually around-the-clock care, says Elena Fazio, a health scientist administrator at the National Institute on Aging.” Fazio said, “There’s not an opportunity for respite.” She added, “‘[People with Alzheimer’s] have a host of behavioral symptoms’ – like wandering and mood swings – ‘that make it more complicated.’” Concern “for a loved one’s mental and physical safety, plus the isolating nature of the disease, increases the risk for stress, depression and anxiety, Fazio says.” TIME adds, “The National Institutes of Health is” now “studying how skills and stress-management training, along with social support, reduces depression and improves caregivers’ mental health.”

Related Links:

— “The Hidden Reasons Why Alzheimer’s Caregivers Are So Stressed, “Jamie Ducharme, Time, October 25, 2018.

Number of opioid overdose deaths have started to plateau, HHS secretary says

The AP (10/23, Alonso-Zaldivar, Johnson) reports that the number of U.S. drug overdose deaths has started “to level off after years of relentless increases driven by the opioid epidemic,” HHS Secretary Alex Azar said on Tuesday, although he cautioned “it’s too soon to declare victory.” Azar stated during an event sponsored by the Milken Institute, “We are so far from the end of the epidemic, but we are perhaps, at the end of the beginning.” CDC data show some “70,000 people died of drug overdoses last year,” which represents an increase of 10 percent compared to 2016. The article adds, “Azar said in his speech that toward the end of last year and through the beginning of this year, the number of deaths ‘has begun to plateau.’”

Politico (10/23, Ehley) reports that preliminary data from the CDC indicate “drug overdose deaths, which spiked in 2017, dropped 2.8 percent toward the end of last year and the beginning of 2018.” The article says, “Azar credited federal, state and local efforts, one day before President Donald Trump will sign overwhelmingly bipartisan legislation to address the opioid crisis.” Azar said, “The seemingly relentless trend of rising overdose deaths seems to be finally bending in the right direction.” However, CDC Director Robert Redfield warned that the “figures are preliminary but said they are encouraging.” He stated, “We’ll see how that works out as we finalize the numbers.”

Related Links:

— “US health chief says overdose deaths beginning to level off, “Ricardo Alonso-Zaldivar – Carla K. Johnson, AP, October 23, 2018.

Past-Year Prescription Opioid And Benzodiazepine Misuse May Be Associated With Suicidal Ideation In US Adults Aged 50 And Older, Researchers Say

Healio (10/23, Demko) reports researchers “revealed a connection between past-year prescription opioid and benzodiazepine misuse and past-year suicidal ideation in adults aged 50 years and older in the United States” after examining “data from 17,608 adults aged 50 years and older participating in the 2015 to 2016 National Survey on Drug Use and Health.” Investigators found that “past-year opioid misuse (adjusted OR = 1.84; 95% CI, 1.073.19) and benzodiazepine misuse (aOR = 2; 95% CI, 1.013.94) were significantly linked to past-year suicidal ideation.” The findings were published online Oct. 15 in the International Journal of Geriatric Psychiatry.

Related Links:

— “Prescription opioid, benzodiazepine misuse ties to suicidal thoughts in older adults, “Savannah Demko, Healio , October 23, 2018.

Patients With Mental Health Diagnoses Appear To Make 25 Percent More Visits To The ED Than Those Without Mental Illness, Researchers Say

Medscape (10/22, Yasgur, Subscription Publication) reports, “Individuals with mental health diagnoses make 25% more visits to the emergency department (ED) than those without mental illness; increases in frequency correspond to illness severity,” researchers concluded after analyzing “data on more than 3.5 million individuals” who “accounted for more than seven million ED visits.” The findings were published online Oct. 19 in JAMA Open Network.

Related Links:

Medscape (requires login and subscription)

Use Of SSRIs May Amplify Living Environment Of Patients With MDD In A Dose-Dependent Manner, Research Suggests

Medscape (10/19, Davenport, Subscription Publication) reported, “Use of selective serotonin reuptake inhibitors (SSRIs) appears to amplify the living environment of patients with major depressive disorder (MDD) in a dose-dependent manner, so that those in more positive situations are more likely to achieve remission compared with their counterparts living in less favorable conditions,” research indicated. In arriving at that conclusion, investigators examined data from 4,000 adult patients from the STAR*D study. The findings were presented at the 31st European College of Neuropsychopharmacology Congress.

Related Links:

Medscape (requires login and subscription)