Patients Seeking Assisted-Suicide Not About Controlling Pain

In an over 1,600 word article, Kaiser Health News (10/26, Szabo) reports terminally ill patients who have sought assisted-suicide in states that have legalized the practice are more concerned about “controlling the way” they die “than controlling pain,” according to research on the subject. The article points out that advocates for assisted-suicide laws often argue that the laws allow people to end their pain, but research suggests this is not the primary motivation for many people who have sought assisted suicide. Dr. Lonny Shavelson of Berkeley, California, who specializes in caring for the terminally ill, said, “It’s almost never about pain. It’s about dignity and control.”

Related Links:

— “Terminally Ill Patients Don’t Use Aid-In-Dying Laws To Relieve Pain,” Liz Szabo, Kaiser Health News, October 26, 2016.

Risk For Developing Depression High Within Three-Month Period After Stroke

HCP Live (10/26, Lutz) reports, “In the three month period after experiencing a stroke, the risk for developing depression is as much as eight times higher,” researchers found after analyzing data on “157,000 patients” who “had a first time hospitalization for a stroke between January 1, 2001 and December 31, 2011,” and a matching “non stroke, hospitalized population” of controls. The findings were published in the October issue of JAMA Psychiatry.

Related Links:

— “Depression Risk Greater Soon after a Stroke,” Rachel Lutz, HCP Live, October 26, 2016.

Risky Sexual Behavior In Adolescents With Mental Health Disorders

Medscape (10/26, Lowry) reports, “A study that examined sexual health in persons aged 15 to 24 years who were attending a mental health clinic for a variety of mental disorders found low rates of contraception and high rates of unplanned pregnancy and sexually transmitted diseases (STDs),” researchers found. The findings of the 103-participant study were presented at the IEPA 10th International Conference on Early Intervention in Mental Health.

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Natural Disasters May Raise Dementia Risk For Seniors Forced from Homes

HealthDay (10/25, Preidt) reports, “Earthquakes, floods and other natural disasters may raise dementia risk for seniors forced to leave their homes,” researchers found after examining data on “nearly 3,600 survivors of the 2011 earthquake and tsunami in Japan,” all of whom “were 65 and older.” Investigators found that “the rate of dementia in this group was 4.1 percent before the disaster and 11.5 percent two-and-a-half years after the tsunami.”

Related Links:

— “Study Links Disasters to Dementia,” Robert Preidt, HealthDay, October 25, 2016.

How Parents Can Help Their Children With Autism

Time (10/25, Sifferlin) reports investigators arrived at this conclusion after examining “the results of a study called the Preschool Autism Communication Trial” in which “152 kids from ages two to four were randomly assigned to a year of a parent-led intervention, in which their parents interacted with them and received feedback from a therapist gam), research published online Oct. 25 in The Lancet suggests that “children with autism may be able to work with” their parents “from a young age to help reduce the severity of their symptoms and improve their ability to communicate.”

Related Links:

— “How Parents Can Help Their Children With Autism,” Alexandra Sifferlin , Time, October 25, 2016.

Brain May Become Desensitized to Dishonesty

The New York Times (10/25, A21, Goode, Subscription Publication) reports that research suggests individuals “who tell small, self-serving lies are likely to progress to bigger falsehoods, and over time, the brain appears to adapt to the dishonesty.” This “finding, the researchers said, provides evidence for the ‘slippery slope’ sometimes described by wayward politicians, corrupt financiers, unfaithful spouses and others in explaining their misconduct.”

The AP (10/24, Borenstein) reports that researchers “put 80 people in scenarios where they could repeatedly lie and get paid more based on the magnitude of their lies.” According to the AP, “They said they were the first to demonstrate empirically that people’s lies grow bolder the more they” lie. The investigators “then used brain scans to show that our mind’s emotional hot spot – the amygdala – becomes desensitized or used to the growing dishonesty.” The findings were published online in Nature Neuroscience.

TIME (10/24, Park) reports that the investigators “were even able to map out how each lie led to less amygdala activation and found that the decrease could predict how much the person’s dishonesty would escalate in the next trial.”

Related Links:

— “Why Big Liars Often Start Out as Small Ones,” ERICA GOODE, New York Times, October 24, 2016.

Orthostatic Hypotension May Be Associated With Long-Term Risk Of Dementia

Medwire News (10/24, Piper) reports, “Orthostatic hypotension has been linked to an increased long-term risk of dementia,” research published Oct. 11 in PLOS Medicine indicates. Included in the study were some “6,204 individuals with no history of Alzheimer’s disease or stroke” who were followed “over a median…of 15.3 years.”

Related Links:

— “Transient blood pressure drop poses dementia risk,” Lucy Piper, MedWire News, October 24, 2016.

Early Morning ADHD Signs Still Present Despite Medication

Healio (10/23, Tedesco) reported, “Despite receiving stable doses of stimulant medications, children and adolescents with attention-deficit/hyperactivity disorder [AD/HD] displayed inadequate symptom control and functional impairment related to the condition during their early morning routine before school,” researchers found after surveying 201 primary care givers of school-aged youngsters with AD/HD. The survey’s results were presented at the American Academy of Pediatrics National Conference and Exhibition.

Related Links:

— “School-aged children show signs of ADHD in early morning despite treatment,” Alaina Tedesco, Healio, October 23, 2016.

Childhood Symptoms Of AD/HD May Persist Into Adulthood

HCP Live (10/21, Lutz) reported, “Childhood symptoms of” attention-deficit/hyperactivity disorder (AD/HD) may “persist into adulthood in as many as 60% of patients,” researchers found. The findings of the nearly 600-patient study were published online Sept. 19 in the Journal of Child Psychology and Psychiatry.

Related Links:

— “Defining ADHD Symptoms into Adulthood,” Rachel Lutz, HCP Live, October 21, 2016.

NYCity Mayor, Police Commissioner Condemn Fatal Police Shooting

On its front page, the New York Times (10/19, A1, Rosenberg, Southall, Subscription Publication) reports on the shooting Tuesday by a New York City police officer of 66-year-old Deborah Danner, a Bronx woman with schizophrenia, a “confrontation…condemned in swift and striking terms by Mayor Bill de Blasio and Police Commissioner James P. O’Neill.”

Both de Blasio and O’Neill “said the officer had failed to follow the Police Department’s protocol for dealing with an emotionally disturbed person.” The mayor faulted the officer for not waiting for “more specialized officers from the department’s elite Emergency Service Unit to arrive.” De Blasio “also noted that Sergeant Barry was equipped with a stun gun that he could have used to try to subdue Ms. Danner.”

Even though New York City has started “providing its rank-and-file officers with more advanced training on dealing with people with mental illness,” only “about 4,400 of the” NYPD’s “roughly 36,000 officers” have received Crisis Intervention Training.

Related Links:

— “In Quick Response, de Blasio Calls Fatal Shooting of Mentally Ill Woman ‘Unacceptable’,” ELI ROSENBERG and ASHLEY SOUTHALL, New York Times, October 19, 2016.