Alcohol Use Disorder Associated With Sixfold Increase In All-Cause Mortality Across Age Groups

Medscape (4/25, Melville) reports, “Alcohol use disorder [AUD] is associated with a nearly sixfold increase in all-cause mortality across age groups, but the risks are linked to individual and familial predispositions in early adulthood and to the course of alcohol abuse in later years,” the findings of a large study published online April 20 in JAMA Psychiatry indicate. An accompanying editorial called for “further studies on specific causes of mortality associated with AUDs in early to middle adulthood and their association with risk taking and violent experiences.” The study received funding support from the National Institute of Alcohol Abuse and Alcoholism, among others.

Related Links:

Medscape (requires login and subscription)

Some Major Hospitals Now Embedding Mental Health Professionals Throughout Medical Units

On the front of its Personal Journal section, the Wall Street Journal (4/25, D1, Lagnado, Subscription Publication) reports on efforts by some major hospitals to place psychiatrists as well as other mental healthcare professionals throughout the hospital to help identify patients with emotional and psychological issues that could impede the overall healing process.

Related Links:

— “Hospitals Test Putting Psychiatrists on Medical Wards,” Lucette Lagnado, Wall Street Journal, April 25, 2016.

Anti-Smoking Medications Appear Not To Raise The Risk Of Serious Mental Health Disorders

The AP (4/23, Johnson) reported, “Seven years after US regulators slapped their strictest warning on two popular smoking-cessation medicines citing risks of suicidal behavior, a large international study found no such risk.”

According to HealthDay (4/23, Preidt), a new, FDA-requested, 8,000-participant study published online April 22 in The Lancet on Friday suggests anti-smoking medications Chantix (varenicline) and Wellbutrin (bupropion) “don’t appear to raise the risk of serious mental health disorders such as depression, anxiety and suicidal thoughts.” An accompanying editorial observed the study shows “neuropsychiatric adverse events occurring during smoking cessation are independent of the medication used.

Heavy Marijuana Use In Late Adolescence May Put Men At Higher Risk For Death By Age 60, Study Finds.
The CBS News (4/22, Marcus) website reported, “Heavy marijuana use in the late teen years puts men at a higher risk for death by age 60,” the findings of a study published online April 22 in the American Journal of Psychiatry suggest. Researchers arrived at that conclusion after analyzing “the records of more than 45,000 men beginning in 1969 and 1970.” Kevin Hill, MD, MHS, “a member of the American Psychiatric Association’s Council on Addiction Psychiatry, told CBS News, ‘One of the key messages from a study like this comes down to two words: dose matters.’” Included in the study were adolescents “who had used marijuana more than 50 times.”

HealthDay (4/22, Preidt) reported that men “who were heavy marijuana users in their late teens were 40 percent more likely to die by age 60 than those who never used the drug, the investigators found.”

Related Links:

— “STUDY: NO SUICIDE RISK FOR ANTI-SMOKING PILLS CHANTIX, ZYBAN,” Linda A. Johnson, Associated Press, April 23, 2016.

US Needs Federally Led, Far-Reaching Strategy To Reduce Mental Health And Drug Abuse Stigma

Medscape (4/21, Ault) reports the National Academies of Sciences, Engineering, and Medicine has issued a new report concluding that the US “needs a federally led, far-reaching strategy to reduce the continuing stigma associated with mental health disorders and substance use disorders.” The report, called “Ending Discrimination Against People With Mental and Substance Use Disorders: The Evidence for Stigma Change,” was “requested by the Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services (HHS) and by the Substance Abuse and Mental Health Services Administration (SAMHSA).”

Related Links:

Medscape (requires login and subscription)

US Suicide Rate Up 24% Between 1999 And 2014, CDC Finds

In “Health & Science,” the Washington Post (4/22, Keating, Bernstein) reports research (pdf) released Friday by the CDC’s National Center for Health Statistics found the suicide rate in the US rose 24 percent between 1999 and 2014 to 13 per 100,000 people, led by an even greater rise among middle-aged white people, particularly women. The overall rise in part can be attributed to substance addiction, “gray divorce,” and the rise of the Internet and social media. In addition, economic distress in wake of the recent recession appears to underpin some of the increase for middle-aged Caucasians.

Disturbingly, the suicide rate among young girls is also increasing, the Los Angeles Times (4/21, Healy) reports in “Science Now.” For example, “among girls five to 15 years old – a segment of the population among whom suicide was a rare phenomenon in 1999, rates of suicide tripled between 1999 and 2014, with one suicide yearly for every 6,660 such girls.”

USA Today (4/22, Asrar) reports that CDC behavioral scientist Kristin Holland, PhD, MPH, “believes there are multiple factors contributing towards the increase in suicide rate, and mental health is only one of them.” She stated, “Many people view suicide as a mental health problem, but many people who die of suicide do not have a mental health problem. It’s a public health problem.” Holland added, “We do not have enough resources directed at suicide prevention, especially compared to funding behind other leading causes of death.”

Related Links:

— “U.S. suicide rate has risen sharply in the 21st century,” Dan Keating and Lenny Bernstein, Washington Post, April 22, 2016.

Sexually Traumatized Veterans May Have An Increased Risk Of Homelessness

Reuters (4/20, Seaman) reports that US veterans who suffered sexual trauma during military service may have an increased risk of homelessness, the findings of a 601,892-veteran study published online in JAMA Psychiatry suggest.

According to HealthDay (4/20, Preidt), the study “also found that among veterans with military sexual trauma, men were at greater risk for homelessness than women.” An accompanying editorial called for “a change of culture within the military.”

Related Links:

— “Military sexual trauma tied to increased risk of homelessness,” Andrew M. Seaman, Reuters, April 20, 2016.

MRI Scans Detect Markers Of TBI In 43% Of Former NFL Players, Small Study Finds.

MedPage Today (4/19, Susman) reports, “A high percentage of former National Football League players show evidence of having experienced traumatic brain injury [TBI], most likely from concussions and near-concussions suffered in playing the violent sport,” the findings of a 40-patient study presented at the American Academy of Neurology’s annual meeting suggest. Of those former players “who underwent diffusion tensor MRI scans, 17 (43%) were diagnosed with” TBI, the study found.

Related Links:

— “Nearly Half of Former NFL Players Show Signs of Brain Injury,” Ed Susman, MedPage Today, April 19, 2016.

Overdoses, Suicide, Liver Disease Drove Life Expectancy Down For White Americans In 2014

The New York Times (4/20, A11, Tavernise, Subscription Publication) reports, “Life expectancy declined slightly for white Americans in 2014, according to new… data” from the Centers for Disease Control and Prevention’s National Center for Health Statistics. The data, which were “drawn from all deaths recorded in the country in 2014, showed that life expectancy for whites dropped to 78.8 years in 2014 from 78.9 in 2013.”

NCHS statistician Elizabeth Arias, who analyzed the data, “said drug overdoses, liver disease and suicide were the main drivers of the gloomy trends among whites in recent years, a pattern also found by other researchers,” and particularly among middle-aged white women.

In “To Your Health,” the Washington Post (4/20, Achenbach) reports that “Hispanic life expectancy rose from 81.6 to 81.8 years between 2013 and 2014; gains were seen for both males and females.” Meanwhile, “life expectancy for blacks rose from 75.1 to 75.2 years, driven by a particularly large jump among black males, from 71.8 to 72.2 years.”

Related Links:

— “White Americans Are Dying Younger as Drug and Alcohol Abuse Rises,” Sabrina Tavernise, New York Times, April 20, 2016.

Stress, Poverty May Affect Biological Aging

The Washington Post (4/18) reports that physiological stress and psychological stress both “have molecular underpinnings,” according to Richard J. Hodes, director of the National Institute on Aging. The article mentions a study published last year that found “social stress” may result in shorter telomeres and “can have similar effects on a different measure of biological aging: the methylation pattern of DNA.”

Researchers “used a methylation-based ‘clock’ to estimate the biological age of 100 black women in the United States who have been followed since 1997” and found that nearly “70 percent of women whose family’s per-capita income was less than $3,900 per year showed ‘accelerated aging’ compared with the group average.” The Post adds that, “higher-than-average biological age was also strongly associated with financial pressure, defined as difficulty paying monthly bills.”

Related Links:

— “Stress and poverty may make you old before your time,” David Brown, Washington Post, April 18, 2016.

More Than Half Of US Adults Believe Kids Have Than Children In Past

HealthDay (4/18, Preidt) reports that over 50% of US “adults believe children have worse emotional and mental health than children in previous generations,” the findings of the C.S. Mott Children’s Hospital National Poll on Children’s Health reveal. In addition, “many of the nearly 2,700 respondents…believe youngsters today have higher stress levels, less quality family time, and poorer coping skills and personal friendships.”

Related Links:

— “Many U.S. Adults Think Kids’ Health Is Worse Today,” Robert Preidt, HealthDay, April 18, 2016.