Opinion Writer Troubled By Euthanasia Cases Involving Dutch Psychiatric Patients

In an op-ed in the Washington Post (2/24, Lane), opinion writer Charles Lane writes, “According to an analysis” of euthanasia cases “from 2011 to 2014” published Feb. 10 in JAMA Psychiatry by psychiatrist Scott Kim, MD, PhD, of the National Institutes of Health, and colleagues, psychiatric patients in the Netherlands “were often euthanized despite disagreement among consulting physicians as to whether they met legal criteria” for euthanasia under that country’s laws.

What’s more, “in 37 cases, patients refused possibly beneficial treatment, and” physicians went ahead anyway, while “in seven cases, doctors did not seek an independent psychiatric evaluation, contrary to recommendations by the Dutch Psychiatric Association.”

According to Lane, these findings undermine “the very notion of a ‘voluntary and well-considered’ request for death from a patient who is, by definition, cognitively and/or emotionally troubled.”

Related Links:

— “Where the prescription for autism can be death,” Charles Lane, Washington Post, February 24, 2016.

Exercising Mind And Body May Delay Alzheimer’s Symptoms, But Not Slow Underlying Changes

HealthDay (2/24) reports that “exercising the mind and body may delay the symptoms of Alzheimer’s disease…but in most people it does not slow underlying brain changes linked to the disease,” the findings of a 400-participant study published online Feb. 24 in Neurology suggest. In the study, participants “underwent brain scans to check for signs of Alzheimer’s disease and were also asked about their mental and physical activity levels.”

Researchers did find, however, that in the subset of participants who have the APOE4 gene, “people who had high education levels and who had continued to learn throughout their lives had less amyloid plaque, compared to those with high education levels who did not continue to challenge their mind.”

Related Links:

— “Active Mind, Body May Only Do So Much Against Alzheimer’s,” Robert Preidt, HealthDay, February 24, 2016.

CDC Says Cigarette Smoking At An All-Time Low Among American Adults

According to the New York Daily News (2/23, Cutler), a new report from the Centers for Disease Control and Prevention said Tuesday that “cigarette smoking is at an all-time low” as “only 15.3% of American adults now light up – down from 16.8% in 2014 and 24.7% in 1997.” According to experts, “Americans are butting out because of the high cost of cigarettes and thanks to fewer legal places to smoke.”

Related Links:

— “Cigarette smoking at an all-time low among American adults ,” Jacqueline Cutler, New York Daily News, February 23, 2016.

Adults’ Unreasonable Expectations Of Young Children May Be Behind Rise In AD/HD Diagnoses

HealthDay (2/23, Norton) reports, “Rates of” attention-deficit/hyperactivity disorder (AD/HD) “have risen globally, and adults’ unreasonable expectations of young children could be one reason why,” a research letter published online Feb. 22 in JAMA Pediatrics suggests. The study authors “point to evidence that the rise in” AD/HD “diagnoses coincided with ever-growing demands on young children’s attention and focus.”

Related Links:

— “Could Adults’ Expectations Drive Up ADHD Diagnoses in Kids?,” Amy Norton, HealthDay, February 23, 2016.

Growing Number Of Apps Designed To Help People With Mental Health Disorders

The New York Magazine (2/23, Carpenter) reports on the growing number of apps designed to help people with mental health disorders. For individuals “dealing with mental-health issues involving addiction or abuse or self-harm,” however, “an app can’t make up for in-person check-ins.” Still, such apps may help provide access to some form of mental health treatment. Currently, “more than half” of US counties “are entirely without mental-health professionals, according to the director of the National Institute of Mental Health.”

Related Links:

— “Uber, But for the Mirror Stage: How Mental-Health Apps Are Changing Therapy,” Julia Carpenter, New York Magazine, February 22, 2016.

Children With Autism, Other Development Disorders May Be More Likely Than Other Kids To Wander.

HealthDay (2/19, Preidt) reported, “Children with autism and other development disorders are more likely than other youngsters to wander and put themselves in potential danger,” a study published in PLoS One suggests. After having “analyzed data from a 2011 US Centers for Disease Control and Prevention survey of parents and guardians of more than 4,000 children with special needs who were between the ages of six and 17,” investigators found that “more than 26 percent of the children had wandered away from a safe environment within the previous 12 months.”

Related Links:

— “Kids With Autism More Likely to Wander, Less Likely to Recognize Danger,” Robert Preidt, HealthDay, February 19, 2016.

Number Of People Affected By Mental Illness Is Greater Than Has Been Thought

The NPR (2/20, Silberner) “Goats and Soda” blog reported that psychologist and psychiatrist Daniel Vigo, MD, of Harvard University, “along with Rifat Atun, also of Harvard, and Graham Thornicroft of King’s College in London, co-authored an eye-opening analysis published this month in the journal Lancet Psychiatry.”

After reinterpreting “data about illnesses and deaths collected over the last two decades as part of… the Global Burden of Disease Study,” the team has “concluded that the number of people affected by mental illness is greater than has been thought.”

Related Links:

— “A Man On A Mission: Give A True Count Of The Toll Of Mental Illness,” Joanne Silberner, National Public Radio, February 20, 2016.

Discharged Veterans Push For Bill Mandating Recognition Of Undiagnosed PTSD

In a 1,200-word article, the New York Times (2/22, A9, Philipps, Subscription Publication) reports that over the past 15 years, “more than 300,000 people, about 13 percent of all troops,” many with undiagnosed post-traumatic stress disorder (PTSD), “have been forced out of the military with less-than-honorable discharges.”

Congress has since implemented changes, including a requirement for “mental health professionals to review all discharges,” and these days, soldiers “with PTSD are more likely to be medically discharged with benefits.” Such measures have not remedied the situation for veterans “discharged before the changes,” however.

Some veterans are now “pushing for a bill in Congress that would overhaul the system by mandating that the military give veterans the benefit of the doubt, requiring the boards to decide cases starting from the presumption that PTSD materially contributed to the discharges.”

Related Links:

— “Veterans Want Past Discharges to Recognize Post-Traumatic Stress,” Dave Philipps, New York Times, February 19, 2016.