APA Calls For Better Methods To Identify High-Risk Individuals Who Should Be Denied Gun Access

CNN (1/25, Grinberg) reports that the American Psychiatric Association “has called for the development and testing of better methods to identify high-risk individuals who should be denied gun access, implying that current criteria under federal law related to mental illness are inadequate to serve as a basis for gun disqualification.”

In a position statement, the APA points out that “while research shows most people diagnosed with serious mental health conditions are never violent toward others, and most violent individuals do not suffer from these major mental disorders, merely having a diagnosis of a psychiatric disorder should not be the only basis for disqualification from firearms.”

Some “common mental health conditions – including personality disorders, post-traumatic stress disorder and alcohol use disorder – tend to be associated with the risky mix of pathological anger with gun access,” the APA has found.

Related Links:

— “Gun violence not a mental health issue, experts say, pointing to ‘anger,’ suicides,” Emanuella Grinberg, CNN, January 25, 2016.

Lawmakers, Law Enforcement Still Unsure Of How Best To Keep Firearms Mentally Unstable

In a 2,500-word article titled “As Mass Killings Rise, How Can Sheriffs Keep Guns From Mentally Unstable?,” McClatchy (1/22, Gordon) reported, “Addressing the obstacles to keeping firearms away from mentally troubled people has emerged as an area of potential common ground among some stakeholders in the…debate over gun control.” But, “any attempt at compromises is sure to be complicated by thorny legal, ethical and political questions over how to balance mental health patients’ privacy, Americans’ Second Amendment rights…and the need to keep guns away from those posing a clear danger.”

Related Links:

— “As mass killings rise, how can sheriffs keep guns from mentally unstable?,” Greg Gordon, McClatchy, January 22, 2016.

Dementia Risk Among Seniors In Some High-Income Countries Dropping, Studies Indicate

In a nearly 1,600-word article, the Scientific American (1/25, Landhuis) reports, “Recent studies in North America, the UK and Europe suggest that dementia risk among seniors in some high-income countries has dropped steadily over the past 25 years.” Should that trend be “driven by midlife factors such as building ‘brain reserve’ and maintaining heart health, as some experts suspect, this could lend credence to staying mentally engaged and taking cholesterol-lowering drugs as preventive measures.”

Related Links:

— “Is Dementia Risk Falling?,” Esther Landhuis, Scientific American, January 25, 2016.

Opinion: Extending Open Carry To Psychiatric Hospitals A Mistake

Karen Ranus and Greg Hansch, both of NAMI Texas, and Dennis Borel, of the Coalition of Texans with Disabilities, write in the Austin (TX) American-Statesman (1/26, Subscription Publication) that “because guns are now allowed in Texas’ 10 state-run psychiatric hospitals, individuals accessing treatment for serious and persistent mental health conditions are now at higher risk for trauma and more vulnerable to suicide.” The trio says that “as advocates for individuals with mental illness and their families,” they “have grave concerns about this major policy shift, which allows the open carry of guns in areas used in the treatment and care of a highly vulnerable population in our state hospitals.”

Related Links:

— “Commentary: Open carry in state hospitals fails to protect vulnerable,” Karen Ranus, Greg Hansch, and Dennis Borel, Austin American-Statesman, January 26, 2016.

Bill Filed That Would Require Health Insurers To Disclose Denials of Mental Health Claims

In his column in the Boston Globe (1/25), Kevin Cullen writes that last month, Rep. Joe Kennedy (D-MA) “filed a bill that would require insurers to disclose how often they deny mental health and substance abuse claims and to explain why.” Kennedy’s measure “is just one piece aimed at reforming a dysfunctional system in which we have tried to lock up rather than treat those with mental illnesses and addictions.” In the “next seven months,” Kennedy is planning “to roll out a series of reforms,” Cullen says.

Related Links:

— “Forcing the conversation on mental health,” Kevin Cullen, Boston Glone, January 25, 2016.

Many Young People Have Mistaken Beliefs About Safety Of Synthetic Drugs

NPR (1/23, Wen) reported that “many young people falsely believe that…synthetic drugs provide a safe and legal alternative with the same high as illicit drugs,” even though “some synthetic cannabinoids can be up to 100 times more potent than marijuana.” In addition, “users don’t know which of thousands of chemical combinations they may be taking.” As a result, “cities across the U.S. have seen surges in” ED “visits and hospitalizations tied” to synthetic drugs.

Related Links:

— “Young People Surprised By Risky Synthetic Drugs They Considered Safe,” Leana Wen, National Public Radio, January 23, 2016.

Risk Of Depression Following Diabetes Diagnosis Declines During Second Decade Then Rapidly Rises.

Medscape (1/22, Davenport) reported that “the risk of depression following a diagnosis of diabetes falls during the second decade of having the disease and then rapidly rises,” investigators “have discovered, in a study that suggests there is a J-shaped relationship between the two conditions.” The researchers “found that living with diabetes initially doubles the risk of depression.” Medscape added, “Treatment and disease acceptance may then contribute to a lower likelihood of depressive symptoms, before the risk is” nearly “tripled after the third decade.” The researchers came to these conclusions after studying more than 5,400 men who were between the ages of 70 and 89.

Related Links:

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Researchers Identify Risk Factors For Suicide During Pregnancy And In The Postnatal Period

Medscape (1/22, Melville) reports that research suggests that “suicide during pregnancy and in the postnatal period, though uncommon, is associated with important risk factors, including a greater likelihood of having received a diagnosis of depression and a lower chance of having received treatment, compared with suicides occurring outside of the perinatal period.” The study also found that “perinatal women who died as a result of suicide were younger than the women who died by suicide but who were not in the perinatal period (crude OR, -6.39; P < .0001).” Additionally, “they were more likely to be married (OR, 4.46; P < .0001), to have had illness of shorter duration (OR 2.93; P < .001), and to have no history of alcohol misuse (OR, 0.47; P = .027).” Investigators came to these conclusions after looking at data from the UK National Confidential Inquiry into Suicides and Homicides by People with Mental Illness. Related Links:

Medscape (requires login and subscription)

Both New-Onset And Persistent Depression May Be Common Among Individuals With COPD

MedPage Today (1/24, Boyles) reports that research suggests “both new-onset and persistent depression are common among” individuals “with chronic obstructive pulmonary disease (COPD),” particularly “women with the disease and patients with a history of stroke.” Investigators found that nearly “one in four patients had depressive symptoms lasting at least 3 years in an analysis of data on close to 1,600 participants in the longitudinal ECLIPSE study, designed to examine COPD progression.” Additionally, “depression was” linked to “worse COPD outcomes.” The findings were published in the journal CHEST.

Related Links:

— “Persistent Depression Common With COPD,” Salynn Boyles, MedPage Today, January 24, 2016.

Diagnoses Of AD/HD Increased 55 Percent For Girls Between 2003 And 2011, Study Indicates

New York Magazine (1/21) reports that “according to a study in The Journal of Clinical Psychiatry, diagnoses of attention deficit hyperactivity disorder” increased “55 percent for girls between 2003 and 2011.” Similar to “autism, early research on AD/HD focused heavily on young white boys; just one percent of research focuses on girls.” According to New York Magazine, this “means the American Psychiatric Association’s guidelines for AD/HD were male-centric – only recently did the diagnosis criteria change from symptoms being noticeable by age 7 to age 12, to account for the later onset in girls.

Related Links:

— “Why More Girls — and Women — Than Ever Are Now Being Diagnosed With ADHD,” Tanya Basu, New York Magazine, January 20, 2016.