USPSTF: Insufficient Evidence For Suicide Screening In Primary Care Setting

The NPR (5/20, Shute) “Shots” blog reports that “suicide remains a leading cause of death in the United States, especially among teenagers and young adults.” However, “asking everyone who goes to the doctor if he is considering suicide isn’t the answer” to solving the problem, “according to” the US Preventive Services Task Force (USPSTF).

HealthDay (5/20, Preidt) reports that a final recommendation from the USPSTF published online May 19 in the Annals of Internal Medicine has deemed there is still insufficient “evidence to recommend either for or against patients getting routinely screened for suicide risk by their primary care” physicians. The “ruling applies to when doctors are dealing with teens, adults and older adults without a mental health disorder or symptoms of mental illness.”

Related Links:

— “Task Force Says Asking All Patients About Suicide Won’t Cut Risk,” Nancy Shute, National Public Radio, May 19, 2014.

States Examining Involuntary Commitment Laws

In a 2,300-word piece, Gate House Media (5/17, Pierce) reported, “A mentally ill person can be forced to undergo diagnosis and treatment under certain conditions laid out in state involuntary commitment laws, and some states are examining those laws in an effort to prevent tragedies.” The majority of “states with proactive involuntary outpatient commitment laws require a history of past noncompliance with treatment, coupled with past hospitalizations and arrests, before a person can be forced into treatment.”

It is now estimated that “up to one in five inmates in jail and state prisons are mentally ill, according to separate reports by the US Justice Department and American Psychiatric Association.”

Related Links:

— “Focus: Safety concerns prompt states to revisit involuntary commitment laws that address mentally ill,” David Pierce, GateHouse Media, May 17, 2014.

Some Police Unions Pushing For Worker’s Comp For PTSD

The AP (5/16, Gurman) reported that some US police unions “are pushing for officers to be able to collect workers’ compensation benefits if they suffer post-traumatic stress disorder [PTSD], whether they got it from the general stress of police work or from responding to a deadly shooting rampage.” However, “some police chiefs and municipal leaders oppose lawmakers’ efforts,” saying that “they are concerned the benefits would strain budgets and lead to frivolous claims.”

Related Links:

— “POLICE UNIONS PUSH FOR MEDICAL COVERAGE OF PTSD,” Sadie Gurman, Associated Press, May 16, 2014.

Report Shows Thousands Of Toddlers Medicated For AD/HD

The New York Times (5/17, Schwarz, Subscription Publication) reported that according to CDC data released Friday, “more than 10,000 American toddlers 2 or 3 years old are being medicated for attention deficit hyperactivity disorder outside established pediatric guidelines.” The article goes on to explain that “very few scientific studies have examined the use of stimulant medications in young children,” though the National Institute of Mental Health sponsored a small-scale study in 2006.

Related Links:

— “Thousands of Toddlers Are Medicated for A.D.H.D., Report Finds, Raising Worries,” Alan Schwarz, New York Times, May 16, 2014.

Report: 50% Of US Residents Take At Least One Prescription Medicine

CNN (5/14, Kounang) “The Chart” blog reported that about 50 percent of all Americans “take at least one prescription drug each month,” while 10 percent take “more than four,” citing a report from the CDC’s National Center for Health Statistics. The annual report, titled “Health, United States, 2013” included a special section on prescription drugs this year. It noted, for instance, that Americans spend “a lot on prescription drugs. In 2011, Americans spent $263 billion on prescription drugs, which accounts for 9.7% of all national health expenditures (up from 5.6% in 1990).”

MSNBC (5/15) reported that heart medications “topped the list of most common prescription drugs.” The article noted that cardiovascular medication for treating high blood pressure, heart disease or kidney disease, “along with drugs to target cholesterol saw the highest usage reported in the three-year span.”

Related Links:

— “50% of Americans take prescription drugs,” Nadia Kounang, CNN, May 14, 2014.

Adults With Autism At Higher Risk For Certain Health Issues

The AP (5/14) reported that according to research scheduled for presentation at the International Meeting for Autism Research in Atlanta, adults with autism may be “much more likely than others to suffer from depression, high blood pressure, obesity and additional health woes that may partly result from their social isolation.” The study, which was “based on medical records for 2,100 adults with autism spectrum disorder” and medical records for 21,000 adults without autism, also revealed that adults with autism are “much less likely to smoke and drink alcohol.”

In a column in the San Francisco Chronicle (5/14), autism advocate and writer Laura Shumaker points out, “The study is one of the largest, most comprehensive efforts to examine the health of” adults with autism.

HealthDay (5/15, Salamon) reports that Paul Wang, MD, senior vice president and head of medical research, Autism Speaks, New York City, who was not involved in the study, said that autism is “not just a brain disorder – it’s really a disorder that affects the whole body. And this shows that these problems don’t go away.”

Related Links:

— “MANY HEALTH WOES COMMON IN AUTISTIC ADULTS: STUDY,” Associated Press, May 14, 2014.

Study Finds Emotions, Stress, Atherosclerosis May All Be Linked.

HealthDay (5/13, Preidt) reports that a study published in Biological Psychiatry in which “the brain activity of more than 150 healthy adults was monitored while they tried to regulate their emotional reactions to unpleasant pictures.” In addition they were monitored for atherosclerosis, interleukin-6 levels.

The study found that “participants who had greater brain activity when trying to control their negative emotions also had higher levels of interleukin-6 and more signs of atherosclerosis.” Lead author Peter Gianaros, an associate professor in the department of psychology at the University of Pittsburgh, summed the findings up as supporting “the popular belief that emotions are connected to heart health,” adding, “We think that the mechanistic basis for this connection may lie in the functioning of brain regions important for regulating both emotion and inflammation.”

Related Links:

— “Researchers Shed Light on Link Between Stress, Heart Trouble,” Robert Preidt, HealthDay, May 13, 2014.

Binge Eating Recognized By APA Only Recently As Diagnosable Disorder

In “The Blog” for the Huffington Post (5/14, Cooper, Ma, Mft, Cch, Ceds), therapist Rebecca Cooper, MA, MFT, CCH, CEDS writes, “The American Psychiatric Association only recently recognized binge eating disorder as a diagnosable disorder.” The APA “defines binge eating disorder as ‘recurring episodes of eating significantly more food in a short period of time than most people would eat under similar circumstances, with episodes marked by feelings of lack of control.’” The individual who binge eats “may have feelings of guilt, embarrassment or disgust and may binge eat alone to hide the behavior.”

Related Links:

— “The Truth About Binge Eating,” Rebecca Cooper, Huffington Post, May 13, 2014.

People With Mental Health Problems More Likely To Use E-Cigarettes.

TIME (5/14, Kedmey) reports that a study published online May 13 in the journal Tobacco Control suggests that “people suffering from depression, anxiety and other mental disorders are more than twice as likely to spark up an e-cigarette and three times as likely to ‘vape’ regularly than those without a history of mental issues.” Investigators “at the University of California-San Diego drew their findings from an extensive survey of American smoking habits,” which revealed that “among 10,041 respondents, 14.8% of individuals suffering from mental health disorders said they had tried an e-cigarette, compared with 6.6% of individuals who had no self-reported history of mental disorders.”

HealthDay (5/14, Preidt) reports that the study also found that “more than 60 percent of smokers with mental health disorders said they were likely or very likely to try e-cigarettes in the future, compared with about 45 percent of smokers without mental health conditions.”

Related Links:

— “The Weird Link Between E-Cigarettes and Mental Health Disorders,” Dan Kedmey, Time, May 13, 2014.

Kids Who Suffer A Concussion May Have Symptoms For Weeks After The Injury

Medscape (5/13, MacReady) reports that research published online in Pediatrics suggests that kids “who suffer a concussion may experience symptoms for several weeks after the injury, and those symptoms may differ from the ones seen at presentation.”

HealthDay (5/13, Reinberg) reports that in the “study from the emergency medicine division at Boston Children’s Hospital,” physicians “found that, while headache, dizziness and blurry vision can appear right after a concussion, emotional and mental symptoms, such as irritability and frustration, show up much later and stay longer.” Although the majority of “children recovered within two weeks after the injury, 25 percent still had headache a month after their injury.” Meanwhile, “more than 20 percent suffered from fatigue, and nearly 20 percent reported taking longer to think for a month after their concussion.”

Related Links:

— “Kids’ Concussion Symptoms Can Linger Long After Injury: Study,” Steven Reinberg, HealthDay, May 12, 2014.