Poll: Long-Term Unemployed At Higher Risk for Depression

The Los Angeles Times (6/10, Kaplan) reports that according to the results of a Gallup poll (6/10) released June 9, “the longer a person has been out of work, the greater the chances that he or she will develop a clinical case of depression.” The poll revealed that “overall, unemployed Americans were nearly twice as likely as working Americans to be depressed – 12.4% versus 6.4%.” The poll data “are based on interviews with 356,599 Americans who were surveyed in 2013 for the Gallup-Healthways Well-Being Index.”

The Washington Times (6/10, Klimas) reports that approximately one in every five individuals “who have been unemployed for 52 weeks or more report that they are either depressed or being treated for depression,” a figure nearly double that of those “who have been unemployed for just three to five weeks.” The poll also indicated that long-term unemployment “could lead to a higher rate of health problems like depression or anxiety.”

The Kansas City (MO) Star (6/10, Stafford) reports, “The long-term unemployed also may have financial worries that keep them from seeking professional help or filling prescriptions for medication that could help them.”

The National Journal (6/10, Berman, Subscription Publication) points out that “a 2003 study in the Journal of Clinical Psychology found that depression costs the US economy tens of billions of dollars annually, in part because of ‘direct treatment costs, lost earnings due to depression-related suicides, and indirect workplace costs.’” Also covering the story are the Huffington Post (6/9, Chan) and Forbes(6/9, Adams).

Related Links:

— “Risk of depression is nearly twice as high for unemployed Americans,” Karen Kaplan, Los Angeles Times, June 10, 2014.

Study: No Predictable Patterns Tying Criminal Conduct And Mental Illness Symptoms.

In “The Blog” for the Huffington Post (6/7), psychologist Nicholas Covino, president of the Massachusetts School of Professional Psychology, wrote in wake of the Santa Barbara rampage, “Despite what is sensationalized in the media, the majority of violent episodes in this country are not triggered by mental illness.” In fact, “a recent study by the American Psychiatric Association found no predictable patterns linking criminal conduct and mental illness symptoms; of the 429 crimes studied, 7.5 percent were directly related to symptoms of mental illness.” People with mental illnesses “are more likely to commit suicide with a gun than homicide.”

Related Links:

— “Lessons from Santa Barbara: Why We Need a Long-Term Approach to Ending Violence,” Nicholas Covino, The Huffington Post, June 6, 2014.

DOJ Seeks Court Oversight Of Mental Healthcare In Los Angeles County Jails.

The AP (6/7) reports that DOJ released a report Friday that found Los Angeles County jails “have ‘deplorable’ conditions that have contributed to a dramatic increase in suicides” and found “there is inadequate mental health care and supervision to identify suicidal inmates or prevent them from becoming suicidal.” The report found 15 inmates killed themselves in two and a half years and cited “‘dimly lit, vermin-infested, noisy, unsanitary, cramped and crowded’ conditions” in the jails. The DOJ report said the Sheriff’s Department had completed some reforms required by a 2002 agreement, but said “‘serious systemic deficiencies’ remain.”

The Los Angeles Times (6/7, Chang) reports that DOJ said Friday it wants “court oversight of how the Los Angeles County Sheriff’s Department treats those inmates,” which “marks a significant escalation by the federal government in its efforts to improve conditions in the nation’s largest jail system.” The Times says the county disputes DOJ’s findings “and defended its treatment of mentally ill inmates.”

The Wall Street Journal (6/7, Phillips, Subscription Publication) reports that Acting Assistant Attorney General Jocelyn Samuels, head of DOJ’s Civil Rights Division, said in a statement, “The Los Angeles County Jails have an obligation to provide conditions of confinement that do not offend the Constitution and to take reasonable measures to protect inmates from harm.”

Related Links:

— “Report: Mental health care at LA jails lacking,” Associated Press, Sacramento Bee, June 6, 2014.

Case Suggests System For Monitoring Inmates Mental Health After Release “Haphazard”

On its front page Saturday, the New York Times (6/7, A1, Schwirtz, Santora, Belluck, Subscription Publication) examined the system for post-incarceration mental healthcare against the backdrop of a New York man accused of stabbing a young boy to death and leaving another young child critically wounded. The Times says that even though “the numbers of inmates with mental illness have surged in jails and prisons across the country in recent years,” their mental healthcare and fitness for society “can be haphazard” afterward. New York state “has more tools” than most, yet “there are many ways for mentally unstable people who might be dangerous to slip through the cracks.”

Related Links:

— “Stabbing Case Shows Lapses in Treatment for the Mentally Ill,” Michael Schwirtz, New York Times, June 6, 2014.

SSRI Use Before Stroke May Worsen The Event For Some Patients

MedPage Today (6/6, Neale) reports that research published online in Stroke: Journal of the American Heart Association suggests that “the use of selective serotonin reuptake inhibitors (SSRIs) before a stroke may worsen the event for some patients.” Researchers found that “among patients with hemorrhagic strokes, use of an SSRI in the 90 days before symptom onset was associated with a greater likelihood of the stroke being severe (OR 1.41, 95% CI 1.08-1.84) and of dying within 30 days (OR 1.60, 95% CI 1.17-2.18).” But, in “those with ischemic strokes…SSRI use was not associated with either outcome.”

Related Links:

— “Stroke Rounds: SSRIs May Worsen Hemorrhagic Strokes,” Todd Neale, MedPage Today, June 5, 2014.

Atypical MDD Tied To Obesity

Medscape (6/6, Anderson) reports that according to a study published online June 4 in JAMA Psychiatry, “major depressive disorder (MDD) with atypical features, including increased appetite and hypersomnia, is linked to obesity and other measures of adiposity.” The study of 3,054 adults in Switzerland also revealed that “the elevated body mass index (BMI) in patients with atypical depression is not a temporary phenomenon but persists after depressive symptoms remit and is not attributable to new episodes.”

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NIDA Review Links Marijuana To Adverse Health Effects

The Royal Oak (MI) Daily Tribune (6/4, Murray) reports that according to a review (6/4) published June 5 in the new England Journal of Medicine, Nora Volkow, MD, director of the US National Institute on Drug Abuse (NIDA), and colleagues argue that marijuana may “reduce teens’ IQ, that it impairs driving, and that today’s version is more potent than in the past.” Dr. Volkow stated, “It is important to alert the public that using marijuana in the teen years brings health, social, and academic risk.” She added, “Physicians in particular can play a role in conveying to families that early marijuana use can interfere with crucial social and developmental milestones and can impair cognitive development.”

HealthDay (6/4, Thompson) reports that because the drug “is potentially addictive, proven to contribute to fatal motor-vehicle crashes, and can disrupt the brain function and learning of young users,” its legalization “will lead to the sort of nationwide health problems now attributed to alcohol and tobacco, said Volkow.”

MedPage Today (6/5, Gever) reports that Volkow and “and colleagues based their conclusions on findings in 77 previously published papers.” The review also “found an increased likelihood of anxiety and depression, increased likelihood of psychosis, worsened symptoms of schizophrenia, and earlier onset of psychotic events.”

Related Links:

— “National study links marijuana use to adverse effects,” Diana Dillaber Murray, Royal Oak Daily Tribune, June 4, 2014.

Finding Mental Healthcare May Be Daunting Task For New College Graduates.

The NPR (6/4, Singh) “Shots” blog reported on the difficulties faced by newly graduated college students seeking care for mental health conditions. Even though “finding and paying for a psychologist or psychiatrist can be difficult at any age, for young people who don’t have steady jobs or stable paychecks, the task can be especially daunting.” To lessen some of these difficulties, “‘the trick is planning ahead’ long before graduation, says Luis Ramirez, the associate director of clinical services at New York University,” where counselors help students locate mental health professionals in the community. In addition, NYU also assists graduating students moving out of New York to locate therapists in their new city.

Related Links:

— “For New College Grads, Finding Mental Health Care Can Be Tough,” Maanvi Singh, National Public Radio, June 4, 2014.

Suicide Risk Factors Between People With, Without BD Identified.

Medwire (6/4, Cowen) reports that a study published online May 29 in the journal Bipolar Disorders has “identified differences in suicide risk factors between people with and without bipolar disorder [BD].” After examining data on people who committed suicide in Toronto, Canada, between the years 1998 and 2010, researchers found that “compared with people without bipolar disorder (n=2716), those who died by suicide and had bipolar disorder (n=170) were 1.8 times more likely to be female, twice as likely to have previously attempted suicide and 1.6 times more likely to have had recent contact with psychiatric or emergency services.” However, patients with BD “who died by suicide were two-thirds less likely than controls to have had recent medical stressors.”

Related Links:

— “Suicide risk factors are not generalisable,” Laura Cowen, Medwire News, June 4, 2014.

HHS Awarding $300 Million To Community Health Centers Across US.

The Hill (6/4, Al-Faruque) reports that HHS announced on Tuesday that it will disburse “$300 million to help community health centers treat newly insured patients under the Affordable Care Act.” The funds will be used to “expand service hours, hire more healthcare” professionals, “and add oral health, behavioral health, pharmacy, and vision services according to HHS.” In a statement, outgoing Secretary Kathleen Sebelius said, “Health centers are key to the Affordable Care Act’s goal of expanding access to health care.”

Alabama Live (6/4, Oliver) adds that the “funding will be awarded through the Health Resources and Services Administration (HRSA), which oversees the centers.”

Related Links:

— “HHS offering $300M to community health centers,” Ferdous Al-Faruque, The Hill, June 3, 2014.