People With Serious Mental Illness Appear To Have Significantly Elevated Cardiovascular Disease Risks Due To Tobacco Smoking, Research Suggests

HCPlive (6/29, Grossi) reports, “Smoking cessation has long been a major public health concern, but its urgency is even more pronounced for individuals with serious mental illness, according to new research which stated this vulnerable population faces significantly elevated cardiovascular disease risks due to tobacco smoking,” according to the findings of a 192-participant study published online June 28 in JAMA Psychiatry.

Related Links:

— “Extended-Duration Smoking Cessation Shows Promise for Adults with Serious Mental Illness,” Giuliana Grossi, HCPLive, June 29, 2023

New Analysis Of Toxicology Reports Reveals Sharp Rise In Fentanyl Laced With Xylazine

CNN (6/29, Kounang, McPhillips) reports, “The Biden administration recently declared fentanyl laced with xylazine – an animal sedative commonly known as ‘tranq’ – to be an emerging threat facing the United States, and a new analysis of toxicology reports illustrates its sharp rise,” according to data published June 30 in the CDC’s Morbidity and Mortality Weekly Report. The report reveals that “in June 2022, xylazine was present in nearly 11% of fentanyl overdose deaths, almost a four-fold increase from January 2019, when the combination was present in about 3% of cases.”

NBC News (6/29, Edwards) reports, “Tranq is increasingly found laced in the illegal supply of fentanyl, a potent synthetic opioid blamed for 70,601 overdose deaths in 2021, according to the” NIDA. This past March, “the U.S. Drug Enforcement Administration warned about a growing threat from the drug combination, often called ‘tranq dope,’ saying that the DEA had seized xylazine and fentanyl mixtures in 48 of 50 states.”

Related Links:

— “Xylazine present in more than 1 in 10 fentanyl overdose deaths in the US,” Deidre McPhillips and Nadia Kounang, CNN, June 29, 2023

Opioids most often prescribed treatments globally for low back pain

CNN (6/28, Rogers) reports, “Opioid medications are one of the most typically prescribed treatments for the worldwide problem of low back pain – but they might not work, a…study has found.” Despite current guidelines from the North American Spine Society recommending limiting their use and a lack of evidence showing “their efficacy in reducing pain, opioid pain relievers are still widely prescribed for people with lower back and neck pain in many countries,” said the study’s senior author. The findings were published in The Lancet.

Related Links:

— “A common treatment for back and neck pain may not work, study suggests,” Kristen Rogers, CNN, June 28, 2023

Obesity May Delay Recovery From Mild TBI, Investigators Say

According to HealthDay (6/28, Murez), obesity may “delay recovery from a mild traumatic brain injury” (TBI), investigators concluded in a study that enrolled “770 patients who had experienced mTBI within 24 hours of their injury.” The participants included people of a healthy weight and those with obesity, all of whom “were followed for a year.” The study found that people with obesity had higher levels of “high sensitivity C-reactive protein” and “interleukin protein six,” both of which “are associated with increased systemic inflammation and promoting inflammation in the body, respectively.” The findings were published online in the Journal of Neurology, Neurosurgery and Psychiatry.

Related Links:

— “Obesity Could Slow Recovery From a Head Injury,” Cara Murez, HealthDay, June 28, 2023

Legalized Medical, Recreational Marijuana May Be Tied To Higher Rates Of Youth Suicide, Data Indicate

Psychiatric News (6/28) reports, “Female youth aged 12 to 24 and youth of both sexes aged 14 to 16 living in states with legalized medical marijuana or recreational marijuana between 2000 and 2019 had higher rates of death by suicide than youth in states with no such laws,” researchers concluded in a study that “analyzed data on suicide rates using the 2000-2019 National Vital Statistics System Multiple Cause of Death files for age groups 12-13, 14-16, 17-19, 20-22, and 23-25.” The findings, which included 113,512 deaths by suicide, were published online June 26 ahead of print in the Journal of the American Academy of Child and Adolescent Psychiatry.

Related Links:

— “Medical, Recreational Marijuana Legalization Associated With Higher Rates of Youth Suicide, Study Shows,” Psychiatric News, June 28, 2023

FDA Issues Draft Guidance On Conducting Clinical Trials With Psychedelic Substances

According to Psychiatric News (6/27), for the first time, the FDA has “issued draft guidance on conducting clinical trials with psychedelic substances such as psilocybin and MDMA (ecstasy).” The agency now “invites professional feedback to the draft guidance by August 25 to ensure consideration.” The draft guidance document was posted to the FDA’s website.

Related Links:

— “FDA Issues Draft Guidance for Conducting Clinical Trials With Psychedelic Substances,” Psychiatric News, June 27, 2023

Compared To General Population, Veterans Appear To Have Had Decreased Prevalence Of Suicide During COVID-19 Pandemic, Researchers Say

HCPlive (6/27, Walter) reports, “Veterans had a decreased prevalence of suicide during the COVID-19 pandemic compared to the general population,” investigators after conducting a 47,291-adult study that “compared the rates of suicide attempts and plans between Veterans and civilians.” The findings were published online June 26 in a research letter in JAMA Network Open.

Related Links:

— “Veterans at a Lower Risk of Suicidal Behavior During COVID-19 Pandemic,” Kenny Walter, HCPLive, June 27, 2023

Transgender People In Denmark Appear To Have Significantly Higher Risk Of Suicide Than Other Groups, Study Indicates

The New York Times (6/27, Ghorayshi) reports, “Transgender people in Denmark have a significantly higher risk of suicide than other groups,” investigators concluded after conducting “an exhaustive analysis of health and legal records from nearly seven million people over the last four decades.” The study revealed not only that “transgender people in the country had 7.7 times the rate of suicide attempts and 3.5 times the rate of suicide deaths compared with the rest of the population,” but also that “transgender people in Denmark died – by suicide or other causes – at younger ages than others.” The findings were published online June 27 in JAMA.

Related Links:

— “Landmark Study Shows Higher Suicide Risk for Transgender People,” Ghorayshi, New York Times, June 27, 2023

Three In Ten Young Adults Who Identify As Members Of Sexual Minorities May Experience Weight-Based Discrimination, May Have Higher Risk Of Disordered Eating Behaviors As A Result, Data Indicate

Psychiatric News (6/26) reports, “Three in ten young adults who identify as members of sexual minorities experience weight-based discrimination and may have a higher risk of disordered eating behaviors as a result,” investigators concluded after analyzing “data from 1,257 sexual minority women and men aged 18 to 31 years…who had participated in the U.S. Growing Up Today Study as children and adolescents and responded to a follow-up questionnaire in 2013.” The findings were published online June 21 in a brief report in the International Journal of Eating Disorders.

Related Links:

— “Weight-Based Discrimination Linked to Disordered Eating in Sexual Minority Young Adults,” Psychiatric News, June 26, 2023

Benzodiazepine Use May Be Tied To Suicidal Behavior, Researchers Say

According to HCPlive (6/26, Walter) research suggests that there may be a “link between benzodiazepine use and suicidal behavior that warrants further exploration.” Included in the study were “data from 111,550 individuals who attempted suicide and 12,312 suicide victims.” The study revealed “an adjusted odds ratio of 1.74 for hospitalized suicide attempts and 1.45 for those who [died by] suicide in individuals with recent psychiatric history,” and “benzodiazepine dispensing was higher in the 30-day risk period compared to the reference ones.” The findings were published online June 20 in the journal Acta Psychiatrica Scandinavica.

Related Links:

— “Association Found Between Benzodiazepine Use and Suicide Attempts, Suicide,” Kenny Walter, HCPLive, June 26, 2023