Discontinuation, Dosage Change Of SSRIs More Common Than Expected, Study Find

MedPage Today (7/17, Monaco) reports “discontinuation or dosage change of selective serotonin reuptake inhibitors (SSRIs) may be more common than one would think, according to a qualitative study of online drug reviews.” Among “667 SSRI reviews posted to an online health forum by patients or caregivers, 335 posts were about discontinuing their medication – the most common type of medication change, reported” the researchers. The findings were published online in JAMA Network Open.

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Use Of Oral Contraceptives Tied To Increased Risk For Depression, Study Indicates

HealthDay (7/17, Gotkine) reports, “Use of oral contraceptives…especially the first two years of use, is associated with an increased risk for depression, with the association consistent with a causal relationship,” investigators concluded in a “population-based cohort study using data from 264,557 women from the U.K. Biobank.” Additionally, “Familial confounding was examined in 7,354 sibling pairs to validate causality.” The findings were published online June 12 in Epidemiology and Psychiatric Sciences.

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— “Oral Contraceptive Use May Increase Risk for Depression,”Elana Gotkine, HealthDay , July 17, 2023

Children, Adolescents Who Have Eating Disorders Appear More Likely Than Those Without Eating Disorders To Use Most Mental Health And Non-Mental Health Services, Research Suggests

Psychiatric News (7/17) reports, “Children and adolescents who have eating disorders are more likely than those without eating disorders to use most mental health and non-mental health services,” investigators concluded after examining “the health records of 1,449 patients aged five to 17 years who had eating disorders and” then comparing “them to the health records of 7,245 patients in the same age group in the general population who did not have eating disorders.” The findings were published online July 14 in the International Journal of Eating Disorders.

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— “Youth With Eating Disorders More Likely to Use Health Care Services, Psychiatric News , July 17, 2023

As 988 Suicide And Crisis Lifeline Heads Into Its Second Year, It Still Faces Hurdles Regarding Awareness, Staffing, And Routing

According to CNN (7/13, Viswanathan), as the 988 Suicide and Crisis Lifeline “heads into its second year of existence,” it “still has some hurdles to overcome when it comes to awareness, staffing and routing.” For example, “many people still don’t know that the lifeline exists or that 988 call centers face ongoing staffing challenges – and are actively seeking counselors.” What’s more, “since 988’s launch, there have been state-by-state differences in the implementation and funding of the crisis line.”

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— “One year after launch, 988 mental health crisis line still building awareness and staffing,”Jacqueline Howard and Giri Viswanathan, CNN, July 13, 2023

Black Suicide Rates Have Steadily Climbed In Last Two Decades, With Young Black People Most At Risk, CDC Data Reveal

USA Today (7/16, Ramirez) reports, “Black suicide rates, among the nation’s lowest prior to 2000, have steadily climbed in the last two decades – and young Black people are most at risk: According to” data (PDF) from CDC, “rates among those aged 10 to 24 rose 36.6% from 2018 to 2021, the largest percentage jump among any demographic.” What’s more, “the problem is particularly acute among girls: In 2020, suicide was the leading cause of death for Black girls aged 12 to 14.”

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— “Black suicide rates, once among the nation’s lowest, have risen dramatically among youths,”Marc Ramirez, USA TODAY, July 16, 2023

Alcohol Consumption, Alcohol-Related Deaths Increased During Pandemic, Data Show

The Washington Post (7/13, Zakharenko, Gilbert, Ovalle) reports that recently released federal data show “U.S. consumption of alcohol, which had already been increasing for years, accelerated during the pandemic as Americans grappled with stress and isolation.” Meanwhile, “the number of deaths caused by alcohol skyrocketed nationwide, rising more than 45 percent.” According to CDC data, “in 2021, alcohol was the primary cause of death for more than 54,000 Americans, causing nearly 17,000 more deaths than just a few years before.”

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Cannabis-Related ED Visits Rose Among Young People During Pandemic, CDC Data Show

CNN (7/13, Viswanathan) reports, “Over the past few years, marijuana use has been landing more young people in the hospital, according to a new study, by the U.S. Centers for Disease Control and Prevention.” Released “on Thursday in the CDC’s Morbidity and Mortality Weekly Report, the report analyzed nearly 540,000 cases nationwide where people under 25 years old wound up in a hospital due to complications from cannabis use.” Between 2019 and 2022, “researchers found that cannabis-related emergency department [ED] visits increased overall among kids, teens, and young adults.” Over the course of “the study period, the researchers also noted large increases in cannabis-related ED visits among kids less than ten years old.”

ABC News (7/13, Kekatos) reports, “Researchers found the largest increases in visits were among children aged 10 and younger as well as adolescents between ages 11 and 14.”

The Hill (7/13, Choi) also reports.

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— “Cannabis use landing more young people in emergency departments, study finds,”Giri Viswanathan, CNN, July 13, 2023

When Added To Stable SSRI Treatment, tDCS Not Superior To Sham Stimulation For MDD, Small Study Indicates

MedPage Today (7/13, DePeau-Wilson) reports, “When added to stable selective serotonin reuptake inhibitors (SSRI) treatment, transcranial direct current stimulation (tDCS) was not superior to sham stimulation for major depressive disorder (MDD),” investigators concluded in a 150-patient study that randomized 77 patients “to the active tDCS group and 73 to sham stimulation.” The findings were published online July 3 in The Lancet.

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Sleep Disturbances Appear To Have Significant Impact On Individuals With PTSD, Systematic Review Suggests

HCPlive (7/12, Grossi) reports, “Sleep disturbances have a significant impact on individuals with posttraumatic stress disorder (PTSD),” investigators concluded in the findings of a 16-study systematic review published online July 1 in the Annals of the New York Academy of Sciences. Additionally, “despite the association with higher overall PTSD severity, the effectiveness of trauma-focused psychotherapy was not inhibited when treating sleep disorder symptoms, with the exception of sleep-disordered breathing,” the review concluded.

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— “Trauma-Focused Psychotherapy Effective in Adults with PTSD Despite Sleep Disturbances,”Giuliana Grossi, HCPlive, July 12, 2023

Since Its Launch Last Year, 988 Suicide & Crisis Lifeline Has Provided Millions Of Americans With Timely, Lifesaving Care, Council Says

Healio (7/12, Young) reports, “In the year since its launch, the 988 Suicide & Crisis Lifeline has provided millions of Americans with timely, lifesaving care, according to a” July 11 press release from the National Council for Mental Wellbeing. Going forward, “the National Council for Mental Wellbeing plans to further establish the Certified Community Behavioral Health Clinic model to ensure comprehensive crisis services are available to those in need of them, according to the release.” Additionally, “the mental health and substance use care workforce will require increases and diversification to keep up with the current increase in 988 calls, texts and chats.”

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— “‘988’ suicide hotline sees growth in first year,”Kate Young, Healio, July 12, 2023