HealthDay (5/5, Preidt) reported, “Patients with mental health emergencies wait an average of 11.5 hours — nearly half a day — in hospital emergency departments, and those who are older, uninsured or intoxicated wait even longer,” according to a study published online in the Annals of Emergency Medicine. Investigators found that “overall, patients with psychiatric emergencies wait about 42 percent longer in the emergency department than other patients.”

MedPage Today (5/6, Bankhead) reported, “Several recent studies have shown that patients who go to emergency departments for psychiatric care have substantially longer waits compared with patients seeking other types of care.” For instance, “In a survey by the American College of Emergency Physicians, 40% of emergency department medical directors said psychiatric patients waited more than eight hours from disposition decision to discharge from the ED. In contrast, 7% of the directors said medical patients had to wait that long.”

Related Links:

— “Psychiatric Patients Often Wait Nearly 12 Hours in ER,”Robert Preidt, HealthDay, May 2, 2012.

USA Today (5/5, Stoller) reported that suicides committed by Americans in foreign countries are “the fourth-leading cause of death abroad from non-natural causes after road accidents, homicides and drowning, according to the Centers for Disease Control and Prevention.” A USA Today “analysis of State Department statistics — which show only the date and city where a suicide occurred — found that a suicide abroad is reported an average of every 2½ to three days.” But, “in reality, American suicides abroad are probably much more frequent. The State Department says many American deaths abroad — regardless of cause — are not reported to it.” The most number of American suicides occur in Mexico.

Related Links:

— “Suicide: The fourth-leading cause of American deaths abroad,” Gary Stoller, USA Today, May 5, 2012.

In his opinion column in the Detroit Free Press (5/6), Jeff Garrett wrote that in Michigan as well as across the rest of the US, “with the closing of most state psychiatric hospitals and cuts in community mental health programs, jails will continue to hold thousands of mentally ill prisoners. Easing the problem will require sheriffs to work closely with local Community Mental Health authorities, assess mentally ill prisoners immediately, maintain medications, and divert more nonviolent offenders from costly jail time to treatment.” Garrett urged “federal and state lawmakers” to “enact legislation requiring insurance and Medicaid benefits to continue in jail.”

Related Links:

— “Jeff Gerritt: When jails must be mental clinics,”Jeff Garrett, Detroit Free Press, May 6, 2012.

The Washington Post (5/6, Jaffe) reported that debate is under way about whether to change the name of post-traumatic stress disorder (PTSD) to “post-traumatic stress injury” to “reduce the stigma that stops troops from seeking treatment.” The debate moves to a public hearing Monday in Philadelphia by a psychiatric working group and also “is coming to a head because the American Psychiatric Association is updating its bible of mental illnesses, the Diagnostic and Statistical Manual of Mental Disorders, for the first time since 2000.” The request comes from the US Army and “has raised new questions over the causes of PTSD, the best way to treat the condition,” insurance coverage, and federal disability designations.

Army Surgeon General’s Office Has New Policy Discounting Use Of Psychological Tests For PTSD. The Fayetteville (NC) Observer (5/5, Barnes) reported that Army’s Office of the Surgeon General has a new policy that “discounts the use of psychological tests” in diagnosing PTSD among service members. The Army surgeon general’s policy also addresses a complaint by Fort Bragg soldiers that “they are being overmedicated for their PTSD symptoms” and “encourages the use of intensive counseling and other alternatives, including yoga, acupuncture and massage therapies.”

Psychiatrist Praises APA Meeting’s Focus On Military Matters. In the Time (5/5) “Battleland” blog, psychiatrist Elspeth Cameron Ritchie, MD, MPH, wrote that the APA’s meeting this week in Philadelphia is “exciting because of the prominence military matters are going to get.” She pointed out, “As you might expect, there will be a lot of focus on diagnosing and treating PTSD. But there are also sessions on what it is like to work as a civilian at a military base, personal reflections of psychiatrists who have worked in war zones, research on the long-term effects of combat exposure from the experts at the Rand Corp., and a symposium on complementary and alternative treatments.” In addition, “The APA is also heavily involved in the White House Joining Forces initiative and the Give an Hour program (links). Their efforts make me proud to be a member.”

Related Links:

— “New name for PTSD could mean less stigma,”Greg Jaffe, The Washington Post, May 5, 2012.

In a letter to the editor of the Washington Post (5/4), John Oldham, MD, president of the American Psychiatric Association, writes in regard to the “April 29 Outlook article titled ‘When a diagnosis does more harm than good.'” Dr. Oldham observes, “Paula J. Caplan contended that many people are ‘arbitrarily slapped with a psychiatric label,’ which can ‘cost anyone their health insurance, job, custody,’ etc. I find this argument troubling, since overwhelming evidence demonstrates that stigma and misinformation about psychiatric illness prevent people from getting appropriate treatment.” Dr. Oldham points out, “Brain disorders are just as real as disorders of other organs in the body. The process of diagnosis is not an exact science, but a scientifically informed one, and scientific understanding of brain disorders is advancing rapidly.”

Related Links:

— “A psychiatric ‘label’ can save a life,”Edward Gogek, The Washington Post, May 3, 2012.