— Stephen 🙂 (@StephenAnfield) August 14, 2018
Category : Health & Medicine
A story to Brighten Your Wednesday–Toddler with spina bifida warms hearts after showing his dog he can walk
The recent suicides of fashion entrepreneur Kate Spade and chef-turned-TV-star Anthony Bourdain have sparked a culture-wide discussion, as often happens when a celebrity dies in a horrible fashion. But unlike previous celebrity suicides, the anxieties prompted by these deaths took on a different coloration when it became clear in their wake that their deaths are part of a larger and disturbing public-health crisis we’ve failed to acknowledge.
According to a recent report from the Centers for Disease Control, suicide is now the 10th leading cause of death in the U.S., killing twice as many people (45,000) as homicide does each year. In more than 25 states across the country, the suicide rate has increased by more than 30 percent since 1999.
Most of the deaths are people (like Spade and Bourdain) at an age once considered the prime of life, which suggests a kind of epic, deadly new form of the midlife crisis: The largest number of suicides are happening among white men and white women between the ages of 45 and 65 (although rates are rising steadily for nearly all racial and ethnic groups). The news is grimmest for men, who account for three-quarters of all suicides. The CDC’s principal deputy director, Anne Schuchat, told Business Insider that the new data are “disturbing.”
Disturbing and confusing. Suicide has often increased during times of economic hardship; in 1932, during the height of the Great Depression, for example, the rate was 22 deaths per 100,000 people, according to the New York Times. But in the U.S. today, during an economic recovery under way for nearly a decade, the rate is 15.4 per 100,000. And the number of deaths has stubbornly increased despite much better screening and mental-health diagnosis. As the CDC researchers who worked on the recent report noted, “More than half of people who died by suicide did not have a known diagnosed mental health condition at the time of death.” Rather, the researchers listed substance abuse, job loss, relationship problems, and financial woes as some of the many factors potentially implicated in rising suicide rates.
How did suicide, a disease of despair, a last resort, become a solution to the challenges of everyday life for so many people?
"We live in an empty culture. We have fled from God, from meaning, from purpose, and the suicide epidemic is a direct result. People are wallowing in a sea of despair, believing that there is no transcendent truth or beauty to be found in life.
– Alexander Solzhenitsyn pic.twitter.com/qhr1kwlwuE
— Dr James Kent 🎩 (@DrJamesKent3) July 17, 2018
(DM) Christian doctor is sacked by the Government for refusing to identify patients by their preferred gender because he believes sex is established at birth
A doctor has been fired from a top government role for suggesting gender is determined at birth.
Dr David Mackereth, 55, who has worked as an NHS doctor for 26 years, was deemed to be ‘unfit to work’ after he said he would refuse to identify patients by their preferred gender.
The senior doctor was set to become a disability assessor for the Department for Work and Pensions claims a person’s gender is biological and said his right to freedom of speech had been denied.
The medic, from Dudley in the West Midlands, fears other ‘professional people of faith’ could lose their jobs simply for holding opinions about gender that are ‘centuries old’.
Most teens today own a smartphone and go online every day, and about a quarter of them use the internet “almost constantly,” according to a 2015 report by the Pew Research Center.
Now a study published Tuesday in JAMA suggests that such frequent use of digital media by adolescents might increase their odds of developing symptoms of attention deficit hyperactivity disorder.
“It’s one of the first studies to look at modern digital media and ADHD risk,” says psychologist Adam Leventhal, an associate professor of preventive medicine at the University of Southern California and an author of the study.
When considered with previous research showing that greater social media use is associated with depression in teens, the new study suggests that “excessive digital media use doesn’t seem to be great for [their] mental health,” he adds.
A recent study suggests frequent use of digital media by adolescents might increase their odds of developing symptoms of ADHD. https://t.co/GBh6r2IFbc
— NPR (@NPR) July 17, 2018
For the first time, scientists have found a way to efficiently and precisely remove genes from white blood cells of the immune system and to insert beneficial replacements, all in far less time than it normally takes to edit genes.
If the technique can be replicated in other labs, experts said, it may open up profound new possibilities for treating an array of diseases, including cancer, infections like H.I.V. and autoimmune conditions like lupus and rheumatoid arthritis.
The new work, published on Wednesday in the journal Nature, “is a major advance,” said Dr. John Wherry, director of the Institute of Immunology at the University of Pennsylvania, who was not involved in the study.
But because the technique is so new, no patients have yet been treated with white blood cells engineered with it….
#Swift Gene-Editing Method #May Revolutionize Treatments for #Cancer and Infectious Diseases.
Scientists report that they have discovered a way to tweak #genes in the body’s immune cells by using electrical #fields… Read more @ https://t.co/acsxaYwoNp pic.twitter.com/ec9poxTDca
— CellScience&Therapy (@CellScienceJour) July 13, 2018
Kids today. The phrase is usually followed by eye-rolling and words like self-absorbed, impatient and entitled. But the idea that today’s children need immediate gratification turns out to be wrong. In fact, research published last month in the journal Developmental Psychology shows that they are much more patient than kids were 50 years ago.
Yes, you read that correctly. Twenty-first century children are able to wait longer for a reward than children of the same age a generation ago, and a generation before that. The new study shows that today’s preschoolers are better at what psychologists call self-regulation, which is the conscious control of one’s immediate desires—the ability to hold off and wait until the time is right.
Stephanie Carlson, the lead author of the paper and a professor at the University of Minnesota’s Institute of Child Development, knows that her findings will come as a surprise: “The implicit assumption is that there’s no way that kids can delay. They’re used to being gratified immediately and don’t know what it’s like to be bored anymore.”
But faithful re-enactments of the famous “marshmallow experiment” have upended that notion.
The eight top Anglican bishops of New Zealand have come out against David Seymour’s proposed euthanasia bill but three other bishops have voiced their support.
The two very different submissions on the End of Life Choice Bill are a sign of the differences of opinion within the country’s second largest church and among its 450,000 adherents.
The eight bishops, the church’s top leaders, have told Parliament’s Justice select committee that more money should be put into palliative care and helping families looking after the terminally ill, rather than allowing euthanasia or assisted dying.
The submission – by the bishops of Dunedin, Christchurch, Waiapu, Auckland, Wellington, Nelson, Te Waipounamu and Waikato/Taranaki – is one of 35,000 to the committee and among thousands made public this month.
But three other bishops – two former bishops, John Bluck and David Coles, and Assistant bishop of Auckland, Jim White – have published a contrary opinion saying for some people with a terminal illness, assisted dying “is a good and moral choice”.
(Atlantic) When Children Say They’re Trans Hormones? Surgery? The choices are fraught—and there are no easy answers
Claire humored her parents, even as her frustration with them mounted. Eventually, though, something shifted. In a journal entry Claire wrote last November, she traced her realization that she wasn’t a boy to one key moment. Looking in the mirror at a time when she was trying to present in a very male way—at “my baggy, uncomfortable clothes; my damaged, short hair; and my depressed-looking face”—she found that “it didn’t make me feel any better. I was still miserable, and I still hated myself.” From there, her distress gradually began to lift. “It was kind of sudden when I thought: You know, maybe this isn’t the right answer—maybe it’s something else,” Claire told me. “But it took a while to actually set in that yes, I was definitely a girl.”
Claire believes that her feeling that she was a boy stemmed from rigid views of gender roles that she had internalized. “I think I really had it set in stone what a guy was supposed to be like and what a girl was supposed to be like. I thought that if you didn’t follow the stereotypes of a girl, you were a guy, and if you didn’t follow the stereotypes of a guy, you were a girl.” She hadn’t seen herself in the other girls in her middle-school class, who were breaking into cliques and growing more gossipy. As she got a bit older, she found girls who shared her interests, and started to feel at home in her body.
Heather thinks that if she and Mike had heeded the information they found online, Claire would have started a physical transition and regretted it later. These days, Claire is a generally happy teenager whose mental-health issues have improved markedly. She still admires people, like Miles McKenna, who benefited from transitioning. But she’s come to realize that’s just not who she happens to be.
I will take comments on this submitted by email only to KSHarmon[at]mindspring[dot]com.
A woman with late-stage breast cancer came to a city hospital, fluids already flooding her lungs. She saw two doctors and got a radiology scan. The hospital’s computers read her vital signs and estimated a 9.3 percent chance she would die during her stay.
Then came Google’s turn. An new type of algorithm created by the company read up on the woman — 175,639 data points — and rendered its assessment of her death risk: 19.9 percent. She passed away in a matter of days.
The harrowing account of the unidentified woman’s death was published by Google in May in research highlighting the health-care potential of neural networks, a form of artificial intelligence software that’s particularly good at using data to automatically learn and improve. Google had created a tool that could forecast a host of patient outcomes, including how long people may stay in hospitals, their odds of re-admission and chances they will soon die.
What impressed medical experts most was Google’s ability to sift through data previously out of reach: notes buried in PDFs or scribbled on old charts. The neural net gobbled up all this unruly information then spat out predictions. And it did it far faster and more accurately than existing techniques. Google’s system even showed which records led it to conclusions.
As a behavioral scientist who studies basic psychological needs, including the need for meaning, I am convinced that our nation’s suicide crisis is in part a crisis of meaninglessness. Fully addressing it will require an understanding of how recent changes in American society — changes in the direction of greater detachment and a weaker sense of belonging — are increasing the risk of existential despair….
Critically, studies indicate that it isn’t enough to simply be around or even liked by other people. We need to feel valued by them, to feel we are making important contributions to a world that matters. This helps explain why people can feel lonely and meaningless even if they are regularly surrounded by others who treat them well: Merely pleasant or enjoyable social encounters aren’t enough to stave off despair.
All of which brings us to the changing social landscape of America. To bemoan the decline of neighborliness, the shrinking of the family and the diminishing role of religion may sound like the complaining of a crotchety old man. Yet from the standpoint of psychological science, these changes, regardless of what you otherwise think about them, pose serious threats to a life of meaning.
Consider that Americans today, compared with those of past generations, are less likely to know and interact with their neighbors, to believe that people are generally trustworthy and to feel that they have individuals they can confide in. This is a worrisome development from an existential perspective: Studies have shown that the more people feel a strong sense of belongingness, the more they perceive life as meaningful. Other studies have shown that lonely people view life as less meaningful than those who feel strongly connected to others.
— Kalmen (@karlemenous) June 23, 2018
(Wash Post) American Medical Association rejects maintaining its opposition to medically assisted death, deciding instead to keep reviewing the matter
A recommendation that the American Medical Association maintain its opposition to medically assisted death was rejected Monday, with delegates at the AMA’s annual meeting in Chicago instead voting for the organization to continue reviewing its guidance on the issue.
Following a debate on whether the nation’s most prominent doctors’ group should revise its Code of Medical Ethics, the House of Delegates voted by a margin of 56 to 44 percent to have the AMA’s Council on Ethical and Judicial Affairs keep studying the current guidance. That position, adopted a quarter-century ago, labels the practice “physician-assisted suicide” and calls it “fundamentally incompatible with the physician’s role as healer.”
The council spent two years reviewing resolutions, not so much on whether to support the practice but on whether to take a neutral stance on what has become a divisive issue among health-care providers. The group’s report sought to find common ground, noting, “Where one physician understands providing the means to hasten death to be an abrogation of the physician’s fundamental role as healer that forecloses any possibility of offering care that respects dignity, another in equally good faith understands supporting a patient’s request for aid in hastening a foreseen death to be an expression of care and compassion.”
(LA Times) Church attendance linked with reduced suicide risk, especially for R Catholics, study says
Against a grim backdrop of rising suicide rates among American women, new research has revealed a blinding shaft of light: One group of women — practicing Catholics — appears to have bucked the national trend toward despair and self-harm.
Compared with women who never participated in religious services, women who attended any religious service once a week or more were five times less likely to commit suicide between 1996 and 2010, says a study published Wednesday by JAMA Psychiatry.
It’s not clear how widely the findings can be applied to a diverse population of American women. In a study population made up of nurses and dominated by women who identified themselves as either Catholic or Protestant, the suicide rate observed was about half that for U.S. women as a whole. Of 89,708 participants aged 30 to 55, 36 committed suicide at some point over 15 years.
Read it all from 2016.
Three generations later, my great-grandfather’s suicide is still impacting my life.
I distinctly remember the moment my mother told me about the family secret. I was a teenager, and she let me know with the firmness and compassion only a mother possesses that the choice her grandfather made was one nobody should ever face.
Not only did it rob him of his life, it delivered countless blows to his immediate family. His children lost their father, they lost their home, my great-grandmother was forced to become a boarder who worked three backbreaking jobs to make ends meet, but it wasn’t enough.
Eventually, my 12-year-old grandfather was forced to quit school to help support the family.
Despite never meeting him and despite my grandfather never speaking of it, three generations later Clifford’s decision shaped who I became. Not because it was something I ever considered doing, but because I felt the importance of looking for signs of hopelessness and despair in the people I knew.
— Hugh Hewitt (@hughhewitt) June 10, 2018
(USA Today) Kirsten Powers–Americans are depressed and suicidal because something is wrong with our culture
In September of 2004, I received the call that every person dreads: My father had dropped dead of a heart attack at the age of 61. It came at a time when I was already grappling with other issues, including watching my mother fight breast cancer for the preceding six months, a breakup with a boyfriend and a lack of structure in my life as I was freelancing as a consultant while I tried to determine what I wanted to do next with my career.
I was in an emotional free fall, so I visited a psychiatrist. He said the antidepressant my general practitioner prescribed to help with my life-long struggle with anxiety wasn’t what I needed, so he prescribed a new one. This seemed to only make things worse. Within a few days, I found myself thinking the unthinkable: I want to die.
I couldn’t imagine a life without my father and our hours-long conversations about, well, everything. The pain was debilitating, getting out of bed was an Olympian event, and life was utterly devoid of meaning. I stopped eating and shed 15 pounds in a month. I couldn’t see any reason to be alive.
A NY Times Article on this week’s CDC Report–Defying Prevention Efforts, Suicide Rates Are Climbing Across the Nation
The analysis found that slightly more than half of people who had committed suicide did not have any known mental health condition. But other problems — such as the loss of a relationship, financial setbacks, substance abuse and eviction — were common precursors, both among those who had a mental health diagnosis and those who did not.
Other studies have found much higher rates of mental health disorders among people at high risk of suicide, experts noted.
“The reason most suicide decedents don’t have a known mental disorder is that they were never diagnosed, not that they didn’t have one,” said Dr. David Brent, a professor of psychiatry at the University of Pittsburgh.
Access to guns can make it more likely that an impulsive or intoxicated person will attempt suicide even if he or she has no clear mental health problem, Dr. Brent added.
“We have worked really hard to explain to the public that suicide is not simply a matter of too much stress, but that it involves the identification and treatment of mental disorders as one important component,” he said.
Read it all (emphasis mine).
— Hayley Germack, PhD (@hgermack) June 8, 2018