Publications - Suicide

Military veterans can now receive free emergency mental health care, by Haley Britzky, CNN, Jan 17 2023.

“As of Tuesday, US military veterans in an “acute suicidal crisis” can receive free treatment including inpatient care up to 30 days and outpatient care for up to 90 days.  The expanded care was announced by the Department of Veterans Affairs on Friday, and is meant to “prevent veteran suicide by guaranteeing no cost, world-class care to veterans in times of crisis.” Veterans who are seeking that care can go to any VA or non-VA health care facility, the release said, and they do not have to be enrolled in the VA system to receive care. ”

988 Lifeline sees boost in use and funding in first months, by Rhitu Chatterjee, NPR, Jan 16 2023.

“The 988 Suicide and Crisis Lifeline received over 1.7 million calls, texts and chats in its first five months. That's nearly half a million more than the old 10-digit Suicide Prevention Lifeline fielded during the same period the year before.  Launched in mid-July last year, the 988 number is modeled on the 911 system and is designed to be a memorable and quick number that connects people who are suicidal or in any other mental health crisis to a trained mental health professional.  "We see the uptick in volume as an indicator that more people are aware of the service and are able to access it," says Kimberly Williams, the president and CEO of Vibrant Emotional Health, the non-profit that oversees the national 988 network of nearly 200 crisis centers spread across the nation. ”

Mental health-related emergency department visits and revisits are on the rise among children, study finds, by Jacqueline Howard, CNN, Dec 27 2022.

“Emergency department visits and revisits in children’s hospitals that are related to mental health are “increasing rapidly,” a new study suggests.  Between 2015 and 2020, mental health visits in pediatric emergency departments increased by 8% annually, with about 13% of those patients revisiting within six months, according to the study published Tuesday in the journal JAMA Pediatrics. Whereas, all other emergency department visits increased by 1.5% annually.  Mental health revisits increased by 6.3% annually, but in general, the percentage of mental health visits that had a subsequent revisit remained stable, “which may reflect that the factors associated with revisit did not change substantially during the study period, even as the pediatric mental health crisis worsened,” wrote the researchers, from Children’s Hospital Los Angeles, the University of Southern California and Boston Children’s Hospital.  The ongoing surge in pediatric mental health emergency department visits may be associated with “a combination of factors, including a worsening crisis of pediatric mental illness and shortage of mental health clinicians,” the researchers wrote.  The most common diagnoses among the mental health emergency department visits were suicidal ideation or self-harm, representing 28.7% of patients; mood disorders at 23.5%; anxiety disorders at 10.4%; and disruptive or impulse control disorders at 9.7%. ”

Justice Department warns of dramatic increase in ‘sextortion’ schemes targeting boys, by Holmes Lybrand, CNN, Dec 19 2022.

“At least 3,000 minors, mostly boys, have been targeted by financial “sextortion” schemes this year, a dramatic increase from previous years, the Justice Department announced in a public safety alert on Monday.  Using social media platforms, predators will, in some cases, start communicating with the targeted minor before moving the conversation to a different platform that primarily uses direct messaging, according to the department. Victims are tricked into providing explicit material, and then the perpetrators will demand money – sometimes thousands of dollars – threatening to release the images to family members and friends of the victim, the department says.  “The FBI has seen a horrific increase in reports of financial sextortion schemes targeting minor boys — and the fact is that the many victims who are afraid to come forward are not even included in those numbers,” FBI Director Christopher Wray said in a statement.  At least a dozen victims have died by suicide as a result of these crimes, according to the department.  The schemes, which have primarily targeted boys ages 14 to 17 – though some as young as 10 – largely originated from West African countries, including Nigeria and the Ivory Coast, according to the department. It’s unclear if these cells of perpetrators are connected.  Wray said that the FBI needs “parents and caregivers to work with us to prevent this crime before it happens and help children come forward if it does.”  “Victims may feel like there is no way out – it is up to all of us to reassure them that they are not in trouble, there is hope, and they are not alone,” the director said. ”

10 ways to get mental health help during a therapist shortage, by Lindsey Bever, The Washington Post, Oct 29 2022.

“Anxiety and depression have been on the rise in the United States since the start of the pandemic. This has led to a crisis in mental health that has been worsened by the shortage of mental health counselors.  A significant number of mental health professionals are not accepting new clients. Others have long waiting lists.  The Washington Post asked mental health professionals what advice they would give people who are struggling to find a therapist. About 300 experts from across the country responded with advice on getting an appointment — and tips on what people can do in the meantime to try to help themselves. Here are their recommendations. ”

519 US service members died by suicide in 2021, Pentagon says, by Ellie Kaufman and Paul LeBlanc, CNN, Oct 20 2022.

“A new report from the Pentagon found that 519 US service members died by suicide in 2021, a decrease from the 582 cases in 2020.  The 519 deaths last year involved active-duty, reserve, and National Guard members.    The largest decrease in suicides among service members occurred among active-duty service members, the data showed. In 2021, 328 active-duty service members died by suicide compared to 384 active-duty service members in 2020.  There was less of a decrease among reserve and National Guard service members. Seventy-four reserve members died by suicide in 2021 compared to 77 in 2020.According to the data, 117 National Guard members died by suicide in 2021 compared to 121 in 2020.  While 2020 saw the suicide rate for active-duty service members increase by 9.1%, the 2021 rate was similar to 2019, the report said.  Still, despite the decrease from 2020 to 2021, the overall suicide rate per 100,000 active-duty service members has slowly increased from 2011 to 2021, the report said. ”

Long waiting lists, long drives and costly care hinder many kids’ access to mental health care, by Brenda Goodman, CNN, Oct 6 2022.

“Norris is one of more than 2,000 adults surveyed this summer by CNN and the Kaiser Family Foundation about mental health issues in America. The nationally representative sample included more than 500 parents.  Nearly half of those parents, 47%, say the pandemic has negatively affected their kids’ mental health, with 17% saying it had a major negative impact.  More than 8 out of 10 parents said they’re at least somewhat worried about depression, anxiety, alcohol and drug use negatively affecting the life of US teens, while roughly three-quarters said they were worried about self-harm or pandemic-related loneliness and isolation.  More than 4 in 10 said they were very worried about alcohol and drug use, anxiety and depression affecting teens. Lower-income parents – those making less than $40,000 a year – were more likely than those in higher-income households to say they’re very worried about self-harm, eating disorders, depression and alcohol and drug use.  According to the survey, more than half of Americans (55%) think most children and teenagers in the US aren’t able to get the mental health services they need. ”

Youth Mental Health Was Declining in the U.S. Long Before COVID-19, by Brian Mastroianni, Healthline, Sep 26 2022.

“There have been several studies that have zeroed in on the state of mental health for young people today, both in the United States and around the world.  Now, a recent report is shedding light on mental health trends for children and adolescents, giving clarity to the fact that a lot of these problems (while exacerbated by the global pandemic) have been present before the emergence of the coronavirus outbreak and likely will continue to be a major issue as it subsides.  Experts say research like this is important in providing a pathway for educators, policymakers, and parents and guardians alike to provide better systems of support and interventions for young people as they encounter the realities impacting their mental health today. ”

Nothing seemed to treat their depression. Then they tried ketamine., by Meryl Kornfield, The Washington Post, Sep 12 2022.

“Researchers said the study could offer a greater understanding of the drug’s long-term potential for treating people with depression, and more hope amid a mental health crisis that has worsened during the coronavirus pandemic. Ketamine is just one of a variety of psychedelics, including “magic” mushrooms and ecstasy, that people are turning to for relief amid a greater public acceptance and growing field of research.  Patrick Oliver, the study’s lead researcher and the medical director of MindPeace Clinics, said ketamine therapy could become a mainstream solution to depression and potentially other mental disorders that have long been undertreated. Nearly 46,000 Americans died from suicides in the United States in 2020, according to the National Center on Health Statistics.  Experts say that ketamine shouldn’t be considered the first option for people with depression or suicidal ideations, given the other medicines and therapies that have been proved effective. The study, conducted by the ketamine clinic on a self-selecting group of patients, has its limitations. Suicidal ideations decreased at least 85 percent after 15 infusions, researchers found. But the study’s authors acknowledged that there is no system to track adverse events and side effects among ketamine patients. Nurses followed up with patients by phone after their treatments and recorded two suicide attempts. Those in the field say more information is needed about the drug’s effects over a longer period with more patients — but, they add, the research is a step in the right direction for a better understanding of ketamine. ”

Calls to suicide prevention lifeline rose 45% after changeover to 988 number, by Jacqueline Howard, CNN, Sep 9 2022.

“After the summer launch of the new 988 Suicide and Crisis Lifeline number, calls to the lifeline increased 45% compared with the same time last year, and the majority of those calls were connected to a counselor, according to the US Department of Health and Human Services. ”

Confronting Health Worker Burnout and Well-Being, by Vivek H. Murthy, M.D., M.B.A., New England Journal of Medicine, Aug 18 2022.

“Expressions of gratitude have too often been replaced by hostility, anger, and even death threats toward health workers, as health misinformation has exploded, eroding trust in science and public health experts. Yet doctors, nurses, pharmacists, social workers, respiratory therapists, hospital security officers, and staff members of health care and public health organizations continue showing up to battle the pandemic and its sequelae — long Covid, mental health strain, widening health disparities, and 2 years’ worth of deferred care for myriad conditions.  The toll on our health workers is alarming. Thousands of them have died from Covid. More than half of health workers report symptoms of burnout,1 and many are contending with insomnia, depression, anxiety, post-traumatic stress disorder, or other mental health challenges.2  ”

Men’s Body-Image Issues Got Worse During the Pandemic—Even if Many Didn’t Realize It, by Heidi Mitchell, The Wall Street Journal, Aug 14 2022.

“Having a negative body image has long been considered a female problem. Countless books, videos and after-school specials have been devoted to highlighting the concern and the damage it does to girls and women.  But men are nearly as likely to suffer from negative body-image concerns—and studies suggest that the stress and anxiety of the pandemic only made things worse.  Body dysmorphic disorder (BDD)—a clinical disorder in which people become preoccupied with a perceived imperfection in their physical appearance to the point that it causes them significant emotional distress or interferes with their day-to-day functioning—was first listed in the Diagnostic and Statistical Manual of Mental Disorders in the 1980s. Population studies show that 2.4% of Americans currently suffer from BDD, though most experts believe this number is underreported and may impact up to 3% of the population. [...] Without proper treatment, the consequences for men with BDD can be severe. About 80% of these men have had suicidal ideation at some point during their lives, and about 25% have attempted suicide. Signs of BDD include spending at least one hour a day thinking about perceived defects, obsessively looking at or avoiding mirrors, compulsively comparing oneself to others, missing work or school, an increased likelihood of alcohol or drug abuse, anabolic steroid usage (among men with muscle dysmorphia), and a feeling that one looks unattractive or even hideous. ”

Make space, listen, offer hope: How to help a child at risk of suicide, by Rhitu Chatterjee and Michelle Aslam, NPR, Jul 18 2022.

“As the coronavirus pandemic has worsened the mental health of kids, more families are dealing with their children feeling anxious, depressed and thinking about and even attempting suicide. But mental health professionals say that suicide is preventable and that parents and family members can play an important role.  It's hard work that requires parents to listen to their children, acknowledge their struggles and help them find a way out of their darkness. And in the long run, it calls for creating a home environment where kids feel safe sharing their emotional lives and where families solve problems together. ”

Debunking myths about suicide helps encourage compassion and understanding, by Kristen Rogers, CNN, Jul 16 2022.

“Sometimes people who die by suicide get branded as selfish, depressed or attention-seeking.  Such myths contribute to the stigma that can prevent those who are suicidal from seeking the help they need and falsify understanding of the motivations behind suicide, according to the National Alliance on Mental Illness, or NAMI.  Suicide is a leading cause of death among children and adults, with nearly 800,000 people worldwide dying from suicide yearly, according to the Global Burden of Disease Study 2017, cited by the online scientific publication Our World in Data. In 2020, there were 1.2 million attempts globally, the American Foundation for Suicide Prevention says. Awareness of the realities of suicide can help people view these deaths with more understanding and compassion, realize the importance of helping others get help and address their own mental health problems if they are struggling, NAMI says. ”

The new 988 mental health hotline is live. Here's what to know, by Rhitu Chatterjee, NPR, Jul 16 2022.

“People experiencing a mental health crisis have a new way to reach out for help in the U.S. Starting Saturday, they can simply call or text the numbers 9-8-8.  Modeled after 911, the new three-digit 988 Suicide & Crisis Lifeline is designed to be a memorable and quick number that connects people who are suicidal or in any other mental health crisis to a trained mental health professional.  "If you are willing to turn to someone in your moment of crisis, 988 will be there," said Xavier Becerra, the secretary of the federal Department of Health and Human Services, at a recent press briefing. "988 won't be a busy signal, and 988 won't put you on hold. You will get help." ”