Loose Screws Mental Health News

I could’ve been a statistic right here in this area.

suicides in PhiladelphiaPhiladelphia now boasts the sharpest increase in suicides in the country. Despite all the homicides in Philadelphia making the news, the 196 people who killed themselves in 2008 were quietly buried in the obit pages (if they made it there at all).

In light of this news, I’ve decided to place a suicide hotline web banner in the upper right-hand corner of my right sidebar. Susan of If You’re Going Through Hell Keep Going has one in her sidebar and I think it’s a wonderful idea. I’ve had a couple of people comment or send me emails about how they feel they’re on the brink of losing it so hopefully the banner — one of the first things to be seen on this page — will draw some attention and prompt someone to call for help. When I was a teen, I called 1.800.SUICIDE. I can’t remember what happened exactly but I called the hotline and someone talked me into why life was still worth living. People who are suicidal don’t really want to die; they want an escape from the pain they’re feeling and they feel the only way to alleviate that pain is through inflicting death upon themselves. I hope someone who is suicidal would be willing to pick up the phone and come to the same realization that I did at the time.


Speaking of suicide, researchers from the World Health Organization and the University of Verona, Italy have discovered that SSRIs (a class of antidepressants) may significantly reduce the risk for suicide in adults. SSRIs — which include such medications as Prozac, Paxil, and Zoloft — are not be confused with SNRIs such as Effexor, Pristiq, and Cymbalta. PsychCentral notes:

SSRIPrevious studies, including a 2007 study by the U.S. Food and Drug Administration (FDA), found the risk of suicide in adults was neutral, elevated in those under 25 and reduced in people older than 65. A subsequent black box warning was added to all antidepressants regarding increased risk of suicidal symptoms in people under 25 years of age.

Basically, this study just means antidepressants help those who are 25 years and older and hurt those 24 years and younger. I’m sure a new study will come out within the next year or so that contradicts this one. Especially since numerous previous studies on SSRIs found the risk of suicide to be neutral in ages 25-65.


Young adultAccording to the Boston Globe, a (really pathetic) new study shows that nearly half of young adults between the ages of 19 to 25 “meet the criteria for at least one psychiatric disorder.”

Whether in college or not, almost half of this country’s 19-to-25-year-olds meet standard criteria for at least one psychiatric disorder, although some of the disorders, such as phobias, are relatively mild, according to a government-funded survey of more than 5,000 young adults, published in December in the Archives of General Psychiatry.

The study, done at Columbia University and called the National Epidemiologic Study on Alcohol and Related Conditions, found more alcohol use disorders among college students, while their noncollege peers were more likely to have a drug use disorder.

But, beyond that, misery is largely an equal-opportunity affliction: Across the social spectrum, young people in America are depressed. They’re anxious. They regularly break one another’s hearts. And, all too often, they don’t get the help they need as they face life’s questions…

According to the 2005-2007 American Community Survey, the population for adults ages 18-24 is gauged to be around 30 million. Therefore if we’re going to take the study at its word, let’s chop the number by half (even though the number is just under half). That will put us at about 15 million young adults. The NIMH, however, estimates 57.7 million adults in the U.S. “suffer from a diagnosable mental disorder.” If this is the case, those 15 million young adults make up nearly 26 percent of the NIMH’s “diagnosable mental disorder” statistic. The inclusion of alcohol and drug addictions might explain why this figure might be a little high.

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Mommy, why is Santa Claus depressed?

Fat people are NOT more jolly! In fact, they tend to suffer more from depression. Studies suggest that doctors should be more aware of depressive-type symptoms in obese or overweight people. I don’t consider my husband, 6’2" and overweight (according to the BMI) by 150 lbs, to be more jolly, than oh say, Santa Claus. In fact, my husband’s penchant for having such a stern face earned him a college moniker: "Mr. Happy Face."

DO NOT, DO NOT, DO NOT take sumatriptans with serotonin medication. The FDA is concerned that the mix of migraine medications with SSRI anti-depressants could cause serotonin syndrome, a life-threatening condition that occurs when too much serotonin is present in the bloodstream. If you take anti-d’s and suffer from migraines, please see your doctor and talk about other medication options.

SSRIs

Selective Serotonin Reuptake Inhibitors
(from monstersandcritics.com)

  • present fewer side effects than their predecessors
  • less likely to be lethal even in large quantities (important for someone who may be suicidal)
  • the
    Federal Drug Administration (FDA) wants SSRI dosage minimized to
    decrease risk of overdosage and close monitoring of younger patients on
    the drug
  • suicide rates overall have declined since SSRI market introduction
  • side effects ma include insomnia, rashes, headaches, joint and muscle pain, upset stomach, nausea or diarrhea
  • mixed with painkillers, SSRIs can pave the way for stomach or uterine bleeding

In the Hindustan Times,
an article ran on a girl who committed suicide because she had not
received the grades she had hoped on a test. One highlight (if you can
consider it that) of reading world news is that they'll report local
suicides more often than U.S. media. The HT story reminds me that there
is no excuse too small or too big for people to commit suicide.

Indian focus recently has been on eliminating suicide scenes from films to prevent copycat cases. In one incident,
a mother dragged her four kids out o the train tracks to die with her.
Two of them were able to escape and survive before a train pummeled the
rest of the family to death.

Ireland is also tackling suicide – they've set a 20 percent reduction target by the year 2016. A published report notes that suicide rates are rising in males younger than 35 and in females under 25. Wisconsin
is battling youth suicide, much like Ireland, and hopes to reduce its
current rate of one young adult committing suicide per week by 10
percent. No time frame for the reduction has been set.

An anti-seizure drug, Neurontin, is being blamed for nearly 300 suicides nationwide.
It is the best-selling anticonvulsant medicine in the U.S. and Pfizer –
Neurontin's maker – posted profits of more than $2.6 billion in 2004.
The FDA has not pushed to have Neurontin taken off the market, but in
2005, simply ordered a review. The results have never been made public
as of today.

A man who killed himself after being turned away from the hospital has drawn worldwide attention to the inadequacies of Australia's mental health system. Although I'm sure similar events have occured in the U.S., it likely does not get widespread coverage.