Suicide

Nunavut, Canada’s largest and northernmost territory, is suffering from a suicide rate that is 10 times the national average. “In the case of Inuit boys 15 to 19,” CBC News reports, “the suicide rate is 40 times higher than those of their peers in the rest of Canada.”

After the 2009 suicide of a seven-year-old foster kid who had been on two “black box” medications intended for adults, Florida updated its policies to protect vulnerable children from over-prescription. Unfortunately, according to a report by Orlando Weekly, “foster children are still being put on psychotropic medications without caregivers following proper procedures.”

Writing for the Atlantic, David Dobbs examines how much harm has been done in the 14 years since Paxil was wrongly determined to be safe and effective. “Study 329, as it became known, helped spur a huge increase in Paxil prescriptions,” Dobbs writes. “In 2002 alone, over 2 million prescriptions were written for children and teens, and many more for adults.” “Thousands of children, teens, and young adults attempted or committed suicide while on Paxil,” and the reanalysis of Study 329 in BMJ makes it seem “more likely than ever” that many did because of the drug.

In a major story, the New York Times presents the re-analysis by David Healy, Jon Jureidini, Mickey Nardo and others of Study 329, published in...

“In Gallup's annual measure of 25 major U.S. business sectors, the percentage of Americans with a positive view of the pharmaceutical industry dropped from 40% in 2014 to 35% this year, while the percentage with a negative view rose from 36% to 43%.”

According to an analysis by the Washington Post, “On average, police shot and killed someone who was in mental crisis every 36 hours in the first six months of this year.” Chuck Wexler, executive director of the Police Executive Research Forum called it “a national crisis.” “We have to get American police to rethink how they handle encounters with the mentally ill. Training has to change.”

Jeffrey Lieberman, past-president of the American Psychiatric Association, authored an Op-Ed in last Friday’s New York Times, calling for improved mental health screenings in schools and emergency rooms in the wake of the murder of Virginia journalists Alison Park and Adam Ward. In support of forced treatment mechanisms, Lieberman claims: “Almost every mentally ill perpetrator of mass violence had been symptomatic and untreated for lengthy periods of time before their crime, because they (or their families) did not seek treatment or they refused it.”

The Intercept illustrates the growing insecurity of our medical and mental health data in an age of privacy breaches. Individual stories detail instances of electronic therapy notes being shared between all doctors in a practice, employees being fired after mental health information is disclosed through workplace wellness programs, and police data on past suicide attempts being used to prevent Canadian citizens from crossing the US border.

Several years after the information was first revealed, a published study has shown how an influential NIMH study doctored the real data about antidepressants and suicidal events in youth.

-Rachel Aviv writes about the physician-assisted euthanizing of a Belgian woman who decided to kill herself because she had long suffered in depression.

The man who deliberately crashed a Germanwings commercial airliner with 150 passengers aboard was actively in psychiatric treatment at the time, reported the New...

-Is the psychiatric approach hindering understanding of feelings that were historically more often seen as having "theological, philosophical, legal, and aesthetical" import?

-London, England's Maytree Suicide Respite Centre runs with a few paid staff and nearly a hundred volunteers.

-Does prominent Canadian child psychiatrist Stanley Kutcher have different standards for evidence depending on whether he's evaluating psychotherapy or psychotropics?

I thought I would make a small contribution to the discussion about how coverage of the recent airline tragedy focuses so much on the supposed ‘mental illness’ of the pilot and not so much on the possible role of antidepressants. Of course we will never know the answer to these questions but it is important, I think, to combat the simplistic nonsense wheeled out after most such tragedies, the nonsense that says the person had an illness that made them do awful things. So, just to confirm what many recipients of antidepressants, clinicians and researchers have been saying for a long time, here are some findings from our recent New Zealand survey of over 1,800 people taking anti-depressants, which we think is the largest survey to date.

With the current focus on the possible contribution of psychoactive drugs to the crash of GermanWings flight A320 on Tuesday, March 24, it is useful to identify potential links between the effect of the antidepressants and the events.  In all 47 cases listed on SSRIstories, the pilots were taking antidepressant medications, mostly SSRIs, often in combination with other medications and sometimes with alcohol.

The crash last week of the Germanwings plane has shocked many. In view of the apparent mental health record of the co-pilot Andreas Lubitz, questions have been asked about the screening policies of airlines. The focus has generally been on the conditions pilots may have or the arguments they might be having with partners or other situational factors that might make them unstable. Even when the issue of the medication a pilot may be taking is raised, it is in the context of policies that permit pilots to continue on drugs like antidepressants to ensure any underlying conditions are effectively treated. But fewer treatments in medicine are effective in this sense than people might think and even when effective they come with effects that need to be balanced against the likely effects of the underlying condition.

-Facebook has made it easier for users to report posts from people who seem to be in psychological distress, but not everyone likes the plan.

-Counselor and artist Sara Nash asks whether its good that she rarely shares her own experiences of inner pain when she talks to college students about suicidal ideation.

For nearly two decades, Big Pharma commercials have falsely told Americans that mental illness is associated with a chemical brain imbalance, but buried SAMHSA survey results tell us that depression and suicidality are associated with poverty, unemployment, and mass incarceration. And these results also point us to the reality that American society has now become so especially oppressive for young people that an embarrassingly large number of American teenagers and young adults are depressed and suicidal.

The present-day mental health establishment focuses primarily on a ‘biological’ cause for despair and other so-called ‘aberrant’ mental manifestations in the world. But when we look at the news, it’s bursting with sad realities. Animals dying, people starving, rape everywhere. Climate change bringing more disasters, racist mortgage practices. Are we to grow a skin so thick that we don’t cry when we read about a government firing scud missiles on its people? How are we to process mass-murder in an elementary school? What is more aberrant: to be so hardened that we do not cry, or to cry constantly? Might the healthy response to depressing realities to become depressed? How do we create hope when so often our world seems so terrible? How much activism is enough?

People who have taken a psychedelic drug at least once have less suicidal thinking than the general population.

-"It’s hard to listen to a psychiatrist who sounds so broken," writes Sulome Anderson in The Atlantic.

Losing a loved one to suicide hurts like hell: there’s an obvious truth if there ever was one. But there are other truths, some hard, some hopeful. If you’ve suffered such a loss yourself, you know too much of these truths already.

In The New Yorker, Rachel Aviv discusses an apparently common practice among some US universities to expel students who attempt suicide -- even when...