Transgender and gender expansive youth face increased challenges in many realms, including home, school, foster care, the legal system, and health care. They have a disproportionately elevated risk of developing depression and suicidality, but continue to be pathologized and invalidated by clinicians without adequate knowledge of the relevant issues. This can make it extremely difficult for transgender youth to access safe and gender-affirming mental health services. As members of the child psychiatry community, we must educate ourselves to become competent providers and advocates for this vulnerable, often underserved population.
Authors: Gaebel W, Zäske H, Hesse K, Klingberg S, Ohmann C, Grebe J, Kolbe H, Icks A, Schneider F, Backes V, Wolff-Menzler C, Guse B, Gallinat J, Bock T, Jockers-Scherübl MC, Krüger T, Jessen F, Bechdolf A, Kircher T, Konrad C, Falkai P, Schaub A, Rudolph M, Köllner V, Schmid-Ott G, Linden M, Lieberei B, Stuhlinger M, Sommerfeld S, Schumacher A, Krenge S, Gereke S, Mönter N, Navarro-Urena A, Frosch G, Kuhlbusch FJ, Cleveland H, Riesbeck M Abstract There is a need for interventions supporting patients with mental health conditions in coping with stigma and discrimination. A psycho-educationa...
Authors: Iqbal Y, Jahan R, Matin MR Abstract Although crisis helplines are an established method of suicide prevention, there is little research on their operation in developing countries. This paper reviews calls (N = 14,344) to the only suicide prevention hotline in Bangladesh during the first five years of the helpline's operation. Call characteristics were recorded on checklists, compiled, and analyzed. Results indicate that callers are about half male, mostly between the ages of twenty and thirty-nine, and mostly not suicidal. Callers display a wide range of reasons for calling, with relationship...
CONCLUSIONS: The combination of memantine with escitalopram was well tolerated and as effective as escitalopram and placebo in improving depression using HAM-D. Combination memantine and escitalopram was significantly more effective than escitalopram and placebo in improving cognitive outcomes at 12 months. Future reports will address the role of biomarkers of aging in treatment response. PMID: 31519517 [PubMed - as supplied by publisher]
tl;dr - divorce, major depression, wondering if I should suck it up or take meds I got divorced in May, and I haven't taking it well at all. I didn't want the divorce at all, I wanted to work it out... but I signed the papers anyway because he made it clear he was going to leave regardless if I didn't, so we'd just have to stay married while he abandoned me if I didn't sign. I didn't want to be married to someone living with the other woman and have to think about that every day, so I... Mental Health Stigma
Publication date: Available online 14 September 2019Source: Reumatología Clínica (English Edition)Author(s): Manuel Jiménez Ortiz, Alfonso Espinosa Ruiz, Cristóbal Martínez Delgado, Pablo Barrena Sánchez, José A. Salido ValleAbstractBackgroundThe association of depression and chronic pain in knee osteoarthritis is a complex and difficult phenomenon to understand. In fact, establishing the order of appearance of these entities might result in an arduous task.ObjectiveIn addition to analysing the relationship between preoperative anxiety and depression according to the results...
Navy veteran struggling to pay off his medical bills said he was contemplating suicide while speaking at a Bernie Sanders town hall
Conclusion/Importance: This study indicates that future research should take into account substance use patterns in adults engaging in NSI behaviors. PMID: 31519128 [PubMed - as supplied by publisher]
Conclusion: Specific contexts appeared to be associated with problematic drinking for both sexes. Among both men and women, "social drinking" was associated with problematic drinking. Both "home drinking" (men) and "daytime drinking" (women) contexts, were associated with problematic drinking and depressive symptoms. Targeted alcohol-focused interventions need to address co-occurring mental health issues. PMID: 31519127 [PubMed - as supplied by publisher]
ConclusionsOur findings suggest a dose-effect mechanism modulating the relationship between treatment-related SI and AS. AS symptoms may need to be monitored closely in the weeks that follow the introduction of an antidepressant treatment.