Study Highlights Need to Screen Young Children With Depression for Suicidal Behaviors
Children diagnosed with major depressive disorder between the ages of 3 and 6 —known as preschool-onset MDD—are more likely than their peers to express suicidal thoughts and behaviors before the age of 13, areport in the Journal of theAmerican Academy of Child and Adolescent Psychiatry suggests.“While general [suicidal thoughts and behaviors] screening is not indicated for children under age 8, suicide assessment should be conducted if warning signs such as mood disturbances are present,” wrote Laura Hennefield, Ph.D., of the Washington University School of Medicine and colleagues. “ Children with [preschool-onse...
Source: Psychiatr News - December 13, 2023 Category: Psychiatry Tags: Journal of the Academy of Child & Adolescent Psychiatry MDD preschool-onset depression screening suicidal behavior suicidal thoughts suicide young children Source Type: research

Psychiatric News Welcomes New Editor in Chief
Adrian Preda, M.D., a professor of clinical psychiatry and human behavior at the University of California, Irvine, School of Medicine, has been named editor in chief ofPsychiatric News. Preda, who will officially start January 1, 2024, succeeds Jeffrey Borenstein, M.D., who has served as editor in chief since 2012.Preda attended the Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed his residency at Yale University School of Medicine. He served as chief resident in psychiatry at Yale before taking on several roles with the VA North Texas Health Care System in Dallas, including medical dir...
Source: Psychiatr News - December 12, 2023 Category: Psychiatry Tags: Adrian Preda Carol Davila University of Medicine and Pharmacy editor in chief Jeffrey Borenstein Psychiatric News Saul Levin University of California Irvine Yale Source Type: research

Youth With Autism More Likely to Experience Restraint in Hospital
This article was one of three published today inPediatrics examining trends and disparities in the use of restraints in children ’s hospitals. Thesecond report indicates that Black children admitted to a hospital for a mental health crisis are more likely to receive pharmacologic restraint than children who were not Black. Thethird report shows that the rate of pharmacologic restraint has remained stable between 2016 and 2021, as slight decreases in the use of restraints for youth with ASD or anxiety were offset by increased restraint use for conditions like bipolar disorder and eating disorders.“Now is the time to env...
Source: Psychiatr News - December 11, 2023 Category: Psychiatry Tags: autism behavioral dysregulation disparities hospital pediatrics pharmacologic restraint physical restraint self-injury trends violence Source Type: research

Skipping Breakfast, Pro-Inflammatory Diet Linked to Depressive Symptoms
Skipping breakfast and eating a diet high in foods associated with inflammation (for example, foods fried in oil) may raise the risk of depression, astudy in theJournal of Affective Disorders has found.Bo Li, Ph.D., of Jilin University in Changchun, China, and colleagues examined data from 21,865 adults who were participants in the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018. During their participation in NHANES, the individuals completed two 24-hour dietary recalls where they reported what they ate and when. They also completed the Patient Health Questionnaire-9 (PHQ-9) as a measurement of ...
Source: Psychiatr News - December 8, 2023 Category: Psychiatry Tags: anti-inflammatory breakfast depression diet Journal of Affective Disorders pro-inflammatory Source Type: research

Magnetic Seizure Therapy for Depression Found as Effective as ECT
Magnetic seizure therapy (MST) appears to be as effective as electroconvulsive therapy (ECT) at achieving lasting antidepressant effects in people with major depression and may be less disorienting. Thefindings were published yesterday inJAMA Psychiatry.While ECT is highly effective for treating major depressive disorder, “it carries the risk of adverse neurocognitive effects,” wrote Zhi-De Deng, Ph.D., of the National Institute of Mental Health and colleagues. MST aims to match the efficacy of ECT while reducing the adverse effects, they continued.Deng and colleagues conducted a trial of participants aged 18 to 90 yea...
Source: Psychiatr News - December 7, 2023 Category: Psychiatry Tags: depression ECT electroconvulsive therapy JAMA Psychiatry magnetic seizure therapy Source Type: research

Psilocybin With Psychotherapy May Benefit Patients With Bipolar II Depression, Small Study Suggests
A single dose of the psychedelic psilocybin combined with psychotherapy appears to be safe and effective at reducing depression in people with treatment-resistant bipolar disorder II, according to asmall study published today inJAMA Psychiatry. Bipolar II disorder is associated with difficult-to-treat depressive episodes but less severe manic episodes than those experienced by patients with bipolar I disorder.“The findings support further study of psychedelics in the [bipolar II disorder] population,” wrote Scott Aaronson, M.D., of the Institute for Advanced Diagnostics and Treatment at Sheppard Pratt Health System and...
Source: Psychiatr News - December 6, 2023 Category: Psychiatry Tags: bipolar disorder II depressive episodes M.D. psilocybin psychedelics psychotherapy Scott Aaronson Sheppard Pratt Health System Source Type: research

Targeted Assessments May Help Identify Workers Experiencing Cognitive Impairment
“As the United States gears up for a likely presidential contest between an 81-year-old incumbent and a 78-year-old challenger, the dilemma of how to deal with the issue of older people in important positions who may be experiencing cognitive limitations is front and center in the public eye,” w rote psychiatrist and past APA President Paul Appelbaum, M.D., in aLaw& Psychiatry column appearing today inPsychiatric Services.According to 2022 data, nearly 58 million adults ages 65 and older live in the United States, accounting for about 17.3% of the nation ’s population. This percentage is expected to keep growing....
Source: Psychiatr News - December 5, 2023 Category: Psychiatry Tags: Alzheimer ' s disease assessments cognitive impairment discrimination federal law older adults Paul Appelbaum Psychiatric Services Source Type: research

Youth Taking Antipsychotics Not at Increased Risk of Death
Physically healthy youth aged 5 to 17 years who begin taking antipsychotics for conditions that do not involve psychosis appear to be at no greater risk of death than those initiating other medications. This was one of several findings of arecent article inJAMA Psychiatry.“Antipsychotic medications have potentially life-threatening cardiovascular, metabolic, respiratory, sedative, and other adverse effects in both children and adults, although many of these are infrequent,” wrote Wayne A. Ray, Ph.D., of Vanderbilt University School of Medicine and colleagues. “ This finding suggests that antipsychotic medication–re...
Source: Psychiatr News - December 4, 2023 Category: Psychiatry Tags: antipsychotics attention-deficit/hyperactivity disorder depression disruptive behaviors JAMA Psychiatry psychosis risk of death Vanderbilt University Wayne Ray Source Type: research

Study Highlights Relationship Between Alcohol, Suicide, and Firearms
Alcohol intoxication is associated with an increased risk of suicide death by firearms compared with other methods, especially among males and among young and middle-aged females, astudy in theAmerican Journal of Preventive Medicine suggests.“Understanding the nuances of the relationship between alcohol and firearm-involved suicides—the method of suicide that makes up the greatest proportion of suicides in the U.S.—allows for a better understanding of how a prevention initiative targeting alcohol (e.g., alcohol taxation), for exam ple, would impact suicide in the U.S.,” wrote Shannon Lange, Ph.D., M.P.H., of the In...
Source: Psychiatr News - December 1, 2023 Category: Psychiatry Tags: alcohol alcohol intoxication American Journal of Preventive Medicine blood alcohol level firearm firearm-related suicide prevention Source Type: research

Moms Encounter Barriers, Discrimination to Accessing MH Care for Traumatized Youth
Callers posing as mothers of adolescents with trauma symptoms who tried scheduling outpatient appointments at safety-net mental health centers were successful during only 17% of calls, astudy published yesterday inPsychiatric Services found. Further, the authors identified a bias against non-White callers.“Despite the benefits of early intervention, fewer than half of youths with a psychiatric disorder receive such intervention,” wrote Danielle Adams, Ph.D., M.S.W., of Washington University in St. Louis and colleagues. “Furthermore, research indicates that discrimination may occur during schedu ling, creating additio...
Source: Psychiatr News - November 30, 2023 Category: Psychiatry Tags: bias Medicaid mental health care mothers mystery shopper posttraumatic stress disorder private health insurance Psychiatric Services teens treatment barriers Source Type: research

Cannabis Use Disorder Rising Among Veterans, Study Finds
The prevalence of U.S. veterans diagnosed with cannabis use disorder more than doubled between 2005 and 2019, with the greatest increases reported among those with bipolar disorder and psychotic spectrum disorders, according to areport published today inThe American Journal of Psychiatry.People with psychiatric disorders are known to be at an increased risk for substance use, but few studies have compared cannabis use disorder in people with and without other psychiatric disorders, wrote Ofir Livne, M.D., M.P.H., of the New York State Psychiatric Institute and colleagues.For the current study, the researchers analyzed elec...
Source: Psychiatr News - November 29, 2023 Category: Psychiatry Tags: cannabis use disorder electronic health records The American Journal of Psychiatry veterans Veterans Health Administration Source Type: research

APA Poll Finds U.S. Adults Worried About Costs Associated With Holidays
Nearly one-third of U.S. adults anticipate that this holiday season will be more stressful than last year, with costs associated with holiday gifts and meals possibly contributing to this stress. This was one of several findings of APA ’s latestHealthy Minds Poll.The poll —which was fielded from November 9 through 11—asked 2,210 adults living in the United States to rank their anxiety about current events (for example, international conflict and inflation) as well as holiday activities/obligations. APA has polled about holiday mental health for the past three yea rs.Of the holiday stressors respondents were asked to ...
Source: Psychiatr News - November 28, 2023 Category: Psychiatry Tags: anxiety APA poll costs COVID-19 current events food gun violence Healthy Minds Poll holiday inflation Petros Levounis presents recession Saul Levin worry Source Type: research

Tailored Text Messages May Help Reduce Risky Alcohol Use
Daily text messages offering encouragement and advice may help some individuals significantly reduce their alcohol consumption, reports astudy published today inAddiction. Compared with individuals who received a text asking about their weekly drinking behaviors, those who received tailored text messages reported significantly fewer drinks and drinking days per week after 6 months.Frederick Muench, Ph.D., of the Partnership to End Addiction in New York and colleagues recruited women who drank at least nine drinks per week and men who drank at least 11 drinks per week and were seeking to lower their alcohol intake. A total ...
Source: Psychiatr News - November 27, 2023 Category: Psychiatry Tags: addiction alcohol misuse drink tracking heavy drinking tailored messages text messages text support Source Type: research

Overdose Deaths During Pregnancy, Postpartum Period Rose From 2018 to 2021
From 2018 to 2021, drug overdose deaths rose significantly among pregnant and postpartum girls and women aged 10 to 44, according to areport published today inJAMA Psychiatry. Among pregnant and postpartum women aged 35 to 44 years, drug overdose deaths more than tripled —from 4.9 deaths per 100,000 mothers aged 35 to 44 with a live birth in the 2018 period to 15.8 per 100,000 in the 2021 period.The study revealed that most of these overdose deaths occurred outside health care settings, indicating the need for strengthening community outreach and maternal medical support.“The stigma and punitive policies that burden pr...
Source: Psychiatr News - November 22, 2023 Category: Psychiatry Tags: access to care death JAMA Psychiatry Nora Volkow overdose death postpartum period pregnancy stigma Source Type: research

Prenatal Exposure to Alcohol Not Linked to Accelerated Brain Aging, Study Shows
Exposure to alcohol in the womb is known to increase the risk of abnormal brain development and a range of cognitive and behavioral problems known as fetal alcohol spectrum disorders (FASD) in offspring. Astudy appearing inJAMA Network Open that compared the brains of a group of middle-aged people with and without FASD suggests that those with FASD are no more likely to experience accelerated brain aging in their 40s than those without FASD. While the study participants with FASD continued to exhibit alcohol-induced structural deficits in the brain and had observable behavioral symptoms as they did as young adult...
Source: Psychiatr News - November 21, 2023 Category: Psychiatry Tags: aging brain alcohol use during pregnancy brain development JAMA Network Open long-term brain health middle age MRI prenatal alcohol exposure Source Type: research