If you post something to twitter, a social media platform by which ideas are shared, and you don't want people to comment on it or provide their opinions, you can use many tools on twitter (locking account, changing who can reply).

Calling disagreement "disrespectful" is bizarre
If you wish to curate replies, you have many options. First, you can change who can reply.

"Everyone can reply" opens it up to the world
"People you follow" ensures that people you've selected are only able to reply
"People you've mentioned" means just that - specfically.

/2 Image
note that this does NOT stop retweets nor does it stop "quote tweet replies", an annoying type of reply that twitter SHOULD allow you to block if you choose.

/3
Alternatively, you can select individual replies you don't like, and remove those from the conversation. In response to this, i'm picking on the lovely @dranniehickox's reply (i'm happy with it!)

Note: people will see "the author has hidden this, would you like to see?"

/4 Image
Another excellent option is to lock your account. This means that you can 100% control who sees your content, and your content is not re-tweetable.

/5 Image
If you like general posts but certain aspects bother you, you can:

mute the conversation - "i'm done with this and don't wanna hear about it anymore"
mute the person - "i never wanna see their tweets"
block the person - "they can't see mine and i can't see theirs."

/6 Image
All of these things can be circumvented by a dummy account, an incognito window, or trojan horse invites (be careful who you follow!)

/7
The the more severe option is to start your own blog. Wordpress.com is a great forum that you can control your own content, write what you want, no character limits, and you can create your own rules.

/8
Or, if someone replying to what you say on a public forum upsets you - consider not posting at all. you can create a cool friend group of direct messages on twitter and just vent with them and escape public scrutiny.

/9
You can even mute phrases/keywords if you never want to see that content (like, I could mute "i love mimes") and my life would improve incrementally.

/10 Image
I mean for this to be helpful. Twitter needs more controls for safety and protection, and it is VERY intimidating to get unexpected replies for some people. Use twitter safely. 2020 has shown us unequivocally that twitter can cause harm.

/end
(oh and to be clear, i'd never block/mute Dr. Hickox! :) :) )

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More from @tylerblack32

31 Dec 20
Happy New Years Eve

I'm so grateful to all my followers (except if you follow to hate on psychiatry, boo you). This has been a trying year but I enjoy so many aspects of the #twitterverse, especially within #medtwitter, and the opportunity for me to grow and learn. /1
I wanted to thank a few people very specifically, because they changed my life. @uche_blackstock invited me into a mentor zoom chat, where I met and connected with @gboladi, who went on to become the national chair of the @bmsacanada with support from @doctorsofbc. /2
So thank you Dr. Blackstock for helping me move from "acknowledging" inequity into doing something about it. /3
Read 12 tweets
31 Dec 20
*************
Variance 🧵:
Why the media (and non-experts who "dabble" in mortality statistics) particularly suck at reporting the numbers of suicide
**************

Quite frequently, someone will send me an article like this.

#epitwitter #statstwitter
1/ Suicides are up 67% between the ages of 12-17 in Pima County.

By "mid-Nov 20", there have been 43 teen suicides, compared to 38 in total last year!

Without context, it certainly seems that the pandemic or the lockdown is to blame.
2/ Sure enough, i go to @CDC Wonder and fire up Arizona suicides for 2019 between 12-17 and I see there were 36 suicides in 2019 (not sure why there is a discrepancy between AZ DOH and CDC, but this is actually common by about 5%ish).
Read 15 tweets
24 Dec 20
THREAD: Updated Suicide Data for Canada

Statistics Canada has released 2019 (!! note !! pre-COVID, yes that's a thing) suicide data. Canada's long-standing relative "flatness" continues, with expected variation.
1/ This is one of my ways to present layered suicide data - a heat map showing the highest rates. For males, we can see that the highest rates are drifting older, but overall, the most recent years are lighter. Yay!
2/ And though female rates are overall much lower, we can see that there was a spike in younger women that has gradually dissipated.
Read 7 tweets
24 Dec 20
**NEW DATA Note: 2019 PRE COVID.**

CDC 2019 mortality data is out.

White: -2.2%
Black: +2.7%
Asian/PI: +1.5%
AI/AN: +0.5%
Hispanic: -1.4%
Total: -2.0%

(no group showed changes that fall out of the 95% confidence interval for comparing rates)

/1 Image
By sex, both displayed decreasing rates: (3% in ♀️, 2% in ♂️). The ratio is 3.7♂️ per 1♀️ (20-year-range 3.5-4.4)

♂️-to-♀️ suicide ratio is highly influenced by societal & cultural factors; each country's gender ratio is different (Canada 2.9-3.5, Hong Kong 1.8-2.4)

/2 Image
Both sexes showed decreases in virtually every age group, save the 25-39 male group which showed a tiny increase. The biggest drops were seen in child/teen males, and females <40.

/3 Image
Read 7 tweets
10 Dec 20
with some caveats (this study was conducted during very low community spread, significant protections were in place), this shows us that when the numbers support it, and with good policies, in person schooling is possible!
The knowledge of the UK situation is very important to put this study into context. Only a few years at each age group were invited to in person class, so schools were significantly less populated than normal (1/8th to 1/4 of the population).

/2
This restart happened when community spread was very low.

/3
Read 6 tweets
10 Dec 20
There are other risks than infection control risks. Inpatients with severe mental illnesses require visits, activities, outings, and passes to their families and loved ones, and without this, they can incur direct harm (loss of function, aggression requiring medication, etc).

/1
Hospitals and administrators and infection control need to work together with MENTAL HEALTH EXPERTS to develop COVID/infection control policies that don't cause significant harm to patients with significant illnesses.

THERE ARE OTHER RISKS THAN INFECTION.
Take a hypothetical person with severe schizophrenia:

Pro of "keeping them in isolation for 10 days":
* reduced chance of COVID

Con:
* increased chance of restraint, seclusion, staff and patient violence, distress, loss of function
* decreased chance of compliance, safety
/cont
Read 4 tweets

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