1/ Suicidology Update: 2020 USA Synthesis

In the states and counties that have so far reported suicide numbers, for the months in which we have data, SUICIDE RATES DECREASED IN AMERICA IN 2020.

(every word in that sentence matters, and has to be fully understood)
2/ These numbers are NOT:
* an "estimate" of 2020 suicides.
* a prediction of what 2021 holds
* a guarantee that 2020 will overall show less suicides
3/ These numbers ARE:
* a comprehensive scan of all reported 2020 suicide numbers, to give a full picture of what has been reported without bias
4/ Florida is the big addition (-13%), however Florida's number is a lot more challenging to estimate lag, so I increased my error tolerance.
5/ We also have a data set from the CDC to July which verifies the estimate (adjusting for lag, -4.1% to -1.5% overall was estimated in my last post, the actual number to July is -4.3%). I still expect this number to increase a bit over time.
6/ Quite a dip was observed in Mar-May, and its tracking on the low side to July. Overall in the US, to July, suicides were down by 4.3%.
7/ ALL SOURCES ARE HERE, THE SPREADSHEET IS HERE:
docs.google.com/spreadsheets/d…
8/ There are a lot of people that understood what this data is. There were a lot of... motivated thinkers... that severely misinterpreted my data or intention. So I want to be very clear in the next couple of posts:
9/ This data is a scan of reported numbers where official sources (government, state, county authorities) were quoted and I could verify it. This is the type of data that is SENT TO THE CDC for national tabulation.
10/ The data includes a lag estimate, as suicides take time to code. I painstakingly reviewed annual reports in the same releases and compared them to the final number to estimate it. It was not fun or easy. I can't know what lag will show, but I can estimate it.
11/ My lag estimate is that the actual decrease is not 11% but about 4%, and with my estimated error tolerance it could approach a 1% decrease. This is for WHAT THE CURRENT NUMBERS MEAN, not a projection of a final number for all states.
12/ This data is UNBIASED. I've included every number I found. Unlike famous articles (NYT on Clark County, for example) which were DISPROPORTIONATELY CITED, this is a complete scan and database. If I'm missing a number, send it to me!

email: newdatatoshare@gmail.com
13/ This data is just data. It is not "pro-lockdown" or "anti-lockdown". It is simply all the data I found. If you disagree with the number, it probably says a lot about you and your understanding as to what the number is, or that you blindly follow the awful Alex Berenson.
14/ So, to repeat....

In the following statement, EVERY WORD MATTERS:

In the states and counties that have so far reported suicide numbers, for the months in which we have data, SUICIDE RATES HAVE DECREASED IN AMERICA IN 2020.
15/ This is not counterintuitve, this is not unexpected. This is just counter to the *moral panic* and *chicken littling* early on in the pandemic that *guaranteed* increases in suicides. These predictions were not founded on data, they were speculative.
16/ Speculation about future suicide rates is not easy, and we do not have the predictive ability these early reports implied.
17/ There are things we can do NOW that can prevent against suicide increases:

* materially support people who endure hardship due to the pandemic
* support people with disabilities and severe mental illness
* governments should not use austerity during this time of crisis
18/ * recognize that there is likely systematic racism in the suicide changes. 3 states so far have shown that rates have INCREASED for Black and Hispanic Americans, but DECREASED for White Americans. Fighting systemic racism is anti-suicidal.
19/ * provide significant material support (this means $$) to underprivileged and marginalized people
* pass and enforce safe storage laws, cooldown periods on gun purchase, and America, you still need to have that gun convo.
20/ These are effective, proven, and helpful ways to ensure a national effort to reduce suicides.

• • •

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More from @tylerblack32

6 Feb
A quick thread on being a suicidologist, and the absolutely humble knowledge that we can't predict anything yet with all the expertise, computing power, and variables in the world:

"Follow the data, do not get ahead of it."

/1
When the pandemic started, many of the interviewed experts only had 2018 data showing that rates of suicide were increasing. They used that information in March 2020 and April 2020 to say "it was increasing before and it will get worse now"

/2
Meanwhile the actual statistics for 2019 came out around December and guess what, 2019s rate had fallen. So every expert, opining on TV, online, print, even in scientific articles, didn't know that one of the foundations for their argument fall away.

/3
Read 6 tweets
6 Feb
1/ **Canadian Update**

There is no evidence to support an increased rate of suicide during COVID.

Nova Scotia Added (trimmed to September for stability).
2/ The best way to interpret this is "in the provinces reported so far, with the months so far, it is unlikely there will be an increase in Canadian suicides, and a decrease is most likely."
3/ I know the 2020 numbers will creep up slightly, I strongly doubt the lag will overcome -12%, but its not impossible. It is, however, quite obvious that a significant increase is not going to occur in these provinces.
Read 5 tweets
5 Feb
1/ My first estimate for USA Suicide Rates in 2020 is available. This scan represents my best effort to capture every reported number.

Though the final rate for 2020 will likely creep up due to lag, it is unlikely to go past 2019 levels.

*THE SUICIDE RATE HAS NOT INCREASED*
2/ Rather than reading this as proof of decrease, I would encourage all reporting/sharing this number to read this as "evidence that a significant increase across America is unlikely." I have done my best to estimate data lag, but it will likely head closer to even.
3/ This is an apples-to-apples comparison. Alaska 2019 Jan-Sep is compared to Alaska 2020 Jan-Sep. Because of this, as more data comes in, both the 2019 AND 2020 rates will change.
Read 20 tweets
5 Feb
1/ My first estimate for USA Suicide Rates in 2020 is available. This scan represents my best effort to capture every reported number.

Though the final rate for 2020 will likely creep up due to lag, it is unlikely to go past 2019 levels.

*THE SUICIDE RATE HAS NOT INCREASED*
2/ Rather than reading this as proof of decrease, I would encourage all reporting/sharing this number to read this as "evidence that a significant increase across America is unlikely." I have done my best to estimate data lag, but it will likely head closer to even.
3/ This is an apples-to-apples comparison. Alaska 2019 Jan-Sep is compared to Alaska 2020 Jan-Sep. Because of this, as more data comes in, both the 2019 AND 2020 rates will change.
Read 20 tweets
4 Feb
A parable on relative rates:

A man processes fruit. Each hour, he is presented with 100 oranges and apples each to package. He does this for years. He loves his job, and comes to expect the steady bags of similar oranges and apples.

100 apples. 100 oranges.
/1
The inspectors come to see the man work.
The suppliers come to take the bags of fruit.
The patrons of the markets buy apples and oranges.

They all see the balance between oranges and apples.

100 apples. 100 oranges.

/2
One day, conditions change, and the fruit is impacted. There are fewer apples and oranges, but for whatever reason, oranges are less impacted. Now, every hour, it's 60 less apples and 20 less oranges.

The man arrives to work and starts his first hour.

40 apples. 80 oranges.

/3
Read 8 tweets
4 Feb
Have suicides increased in the pandemic?
(also a comment on kids below)

We have data for BC, AB, and SK... so far, and so far, so good. There have been fewer suicides in 2020 than in 2019.

Thank you everyone for the feedback, I've made this a lot cleaner and simpler now!

/1
For people who saw this yesterday, I've changed things to become more confident.

For Alberta, this meant removing November #'s (they seem VERY low in 2020 and I will wait for confirmation). This raised Alberta's rate.

It doesn't change the message.

AB suicides are down.

/2
The other major change is giving a guess for how much the Saskatchewan number for 2020 may increase. In previous reports, a result reported the next year increases by ~20 suicides when the final count is done.

It doesn't change the message.

SK suicides are down. (by 25-36%)

/3
Read 14 tweets

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