This week: a lot of famous medtwitter accounts "oh sorry I've been away for a bit did I miss anything important? 😅"
Cowardice.
This week a major medtwitter/tiktok influencer was accused with evidence of serious sexual harrassment and assault. One of the major figures of medtwitter, @choo_ek (who I looked up to immensely) is named directly in the lawsuit. There may be more to the story. It's a lawsuit.
But it is crucial that we unequivocally stand up and tell all vicitms that the system failed this person, that when they report things to program directors + residency supervisors there should be mandatory actions taken, and that we cannot in any way discourage people reporting.
I expect and demand an explanation and statement from @ek_choo, though perhaps she is receiving advice from lawyers not to and it could be in her self-interest to refrain from commenting.
In the meantime, the rest of us (I'm a tiny player in med twitter) cannot be silent.
My general strategy (as a boomer white male) is to retweet voices that I respect and amplify their messages. For the past 3 days, Ive been unable to do so, due to the cowardly hiding by people who routinely posture as "the good people".
Your silence is deafening, and it is time once and for all for it to be labeled as the cowardice it is.
"principles matter most when they are hardest to standby."
USA:
2 Counties (Butler, OH; Bartholomew, IN) and Puerto Rico (total pop for all 3 jurisdictions = 3.6M) 10% fewer suicides in 2020, all 3 showing a decrease.
2/ International:
* Albania: 25% decrease
* Austria: "No increase"
* Germany: "No increase seen so far"
* Poland: "No change"
* IDF (Israeli Defense Force): 12 suicides in 2019, 9 in 2020.
3/ Puerto Rico has quite a breakdown:
* no change in youth rate (slight decrease)
* no diff b/w males or females change
* monthly comparison shown here
1/ This is the view from my balcony, (i love #Vancouver !!), and we're not gonna leave here, but our lesnes will take us all over. At 70mm, this is about "what the eye sees" in terms of zoom and detail.
2/ Just panning to the north intersection, uhoh! Fire trucks are here for an incident!
1/ This is the view from my balcony, (i love #Vancouver !!), and we're not gonna leave here, but our lesnes will take us all over. At 70mm, this is about "what the eye sees" in terms of zoom and detail.
2/ Just panning to the north intersection, uhoh! Fire trucks are here for an incident!
3 new states (HI, ND, NJ) have been added to the total, all showing decreases from 2020. I added Cook County IL (oct-dec) to the list and removed Howard, IN, though its in final calculations. To keep the list down, I have to sacrifice small for big.
1/ At this point, my scan has captured almost 87M person-years, about 1/5th of the US. Because it is a nonrandom sample, it can't yet be used to estimate, however, the skew is on and clear - no major increases in 2020, most states and counties showing decreases.
2/ There are no surprises at this point - we are seeing clear and consistent trends across the nation.
It is with fairly high confidence that I repeat:
"The data does not support an increase in suicides in the US during 2020, in fact, if anything, it supports a decrease."
I was able to access a data set from a Cook County, Illinois. Cook County is home to 5.2M people and includes Chicago.
It's the 2nd largest county in the US
/cont
1/ In total, there were 438 suicides in 2020 in Cook County, compared to an average of about 480 in the past 3 years. During the pandemic spikes, suicides decreased.
All in all, it was a below-average year for suicide deaths.
2/ Black residents died by suicide at a much higher rate (42% increase). This increase was occurring before the pandemic as well. During the first wave of the pandemic, it worsened, second wave it lessened.
A much higher year for Black suicides: 97 vs. an average of 68 in 5y.