Here, Nate, with his tremendous reach and followers, makes the common stigmatizing mistake of associating suicides with mental health. Many people with mental health problems don't die by suicide (99% plus!). Many people who die by suicide did not have MH problems (~50%)
/1
I missed due to an awful type of study called the psychological autopsy has established this untrue "fact" that most suicides are due to Mental Health problems.

As a suicideologist I can confidently say that this is a stigmatizing, narrow, and extremely evidence-free position./2
People in good mental health can die by suicide, and people with poor mental health can lead rich and amazing lives free of suicidality.

Please stop making this mistake, Nate, and anyone else who is reading this.
Without question, mental health problems can add to risk. But so can physical health problems. And unemployment. And relationship troubles. And racism. It is not requisite to have a mental health problem to die by suicide, and suicide numbers ARE NOT solely mental health numbers.
I also learned that google dictates "suicidologist" as "suicideologist" which looks weird

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More from @tylerblack32

23 May
A lot of people found out that I block them very easily and quickly?

I block:
1) disrespect
2) anti-science, anti-psychiatry (not criticism, anti. Did a whole article on it.)
3) racism/bigotry/misogyny/transphobia/homophobia/ableism
4) shaming patients
5) my discretion

/1
I will quickly click on someone's timeline and read maybe 10 maybe 20 tweets. It's pretty obvious who they are by that point.

I even discuss the nuances of lived experience, blocking, etc, here: tylerblack.com/twitter

/2
I love debate, I love criticism. I myself criticize psychiatry a lot and beleive that criticism has proven to be necessary to good change in my field, medicine as a whole, and life.

But I'm also a 36-year online veteran. I can tell when you're there to pick fights/troll. /3
Read 4 tweets
19 May
Child psychiatrists take a lot of flak due to poor public stigma. It may surprise many that one of my commonly "prescribed" things from the Emergency Dept are:

a) schools to give academic grace to kids struggling with health (spare block, homework forgiveness, accommodations)
b) parents to give adolescents privacy, improve their autonomy, and offer open-ended help without dictating how that help should occur
c) schools, parents, and systems to accommodate disabilities and neuro-atypicality rather than trying to "fix" the kid
Read 4 tweets
18 May
1/ *** Thread: ***
Pseudo-experts mangling child suicide data for political purposes.
************
This thread has statistics, but it also calls out shitty people & shitty behaviour.

Stats now. Drama at #13.
2/ There is a CDC report out that again is being misunderstood and manipulated by wannabe-epidemiologists to advance their political agenda. I refer to this report:

cdc.gov/mmwr/volumes/7…
3/ It uses the National Syndromic Surveillance Program, a program monitoring about 71% of the Emergency Departments in the US.

It shows the drastic change of ED presentations during the pandemic. I've highlighted kids 0-18:
Read 27 tweets
18 May
In the past 5 years, the suicide rate for California kids under the age of 18 has been:

2015: 2.0 (🔼15%)
2016: 2.5 (🔼27%)
2017: 2.5 (🔽1%)
2018: 2.4 (🔽5%)
2019: 2.1 (🔽9%)
2020: (if the 136 is true): 2.6 (🔼24%)

Understanding statistics is crucial before you interpret them.
In the past 20 years, the suicide rate in this age bracket has increased more than 24% 4 times:

2004 (34%)
2009 (26%)
2013 (29%)
and 2016 (27%)

In none of those times was COVID/lockdowns to blame.
In short, though every child suicide is a tragedy, this is not a "tsunami" or even an anomalous increase in suicides. This is the 5th time in 20 years its happened.
Read 4 tweets
16 May
2.7 hours from my balcony with my new #takahashi telescope and @QHYCCD camera :) I'm astounded at the difference in sharpness and quality!

This is Bode's Nebula M81 (I've posted before): to the top right is the Cigar Galaxy.

Details below!
Before (DSLR setup After (new setup,
6 hours of light!) 3 hours of light!)
Before (DSLR setup After (new setup,
6 hours of light!) 3 hours of light!)
Read 4 tweets
30 Apr
Medtwitter acting like [picture]. #cringe

I can get behind positive body and selfie stuff, I'm all for it. "I love this selfie" amen brother/sister preach!!

But "thirst trap"?? C'mon peeps. #BeBetter

Let's not add "photos to increase your sexual desire" to our memes. Buff dude posting with his hand pushing down his belt asking
I'm old, so maybe this generational.

I'm sex positive and hold nothing against sexual pictures generally or my beautiful inside and out colleagues.

I'm sure this tweet is going to catch me hell, but whatever. My principles are what they are. Have a good weekend everybody.
I thought some people approach this meme very innocently, posted amazing selfies, probably not thinking out their paricipation and who it would exclude or make feel bad.

I don't begrudge the creator who is funny AF

But no, this is not a good look for medtwitter.
Read 5 tweets

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