Tyler Black, MD Profile picture
Dec 3, 2021 16 tweets 5 min read Read on X
Full Subgroup Analysis, US Suicides 2020
-=-=-= LONG = THREAD =-=-==-

2020's effect on suicide can now be analysed thanks to @CDCgov at the yearly level. Very shortly I'll be able to look monthly as well.

This is the whole US population, but we can now do subgroups. /1
The big headline: Children 10-14 did NOT have a significant increase in suicides. It was well within expected rate variability. Error bars shown.

Because of small #'s, the rate changes can be drastic.

The 2020 increase was less than '00, '04, '07, '09, '13, '14, '17 and '18 /2
In other words, no evidence that the "lockdown" phase of the pandemic caused more child suicides, and no evidence that 2020 was associated with a significant increase in child suicides. /3
For men, 2020 saw a decrease (-2.2%), continuing the decrease seen in 2019. /4
For women, 2020 saw a much larger decrease (-8.3%). /5
It's the 2nd largest change in female suicide rates in the US in 50 years! /6
Hey remember when all those American outlets picked up the news that suicides "increased for women in Japan?" Thousands of stories. This data about women in the US has been out a month, how many stories have you seen? Yay, media. /7
I'll now break things down by race, and for comparison's sake I am keeping the Y axis the same (0 to 30 suicides per 100,000), so you can also compare racial rates to each other. /8
(Non-Hispanic) White Americans had a very large decrease in suicide rates, the largest seen in 21 years. White women had a much larger decrease (-10%) than the men (-3%). /9
Indigenous (CDC Alaska Native or American Indian) people had a small increase in suicide rates in 2020, and the gender difference here was significant. The diff b/w white (-4.6%) & Indigenous (+6%) is quite large, and I feel represents a significant difference as well. /10
It should be noted that Indigenous suicide counts may be underestimated due to procedural issues with death coding, so this rate might be even higher.

The gender difference between Indigenous men (+5%) and women (-4%) was large. /11
(Non-Hispanic) Black Americans had an increase in the suicide rate in 2020, again separating strongly (9% difference) from white Americans. The rate increase was not as high as in many years.

Black women had a small decrease (-3%) while Black men had an increase (+8%) /12
Asian Americans (CDC: "Asian American or Pacific Islander) had a decrease of about 10%, and there was no significant gender differences. /13
I cannot reconcile a discrepancy in the CDC Rapid release for 2020 (which has Asian American 2019 deaths at 1342, and CDC wonder at 1548.) Because I trust CDC Wonder more, and know how to use it, I used this number, but it might have exaggerated the drop in 2020. /14
Hispanic Americans had a slight increase in suicide rates in 2020, and there was a large gender discrepancy, with men having an increase (+5%) and women having a decrease (-7%). This is the largest gender divide, by race. /15
The top line is reassuring for a "large pandemic effect", but there is evidence (and in a month I will be able to dive deeper) that there were significant racial differences between white and Asian (decreased) and Black, Indigenous, and Hispanic Americans (increased).

Fin. /16

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Tyler Black, MD

Tyler Black, MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @tylerblack32

Dec 16
Vaccines and "placebo control"

Placebo-controlled trials compare a vaccine to an inactive substance (placebo). This helps measure how effective the vaccine is. In the case of vaccines, often, the placebo is not "saline", but rather a previous vaccine or vaccine solution.

/1Image
When a safe, effective vaccine already exists, using an inactive placebo means some participants are deliberately left unprotected against disease. This creates unnecessary harm.

/2
Ethical standards require minimizing harm and offering participants the best available care. When a proven vaccine exists, denying it to anyone—regardless of location—is unethical.

/3
Read 9 tweets
Dec 15
🚨🇨🇦Correcting Disinfo🇨🇦🚨
"COVID vaccination didn't work"

In Canada during the Delta wave, vaccination prevented infection (unvaccinated 6x higher chance of being infected). As well, being unvaccinated led to a 22X chance of being hospitalized and an 18X chance of dying.

/1Image
For confirmed infections, the IFR for unvaccinated was a whopping 2.4%. The IFR for being vaccinated was much lower, both due to preventing infection and reducing the consequences of it.

Delta was a very deadly strain, and unvaccinated people died/suffered the most.

/2 Image
When Omicron hit, it was a strain that evaded vaccinations, leading to enormous numbers of infections, even in vaccinated people.

However, the immunity protection vs hospitalization and death was still enormous, and unvaccinated Canadians were 12X more likely to die.

/3 Image
Read 7 tweets
Nov 30
Correcting revisionist history:
"COVID is not a problem for young people in the US"

Covid responsible (not "with", underlying cause) for 2% of all deaths <20. That's 1 out of every 50 deaths of all kids who die. #1 in infectious diseases, 5th in disease overall.

/1Image
COVID-19 deaths created 300,000 American orphans, 330,000 if we count "primary caregivers" and 380,000 if we count "secondary caregivers". That's a lot of childhood harm.

2x as common for Black kids
4x as common for Indigenous kids
1.6X as common for Hispanic kids

/2 Image
Our most vulnerable children, with medical illnesses, suffered the most during the pandemic. Children with heart disease, respiratory disease, neurologic diseases, and chromosomal abnormalities suffered more severe symptoms than did children without those conditions.

/3Image
Read 6 tweets
Nov 28
🏳️‍⚧️FAQ for posterity:

Why do you use pronouns in your bio?
Because it's an easy way to promote inclusivity & to increase awareness of gender expression. It costs me nothing, &because I work with kids who are establishing their identity it shows that I don't make assumptions.

/1
Is being transgender a mental illness?
Being transgender is not a mental illness. It is a natural variation of human phenotype, though some transgender individuals may experience distress, called gender dysphoria, which is addressed through appropriate care.

/2
Can a man be a woman?
Yes. Some individuals identify as a gender different from their assigned sex at birth.

"What is a woman?"
A woman is a female by identity. This can refer to biological sex identity or social gender identity, depending on the context.

/3
Read 14 tweets
Nov 24
🧵RFK Jr. is an antivax, AIDS-denying, absolutely antiscientific conspiracist.🧵

ANTIVAX:
“They get [vaccinated], that night they have a fever of 103, they go to sleep, and three months later their brain is gone... This is a Holocaust, what this is doing to our country.”

/1Image
ANTIVAX:
"I do believe that autism does come from vaccines"

Metaanalyses involving MILLIONS of children have confirmed there is no link. The lie started with another antivaxxer, disgraced fraudster Andrew Wakefield, who fabricated data.

/2Image
ANTIVAX:
"I've read all the science on autism and I can tell you, if you want to know... If it didn't come from the vaccines, then where did it come from?"

Autism primarily from combo of genetic factors & early brain development differences.

/3Image
Read 10 tweets
Nov 19
Battling Election Misinformation
Part 2: "The Mandate"

Contrary to media/republican pronouncements, the election of Donald Trump was one of the narrowest (by popular vote, +1.73%) in history, with only 7 elections since 1800 being narrower.

/1Image
In fact, if we look at the margin of victory when we include all eligible voters, Trump wins with 31.3% of the voting population, compared to Harris' 30.2% and 1% going to other candidates. 37.4% did not vote.

If we only include voters, Trump wins 50.03% to 49.97%

/2Image
When we look at the electoral college results, Trump won 58% of available electoral college votes. This would rank his election 41st out of 57 elections since 1800.

/3Image
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(