1/ California Kids: Suicides in COVID

The CA contrarians like the fearmongering & almost-always-wrong-in-two-months Monica Gandhi ghoulishly used child suicide #'s to advocate for reopening.

As shown, there was *no* unexpected increase of suicides during the yearlong lockdown. Image
2/ [/1]

When taken as a whole (red - March 2020-Feb 2021 vs blue - March 2019-Feb 2020), the overall increase was not significantly higher (95% CI -7.4% to +46%), though as the pandemic wore on things appear to increase than earlier.

Grey: 2013-2017

[/2]
3/ Rates in the 2nd half of the lockdown response in Sept-Feb 2020 are higher than 2019's rates (+2% to +169%, 63%), but it should be noted that this is not significantly higher than 2018, 2017, or 2016's rates.
[/3]
4/ As i've frequently said, comparing one year to another is problematic, especially in (even large) states, where variance in numbers affects things greatly. 2019 makes a very low comparison year, 2018 makes a moderate comparison year, and 2017 is actually quite similar.
[/4]
5/ When trying to interpret data, it's always important to go back in time and look for two things: trend and variance. If you don't know those two things, comparing two yearly numbers is a big problem.
6/ Trend: if there is a trending increase or decrease, the new rate needs to account for it. (IE: if the US population grows by 1.5% every year, a 0.5% increase could be a significant *decrease* in the trend)
7/ Variance: rare events can cluster.

Consider child suicides in CA in November:

'16: 16
'17: [redacted, less than 10]
'18: 12
'19: [redacted, less than 10]
'20: 16

So sure, 2020 was up from 2019, but that number is up and down by >45% and 16 happened 5 years ago too.
8/ While schools reopening can have benefits, "preventing child suicide" is likely not one of them. NB: i can say that embargoed data from CA after march 2021 looks reassuring.

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More from @tylerblack32

16 Dec
THEAD:
What's really "Driving" the mental health crisis in kids?

Lets discuss the article by @hotzthoughts in @sciam, which unfortunately propagates mistakes.

I will say this loudly to the headline writer, however:

"COVID IS NOT DRIVING SOMETHING THAT WAS ALREADY THERE"

/1 Image
The CDC MMWR is quoted, showing an "increase in suicide attempts among people younger than 18." That report combines "non suicidal self injury" with "suicide attempts," which is a huge no-no. On top of this, I have addressed this report and its flaws



/2 Image
While it *IS* important that distress presentations to the ER increased (it is looking from embargoed data that it was jan-may spiking in girls), it is also crucial that this was NOT suicide attempts, or even, as the CDC authors wrongly stated "suspected serious attempts."

/3
Read 24 tweets
14 Dec
/1 Suicidology Update
"Kids during the Pandemic"

@CDCgov's full dataset, with every demographic.

TOP LINE:
Full lockdown phase: significant decrease (-15%)

SECOND HEADLINE:
Up but within expected for the remainder.

THIRD HEADLINE:
No change if the year taken in total.
/2 Note: GETH plot (my creation!). The previous months are actually TWO FULL pre-pandemic years (Mar-Feb 18-20), and all rates are standardized for population. Error bars are 95% CI for Proportions. All charts read MAR-FEB to capture a "full pandemic year."
/3 Can we break it down by sex? Sure can!

Boys: same pattern, suicides decreased significantly (-18%!) during the strictest school measures, and increased (nonsignificantly, 13%) during the second school year of the pandemic.

Take note of the FLAT March-July (more later)
Read 18 tweets
11 Dec
i have blocked, please report this account for targetted harrassment and threats against me.

"spam him!"
"you still have time (not much though), anyhow, your name's been officially added to the list"
"Hide. Hide now cos not much time left there for you all!"
more
more
Read 4 tweets
10 Dec
Statistics Canada has been asking kids about mental health during the pandemic. Initially, after the first 5 months (with school shutdowns, summer break, lots of restrictions), more kids said they were better than worse, most reported no change.

86% "No change or better"

[/1]
As the pandemic has pressed on, school started up again, wave after wave came, and kids continue to tell us when we ask them that things are getting worse for them.

[/2]
Our most recent survey (april), things have changed. When asked, kids are far less likely to tell us they are "the same or better" (-22%) and far more likely to tell us they are doing worse with their mental health: (+21%).

[/3]
Read 9 tweets
8 Dec
🧵"Eggheads"🧵

"Data scientists" (quite frequently crypto dudes) all over the internet demonstrate why foundational knowledge is so important. Eggheads like them can manipulate numbers, but without the ability to place them in context, they are unaware of their foolishness.

/1
"ONLY 700 kids have died of COVID in the US" demonstrates a complete lack of knowledge of childhood mortality

"credit scores are correlated with residency performance, so they could be used in selecting candidates" is incredible ignorance to systemic classism and racism

/2
"there were 5 more child suicides in our county of during the pandemic" belies a foundational lack of statistical knowledge

"there are more cases among the unvaccinated" shows that they don't understand the basics about rates

/3
Read 4 tweets
5 Dec
All Vinay, Wes, & Stefan need to say is, "our article, had it been heeded, would have led to even more spread of COVID, threatening the lives of many more, and obviously now would have resulted in more children dying. It's clear now that emergency authorization was appropriate."
Instead, its a bit embarrassing to say, but they seem more interested in redefining their message (Stefan embarrassingly now claiming all they wanted was for ACIP to meet...) than admitting that there can be a downside to being too cautious during an emergency situation.
Of course, the title gives away the message which is... and I'm not kidding, "We should wait longer for more data to come in before making this decision." Image
Read 8 tweets

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