/1 Thread: C'mon @nytimes, you can you please get suicide statistics right?!!

We really need to address the NYT's propensity for not understanding, & worse, poorly communicating suicide statistics. A new article.

Sigh. Here we go again.
/2 (overall, the article a compelling read!)

But In it, we have college campuses reporting suicides, however the #'s are 1, 2, 3... this is not actually abnormal.

Let's zoom in on one: Worcester Polytechnic with 2 (possibly 4 after investigation, according to the NYC).
/3 Worcester Polytechnic has concern because of a cluster of deaths, and I understand that, but we actually have CDC provisional data for Worcester County for 18-22 year-olds.

The 2019-2020 vs 2020-2021 suicide frequencies are NOT different. And they are lower than 2018-2019's.
/4 Certainly, having multiple suicides at WPI causes concern (clusters do!), but this means that other uni's in the area had NO suicides (& no administrators ringing alarm bells). I get why this stat seems "truthy."

But this is why the expertise in suicide stats is necessary.
/5 (note, I cannot provide the numbers due to CDC privacy restrictions as they are very small)

Low frequency events such as suicides on campus are prone to "noise" that we call variance - a few suicides higher or lower dramatically increase the relative frequency.
/6 Worcester, MA has EIGHT universities. It must be so stressful on WPI's campus during this time, and my heart goes out. But there are 7 other universities in the area. Clusters ALWAYS suck, but the larger picture is clear: no significant difference in the county.
/7 Famously, the @nytimes made this mistake in a huge way in @EricaLG's article about Clark County - describing the near "doubling" of suicide rates among kids (And wielded to justify a superintendents crusade to reopen schools).
/8 This is Clark County for the past 6 years. um.... are we sure 2020-2021 was the abnormal year?
/9 And this is the past 21 years. We can clearly see the tremendous variability in the yearly suicide rate, and it is **NOT 2020-21** that is the outlier (like the NYT article claimed), it was the 2019-20 year that was **ABNORMALLY LOW**.
/10 Yet the entire thesis of that article and the justification the superintendent used for the policy decisions he made was based upon the "spike in suicides."
/11 CONSIDER THIS AGAIN: Read the headline, then look at the graph.

THERE WAS NO SURGE!!! It has been following a noisy, increasing trend, and **2019 WAS THE OUTLIER**.

By the way, 2019 numbers were released in December of 2020, and GUESS WHAT THE NYT *DIDN'T REPORT???*
/12 I called it out at the time but because of "scary=more clicks" and "it bleeds it leads", the NYT Clark County article with an... um... blind spot to the reality of the Clark County statistics was picked up in news outlets around the world.

/13 Looking at it another way, the suicide rate between march-february has varied tremendously year to year in Clark County, and has been >+50% 6 times in the past 21 years. 2020 was NOT the highest increase. There was no school closures or pandemic to blame in 2009 or 2013.
/14 At the EXACT moment the @nytimes article about Clark County, an article by a local news agency in Kansas showed a 33% reduction in child suicides (equivalent to a 50% increase). It was shared ONCE. By me. Once. The NYT article? Picked up across the world thousands of times.
/15 The @nytimes stuff REALLY frustrates me though. They are widely cited and seen as the "paper of record." *They can hire, contact, or work with statistical experts who could correct these errors*.
/16 There are people with whole degrees (not me, though I dabble!) in statistics that can visualize & compare year-over-year changes.
/17 I am freely available (and some NYT reporters HAVE reached out to me and I've been more than happy to explain the nuances of suicide statistics).
/18 And to all who are going to be made to fear what the pandemic has "done" to kids suicide, please see my threads:

FIRST: What happened to "Kids 8-17" in America (short version: LESS SUICIDES DURING STRONGEST LOCKDOWN).

/19 THEN: What happened to "Young Adults 18-24" in America (short version: no significant changes overall, but significant racial differences that are important)

/20 I enjoyed @anemonanyc's article generally. It's just... The use of suicide statistics. It sucks.

There is good reason to read the it! I think the narratives are compelling, and I think about how challenging this has been on learners. IN NO WAY do I want to diminish that.
/21 The Pandemic has caused 1.3 mil children worldwide to lose a primary caregiver. Schools have shut down, reopened, and there are so many stressors to cope with. Please remember that we have no real ability to separate *pandemic* effects from *closure* effects re: kids.
/22 But, there has ALWAYS been a severe need for more child and youth mental health supports and the pandemic has EXPOSED the need, not created the need.
/23 The article:

nytimes.com/2021/12/22/us/…

The previous NYT article that made the same variance/historicity error re: clark county:

nytimes.com/2021/01/24/us/…
/24 FOOTNOTE:

Since the Clark County Article was written, the rate of suicide in 2021 for kids looks about the same as 2020 so far, in the first 5 months of 2021. So the "reopening of schools" in Clark County, NV did not (so far) result in a decrease in the suicide rate.

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More from @tylerblack32

22 Dec
We can learn from tragedies - even preventable ones. It's important to remember though about hindsight bias, and the "nirvana fallacy." Let's talk about this a little bit.

Minithread time:

/1
Hindsight bias is forgetting the position we were at in the beginning of a decision; we have knowledge that came over time, but at the time we had less knowledge.

"You shouldn't have let your child the house," a police officer reprimands a parent after an accident occurs.

/2
Of course, the knowledge of the accident is where that advice comes from, not the knowledge prior to the accident. Parents let their children leave the house for a whole host of reasons, and sometimes parents THINK they are restricting it but the child leaves anyway.

/3
Read 13 tweets
17 Dec
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]
Read 8 tweets
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

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