Tyler Black, MD Profile picture
Jan 26, 2022 16 tweets 5 min read Read on X
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Canadian Suicidology Update
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We have official @StatCan_eng suicide data for 2020, ready to analyse by year. This lets us look at the trends and to see whether or not the "pandemic year" was associated with any significant changes, by gender and age.

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The headline is the MASSIVE drop in suicide rates during the first year of the pandemic. While not as massive as suggested in McIntyre et al*, it's still huge and significant:

DOWN 17.6% in males and 12.5% in females. 16.4% overall.

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I can break down our age groups as well, to look at specific groupings.

CANADIANS 65+

For older Canadians, both decreases (men down 14%, women down 6%) are no longer statistically significant (super close for the 65+ men).

/3
CANADIANS 40-64:

Both Canadian men and women 40-64 had massive decrease in suicide rates, drops not seen in the past 2 decades. a whopping 20% decrease in both groups, and the lowest rate of suicide recorded in the past 21 years.

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CANADIAN THIRTYSOMETHINGS:

Neither significant, but there was a split in which men suicide rates decreased & women increased. However, both rates are entirely consistent with overall trends, so before you get all "i wonder if it's because..." it's stats... they do this.

/5
CANADIANS IN THEIR 20'S:

At the 20-29 group, decreases seen once more, statistically significant for Canadian men (largest drop on record @ 17% lower), and a 6-year-low for women at 6.8 per 100,000.

/6
CANADIAN KIDS OVERALL:

Under 20, because thankfully suicides much rarer in kids, the data is a bit noisier. None of the changes are significant in 2020 compared to 2019, but it is important to note that for Canadian boys, the rate is WAY lower than 2018's rate.

/7
CANADIAN KIDS 15-19:

Again huge drops by %, though neither statistically significant compared to 2019. Both boys and girls 15-19 years of age had a suicide rate decrease of more than 20%
CANADIAN KIDS <15 YEARS:

For young Canadian kids, there was no meaningful change of what is already best described as very noisy data.
(For people interested in such things, every jurisdiction in Canada had some form of school lockdown at some point for a significant chunk of 2020)
Overall, this is conclusive evidence that in Canada, suicide rates did not increase in the first year of the pandemic. There was no significant increase in any group broken down by age bands or sex.

Many age+sex groups set 6,10, or sometimes 21 year lows.
Statistics Canada does NOT report race-based mortality data, so we would need the @StatCan_eng crew to delve into their data to determine if there were differences within minority populations (PLEASE DO!!)
Please feel free to use this thread if you are talking about Canadian suicide information in the pandemic. Media, I'm available for contact at dr.tylerblack at gmail dot com.
* McIntyre reported -32%, and there is no way this number is correct. I'm pretty sure I know the table he relied on now (13-10-0810-01 @statcan_eng) and that's disappointing.
Suicide data has up to a years lag in Canada and a cursory glance at the table when it was cited in Feb 2021 would have clearly shown that. I've contacted the editor @EditorJRSM @KamranAbbasi by email.
Whenever I've been interviewed about it, I would say something like "the number is so remarkably low it makes me worried that they used data that is lagged" and ... well... they did. Paper needs major revision. Rate severely underreported (7.3 vs 10.1 actual, 10.6 age standard)

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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.

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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.

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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

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