***********
Canadian Suicidology Update
***********

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.

/1
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.

/2
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.

/4
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

Jan 28
In 2020, there were a handful of child flu deaths. No new flu vaccines. Our NPIs like distancing and masking and school closures and sick days and lockdowns and ventilation OBLITERATED flu.

around 200 kids died of covid that year (about 800 this year) in the US.

/1
Comparing the death toll of the flu WITHOUT any mitigation efforts to COVID-19 WITH mitigation efforts is neither fair nor scientific. By the very fact above, we know COVID is MANY TIMES deadlier than the flu for kids.

/2
There were no vaccines in 2020 for kids. there was only our intense NPIs, doing their thing, mostly preventing kids dying of both COVID and FLU but many times moreso for flu. Absolutely kicked FLUs wimpy little butt.

/3
Read 8 tweets
Jan 27
A quick reminder to my followers:

I do not appreciate my words being used in arguments used to demean others, or to call names. I can't police it all because i get way too many mentions per day, but if you do so, you're doing so against my wishes.

Also:
I specifically abhor ableist language, racism, misogyny, and trans/homobphobia. I don't insults to intelligence and capabilities and appreciate all people from all diversities of life.

I call out foolish behaviour with "doofus" and academic pedantry with "egghead." b/c 240 char.
If i ever slip up from that, call me out on it. Again, i may or may not see it. I've reached a critical mass now where when i log in to twitter i have >2000 notifications, and there's nothing I can do about that except to ask anyone who follows me to be kinder to others.
Read 7 tweets
Jan 27
Moral panics exist because of anecdotes, disproportionately hyped harms and exaggerated claims of fear-supporting research (while fear-rejecting research ignored) fueled by media fearmongering and political exploitation.

This is why people beleive suicides increased in 2020.
It's hard hard hard work to overcome moral panics. I cite my work, provide error estimates, and discuss any aspect requested of me. I am constantly being riddled with questions that I've been asked a million times by people who "know suicides increased."
I've heard "but what about ODs/deaths of dispair" and have responded hundreds of times (they are usually accidents/don't use that term if you're not a PhD winning economist).
Read 8 tweets
Jan 26
Wow, incredible.

The OPPOSITE of what is actually occurring (NON-EXPERTS scaremongering using inaccurate data on suicides, and selective citation science that is shoddy & poorly reported) to justify OPENING schools.

Nobody is taking position that "SCHOOLS MUST BE CLOSED"
/1
In my advocacy, I don't just discuss suicides, I discussed the state of the evidence globally including incident rates of eating disorders, depresison, anxiety, and suicide.

/2
In all of that, my position is clear: schools should be last to close and first to open. School is good. But closures, whenever necessary, are likely less harmful to kid's mental health than anything the pandemic is doing to our kids (orphanhood, worries about illness).

/3
Read 7 tweets
Jan 25
Apparently @drlucymcbride and colleagues are hosting a zoom event tonight to discuss their awful and unscientific #UrgencyOfNormal advocacy paper. I've been asked if i can go there to challenge them.

/1
I understand. But playing on their home turf and how liberally they use misinformation would only be an exercise in frustration in which they would gishgallop their way through their bungled appropriation of mental health and i'd be left to write more 29 tweet threads.

/2
Were I to have a "guest spot" on their zoom event, I would read the 29-tweet thread in its entirety, & then log off. I don't care what they think about it, I don't care about them personally, and I am not interested in people who ghoulishly wield child suicides without care.

/3
Read 5 tweets
Jan 25
/1 Hi Lucy and your colleagues.

Your advocacy toolkit contains poorly sourced, contexted, and biased information on mental health during the pandemic/schooling.

And I have receipts too!
(thread)

#urgencyofnormal

/2 I'm skipping the first line (for now), but the second part, about "deaths from child suicide vastly outnumbering deaths from COVID and are increasing" is about as awful as it gets. I consider it ghoulish to wield child suicide statistics inaccurately to make advocacy points.
/3 In order, I'm going to go through your awful slide on mental health as you selectively cited "scary findings." Of course, as the suicidologist, I'm going to start with your clearly expert-free statement on child suicides in the US, as this is my expertise.
Read 30 tweets

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