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https://twitter.com/tylerblack32/status/1488011501952638978

https://twitter.com/tylerblack32/status/1488011501952638978

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Tyler Black, MD

@tylerblack32

Jan 31

* Suicidology Quiz: The Answer *

Two days ago, I posted a quiz:

Q: If I presented this graph to claim that "the pandemic, and high school closure reduced suicides in Canadian students," what is the LARGEST error I'd be making?

/1

Here were the responses and the distribution. I'm going to go by "least right" answers first, and hopefully you can learn about statistical interpretation and youth suicidology at the same time.

Caution: math involved

/2

❌C: "The change was within fluctuation seen year to year" - True, but more an error in interpretation...

Each fluctuation could or could not be due to any number of factors, and combining sexes, this WAS the 2nd-3rd largest drop.

/3

Read 15 tweets

Tyler Black, MD

@tylerblack32

Jan 30

Someone sent this to me earnestly, but, honestly, if it weren't convincing parents to not vaccinate their kids :(

To someone with a medical background and actually...you know... Relevant statistical and educational experience... All of these comments laughable.

Sigh.

My spit take moment

Vaccinating children who got control (100% of enrolled parents wanted their children to get vaccinated! It was a voluntary study!) is supremely ethical. Vaccines save lives even covid vaccines and youngest lives. This awful beast turns the **best decision of the RCT** into evil.

Read 5 tweets

Tyler Black, MD

@tylerblack32

Jan 30

https://twitter.com/drjessigold/status/1487535779228401668

Imagine me, a suicidologist, tweeting this message from the incredible Jessi Gold. I have been accused personally and directly of "only caring about suicide," but this is a perfect message.

My comment: we also need to de-psychiatricize suicide and make it a societal problem

https://twitter.com/drjessigold/status/1487535779228401668

I am both a suicidologist AND a child and youth mental health advocate. Sometimes the venn diagram of what i'm doing is circular, other times disconnected. Mental health conflation with suicide is SOCIETIES prolem and I want to DECREASE that.

When people talk about "mental health" and then put up a suicide graph, it makes me wanna puke. Suicide is multiply-complex, and only 50% of people who die by suicide have any diagnosable mental illness (sorry advocates, yer wrong)

Read 8 tweets

Tyler Black, MD

@tylerblack32

Jan 29

https://twitter.com/mehdirhasan/status/1487294924114599937

I firmly believe there is a cohort of ghoulish people, who will conveniently use one of the most horrific contemplations, children's suicide, to argue for "less covid stuff," and then once they get their selfish, ignorant way, immediately attack the most vulnerable people + kids.

https://twitter.com/mehdirhasan/status/1487294924114599937

As a full time emergency child psychiatrist and suicidologist I've been consulted on far too many suicides of children in which I look outside my realm of psychiatry and realize how much there is to fix about who we are and how we treat our kids/families.

@bccoroners

In 2019, I was proud to work with @bccoroners on a report looking at deaths of my provinces child suicide, and what we need to fix.

I know the devastation each suicide creates, & intense emotional shockwaves/aftershocks that devastate familes, schools, and communities.

Read 7 tweets

Tyler Black, MD

@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

Tyler Black, MD

@tylerblack32

Jan 27

https://twitter.com/tylerblack32/status/1482028991259107328

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:

https://twitter.com/tylerblack32/status/1482028991259107328

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

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