GUNS & SUICIDE & THE PANDEMIC

I took a quick look at suicide deaths by gun vs non-gun. A very bizarre pandemic shift has been observed in 2020-2021.

Here is the graph for Americans 19-29 years old (will explain why); showing a huge jump in gun suicides.

/1
This is the same graph for 8-18 years. while the lines didn't cross, you can clearly see a strong increase in gun suicides and no change in non-gun suicides.

/2
This is the same graph for 30-59 years. Again, a huge drop is seen in non-gun suicides whereas gun suicides lifted slightly in 2021 but not 2020.

/3
For older adults, we see the reverse, where gun suicides drop off tremendously in 2021 but non-gun suicides rise. in 2020, there was a drop in both but more-so for non-gun suicides.

Note however that the non-gun rate is following previous trends outside of 2020's decrease

/4
Overall, the decrease in non-gun suicides was hugely significant, dropping 8.3% from previous rates.

/5
The decrease in gun suicides was much less pronounced (2.3%), though again it was significant it was not nearly as high as the non-gun rate.

/6
Weaknesses: the denominator i'm using here is the WHOLE POPULATION. I do not have estimates for whole american population with gun, and certainly not by age. if someone can do that it would really be helpful.

/7
Caution note: This is akin to "proportion of suicides by gun/non-gun", in that it has to be taken in the overall consideration of the complete suicide rate change (-4%). Gun users and non-gun users likely entirely different sets of people with diff circumstances. Careful!

/8
Why did i start with 19-30? because in suicidology it is *Well established* that many suicides by gun are purchased by young people specifically for the purpose of suicide. It's why 'gun purchase delays' are very evidence-backed measures to prevent suicide.

/9
INTERPRETATION:

I believe there is a relationship here; though obviously causation not correlation.

Canada's suicide rate fell by 16%. We provided much more economic support (direct $ to more Canadians), have universal health care, and have less guns.

/10
US's suicide rate fell by 4%. They had far less economic support, the most inaccessible modern health care system, and more guns. I truly believe that correcting these things would have prevented suicides during the pandemic.

/11
"why are you hiding replies?!?!" gun peeps, I don't care about your right to possess guns AT ALL, it is not important to me. I believe that hunters etc should have access to hunting equipment including guns as needed, and that the US & Canada need MORE gun laws, not less.

/12
I promise you I will hide & potentially block anyone here who tries to come to this thread and fight about gun rights or whatever you think should be done to restrict "mentally ill's people's access to guns".

If you wanna talk without restrictions, QT & start your own thread
This data deep dive thanks to a twitter conversation (h/t @SPE247k)

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More from @tylerblack32

Feb 16
A disappointing (unfortunately not unexpected) result but good science; care management OR DBT skills did not decrease self harm (severe or broader definition), and in fact, DBT skills resulted in worse outcomes.
DBT is an important therapy for many reasons, but it is not magic. It is being hyped beyond its abilities in the management of suicidal patients, and most modern interpretations of its effect size are vanishingly small (0.15-0.25).
I still recommend DBT (not skills training, the full meal deal) for people who need gigantic containing therapies (multiple times per week, nighttime coaching, etc), and believe that many benefit from it.
Read 8 tweets
Feb 15
USA Suicidology Update, 2020-2021
********
I can now create a 2021 provisional estimate, with error, for the suicide rates for 2021. My method will be described at the end of the thread.

Contrary to the #moralpanic 2020-2021 suicide rates did NOT increase.

/1
The rate for both males and females in the United States will likely be within the expected fluctuation of the previous years, and still less than the "peak" of 2018 pre-pandemic.

/2
For Adults 61-84, likely a slight uptick for men but within 2019 levels, and for women no overall change.

/3
Read 11 tweets
Feb 15
Alright so here's the scoop!

I published a chart earlier today that was a response to misinformation that has been spreading within antivaxx websites. This chart was summarized by the official Israeli Pandemic Info Center @PandemicInfoIL here. (flow of error drawn by me)

/1
The OWID (Our World In Data) team imports from the JHU data repository, which connects to the Israeli MOH repository.

As of now, the information is correct, showing far less of a spike as the graph that is making the rounds.

/2
My understanding from the github provided by the JHU authors is that that the MOH in Israel had a duplication error, that led to days being "recounted" at the date of report, rather than the date of death. This type of duplication *was* not intentional.

/3
Read 18 tweets
Feb 12
Study out of southern switzerland. Measures of depression, anxiety, and stress varied as the pandemic went on, but overall numbers not particuarly high compared to other reported numbers. they did increase, however.
Interesting conclusion:

"anxiety and stress almost doubled over ten months following the end of the first pandemic wave. However... psychological distress may not be worse compared with pre-pandemic, and may in fact be less marked than in neighbouring countries in Europe."
super important, people who had chronic diseases far more impacted than those without.
Read 7 tweets
Feb 12
Reviewing a PUBLISHED PEER REVIEWED paper about anxiety prevalence during the pandemic in the UK, and the authors commented that because this funnel plot is symmetrical, publication bias is unlikely.

NONE OF THE STUDIES ARE IN THE FUNNEL!!!!!
Funnel plots are supposed to give you confidence that the estimate is not biased. Usually, it's to "show you if there is a bias around the mean."

In this case, the funnel plot serves to tell us to simply throw out the effect size.
As the error gets smaller, the certainty range is supposed to get smaller, that's the entire point of the funnel plot.

This is simply a metaanalysis of randomness.
Read 8 tweets
Feb 12
I really don't miss the hubris of old doctors who love to wax poetic about how great things were before modern ideas took over. It could be about some new technology or theory or idea. But it always goes back to "it was worse than we were before".

I dislike it so much.

/1
First, there are few things in healthcare that were better 100 years ago. Mortality rates were higher, life expectancy of his lower, outcomes were much worse, and treatments much more inhumane.

/2
Second, in almost always centers especially in the West around whiteness and ableism. There may be some who found it better earlier, but I promise you there are many groups who would never go back in time if given the chance.

/3
Read 9 tweets

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