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Tyler Black, MD

@tylerblack32

Feb 18

Anyone parent citing how "happy kids are" taking off masks as evidence that masks are harmful should consider how happy they are when mommy gets McDonald's + ice cream cake, or when mom+dad leave for the weekend giving them the house to themselves, or when school is out.

Children are allowed to express their excitement when things change or are more comfortable, and undeniably taking a mask off is a relieving feeling.

Excitement and happiness about something changing for the better is a good thing.

On the same token, kids are able and equipped to know that some things we don't want to do naturally (like wear pants or wash our hands before we eat or have asparagus instead of donuts) are also okay.

Most kids in Canada and worldwide do not seriously perceive harm from masks.

Read 5 tweets

Tyler Black, MD

@tylerblack32

Feb 17

A ***child and adolescent psychiatrist*** in the US thought this was a good idea to post. He's now deleted it. I won't retweet the original but suffice it to say I have serious concerns about him. Developmental disabilities a core competency of C&A psych and this is abhorrent.

@MedBoardOfCA

I have seen many people use this word publicly, derogatorily, and comedically, and it sucks every time. But a child psychiatrist using it to mock is beyond reproach. @MedBoardOfCA should take seriously: this harms the safety and dignity of patients and families of children.

Time stamp and link to tweet (in case it is deleted)

(Add twitter dot com to beginning, I am not linking to that vile crap )

MMcDonaldMD/status/1357380888221208581

Read 4 tweets

Tyler Black, MD

@tylerblack32

Feb 16

@CDCgov

=-=-=-=-=-=-=-=-=-=-=
Suicide and Age, 2020-2021
=-=-=-=-=-=-=-=-=-=-=

A way to visualize the change in suicide rates during the pandemic is to plot the "Age curve" of suicide. This is another "Tyler Black exclusive" graph - possible by the single-age years in @CDCgov WONDER.
/1

Here, you can clearly see an average 2020-2021 suicide rate in 0-20 ages, but quite a flattening occurs throughout 20-70 years of age, whereas in 2017-2019 there is the typical (goes back decades) "midlife hump" of suicide rates.

/2

Boys and men, who die more by suicide than girls and women, again show a relative following of the curve until midlife ~45 or so, where a clear "flattening" occurred in 2020 and 2021.

/3

Read 5 tweets

Tyler Black, MD

@tylerblack32

Feb 16

https://twitter.com/GregSimonKPWHRI/status/1493758284599152642

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.

https://twitter.com/GregSimonKPWHRI/status/1493758284599152642

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

Tyler Black, MD

@tylerblack32

Feb 16

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

Read 14 tweets

Tyler Black, MD

@tylerblack32

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

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