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https://twitter.com/tylerblack32/status/1490425464539680768

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Tyler Black, MD

@tylerblack32

Apr 7

Distressing to see old information relying on low-qualitied studies being described by physicians at a UBC event. Here is the evidence we have from higher quality, longitudinal studies, some in canada:

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link.springer.com/article/10.100…

In this study from Denmark, they followed kids longitudinally from prior to the pandemic to two distinct RESTRICTIONS periods. They found entirely average scores of mental health, and kids with previous mental saw improved scores.

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In this study out of Australia, both kids with neurodevelopmental disabilities and those without saw no change during periods of school restrictions, but kids without NDDs saw an increase in depressive symptoms when schools OPENED.

acamh.onlinelibrary.wiley.com/doi/full/10.11…

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Read 17 tweets

Tyler Black, MD

@tylerblack32

Apr 6

Let us all learn from one of the worst humans in politics. Here, we can show an incredible number of logical fallacies in one tweet.

Unsurprisingly, as one of the least thoughtful, most reprehensible people on the planet, MTG's awful expressions are also logically repugnant.

/1

"there is a line in the sand."

This is called "ipse dixit"/"bare assertion fallacy." It is a claim that is presented without any evidence, and is presented as simple fact.

This also is a "straw man" - as nobody is discussing or arguing about this personified wart's "line."

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"Either you are..." presents the "false dilemma" (fallacy of bifurcation). The dichotomy is set up entirely by them, when in fact, i am certain that many people who support transgender people who would disagree with this detestable malcontent.

/3

Read 13 tweets

Tyler Black, MD

@tylerblack32

Mar 29

What predicted future happiness during the pandemic for mothers of children 0-6?

Important to note that this study is out of Japan, so there are cultural and population differences.

A study followed 2480 Japanese mothers comparing Feb to Jun 2020.

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😀🔼:
- homemaker vs employed
- happiness before the pandemic
- satisfaction with COVID protections
- participating in preventative pandemic behaviours
- positive thinking about the pandemic in general

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😀🔽:
- poor prior mental health
- experienced a number of negative changes due to the pandemic (“special precautions”, “financial difficulty”, “fear of COVID-19”, “less relaxation time”, “increased partner aggression ”, and “sense of unfairness”)

/2

Read 8 tweets

Tyler Black, MD

@tylerblack32

Mar 23

=-=-=-Suicidology Thread -=-=-=
Let's take a look at kids in ☀️California☀️, where the political rhetoric re: suicides was very high.

First, let's set the pre-pandemic stage.

Prior to 2020, the pediatric suicide rate in California was increasing, though 2019 a lower year.

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Like most modern societies, pediatric suicides in California were closely tied to school months. Suicides during school months were 1.4-1.8X more common.

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Similarly, there is a strong "monday effect" of suicides for kids. Children in California are about 1.3-1.4X more likely to die on mondays-thursdays than they are on saturdays. Sundays and Fridays in between. This is a common pattern for kids in Western cultures.

/3

Read 11 tweets

Tyler Black, MD

@tylerblack32

Mar 21

Let's correct some 🇨🇦CANADIAN🇨🇦 mental health misinformation. A lot of really bad misnfo has been out there.

🚫MISINFO: more Canadians died of suicide due to pandemic/our response🚫

✅TRUTH: At every age a large drop in the Canadian suicide rate. Overall, 18% lower.✅

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🚫MISINFO: 🇨🇦 children's mental health is declining due to pandemic measures🚫

✅TRUTH: when we ask kids how they're doing, most tell us "the same or better✅

----

🚫MISINFO: more 🇨🇦 kids were hospitalized for self harm/overdose🚫

✅TRUTH: both dropped for kids✅

/2

The picture for the mental health of our kids during all this is complex (I just finished a review of the evidence, in publication now).

But the notion that there was a 🌊 TSUNAMI 🌊 of mental health problems for kids is 🚫not true🚫

Most measures are within expected trends.

Read 4 tweets

Tyler Black, MD

@tylerblack32

Mar 16

https://twitter.com/j_g_allen/status/1367085310937620481

The person that tweeted this a year ago as part of a ghoulish argument to minimize children dying of covid by comparing suicides to COVID deaths.

His bio says he is an associate professor at Harvard.

I'm going to use this tweet as a poor use of suicide statistics.

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https://twitter.com/j_g_allen/status/1367085310937620481

It's important to start with something anyone with even a small amount of pediatric suicide knowledge should know: Age is a huge factor. Under age 10, the rate of suicide in the US is 0.48 per million children per year. At 15? 67 per million per year.

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In other words, even within suicide, 15-year-old deaths are 140X more common than <10-year-old deaths by suicide.

We NEVER say "oh, we shouldn't change things in our society to prevent 9 year old suicides, it's 140X less common."

Think of how ghoulish this is.

/3

Read 12 tweets

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