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Suicide Malpractice

No suicide malpractice claim has justification in science, nor in law, nor in public policy.

Friday, May 3, 2013

Suicide Exceed Car Crashes as a Cause of Death

It is probably left wing false propaganda that the economy affects the suicide rate. However, if adverse circumstances can be found in a case brought to suit, why not blame the economy to end the scapegoating the clinician? 
 
May 2, 2013

Suicide Rates Rise Sharply in U.S.

By TARA PARKER-POPE
Suicide rates among middle-aged Americans have risen sharply in the past decade, prompting concern that a generation of baby boomers who have faced years of economic worry and easy access to prescription painkillers may be particularly vulnerable to self-inflicted harm.
More people now die of suicide than in car accidents, according to the Centers for Disease Control and Prevention, which published the findings in Friday’s issue of its Morbidity and Mortality Weekly Report. In 2010 there were 33,687 deaths from motor vehicle crashes and 38,364 suicides.
Suicide has typically been viewed as a problem of teenagers and the elderly, and the surge in suicide rates among middle-aged Americans is surprising.
From 1999 to 2010, the suicide rate among Americans ages 35 to 64 rose by nearly 30 percent, to 17.6 deaths per 100,000 people, up from 13.7. Although suicide rates are growing among both middle-aged men and women, far more men take their own lives. The suicide rate for middle-aged men was 27.3 deaths per 100,000, while for women it was 8.1 deaths per 100,000.
The most pronounced increases were seen among men in their 50s, a group in which suicide rates jumped by nearly 50 percent, to about 30 per 100,000. For women, the largest increase was seen in those ages 60 to 64, among whom rates increased by nearly 60 percent, to 7.0 per 100,000.
Suicide rates can be difficult to interpret because of variations in the way local officials report causes of death. But C.D.C. and academic researchers said they were confident that the data documented an actual increase in deaths by suicide and not a statistical anomaly. While reporting of suicides is not always consistent around the country, the current numbers are, if anything, too low.
“It’s vastly underreported,” said Julie Phillips, an associate professor of sociology at Rutgers University who has published research on rising suicide rates. “We know we’re not counting all suicides.”
The reasons for suicide are often complex, and officials and researchers acknowledge that no one can explain with certainty what is behind the rise. But C.D.C. officials cited a number of possible explanations, including that as adolescents people in this generation also posted higher rates of suicide compared with other cohorts.
“It is the baby boomer group where we see the highest rates of suicide,” said the C.D.C.’s deputy director, Ileana Arias. “There may be something about that group, and how they think about life issues and their life choices that may make a difference.”
The rise in suicides may also stem from the economic downturn over the past decade. Historically, suicide rates rise during times of financial stress and economic setbacks. “The increase does coincide with a decrease in financial standing for a lot of families over the same time period,” Dr. Arias said.
Another factor may be the widespread availability of opioid drugs like OxyContin and oxycodone, which can be particularly deadly in large doses.
Although most suicides are still committed using firearms, officials said there was a marked increase in poisoning deaths, which include intentional overdoses of prescription drugs, and hangings. Poisoning deaths were up 24 percent over all during the 10-year period and hangings were up 81 percent.
Dr. Arias noted that the higher suicide rates might be due to a series of life and financial circumstances that are unique to the baby boomer generation. Men and women in that age group are often coping with the stress of caring for aging parents while still providing financial and emotional support to adult children.
Posted by Suicide Malpractice at 12:16 AM No comments:

Saturday, August 27, 2011

Low Omega 3 a Risk Factor for Suicide

Omega 3 research is becoming more important to mental health. Add it to the expert review checklist of unforeseen intervening causes in suicide.

From here.

"August 26, 2011 — Low levels of docosahexaenoic acid (DHA), the major omega-3 fatty acid concentrated in the brain, may increase suicide risk, new research suggests.

A retrospective case-control study of1600 United States military personnel, including 800 who had committed suicide and 800 healthy counterparts, showed that all participants had low omega-3 levels. However, the suicide risk was 62% greatest in those with the lowest levels of DHA.

Our findings add to an extensive body of research that points to a fundamental role for DHA and other omega-3 fatty acids in protecting against mental health problems and suicide risk.

"Our findings add to an extensive body of research that points to a fundamental role for DHA and other omega-3 fatty acids in protecting against mental health problems and suicide risks," co–principal investigator Capt. Joseph R. Hibbeln, MD, acting chief, Section on Nutritional Neurosciences at the National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, said in a statement.

Dr. Joseph R. Hibbeln

He told Medscape Medical News that the US military "goes to great steps" to ensure they provide the best nutrition to their soldiers, especially in combat and deployment situations. However, these findings on the potential usefulness of omega-3 fatty acids for the brain should be taken into account when designing military diets in the future.

"Omega-3 is already recommended by the American Psychiatric Association as adjunctive therapy for anybody with a psychiatric disorder, especially for those with major depression," said Dr. Hibbeln.

When asked whether he would recommend omega-3 even to those without a diagnosis, Dr. Hibbeln replied, "it certainly wouldn't hurt."

"It's best not to categorize this as 'a drug,' but instead as a fundamental nutrient."

Posted by Suicide Malpractice at 10:41 AM No comments:
Labels: Risk Factors

Monday, April 25, 2011

Altitude a Risk Factor for Suicide

"Two recent preliminary studies that found a positive correlation between altitude and suicide relied on the average or highest state altitude, or the elevation of the state capital city, to represent the altitude of the entire state.

Positive Correlation

However, US states vary greatly in altitude, and this method severely minimizes this variation, Dr. Brenner's team points out. Because counties vary considerably less in altitude than an entire state, they reexamined the altitude-suicide link at a county level.

The investigators included all 2584 US counties in their analysis. They examined county-specific mortality data for 20 years (1979-1998) and determined altitude for each county using the US Geologic Survey.

During the study period, among 42,868,100 total deaths, there were 596,704 suicide deaths (1.4%).

There was a negative correlation between county altitude and all-cause mortality (r = −0.31; P < .001), yet a "strong positive correlation" between county altitude and suicide rate (r = 0.50; P < .001). Positive correlations were seen for both firearm-related suicides (r = 0.40; P < .001) and non–firearm-related suicides (r = 0.31; P < .001).

Prior reports of increased suicide rates in the US mountainous region have fueled speculation that the excess may be due to greater access to firearms, increased isolation, or reduced income. But even after controlling for these variables, the positive correlation between altitude and suicide still exists, they report."

Posted by Suicide Malpractice at 1:45 AM No comments:
Labels: Risk Factors

Tuesday, April 5, 2011

Genetic Linkage Study Finds Gene Associated with Suicide

Defendants should not be asked to pay for genetic abnormalities.



"A new study in patients with bipolar disorder (BPD) strongly suggests a genomewide association between attempted suicide and a region on chromosome 2 containing the ACP1 gene.

Expression of this gene, which influences a lithium-regulated pathway, is also elevated in BPD individuals who complete suicide, according to the study, which was published online March 22 in Molecular Psychiatry.

Suicide risk is greater in individuals with alcoholism, depression, or BPD. However, previous work has shown that offspring of mood-disordered and suicidal parents are at higher risk (12%) of attempting suicide than offspring of similar but nonsuicidal parents (2%).

The present genomewide association study looked for genetic associations with suicidal behavior in BPD individuals with or without a history of attempted suicide. Diagnosis of BPD was based on criteria in the Diagnostic and Statistical Manual of Mental Disorders (Third Edition Revised) or Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition).

Single nucleotide polymorphisms (SNPs) were analyzed in 1201 BPD individuals who had attempted suicide and 1497 who had not. Initial genotyping found 2507 SNPs associated with suicide attempts at P < .001, with strongest association (P = 1.09 × 10−6) at a locus on chromosome 2 (2p25)."

Posted by Suicide Malpractice at 12:54 AM No comments:
Labels: Risk Factors

Tuesday, December 14, 2010

Excessive Taxation a Factor in a Mayor's Suicide

The stress of the hounding of lawyers seemed worse than death to this unfortunate taxpayer.

The mayor of Springfield, Illinois, Tim Davlin, was found dead Tuesday morning from what apparently was a self-inflicted gunshot wound, according to the State-Journal Register.

Illinois State Police are investigating his death.

Police Chief Robert Williams says officers responded to a 911 call shortly before 9 a.m. Tuesday at Timothy Davlin's home and found the Democratic mayor dead.

Williams declines to offer details about how Davlin died, saying the investigation is in its infancy.

Springfield Alderman Frank Kunz, who will take over mayoral duties, tells the paper he is shocked and that "it's a sad day."

Illinois Sen. Dick Durbin released a statement saying he was shocked by the news of Davlin's death.

"I was stunned and saddened by the news of Mayor Tim Davlin's passing. His work with my office always reflected his dedication to our hometown. My thoughts and prayers are with his family and friends at this tragic moment."

Mayor Davlin did not show up for a court ordered appearance Tuesday morning in a pending estate case involving his late cousin.

Records show that Mayor Davlin owes the federal government nearly $90,000 in unpaid income taxes and liens have been filed against his home.

The lien notice filed in the Sangamon County recorder’s office shows Davlin owes income taxes for the years 2003, 2005 and 2006.

The (Springfield) State Journal-Register reports that the mayor blames the problem on a dispute with the IRS over taxes owed on investments he cashed in to buy the home.

Sangamon County property records show that Davlin bought the home for $237,500 in 2004.

City payroll records from earlier this year show that Davlin earns more than $119,000 a year.



Read more: http://www.foxnews.com/us/2010/12/14/report-mayor-springfield-illnois-commits-suicide/#ixzz188wqEy7e
Posted by Suicide Malpractice at 9:23 PM No comments:
Labels: Risk Factors

Thursday, September 30, 2010

Scapegoating of Suicide of Member of Lawyer Privileged Group, Homosexuals

Homosexuality eliminates the single, true purpose of life, reproduction. Thus, people with it are depressed, and tend to commit suicide more often than those without it. Now, one suicides, and others are being scapegoated.

Update: NYT article . If homosexuality is supposed to be normal, and not a disorder, then it is puzzling that a person would be upset by any exposure. The defendants have not expressed any hostility toward homosexuals. There is one person who expressed an extreme form of hostility to homosexuality, the suicider. He found exposure so intolerable, he had to kill himself.

Bullying, Suicide, Punishment

By JOHN SCHWARTZ
Published: October 2, 2010
TYLER CLEMENTI may have died from exposure in cyberspace. His roommate and another student, according to police, viewed Mr. Clementi’s intimate encounter with another man on a Webcam and streamed it onto the Internet. Mr. Clementi, an 18-year-old violinist in his freshman year at Rutgers University, jumped off of the George Washington Bridge, and now the two face serious criminal charges, including invasion of privacy.
Enlarge This Image
Agence France-Presse — Getty Images

Tyler Clementi, Rutgers freshman

Related

  • Legal Debate Swirls Over Charges in a Student’s Suicide (October 2, 2010)
  • Before a Suicide, Hints in Online Musings (October 1, 2010)
  • Private Moment Made Public, Then a Fatal Jump (September 30, 2010)

The prosecutor in the case has also said that he will investigate bringing bias charges, based on Mr. Clementi’s sexual orientation, which could raise the punishment to 10 years in prison from 5.

But the case has stirred passionate anger, and many have called for tougher charges, like manslaughter — just as outrage led to similar calls against the six students accused of bullying Phoebe Prince, a student in South Hadley, Mass., who also committed suicide earlier this year.

What should the punishment be for acts like cyberbullying and online humiliation?

That question is as difficult to answer as how to integrate our values with all the things in our lives made of bits, balancing a right to privacy with the urge to text, tweet, stream and post.

And the outcry over proper punishment is also part of the continuing debate about how to handle personal responsibility and freedom. Just how culpable is an online bully in someone’s decision to end a life?

It is not the first time cruel acts and online distribution have combined tragically. In 2008, Jessica Logan, 18, hung herself after an ex-boyfriend circulated the nude cellphone snapshots she had “sexted” to him.

Public humiliation and sexual orientation can be an especially deadly blend. In recent weeks, several students have committed suicide after instances that have been described as cyberbullying over sexual orientation, including Seth Walsh, a 13-year-old in Tehachapi, Calif., who hanged himself from a tree in his backyard last month and died after more than a week on life support.

A survey of more than 5,000 college students, faculty members and staff members who are gay, lesbian, bisexual or transgender published last month by the advocacy group Campus Pride found that nearly one in four reported harassment, almost all related to sexual orientation and gender identity.

Warren J. Blumenfeld, an associate professor of curriculum and instruction at Iowa State University and an author of the Campus Pride study, also conducted a smaller survey of 350 nonheterosexual students between the ages of 11 and 22 and found that about half of the respondents reported being cyberbullied in the 30 days before the survey, and that more than a quarter had suicidal thoughts.

“Those students who are face-to-face bullied, and/or cyberbullied, face increased risk for depression, PTSD, and suicidal attempts and ideation,” Professor Blumenfeld said.

But punishment for people who do such a thing is still up for debate. In the Rutgers case, New Jersey prosecutors initially charged the two students, Dharum Ravi and Molly W. Wei, with two counts each of invasion of privacy for using the camera on Sept. 19. Mr. Ravi faces two additional counts for a second, unsuccessful attempt to view and transmit another image of Mr. Clementi two days later.

If Mr. Ravi’s actions constituted a bias crime, that could raise the charges from third-degree invasion of privacy to second degree, and double the possible punishment to 10 years.

Still, for all the talk of cyberbullying, the state statute regarding that particular crime seems ill suited to Mr. Clementi’s suicide.

Like most states with a cyberbullying statute, New Jersey’s focuses on primary and high school education, found in the part of the legal code devoted to education, not criminal acts. The privacy law in this case is used more often in high-tech peeping Tom cases involving hidden cameras in dressing rooms and bathrooms. State Senator Barbara Buono sponsored both pieces of legislation, and said the law had to adapt to new technologies. “No law is perfect,” she said. “No law can deter every and any instance of this kind of behavior. We’re going to try to do a better job.”

Still, the punishment must fit the crime, not the sense of outrage over it. While some have called for manslaughter charges in the Rutgers case, those are difficult to make stick. Reaching a guilty verdict would require that the suicide be viewed by a jury as foreseeable — a high hurdle in an age when most children report some degree of bullying.

Besides, finding the toughest possible charges isn’t the way the law is supposed to work, said Orin S. Kerr, a law professor at George Washington University who specializes in cybercrime. “There’s an understandable wish by prosecutors to respond to the moral outrage of society,” he said, “but the important thing is for the prosecution to follow the law.”

The fact that a case of bullying ends in suicide should not bend the judgment of prosecutors, he said. Society should be concerned, he said, when it appears that the government is “prosecuting people not for what they did, but for what the victim did in response.”

Finding the right level of prosecution, then, can be a challenge. On the one hand, he said, “it’s college — everybody is playing pranks on everybody else.” On the other, “invading somebody’s privacy can inflict such great distress that invasions of privacy should be punished, and punished significantly.”

Posted by Suicide Malpractice at 11:44 PM No comments:
Labels: Homosexuality

Friday, September 24, 2010

Suicider Leaves Long Note

The note is here. Despairs of the evil of America as people in Cambridge do.
Posted by Suicide Malpractice at 9:28 PM No comments:
Labels: Note
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The Mission of Suicide Malpractice Blog

To end lawsuits for suicide because they contradict the modern, multi-factorial understanding of the causes of suicide, and indirectly hurt many unseen patients. The sole claim for suicide with merit involves assisting the suicide in violation of law.

This site is for defendants and defense lawyers in suicide malpractice suits, to improve defense expert testimony, perhaps to reduce losses in adverse settlements or verdicts.

These settlements and judgments devastate the practice of psychiatry. They cause the needless incarceration of thousands of suicidal patients without proof of benefit. The resulting defensive treatments consume a large fraction of the budget for wasteful treatment and starve proven preventive measures. These lawsuits are also morally wrong. They extort money from the party least influential in the many factors causing the suicide of the victim, the clinician trying to help. If they continue, the most suicidal and neediest patients will be avoided.

Explaining modern, multi-factorial understanding of the causes of suicide in plain language may result in more common sense judgments from jurors. The defendant may also prosecute, with licensing boards and in court, attorneys promulgating "junk science." The frivolous, malpractice lawsuit, because of profound, indirect impact on medical costs and life threatening errors, is another serious ethical lapse.

In systems closed to attorneys (e.g. the military), the rate of suicide may be cut by a large fraction reliably, quickly, at almost no additional expense.

About Me

Suicide Malpractice
A psychiatrist runs this site. It gives moral support to the civil defendant's determination to defend clinical care from vicious lawyer predators and their misleading expert collaborators.
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