Burstein et al 1 have reported that visits to US hospital emergency departments (EDs) for suicide attempts (SA) or suicide ideation (SI) doubled among youth aged 5 to 18 years between 2007 and 2015. The question remains whether this trend is paralleled by an increase in suicides. The United States has greatly invested in youth suicide prevention during this period. If only ED visits increased but not suicide mortality, this would suggest that prevention activities resulted in more youths seeking help in EDs. However, if suicide had an increase similar to SA/SI, this might suggest that more needs to be done or new approaches need to be undertaken. We examine if suicide rates had increasing trends similar to the increase in SA/SI ED visits.
The highly contagious nature of severe acute respiratory syndrome coronavirus 2, leading to the coronavirus disease 2019 (COVID-19) pandemic, necessitated the enactment of public health actions on an unprecedented scale in US history. Closure of all nonessential businesses along with strict socialdistancing measures were instituted to curb disease transmission across the nation. After gradually closing some businesses and schools, the state of New York instituted New York State on PAUSE, a statewide lockdown, effective on March 22, 2020. Social isolation, restrictions of activities, workplace closures, as well as associated financial losses and the fears of COVID-19 may place a considerable psychological burden on people. Literature on the effects of quarantine highlights their negative consequences on mental health. 1 To better understand mental health concerns during the New York COVID-19 lockdown, we analyzed trends in internet searches for mental health issues.
Incels are defined as involuntary celibates who are part of an online community characterized by an anti-women ideology. We review research on the psychosocial characteristics of people identifying as Incels and compare their characteristics with general research on adult virginity and late sexual onset. Studies were identified through database search (Scopus, PubMed, PsycInfo and Google Scholar). Findings from 59 empirical studies were included. Incels are demographically, ethnically, and religiously diverse. Analyses of Incel forum discussions and survey responses report on psychological issues relating to negative body image, shyness, anxiety, social skill deficits, autism, bullying, sexual and romantic inexperience, loneliness, depression, and suicide. Research on adult virginity and late sexual onset report similar psychosocial characteristics and indicate feelings of being sexually "off time" relative to peers, but without a high prevalence of anti-women ideology. Future studies should focus on identifying why some sexually inexperienced adults participate in anti-women forums and identify as Incels, and if their mental health and psychosocial issues appeared before or after self-identifying as an Incel.
Introduction
Self‐reported word‐finding difficulties are among the most frequent complaints in cognitively normal (CN) older adults. However, the clinical significance is still debated.
Methods
We selected 239 CN from the Alzheimer's Disease Neuroimaging Initiative database who had completed the Everyday Cognition (ECog) questionnaire, as well as a lumbar puncture for amyloid beta (Aβ) and magnetic resonance imaging.
Results
Word‐finding complaints, with a few other memory items, were significantly more severe compared to all other cognitive complaints. Ecog‐Lang1 (Forgetting names of objects) severity significantly predicted Aβ levels in CN, even when controlling for general cognitive complaint, demographic, and psychological variables. Individuals with high Ecog‐Lang1 complaints showed atrophy in the left fusiform gyrus and the left rolandic operculum compared to CN with low complaints.
Discussion
Overall, our results support the fact that word‐finding complaints should be taken seriously. They have the potential to identify CN at risk of AD and support the need to include other cognitive domains in the investigation of subjective cognitive decline.
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