New study provides insights on increased risk of suicide in young patients

Source:https://www.elsevier.com/ Reviewed by James Ives, M.Psych. (Editor)Dec 17 2018Identifying patterns in medical encounters prior to self-directed violence events can help shape screening and prevention strategies, according to a new study in the American Journal of Preventive Medicine A new study published in the American Journal of Preventive Medicine provides detailed insights on the increased risk of self-directed violence that patients aged 15-29 years visiting the emergency department (ED) for medical complaints subsequently experience. This underscores the importance of EDs in suicide prevention. The broad number of physical health conditions associated with an increased risk of self-directed violence may serve to support expanded or broader screening among teens and young adults.Suicide is the second leading cause of death for youth, with mental disorders and substance abuse as the two leading risk factors. Approximately 40 percent of suicide decedents aged 16 and older visit EDs in the year prior to their deaths; 60 percent of them receive medical diagnoses other than mental health or substance abuse.”Young people presenting to the ED for certain medical conditions are at an increased risk of subsequent self-directed violence,” explained lead investigator Jing Wang, MD, MPH, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA, in the study’s findings. “An awareness of these medical encounters may help guide screening efforts for suicide prevention in clinical settings.”This study addresses important gaps in prior research by identifying the medical reasons triggering youth ED visits that are associated with higher risk of subsequent suicidal behavior. Using 2011-2013 data from six states (Florida, New York, Nebraska, Vermont, Iowa, and Massachusetts) from databases sponsored by the Agency for Healthcare Research and Quality, investigators followed more than two million teens and young adults (aged 15-29) who visited EDs for medical reasons during 2012-2013. Of that group, nearly 8,500 subsequently engaged in self-directed violence within six months of the initial visit; anyone who exhibited suicidal behavior in 2011 was excluded from the study.Related StoriesBridging the Gaps to Advance Research in the Cannabis IndustryAMSBIO offers new, best-in-class CAR-T cell range for research and immunotherapySchwann cells capable of generating protective myelin over nerves finds researchTeens and young adults who presented with diagnoses of epilepsy or seizures, or visited two or more times for various types of pain, syncope (fainting), or vomiting had a 3-9 fold increased risk of suicidal behavior in the following six months. Individuals who visited three or more times for dental complaints were also found to be more likely to engage in subsequent self-directed violence. ED visitors in the group who received diagnoses of minor infections served as a reference group.The findings also showed that half of the self-directed violence events occurred within 42 days of the initial ED visit. Identification of the heightened risk for suicide following visits for these medical conditions provides ED clinicians with a critical window of opportunity for detection, assessment, and intervention. The broad number of physical health conditions associated with an increased risk of subsequent suicidal behavior may help inform and support expanded screening and suicide prevention strategies in EDs.A limitation of the study is that about 70 percent of people who engage in self-directed violence do not seek medical assistance.​ read more

Pedal power the rise of cargo bikes in Germany

Florists, chimneysweepsBut the “workhorse of the 21st century”, as the Frankfurter Rundschau newspaper dubbed it, has yet to win over the masses.Just one percent of Germans own a cargo bike, a study released by the transport ministry in March found—although seven percent said they considered buying one.Becker believes this will change “in the next few years”. “First people need to be able to try it out” without spending 1,300 to 5,000 euros ($1,500-$6000) depending on the model, she said.Keen to promote the climate-friendly cargo bikes, several initiatives have emerged to lend them to companies and individuals for free trials. Last year, German firm Velogut began loaning them out to 150 companies in Berlin.Among the sign-ups have been photographers, coffee and pastry vendors, florists, chimneysweeps, beekeepers, Christmas tree deliverers and even a travelling anaesthetist.The federal government has also got in on the act by introducing a rebate of up to 2,500 euros for the purchase of an e-cargo bike with a load of more than 150 kilos, while Berlin authorities offer subsidies of 500 to 1,000 euros. Explore further Today Germany is Europe’s largest market for cargo bikes in terms of volume—with industry data showing sales for electrically assisted cargo bikes alone surged to 21,000 in 2017, 42 percent over the previous year ‘Protect us’But experts say the biggest roadblock to cargo bikes going mainstream is the lack of adapted infrastructure: safe cycle lanes, secure parking and easy-to-find repair shops.”If they want clean air, they have to protect us,” said Antje Merschel, co-initiator of a recent Berlin referendum on cycling policies.”We’re not going to risk our lives on a bike.”Online retailer Amazon has started using cargo bikes for deliveries, while shipping giant UPS has been running battery-powered freight bikes in German cities since 2012.But the big players in delivery are still waiting for bike manufacturers to catch up and mass-produce reliable low-maintainance models, which are so far mostly made by small, independent companies.There is also the complication of needing “micro-hubs” in often high-rent urban areas from where couriers can collect trucked-in goods for the final kilometres to the client’s front door.”For families, the bikes are here and they’re reliable,” said urban planner Francisco Luciano of the French cargo bike manufacturer Douze Cycles. “When it comes to cycle logistics, we’re still learning.” Bike-share companies are transforming US cities – and they’re just getting started Today Germany is Europe’s largest market for cargo bikes in terms of volume—with industry data showing sales for electrically assisted cargo bikes alone surged to 21,000 in 2017, 42 percent over the previous year.No sweatOver the years, cargo bikes have evolved from bulky two-wheelers that required serious leg muscle. Modern upgrades offer lighter frames and more spacious carriers, while e-cargo bikes have allowed the less physically active or those living in hilly areas to also jump in the saddle.Cargo bikes “now reach a wider audience, people who don’t want to arrive at work sweaty or aren’t especially sporty,” said Sophia Becker, a researcher at the Institute for Advanced Sustainability Studies (IASS) in Potsdam near Berlin.According to the European CycleLogistics project, a staggering 174 models of cargo bikes are now available, while some 50 brands vied for attention at Berlin’s International Cargo Bike Festival in April. Citation: Pedal power: the rise of cargo bikes in Germany (2018, May 2) retrieved 18 July 2019 from https://phys.org/news/2018-05-power-cargo-bikes-germany.html © 2018 AFP A desire to go green has been key to the rise of cargo bikes in a country where dozens of smog-choked cities are considering diesel driving bans to combat air pollution.”The diesel scandal is a major incentive,” said Arne Behrensen, one of the top promotors of cargo bikes in Germany, a mode of transport as old as the bicycle itself which refers to a two- or three-wheeled bike with a fixed load carrier, usually at the front.Financial incentives, more choice in models and the promise of zipping past rush-hour traffic in the bike lane have added to the appeal.”In the ’90s, we were happy to sell one a year,” said Gaya Schuetze of Berlin’s Mehringhof bicycle shop, one of the capital’s leading cargo bike centres.”Then we noticed more and more interest, first from families and then companies.”Commonplace in northern Europe until the mid-20th century, freight bikes were used to deliver everyday essentials such as milk, bread and newspapers.But these heavy, unwieldy bikes quickly fell out of favour and into oblivion as motorised vehicles gained ground.The cargo bike’s revival began some two decades ago in cycling-mad Denmark and the Netherlands, blessed with flat landscapes and comfortable bike lanes, before reaching Germany. Modern cargo bikes offer lighter frames and more spacious carriers, while electrically assisted ones allow the less physically active or those living in hilly areas to also jump in the saddle Whether they’re hauling parcels or children, cargo bikes are becoming a familiar sight in German cities as the nippy, clean alternative to cars and delivery vans—and shaking up urban transport in the process. Industry observers say the cargo bike craze has yet to run its course because “they can handle situations where a car previously seemed indispensable”, says Becker.”In an average European city, half of all motorised trips related to goods transport could be shifted to bicycle or cargo bikes,” Karl Reiter of the CycleLogistics project calculated in a 2014 study, based on journeys of a maximum of seven kilometres (4.3 miles) with loads of less than 200 kilos (440 pounds). Experts say the biggest roadblock to cargo bikes going mainstream is the lack of adapted infrastructure: safe cycle lanes, secure parking and easy-to-find repair shops The cargo bike craze has yet to run its course because “they can handle situations where a car previously seemed indispensable,” says green researcher Sophia Becker This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. read more

Consolidation of core voters not Muslim vote to benefit Mahagathbandhan in western

first_imgSHARE SHARE EMAIL April 24, 2019 COMMENTS If the BJP’s sweep in 2014, in the three neighbouring constituencies of Moradabad, Sambhal and Rampur, where 48-52 per cent of the electorate is Muslim did not point to the phenomenon of fragmentation in the minority vote, the massive popular response to a young poet who debuted in the ongoing Lok Sabha elections on a Congress ticket from Moradabad confirms that the “Muslim vote monolith” is a bit of a myth.Imran Pratapgarhi, the Congress’ fresh-faced candidate from Moradabad, is a popular poet. An outsider to this massive constituency with about 19 lakh voters, Pratapgarhi’s campaign was mainly run by friends and a handful of idealists from Jawaharlal Nehru University (JNU), who believe in the triumph of the proletariat (working class) in the Hindi heartland.And yet, Pratapgarhi’s fresh appeal has convinced many people, especially in Moradabad town, that the youngster should get a chance. A conversation started on the need for young idealists in Parliament. The SP, which holds two of the five Assembly constituencies that constitute the Moradabad Lok Sabha seat, scurried around and unleashed all the local stalwarts to stop the “division of votes”.“Just because people come to hear a poet, it does not mean they would vote for him. This time, the Gathbandhan (an alliance of the SP, the BSP and the RLD) would sweep the seat,” said SP MLA from Moradabad(Rural) Haji Iqram Qureshi. Anxiety among supportersOthers supporting the alliance were anxious till the last minute. “Muslims are divided among caste lines and different choices. That is why the BJP won from here last time. What is different this time is that the Gathbandhan’s core voters — the Jatavs, the Yadavs and the Jats — will vote on one side and the SP can be somewhat certain of victory,” said Nadeem Khan, a handicraft exporter in Moradabad.In Rampur, with over 52 per cent Muslim voters, the BJP’s Nepal Singh trounced his nearest rival Naseer Ahmad Khan of the Samajwadi Party by 23,435 votes in 2014. This time, the BJP has fielded former MP and actor Jaya Prada from the constituency. She is confident of winning not just because a lot of people are upset with the SP strongman Azam Khan but because she believes that the Muslim vote “is not one block”. There were others who agreed with Jaya Prada but believed that the Gathbandhan arithmetic still tilted the scales in Azam Khan’s favour.“Azam Khan is a Pathan, who has managed to annoy the Turks. Their vote is about 1.5 lakh and they are not going to support him. Then there are the Shias, who traditionally support the Congress because it has always fielded members of the family of Nawab of Rampur who is a Shia. They may still vote for the Congress even though it has fielded a Khatri, former MLA Sanjay Kapoor. Still, just because Azam Khan is standing in elections and there is 52 per cent Muslim vote, you cannot say he would win. He is helped by the core vote of Mayawati, Mulayam Singh Yadav and Ajit Singh,” said Tamkeen Faiyyaz, a journalist in Rampur. Uttar Pradesh national electionscenter_img COMMENT Lok Sabha Published on SHARElast_img read more

The two who stole the show at the swearingin ceremonyThe two who

first_imgA view of the illuminated Rashtrapati Bhavan during the swearing-in ceremony on Thursday   –  RV Moorthy BJP national politics SHARE Published on A little-known Odisha MP shares spotlight with Modi May 30, 2019center_img national elections Two persons stole the show during the nearly two-hour-long swearing-in ceremony. The first of them may have been easy to guess: Narendra Damodardas Modi. But the second one was quite a surprise. When Pratap Chandra Sarangi, first-time Member of Parliament from Balasore, Odisha, was called upon to take his oath as Minister of State, a section of the 5,000-plus crowd was on its feet, clapping. Sarangi had been called 56th (out of 58) on the list, at the fag end, but the invocation of his name set off a frisson of energy. Sarangi contested the election with very limited resources. He used a bicycle and public transport to campaign. Sarangi was a surprise inclusion in the Ministry. Another surprise induction was that of S Jaishankar, the former Foreign Secretary. He had been given a seat in the first row. There are six women in the Ministry, accounting for 10 per cent of the total. Three of them have Cabinet rank; the three others are Ministers of State. The Ministry has four bureaucrats and one Army General. And going against expectations, it has only a small representation from West Bengal and Odisha, where the BJP performed better than expected. Four allies became part of the Council, but one partner, the JD (U), did not join; it is believed to have sought more than one ministerial post, whereas the BJP was willing to include one Minister each from all its allies.The President interrupted five of the Ministers who stumbled over their oaths. One Minister, G Kishan Reddy, ended with a ‘Bharat Mata ki Jai’ slogan. Anil Kapoor, Anupam Kher, and other film stars were present; but it was Mary Kom and Gautam Gambhir who got the most number of requests for selfies. Strikingly, cell phones were allowed to be carried to the venue. SHARE SHARE EMAIL COMMENT COMMENTSlast_img read more