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neuromorphogenesis:

Humans With Amplified Intelligence Could Be More Powerful Than AI

With much of our attention focused the rise of advanced artificial intelligence, few consider the potential for radically amplified human intelligence (IA). It’s an open question as to which will come first, but a technologically boosted brain could be just as powerful — and just as dangerous – as AI.
As a species, we’ve been amplifying our brains for millennia. Or at least we’ve tried to. Looking to overcome our cognitive limitations, humans have employed everything from writing, language, and meditative techniques straight through to today’s nootropics. But none of these compare to what’s in store.
Unlike efforts to develop artificial general intelligence (AGI), or even an artificial superintelligence (SAI), the human brain already presents us with a pre-existing intelligence to work with. Radically extending the abilities of a pre-existing human mind — whether it be through genetics, cybernetics or the integration of external devices — could result in something quite similar to how we envision advanced AI.
Michael Anissimov from Accelerating Future and a co-organizer of the Singularity Summit has given this subject considerable thought — and warns that we need to be just as wary of IA as we are AI.
Michael, when we speak of Intelligence Amplification, what are we really talking about? Are we looking to create Einsteins? Or is it something significantly more profound?
The real objective of IA is to create super-Einsteins, persons qualitatively smarter than any human being that has ever lived. There will be a number of steps on the way there.
The first step will be to create a direct neural link to information. Think of it as a “telepathic Google.”
The next step will be to develop brain-computer interfaces that augment the visual cortex, the best-understood part of the brain. This would boost our spatial visualization and manipulation capabilities. Imagine being able to imagine a complex blueprint with high reliability and detail, or to learn new blueprints quickly. There will also be augmentations that focus on other portions of sensory cortex, like tactile cortex and auditory cortex.
The third step involves the genuine augmentation of pre-frontal cortex. This is the Holy Grail of IA research — enhancing the way we combine perceptual data to form concepts. The end result would be cognitive super-McGyvers, people who perform apparently impossible intellectual feats. For instance, mind controlling other people, beating the stock market, or designing inventions that change the world almost overnight. This seems impossible to us now in the same way that all our modern scientific achievements would have seemed impossible to a stone age human — but the possibility is real.
For it to be otherwise would require that there is some mysterious metaphysical ceiling on qualitative intelligence that miraculously exists at just above the human level. Given that mankind was the first generally intelligent organism to evolve on this planet, that seems highly implausible. We shouldn’t expect version one to be the final version, any more than we should have expected the Model T to be the fastest car ever built.
Looking ahead to the next few decades, how could AI come about? Is the human brain really that fungible?
The human brain is not really that fungible. It is the product of more than seven million years of evolutionary optimization and fine-tuning, which is to say that it’s already highly optimized given its inherent constraints. Attempts to overclock it usually cause it to break, as demonstrated by the horrific effects of amphetamine addiction.
Chemicals are not targeted enough to produce big gains in human cognitive performance. The evidence for the effectiveness of current “brain-enhancing drugs” is extremely sketchy. To achieve real strides will require brain implants with connections to millions of neurons. This will require millions of tiny electrodes, and a control system to synchronize them all. The current state of the art brain-computer interfaces have around 1,000 connections. So, current devices need to be scaled up by more than 1,000 times to get anywhere interesting. Even if you assume exponential improvement, it will be awhile before this is possible — at least 15 to 20 years.
Improvement in IA rests upon progress in nano-manufacturing. Brain-computer interface engineers, like Ed Boyden at MIT, depend upon improvements in manufacturing to build these devices. Manufacturing is the linchpin on which everything else depends. Given that there is very little development of atomically-precise manufacturing technologies, nanoscale self-assembly seems like the most likely route to million-electrode brain-computer interfaces. Nanoscale self-assembly is not atomically precise, but it’s precise by the standards of bulk manufacturing and photolithography.
What potential psychological side-effects may emerge from a radically enhanced human? Would they even be considered a human at this point?
One of the most salient side effects would be insanity. The human brain is an extremely fine-tuned and calibrated machine. Most perturbations to this tuning qualify as what we would consider “crazy.” There are many different types of insanity, far more than there are types of sanity. From the inside, insanity seems perfectly sane, so we’d probably have a lot of trouble convincing these people they are insane.
Even in the case of perfect sanity, side effects might include seizures, information overload, and possibly feelings of egomania or extreme alienation. Smart people tend to feel comparatively more alienated in the world, and for a being smarter than everyone, the effect would be greatly amplified.
Most very smart people are not jovial and sociable like Richard Feynman. Hemingway said, “An intelligent man is sometimes forced to be drunk to spend time with his fools.” What if drunkenness were not enough to instill camaraderie and mutual affection? There could be a clean “empathy break” that leads to psychopathy.
So which will come first? AI or IA?
It’s very difficult to predict either. There is a tremendous bias for wanting IA to come first, because of all the fun movies and video games with intelligence-enhanced protagonists. It’s important to recognize that this bias in favor of IA does not in fact influence the actual technological difficulty of the approach. My guess is that AI will come first because development is so much cheaper and cleaner.
Both endeavours are extremely difficult. They may not come to pass until the 2060s, 2070s, or later. Eventually, however, they must both come to pass — there’s nothing magical about intelligence, and the demand for its enhancement is enormous. It would require nothing less than a global totalitarian Luddite dictatorship to hold either back for the long term.
What are the advantages and disadvantages to the two different developmental approaches?
The primary advantage of the AI route is that it is immeasurably cheaper and easier to do research. AI is developed on paper and in code. Most useful IA research, on the other hand, is illegal. Serious IA would require deep neurosurgery and experimental brain implants. These brain implants may malfunction, causing seizures, insanity, or death. Enhancing human intelligence in a qualitative way is not a matter of popping a few pills — you really need to develop brain implants to get any significant returns.
Most research in that area is heavily regulated and expensive. All animal testing is expensive. Theodore Berger has been working on a hippocampal implant for a number of years — and in 2004 it passed a live tissue test, but there has been very little news since then. Every few years he pops up in the media and says it’s just around the corner, but I’m skeptical. Meanwhile, there is a lot of intriguing progress in Artificial Intelligence.
Does IA have the potential to be safer than AI as far as predictability and controllability is concerned? Is it important that we develop IA before super-powerful AGI?
Intelligence Augmentation is much more unpredictable and uncontrollable than AGI has the potential to be. It’s actually quite dangerous, in the long term. I recently wrote an article that speculates on global political transformation caused by a large amount of power concentrated in the hands of a small group due to “miracle technologies” like IA or molecular manufacturing. I also coined the term “Maximillian,” meaning “the best,” to refer to a powerful leader making use of intelligence enhancement technology to put himself in an unassailable position.
The problem with IA is that you are dealing with human beings, and human beings are flawed. People with enhanced intelligence could still have a merely human-level morality, leveraging their vast intellects for hedonistic or even genocidal purposes.
AGI, on the other hand, can be built from the ground up to simply follow a set of intrinsic motivations that are benevolent, stable, and self-reinforcing.
People say, “won’t it reject those motivations?” It won’t, because those motivations will make up its entire core of values — if it’s programmed properly. There will be no “ghost in the machine” to emerge and overthrow its programmed motives. Philosopher Nick Bostrom does an excellent analysis of this in his paper “The Superintelligent Will”. The key point is that selfish motivations will not magically emerge if an AI has a goal system that is fundamentally selfless, if the very essence of its being is devoted to preserving that selflessness. Evolution produced self-interested organisms because of evolutionary design constraints, but that doesn’t mean we can’t code selfless agents de novo.
What roadblocks, be they technological, medical, or ethical, do you see hindering development?
The biggest roadblock is developing the appropriate manufacturing technology. Right now, we aren’t even close.
Another roadblock is figuring out what exactly each neuron does, and identifying the exact positions of these neurons in individual people. Again, we’re not even close.
Thirdly, we need some way to quickly test extremely fine-grained theories of brain function — what Ed Boyden calls “high throughput circuit screening” of neural circuits. The best way to do this would be to somehow create a human being without consciousness and experiment on them to our heart’s content, but I have a feeling that idea might not go over so well with ethics committees.
Absent that, we’d need an extremely high-resolution simulation of the human brain. Contrary to hype surrounding “brain simulation” projects today, such a high-resolution simulation is not likely to be developed until the 2050-2080 timeframe. An Oxford analysis picks a median date of around 2080. That sounds a bit conservative to me, but in the right ballpark.

Low IQ & Conservative Beliefs Linked to Racism & Prejudice

ikenbot:

There’s no gentle way to put it: People who give in to racism and prejudice may simply be dumb, according to a new study that is bound to stir public controversy.

The research finds that children with low intelligence are more likely to hold prejudiced attitudes as adults. These findings point to a vicious cycle, according to lead researcher Gordon Hodson, a psychologist at Brock University in Ontario. Low-intelligence adults tend to gravitate toward socially conservative ideologies, the study found. Those ideologies, in turn, stress hierarchy and resistance to change, attitudes that can contribute to prejudice, Hodson wrote in an email to LiveScience.

“Prejudice is extremely complex and multifaceted, making it critical that any factors contributing to bias are uncovered and understood,” he said.

Controversy ahead

The findings combine three hot-button topics.

“They’ve pulled off the trifecta of controversial topics,” said Brian Nosek, a social and cognitive psychologist at the University of Virginia who was not involved in the study. “When one selects intelligence, political ideology and racism and looks at any of the relationships between those three variables, it’s bound to upset somebody.”

Polling data and social and political science research do show that prejudice is more common in those who hold right-wing ideals that those of other political persuasions, Nosek told LiveScience.

“The unique contribution here is trying to make some progress on the most challenging aspect of this,” Nosek said, referring to the new study. “It’s not that a relationship like that exists, but why it exists.”

Brains and bias

Earlier studies have found links between low levels of education and higher levels of prejudice, Hodson said, so studying intelligence seemed a logical next step. The researchers turned to two studies of citizens in the United Kingdom, one that has followed babies since their births in March 1958, and another that did the same for babies born in April 1970. The children in the studies had their intelligence assessed at age 10 or 11; as adults ages 30 or 33, their levels of social conservatism and racism were measured.

In the first study, verbal and nonverbal intelligence was measured using tests that asked people to find similarities and differences between words, shapes and symbols. The second study measured cognitive abilities in four ways, including number recall, shape-drawing tasks, defining words and identifying patterns and similarities among words. Average IQ is set at 100.

Social conservatives were defined as people who agreed with a laundry list of statements such as “Family life suffers if mum is working full-time,” and “Schools should teach children to obey authority.” Attitudes toward other races were captured by measuring agreement with statements such as “I wouldn’t mind working with people from other races.” (These questions measured overt prejudiced attitudes, but most people, no matter how egalitarian, do hold unconscious racial biases; Hodson’s work can’t speak to this “underground” racism.)

As suspected, low intelligence in childhood corresponded with racism in adulthood. But the factor that explained the relationship between these two variables was political: When researchers included social conservatism in the analysis, those ideologies accounted for much of the link between brains and bias.

People with lower cognitive abilities also had less contact with people of other races.

“This finding is consistent with recent research demonstrating that intergroup contact is mentally challenging and cognitively draining, and consistent with findings that contact reduces prejudice,” said Hodson, who along with his colleagues published these results online Jan. 5 in the journal Psychological Science.

Full Article: Recommended Full Read

scinerds:

Scarred skull reveals cannibalism at Jamestown colony

It sounds like the stuff of a horror movie: cannibalism, and in Jamestown, Virginia, the oldest English settlement in North America.
In 1609, as the colonists were still adjusting to their new home, they were caught in the grip of a brutal winter that has become known as “the starving time”. The recently unearthed bones of a 14-year-old girl sheds light on the unfortunate story of how people survived.
William Kelso, chief archaeologist at the Jamestown Rediscovery Project , found the remains and Douglas Owsley, division head for physical anthropology at the Smithsonian National Museum of Natural History, used marks on the girl’s skull and tibia to show that she had been the victim of cannibalism. Her skeleton provides the first tangible evidence of this in Jamestown, corroborating existing written accounts.
Researchers were unable to determine exactly how she died, but her remains did reveal a bit about her life. She was from the south coast of England, and, an analysis of isotopes in her bones suggests, enjoyed a high-protein diet – and so was probably from an upper-class family.
As famine spread in Jamestown, 80 per cent of the residents died. Some turned to leather straps from their clothes and household animals for sustenance. But when even those resources petered out, the colonists were forced to choose between starvation or surviving off the remains of those whom the brutal winter killed.
neuromorphogenesis:

Consciousness After Death: Strange Tales From the Frontiers of Resuscitation Medicine
Sam Parnia practices resuscitation medine. In other words, he helps bring people back from the dead — and some return with stories. Their tales could help save lives, and even challenge traditional scientific ideas about the nature of consciousness.
“The evidence we have so far is that human consciousness does not become annihilated,” said Parnia, a doctor at Stony Brook University Hospital and director of the school’s resuscitation research program. “It continues for a few hours after death, albeit in a hibernated state we cannot see from the outside.”
Resuscitation medicine grew out of the mid-twentieth century discovery of CPR, the medical procedure by which hearts that have stopped beating are revived. Originally effective for a few minutes after cardiac arrest, advances in CPR have pushed that time to a half-hour or more.
New techniques promise to even further extend the boundary between life and death. At the same time, experiences reported by resuscitated people sometimes defy what’s thought to be possible. They claim to have seen and heard things, though activity in their brains appears to have stopped.
It sounds supernatural, and if their memories are accurate and their brains really have stopped, it’s neurologically inexplicable, at least with what’s now known. Parnia, leader of the Human Consciousness Project’s AWARE study, which documents after-death experiences in 25 hospitals across North America and Europe, is studying the phenomenon scientifically.
Parnia discusses his work in the new book Erasing Death: The Science That Is Rewriting the Boundaries Between Life and Death. Wired talked to Parnia about resuscitation and the nature of consciousness.
Wired: In the book you say that death is not a moment in time, but a process. What do you mean by that?
Sam Parnia: There’s a point used to define death: Your heart stops beating, your brain shuts down. The moment of cardiac arrest. Until fifty years ago, when CPR was developed, when you reached this point, you couldn’t come back. That led to the perception that death is completely irreversible.
But if I were to die this instant, the cells inside my body wouldn’t have died yet. It takes time for cells to die after they’re deprived of oxygen. It doesn’t happen instantly. We have a longer period of time than people perceive. We know now that when you become a corpse, when the doctor declares you dead, there’s still a possibility, from a biological and medical perspective, of death being reversed.
Of course, if someone dies and you leave them alone long enough, the cells become damaged. There’s going to be a time when you can’t bring them back. But nobody knows exactly when that moment is. It might not just be in tens of minutes, but in over an hour. Death is really a process.
Wired: How can people be brought back from death?
Parnia: Death is, essentially, the same as a stroke, and that’s especially true for the brain. A stroke is some process that stops blood flow from getting into the brain. Whether it’s because the heart stopped pumping, or there was a clot that stopped blood flow, the cells don’t care.
Brain cells can be viable for up to eight hours after blood flow stops. If doctors can learn to manipulate processes going on in cells, and slow down the rate at which cells die, we could go back and fix the problem that caused a person to die, then re-start the heart and bring them back. In a sense, death could become reversible for conditions for which treatments become available.
If someone dies of a heart attack, for example, and it can be fixed, then in principle we can protect the brain, make sure it doesn’t experience permanent cellular death, and re-start the heart. If someone dies of cancer, though, and that particular cancer is untreatable, then it’s futile.
Wired: Are you talking about bringing people to life days or weeks or even years after they’ve died?
Parnia: No. This is not cryogenics. When you die, most of your cell death occurs through apoptosis, or programmed cell death. If your body is cold, the chemical reactions underlying apoptosis are slower. Making the body cold slows the rate at which cells decay. But we’re talking about chilling, not freezing. The process of freezing will damage cells.
Wired: You also study near-death experiences, but you have a different term for it: After-death experience.
Parnia: I decided that we should study what people have experienced when they’ve gone beyond cardiac arrest. I found that 10 percent of patients who survived cardiac arrests report these incredible accounts of seeing things.
When I looked at the cardiac arrest literature, it became clear that it’s after the heart stops and blood flow into the brain ceases. There’s no blood flow into the brain, no activity, about 10 seconds after the heart stops. When doctors start to do CPR, they still can’t get enough blood into the brain. It remains flatlined. That’s the physiology of people who’ve died or are receiving CPR.
Not just my study, but four others, all demonstrated the same thing: People have memories and recollections. Combined with anecdotal reports from all over the world, from people who see things accurately and remember them, it suggests this needs to be studied in more detail.
Wired: One of the first after-death accounts in your book involves Joe Tiralosi, who was resuscitated 40 minutes after his heart stopped. Can you tell me more about him?
Parnia: I wasn’t involved in his care when he arrived at the hospital, but I know his doctors well. We’d been working with the emergency room to make sure they knew the importance of starting to cool people down. When Tiralosi arrived, they cooled him, which helped preserve his brain cells. They found vessels blocked in his heart. That’s now treatable. By doing CPR and cooling him down, the doctors managed to fix him and ensure that he didn’t have brain damage.
When Tiralosi woke up, he told nurses that he had a profound experience and wanted to talk about it. That’s how we met. He told me that he felt incredibly peaceful, and saw this perfect being, full of love and compassion. This is not uncommon.
People tend to interpret what they see based on their background: A Hindu describes a Hindu god, an atheist doesn’t see a Hindu god or a Christian god, but some being. Different cultures see the same thing, but their interpretation depends on what they believe.
Wired: What can we learn from the fact that people report seeing the same thing?
Parnia: At the very least, it tells us that there’s this unique experience that humans have when they go through death. It’s universal. It’s described by children as young as three. And it tells us that we should not be afraid of death.
Wired: How do we know after-death experiences happen when people think they do? Maybe people misremember thoughts from just before death, or just after regaining consciousness.
Parnia: That’s a very important question. Do these memories occur when a person is truly flatlined and had no brain activity, as science suggests? Or when they’re beginning to wake up, but are still unconscious?
The point that goes against the experiences happening afterwards, or before the brain shut down, is that many people describe very specific details of what happened to them during cardiac arrest. They describe conversations people had, clothes people wore, events that went on 10 or 20 minutes into resuscitation. That is not compatible with brain activity.
It may be that some people receive better-quality resuscitation, and that — though there’s no evidence to support it — they did have brain activity. Or it could indicate that human consciousness, the psyche, the soul, the self, continued to function.
Wired: Couldn’t the experiences just reflect some extremely subtle type of brain activity?
Parnia: When you die, there’s no blood flow going into your brain. If it goes below a certain level, you can’t have electrical activity. It takes a lot of imagination to think there’s somehow a hidden area of your brain that comes into action when everything else isn’t working.
These observations raise a question about our current concept of how brain and mind interact. The historical idea is that electrochemical processes in the brain lead to consciousness. That may no longer be correct, because we can demonstrate that those processes don’t go on after death.
There may be something in the brain we haven’t discovered that accounts for consciousness, or it may be that consciousness is a separate entity from the brain.
Wired: This seems to verge on  supernatural explanations of consciousness.
Parnia: Throughout history, we try to explain things the best we can with the tools of science. But most open-minded and objective scientists recognize that we have limitations. Just because something is inexplicable with our current science doesn’t make it superstitious or wrong. When people discovered electromagnetism, forces that couldn’t then be seen or measured, a lot of scientists made fun of it.
Scientists have come to believe that the self is brain cell processes, but there’s never been an experiment to show how cells in the brain could possibly lead to human thought. If you look at a brain cell under a microscope, and I tell you, “this brain cell thinks I’m hungry,” that’s impossible.
It could be that, like electromagnetism, the human psyche and consciousness are a very subtle type of force that interacts with the brain, but are not necessarily produced by the brain. The jury is still out.
Wired: But what about all the fMRI brain imaging studies of thoughts and feelings? Or experiments in which scientists can tell what someone is seeing, or what they’re dreaming, by looking at brain activity?
Parnia: All the evidence we have shows an association between certain parts of the brain and certain mental processes. But it’s a chicken and egg question: Does cellular activity produce the mind, or does the mind produce cellular activity?
Some people have tried to conclude that what we observe indicates that cells produce thought: here’s a picture of depression, here’s a picture of happiness. But this is simply an association, not a causation. If you accept that theory, there should be no reports of people hearing or seeing things after activity in their brain has stopped. If people can have consciousness, maybe that raises the possibility that our theories are premature.
Wired: What comes next in your own research?
Parnia: In terms of resuscitation, we’re trying to non-invasively measure what happens in the brain, in real-time, using a special sensor that allows us to detect any impending danger and intervene before extensive damage is done.
On the question of consciousness, I’m interested in understanding the brain-based modulators of consciousness. What helps a person become conscious or unconscious? How can we manipulate that to help people who look like they’re unconscious? And I’m studying how consciousness can be present in people who’ve gone beyond the threshold of death. All we can say now is that the data suggests that consciousness is not annihilated.
neuromorphogenesis:

How Terror Hijacks the Brain
Fear short circuits the brain, especially when it hits close to home, experts say— making coping with events like the bombings at the Boston Marathon especially tricky.
“When people are terrorized, the smartest parts of our brain tend to shut down,” says Dr. Bruce Perry, Senior Fellow of the ChildTrauma Academy. (Disclosure:  he and I have written books together).
When the brain is under severe threat, it immediately changes the way it processes information, and starts to prioritize rapid responses. “The normal long pathways through the orbitofrontal cortex, where people evaluate situations in a logical and conscious fashion and [consider] the risks and benefits of different behaviors— that gets short circuited,” says Dr. Eric Hollander, professor of psychiatry at Montefiore/Albert Einstein School of Medicine in New York.  Instead, he says, “You have sensory input right through the sensory [regions] and into the amygdala or limbic system.”
This dramatically alters how we think, since the limbic system is deeply engaged with modulating our emotions.  “The neural networks in the brain that are involved in rational, abstract cognition— essentially, the systems that mediate our most humane and creative thoughts— are very sensitive to emotional states, especially fear,” says Perry. So when people are terrorized, “Problem solving becomes more categorical, concrete and emotional [and] we become more vulnerable to reactive and short-sighted solutions,” he says.
Every loud sound suddenly becomes a potential threat, for example, and even mundane circumstances such as a person who avoids eye contact can take on suspicious and ominous meaning and elicit an extreme, alert-ready response. Such informational triage can be essential to surviving traumatic experience, of course.  “Severe threats to well-being activate hard wired circuits in the brain and produce responses that help us survive,” explains Joseph LeDoux, professor of psychology and neuroscience at New York University, “This process is the most important thing for the organism at the moment, and brain resources are monopolized to achieve the goal of coping with the threat.”
neurosciencestuff:

Should I trust my intuition?
Do we always make better decisions when we take more time to think? Or are there decisions where more time doesn’t really help?
A study led by Zachary Mainen, Director of the Champalimaud Neuroscience Programme, and published in the scientific journal, Neuron, reports that when rats were challenged with a series of perceptual decision problems, their performance was just as good when they decided rapidly as when they took a much longer time to respond. Despite being encouraged to slow down and try harder, the subjects of this study achieved their maximum performance in less than 300 milliseconds.
‘There are many kinds of decisions, and for some, having more time appears to be of no help. In these cases, you’d better go with your intuition, and that’s what our subjects did’, explains Zachary Mainen, the neuroscientist who led this study, while an Associate Professor at CSHL, in the USA.
This study suggests that rats can be used as an animal model to investigate what is happening in the human brain when ‘intuitive’ decisions are being made. ‘Decision-making is not a well-understood process, but it appears to be surprisingly similar among species. This study provides a basis to begin to take apart one type of decision and see how it really works’, the author adds. 
(Image: Kristen Dold | Thinkstock)
jtotheizzoe:

Watch the slow creep of spring as it pushes the cold hand of winter back to the frigid north … only to succumb again next year, of course.
NASA’s MODIS imager senses Earth’s reflection of both visible and longer wavelength near-infrared light. Plants, full of chlorophyll, absorb most visible light (except for green, of course) and reflect near-infrared. By combining this with the reflection of snow, NASA can watch the yearly cycle of vegetation springing back and falling away.
I made a higher-res GIF here, and you can watch the full three-year animation here.

People with mental illness at highly increased risk of being murder victims

neuromorphogenesis:

People with mental disorders have a highly increased risk of being victims of homicide, a large study published today on bmj.com suggests.

The perpetration of homicide by people with mental disorders has received much attention, but their risk of being victims of homicide has rarely been examined. Yet such information may help develop more effective strategies for improving the safety and health of people with mental illness.

So a team of researchers from Sweden and the USA assessed mental disorders and homicides across the entire population of Swedish adults between 2001 and 2008.

Mental disorders were grouped into the following categories: substance use disorder; schizophrenia; mood disorders including bipolar disorder and depression; anxiety disorders and personality disorders. Results were adjusted for several factors such as sex, age, marital status, educational level, employment status and income.

Of 7,253,516 adults in the study, 141 (22%) out of 615 homicidal deaths were among people with mental disorders.

After adjusting for several factors, the results show that people with any mental disorder were at a five-fold increased risk of homicidal death, relative to people without mental disorders.

The risk was highest among those with substance use disorders (approximately nine-fold), but was also increased among those with personality disorders (3.2-fold), depression (2.6-fold), anxiety disorders (2.2-fold), or schizophrenia (1.8-fold) and did not seem to be explained by substance use.

One explanation for the findings may be that those with mental disorders are more likely to live in high deprivation neighbourhoods, which have higher homicide rates, say the authors. They may also be in closer contact with other mentally ill people and be less aware of their safety risks owing to symptoms of the underlying illness.

They suggest that interventions to reduce these risks “should include collaborations between mental health clinics and the criminal justice system to develop personal safety and conflict management skills among people with mental illness.”

Improved housing, financial stability, and substance abuse treatment may also reduce vulnerability to violent crime, they add.

A key implication of these new findings is that clinicians should assess risk for the full array of adverse outcomes that may befall people with mental health problems, say Roger Webb and colleagues at the University of Manchester, in an accompanying editorial. This would include being a victim of violence as well as committing it, abuse and bullying, suicidal behaviour, accidental drug overdoses, and other major adverse events linked with intoxication or impulsivity.

These risks go together, and people with mental illness, as well as their families, should receive advice on avoiding various types of harm, they suggest.

They acknowledge that some important questions remain unanswered, but suggest that national mental health strategies “should reflect the broad nature of safety concerns in mental healthcare, while anti-stigma campaigns among the public should aim to counter fear of mentally ill people with sympathy for the risks they face.”

primordia:

(by dustandchimes)
0mnis-e:

Mother Nature, By Flavio Parreiras.
marisais:

untitled by earthtoandrea on Flickr.
mothernaturenetwork:

10 places on Earth that resemble alien planets
greaterland:

Phi Phi (by mateovic)
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