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Maddy, Youssef and Noah discuss a case presented by Andrew and share their approach to hypercarbia.

CXR discussed in the episode: 

 

Link to hypercarbia schema.

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We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of behavior change, headaches, and blurry vision to Vale.

Neurology DDx Schema

Aye Chan Moe Thant (@AyeThant94)

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

Valeria Roldan (@valeroldan23)

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

 

 

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Title  – Rapid Response

 

Episode description

RR drop you into a rapid response

 

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Episode description: is a simple case of hyperglycemia hiding something sinister? Elena presents a rich teaching case on a common, but complex, chief complaint.

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CPSolvers: Anti-Racism in Medicine Series

Episode 27 – Racial and Gender Health Disparities in Youth Suicide: Part 2 

Show Notes by Asya Pitre

April 25, 2025

Summary: In this second half of a two-part series, Dr. Tami Benton and Dr. Kevin Simon discuss racial and gender health disparities in youth suicide. They explore the impact of racism, trauma, and inequities in care, while emphasizing the need for culturally grounded, community-based prevention. The episode highlights the importance of policy advocacy, culturally responsive therapy, and practicing cultural humility in mental health care.

Episode Learning Objectives

After listening to this episode, learners will be able to:

1. Identify barriers and facilitators to establishing care with a child and adolescent psychiatrist
2. Explain the shifting visibility of racial and gender health disparities in the academic literature
3. Describe the importance of cultural humility and racial concordance in health care

Credits

• Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, and Team
• Host: Ashley Cooper 
• Infographic and Audio Edits: Ashley Cooper
• Show Notes: Asya Pitre
• Guests: Dr. Tami Benton and Dr. Kevin Simon

Speaker Biographies

Dr. Tami Benton, MD, is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania. She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). She is the President of The American Association of Directors of Child and Adolescent Psychiatry (AADCAP) and the President of The American Academy of Child and Adolescent Psychiatry (AACAP). She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. She was awarded the Society of Biological Psychiatry Humanitarian Award and the Community Outreach Award by the American Foundation for Suicide Prevention. Dr. Benton’s career has been dedicated to developing leadership for a diverse child psychiatry workforce. Her mission — preparing the next generation of diverse physician leaders in pediatric healthcare and mental health and creating partnerships between communities and academic centers — will be critical for eliminating disparities among minority populations.

Dr. Kevin M. Simon, MD, MPH, is Boston’s inaugural Chief Behavioral Health Officer, appointed by Mayor Michelle Wu. He is a physician-scientist, health policy expert, inspirational teacher, and a gifted writer. Dr. Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Academically, he has won multiple awards for research on structural violence, health equity, and mental health. Additionally, he consults with federal agencies on mental health system design and practices. Dr. Simon’s writings on health equity are in notable journals like the American Journal of Public Health and the New England Journal of Medicine. National audiences regularly seek his perspectives on mental health through trusted outlets. 

Episode Takeaways

• Rising Suicide Rates Among Black and Indigenous Girls: In this episode of the Clinical Problem Solvers Anti-Racism in Medicine Podcast, host Ashley Cooper is joined by Dr. Tami Benton and Dr. Kevin Simon to continue the conversation on racial and gender health disparities in youth suicide. The episode opens with a discussion on the rising suicide rates among Black girls. Dr. Simon stresses the importance of educational efforts to dismantle biases and calls for greater research attention to this group. Dr. Benton emphasizes the role of intersecting psychosocial factors—poverty, racism, and trauma—that contribute to suicide risk among Black and Indigenous girls and how these early life experiences impact mental health in adulthood.

• Community-Based Prevention: The conversation then moves toward community-based prevention, with Dr. Simon advocating for trusted community networks to support youth mental health. He points out that historically, some community spaces have also been sources of harm, so intentional engagement and mental health education are essential. Dr. Benton’s presidential theme, as President of the American Academy of Child and Adolescent Psychiatry, “Bringing the Village to the Children,” underscores the importance of collective responsibility. She highlights promising initiatives like suicide prevention programs in African American churches and the American Foundation for Suicide Prevention-Soul Shop.

• Dr. Simon’s Role as Chief Behavioral Health Officer: Dr. Simon shares his work as Boston’s first Chief Behavioral Health Officer, prioritizing substance use treatment and uplifting Black and Indigenous communities. The episode also explores how digital tools can help youth manage their mental health, while also noting the need for culturally relevant care providers. 

• Disparities in Restraint Practices: Disparities in restraint practices are addressed, particularly the disproportionate use of physical and pharmacologic restraints on Black people.

• Policy issues such as the need for enforcement of the Mental Health Parity and Equity Act (MHPAEA) are discussed, alongside practical clinical strategies to prevent youth suicide. These include population-specific adaptations of DBT, attachment-based family therapy, and increasing research on effective interventions for minority youth. A referenced meta-analysis questions the effectiveness of psychotherapy in communities with high levels of anti-Black racism, reinforcing the importance of environmental context in mental health outcomes.

• The Mental Health Parity and Addiction Equity Act (MHPAEA) and Youth Suicide Interventions: Racial socialization is offered as a protective intervention for youth facing racism-related trauma. 

• Key Takeaways (Awareness, Access, and Cultural Humility): The conversation ends by emphasizing awareness of mental health warning signs in youth, advocating for broader access to care, and urging healthcare professionals to practice cultural humility.

Disclosures 

The hosts and guests report no relevant financial disclosures.

References

1. Benton TD, Boyd RC, Njoroge WF. Addressing the Global Crisis of Child and Adolescent Mental Health. JAMA Pediatr. 2021;175(11):1108–1110. doi:10.1001/jamapediatrics.2021.2479

2. Benton T, Njoroge WFM, Ng WYK. Sounding the Alarm for Children’s Mental Health During the COVID-19 Pandemic. JAMA Pediatr. 2022;176(4):e216295. doi:10.1001/jamapediatrics.2021.6295

3. Benton TD. Suicide and Suicidal Behaviors Among Minoritized Youth. Child and Adolescent Psychiatric Clinics of North America. 2022;31(2):211-221. doi:10.1016/j.chc.2022.01.002

4. Benton TD. A Culturally Informed Approach to Supporting Suicidal Minoritized Patients. Focus. 2023 Apr;21(2):166-7.

5. Brent DA, Goldstein TR, Benton TD. Bridging Gaps in Follow-up Appointments After Hospitalization and Youth Suicide: Mental Health Care Disparities Matter. JAMA Netw Open. 2020;3(8):e2013100. doi:10.1001/jamanetworkopen.2020.13100

6. Bridge JA, Asti L, Horowitz LM, et al. Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012. 2015;169(7):673-677. doi:10.1001/jamapediatrics.2015.0465

7. Fontanella CA, Hiance-Steelesmith DL, Bridge JA, Lester N, Sweeney HA, Hurst M, Campo JV. Factors Associated With Timely Follow-Up Care After Psychiatric Hospitalization for Youths With Mood Disorders. Psychiatr Serv. 2016 Mar;67(3):324-31. doi: 10.1176/appi.ps.201500104. Epub 2015 Dec 1. PMID: 26620293.

8. Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of Suicidal Behaviors Among High School Students in the United States: 1991–2017. Pediatrics. 2019;144(5):e20191187. doi:10.1542/peds.2019-1187

9. Lindsey MA, Brown DR, Cunningham M. Boys do(n’t) cry: Addressing the unmet mental health needs of African American boys. American Journal of Orthopsychiatry. 2017;87:377-383. doi:10.1037/ort0000198

10. Molock, Sherry Davis et al. “Developing suicide prevention programs for African American youth in African American churches.” Suicide & life-threatening behavior vol. 38,3 (2008): 323-33. doi:10.1521/suli.2008.38.3.323

11. Price JH, Khubchandani J. The Changing Characteristics of African-American Adolescent Suicides, 2001–2017. J Community Health. 2019;44(4):756-763. doi:10.1007/s10900-019-00678-x

12. Price, Maggi A et al. “Meta-analysis: Are Psychotherapies Less Effective for Black Youth in Communities With Higher Levels of Anti-Black Racism?.” Journal of the American Academy of Child and Adolescent Psychiatry vol. 61,6 (2022): 754-763. doi:10.1016/j.jaac.2021.07.808

13. Sheftall AH, Vakil F, Ruch DA, Boyd RC, Lindsey MA, Bridge JA. Black Youth Suicide: Investigation of Current Trends and Precipitating Circumstances. Journal of the American Academy of Child & Adolescent Psychiatry. 2022;61(5):662-675. doi:10.1016/j.jaac.2021.08.021

14. Sheftall AH, Miller AB. Setting a Ground Zero Research Agenda for Preventing Black Youth Suicide. 2021;175(9):890-892. doi:10.1001/jamapediatrics.2021.1112

15. Simon KM. Daughters’ Keeper—The Care and Treatment of Black Girls in America. New England Journal of Medicine. 2022 Jun 2;386(22):2067-9.

16. Simon KM. Mitigating the Negative Mental Health Impact of Racism on Black Adolescents—A Preventive Perspective. JAMA Netw Open. 2023;6(11):e2340577. doi:10.1001/jamanetworkopen.2023.40577

17. Simon KM. Them and Me – The Care and Treatment of Black Boys in America. N Engl J Med. 2020 Nov 12;383(20):1904-1905. doi: 10.1056/NEJMp2022606. PMID: 33176082.

18. Congressional Black Caucus: Emergency Task Force on Black Youth Suicide and Mental Health. Ring the Alarm. The Crisis of Black Youth Suicide in America. U.S. Congress. Published December 17, 2019. Accessed 2024. https://watsoncoleman.house.gov/imo/media/doc/full_taskforce_report.pdf 

19. American Foundation for Suicide Prevention. Soul Shop. https://afsp.org/soul-shop/. Accessed 2025.

Citation

Benton T, Simon K, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Onuoha C, Watkins A, Khazanchi R. “Episode 27: Racial and Gender Health Disparities in Youth Suicide: Part 2” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/. April 25, 2025.

Show Transcript

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In this episode, Noah and Marcela explored a compelling case presented by Debora, engaging in a thoughtful discussion. At the end, Mark shared the key teaching points from the case, inspiring us all to reflect and grow.

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Description: Dr. Julia Armendariz joins Kaylin, Sharmin, and Cheryl to discuss feedback. She shares why giving feedback is so critical as well as an approach to feedback and goal-setting with learners. She also debunks common myths, highlights potential pitfalls, and shares her strategies to create a positive team learning environment.

 

Julia’s bio:

Julia Armendariz, MD, is a hospitalist and clinician educator in the Bay Area who works closely with trainees on the wards and in the classroom.  She is the co-director for the Medical Education Elective for the Stanford Internal Medicine Residency, where she shares her passion for Med Ed with Stanford junior and senior residents.  Her special areas of interest within Med Ed are communication, specifically feedback, and the struggling learner. She is also a facilitator for a national CME course called MODEL (Maximizing Ongoing Development and Educational Leadership) within the Veteran’s Administration, where she delivers a feedback workshop for attending physicians.  She is currently collaborating with faculty at Stanford and other academic programs for research projects, including resident perspectives on faculty feedback delivery, how to improve feedback skills for attending physicians, and how to coach feedback givers. Outside of medicine, Julia loves gardening, the ocean, and spending time with family and friends.

 

 

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In this Nephrology episode, Dr.Samira Farouk discusses the nuances of AKI, why you should be trending Urine like you trend Troponin. Stay tuned to find out the final diagnosis!

Session facilitator: Dr.Elena Storz

Case Discussants:

Dr.Douglas Farrell MD: Nephrology Fellow, Icahn School of Medicine at Mount Sinai

Dr. Samira Farouk MD: Associate Professor of Medicine and medical Education, Associate Program Director of  the Nephrology Fellowship Program, Icahn School of Medicine at Mount Sinai

Case Presenter: Kuchal

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Maddy, Youssef and Andrew discuss a case presented by Noah and share their approach to bradycardia.

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Episode description

RR discusses a case of dysphagia

 

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