A Forum on Mental Illness, Public Health and Public Safety

The horrifying mass murders at the Washington Navy Yard and Sandy Hook Elementary School were both committed by individuals with long-standing mental-health problems. The events galvanized a national discussion about how to improve the accessibility and quality of our mental-health system.

At the same time, these tragedies can paint in the mind of the public a false image of the mentally ill as universally violent and dangerous rather than human beings in need of assistance and compassionate care. That may account for why a shamefully large number of mentally ill people are behind bars. L.A. County Sheriff Lee Baca has found himself heading what he calls “the nation’s largest mental hospital:” The L.A. County Jail.

While protecting public safety is a critical concern, it’s important to maintain perspective when analyzing the role of mental illness in violent crime. Harold Pollack, PhD, of the University of Chicago puts it this way:

Millions of Americans suffer from some form of severe mental illness, or SMI. It’s important to remember that the vast majority of these men and women have never committed a violent crime and never will commit one. Indeed, the mentally ill are often victims of violent crime, a social problem that has not received sufficient attention.

To dig into these important issues in a productive way, Stanford medical school held a Health Policy Forum devoted to the topic “Serious Mental Illness: How can we promote public health and public safety?” Harold Pollack and Lee Baca graciously came to Stanford for the forum and were joined by Laura Roberts, MD, Chairman of the Department of Psychiatry and Behavioral Sciences and a national expert in serious mental illness.

Suffocating, Sugar-Addicted Cancers

Life is tough when you are a fast growing-cancer, because your host has difficulty meeting your increasing needs for oxygen. You can cope by stimulating your host to grow more blood vessels to carry oxygen to you or by metastastising your cells to oxygen sources elsewhere in the body. But some hypoxic cancers have an even more impressive trick up their sleeve when they can’t enough oxygen: They switch their energy supply over to glycolosis (The breaking down of glucose).

The advantage of glycolosis to otherwise suffocating cancer cells is that oxygen is no longer needed. The disadvantage is that clever researchers can fix your location by looking at sugar absorption rates within your host’s body.

Dr. Kristin Sainani relates the fascinating science of hypoxic cancer cells in this month’s Stanford Magazine.