DeSantis Advances Questionable Link Between Lockdowns and Despair
The result of lockdowns āhas been the destruction of millions of lives across America as well as increased deaths from suicide, substance abuse and despair without any corresponding benefit in covid mortality.āFlorida Gov. Ron DeSantis, Feb. 2, 2021
For months, Florida Gov. Ron DeSantis has boasted about his stateās āopen for businessā strategy in dealing with covid-19 and how itās working better than so-called lockdown states.
Unlike in some other states, all Florida public schools are open for in-person learning, restaurants and bars have few restrictions, and the state has barred local governments from penalizing individuals for not wearing a mask in public.
In a recent rant against social network companies such as Facebook and Twitter, DeSantis suggested that states that had instituted heavy restrictions on residents experienced severe repercussions for residents without reducing the number of covid deaths.
āLockdowns at the time of the pandemic were favored by the, quote, ānarrativeā and so, in the name of, quote, āscience,ā articles and posts warning against lockdowns were taken down and censored,ā said DeSantis. āThe result has been the destruction of millions of lives across America, as well as increased deaths from suicide, substance abuse and despair, without any corresponding benefit in covid mortality.ā
We wondered whether that was true. Have state restrictions done such significant harm without providing any boost in the fight against covid deaths? So we dug in.
Locking In on Lockdowns
To reduce the spread of the coronavirus, states have enacted ā and then sometimes relaxed or lifted ā various restrictions, including mask mandates, limits on restaurant capacity, stay-at-home orders and bans on large gatherings.
DeSantis, a Republican, has bristled at such statewide orders, even resisting pleas from local officials in Florida and criticizing other jurisdictions for implementing them. He has consistently questioned their effectiveness. Late last year, for instance, he claimed that states with lockdowns had covid transmission rates twice as high as Floridaās. We rated that .
We asked DeSantisā office for any evidence supporting his more recent claim. The response reveals a mixed bag of information.
Check the Data: Did Floridaās Path Lead to Less āDespairā?
To support the governorās claim that other states have seen higher numbers of deaths from suicide, substance abuse and despair than Florida has during the pandemic, DeSantisā office sent information from the Centers for Disease Control and Prevention showing āall causeā mortality rates increased slower in Florida in 2020 ā coinciding with the pandemicās first months through June 3 ā over 2019 rates than in California and New York ā two states that have opted for more regulations on public gatherings and mask-wearing. DeSantisā analysis showed Floridaās rate rose 15% compared with 16% in California and 29% in New York.
But the āall causesā goes far beyond deaths associated with suicide and drug abuse. It includes deaths from cancer, heart disease, lung disease and dementia, for example.
DeSantisā office did not provide any data showing how rates of suicide and drug abuse in Florida compared with those in so-called lockdown states. It sent us a that said in Florida, according to preliminary medical examinersā statistics, 2,975 people died by suicide in 2020, down 13% from the previous year. But the article did not have nationwide data or figures from California or New York.
Concerning overdose deaths, DeSantisā office did not provide specific information. However, health experts said the pandemic likely did increase opioid overdoses. But the latest, provisional on drug overdose deaths shows Floridaās numbers rising faster than the national average.
Comparing the 12-month period ending in June 2020 to the prior 12 months, the period for which data is available, Florida had a 34% increase in the rate of overdose deaths compared with a 20% national average among states. California had a 23% increase and New York had an 18% increase.
Meanwhile, federal suicide data reflecting the months in which the pandemic has transpired will not likely be available until 2022. Experts say that anecdotal evidence suggests a possible uptick in suicide rates during the pandemic. In addition, an online tool offered by the nonprofit to help screen for mental health issues showed a slight increase last year in people having suicidal thoughts.
Nonetheless, Paul Gionfriddo, the groupās CEO, said he knows of no studies showing that so-called lockdown states have higher rates of suicide than those with fewer restrictions.
Gionfriddo said DeSantis may think he is mitigating the harmful effects of loneliness by not limiting public gatherings. But loneliness is not the only reason people cite in considering suicide, he said. Grief, financial insecurity and other factors also play a role, he said.
John Auerbach, president and CEO of Trust for Americaās Health, a nonprofit think tank, said itās difficult to pinpoint the psychological impact of restrictions to reduce infection because rules vary by state and within states, and such regulations have been imposed and lifted at different times.
Auerbach said he knows of no evidence that links statesā covid restrictions to suicides or drug overdose deaths.
āThere are many contributing factors to suicide and drug overdoses,ā he said. The pandemic itself is having the biggest effect on heightening peopleās risk of dying from suicide and drug abuse ā not the statesā different approaches to prevent the transmission of infection, he added.
āIt is the underlying pandemic that is at the root of increased risks,ā Auerbach said.
Factoring In Covid Mortality Rates
DeSantis also argued that statewide restrictions did not bring any corresponding benefit in limiting covid mortality.
We asked his office for evidence. They again pointed to the CDC increase in āall causeā mortality data that showed Californiaās rate was slightly higher than Floridaās. But those statistics cover all causes of death, and people are still dying of diseases and conditions besides covid.
We then consulted three epidemiologists to get their take. They all said the governor was playing loose with the facts. They stressed varying factors that affect statesā mortality rates ā from the weather to socioeconomic indicators to access to health services.
The epidemiologists pointed to the latest CDC data, which indicated that Floridaās covid mortality rate is higher than Californiaās and seemed to undercut DeSantisā position that lockdowns have only hurt states.
As of Feb. 22, Florida ranked 28th in covid death rates while California ranked 33rd, according to the latest CDC , as compiled by Statista.
āThat would bolster the argument that restrictions are one factor involved in lowering death rates,ā said Nicole Gatto, an associate professor of public health at Claremont Graduate University in California.
Numerous others also have an effect, Gatto said, so it is impossible to compare states using current data based on their strategies.
āI do think it is an oversimplification to make the assertion that the governor did without further study of the numerous variables involved, characteristics of the population, timing of interventions and the limitations of the data,ā she said.
Our Ruling
DeSantis said lockdown states have seen āincreased deaths from suicide, substance abuse and despair without any corresponding benefit in covid mortality.ā
The pandemic certainly has caused anxiety and distress across the country, and state and local restrictions designed to tamp down on the coronavirusās spread have also affected peopleās financial and emotional well-being. But currently, no clear data supports DeSantisā strongly worded claim. Researchers agreed that more research is necessary before such broad conclusions could be drawn. In addition, experts said that covid death rates vary by state and numerous factors beyond state strategies to combat the virus affect this metric.
We rate the statement Mostly False.
Sources:
Gov. Ron DeSantis , Feb. 2, 2021
Telephone interview with Paul Gionfriddo, president and CEO of Mental Health America, Feb. 12, 2021
, Take a Mental Health Test, Mental Health America online screening tool, accessed Feb. 12, 2021
, Vital Statistics Rapid Release: Provisional Drug Overdose Death Counts ā CDC data on overdose deaths, Feb. 7, 2021
Email correspondence with Meredith Beatrice, DeSantis spokesperson, Feb. 10 and 11, 2021
Telephone interview with John Auerbach, president and CEO of Trust for Americaās Health, Feb. 12, 2021
Email interview with Nicole Gatto, MPH, Ph.D., associate professor of public health at Claremont Graduate University, Feb. 18, 2021
Email interview with William Miller, professor of epidemiology at the Ohio State University, Feb. 18, 2021
Telephone interview with Dr. Robert Murphy, professor of medicine and biomedical engineering and executive director, Northwestern Universityās Institute for Global Health, Feb. 18, 2021
, Death rates from coronavirus (COVID-19) in the United States as of Feb. 17, 2021, by state, accessed Feb. 22, 2021
, āOne Pandemic Positive: Suicides in Florida Actually Plummeted. Experts Worry It Wonāt Last,ā Feb. 10, 2021
, āIs Florida Doing Better on COVID-19 than āLocked Downā States? Dec. 2, 2020