Senate committee questions NIH director on 2027 budget

National Institutes of Health Director Jay Bhattacharya is appearing in front of the Senate Appropriations Committee Wednesday, starting at 10 a.m. ET, to discuss President Trump’s budget proposal for the 2027 fiscal year. 

A clip from Jay Bhattacharya’s Senate Appropriations subcommittee appearance on May 21, 2026

Read the rest…

The Download: online safety’s future and climate tech’s big pivot

This is today’s edition of The Download, our weekday newsletter that provides a daily dose of what’s going on in the world of technology.

Tech researchers are suing the Trump administration over the future of online safety

For months, the Trump administration has been going after researchers who study and try to counter hate speech, harassment, propaganda, and disinformation online. Now, some of those researchers are fighting back. 

In a new lawsuit, they’re seeking to strike down a visa restriction policy against “foreign officials and other persons” announced last year by US Secretary of State Marco Rubio.

They say the policy violates the speech and due process rights of foreign-born workers whose “work supports greater moderation of content on the [tech] platforms.” Find out how the case could impact online safety and free speech.

—Eileen Guo

Climate tech companies are pivoting to critical minerals

We’re over a year into the second Trump administration, and support for climate causes in the US is weak. But climate tech companies are finding ways to survive and even thrive in this new environment, including by looking beyond decarbonization.

One example is Boston Metal. The startup has raised a $75 million round to produce critical metals, MIT Technology Review can exclusively report.

The company is best known for its efforts to clean up steel production, an industry that’s responsible for about 8% of global greenhouse gas emissions. But the new focus and fresh funds could help it survive a period of waning support for industrial decarbonization.

Read the full story on its high-stakes shift. And discover more about the new strategy for climate tech companies in our analysis of how they’re reframing their missions.

—Casey Crownhart 

Our story on the climate tech pivot is from The Spark, our weekly newsletter giving you the inside track on all things climate. Sign up to receive it in your inbox every Wednesday.

Can AI learn to understand the world?

As the limits of LLMs become clearer, researchers are developing a new kind of AI designed to understand the physical environment: world models. 

Recent developments from Google DeepMind, Fei-Fei Li’s World Labs, and Yann LeCun’s new startup have pushed these systems to the forefront of AI. At an exclusive virtual event today, MIT Technology Review will examine the progress—and what comes next.

Join editor in chief Mat Honan, senior AI editor Will Douglas Heaven, and AI reporter Grace Huckins for the subscriber-only Roundtables discussion on world models. Register here to take part in the session at 19:30 GMT / 2:30 PM ET / 11:30 AM PT.

World models are one of our 10 Things That Matter in AI Right Now, MIT Technology Review’s new list of the technologies and ideas shaping the future of AI.

The must-reads

I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology.

1 SpaceX has filed for an IPO expected to be the largest ever
It could make Elon Musk the world’s first trillionaire. (BBC
+ But he’s also a risk factor in the prospectus. (The Verge)
+ The filing exposes SpaceX’s finances for the first time. (NYT $)
+ AI spending pushed it to a $1.94 billion loss in Q1 2026. (Reuters $)
+ And rivals are challenging its launch dominance. (MIT Technology Review)

2 Nvidia reported record revenues thanks to the AI boom
It’s blown past Wall Street expectations, despite losing the Chinese market. (Guardian)
+ It has “largely conceded” China’s AI chip market to Huawei. (CNBC)
+ It generated no revenue from H200 chip sales in China. (SCMP)

3 Samsung has averted a massive strike over AI profit-sharing
It reached a tentative deal on bonuses with workers. (FT $)
+ The last-minute deal averts an 18-day walkout. (Engadget
+ But the compromise has exposed deep divisions. (Reuters $)
+ Anti-AI protests are increasing. (MIT Technology Review)

4 President Trump will sign a cybersecurity directive as soon as today
But it stops short of mandatory federal approval of models before they’re released. (Bloomberg $)
+ AI is making online crimes easier. (MIT Technology Review)

5 OpenAI may file for an IPO within days
The ChatGPT-maker wants to go public as early as September. (WSJ $)

6 Robotics won’t be transformed by a single AI breakthrough
Don’t expect a ChatGPT moment. (IEE Spectrum)
+ Human work behind humanoid robots is being hidden. (MIT Technology Review)

7 Rocks could generate hydrogen while storing CO2
New research shows they could also produce geothermal power. (New Scientist)
+ AI is uncovering hidden geothermal energy resources. (MIT Technology Review)

8 The EU is accelerating a Trump-fueled breakup with Big Tech
Geopolitical tensions are driving a shift toward homegrown software. (Wired $)

9 Solid-state breakthroughs could soon transform commercial batteries
They’d be faster and safer than today’s lithium-ion equivalents. (The Economist $)

10 Two researchers are rebuilding math from the ground up
By replacing the most fundamental concept in topology. (Quanta)
+ OpenAI claims its solved an 80-year-old math problem. (TechCrunch)

Quote of the day

“This isn’t a blip, it’s an inflection point.” 

—Gurjeet Grewal, CEO of UK-based Octopus Electric Vehicles, tells Reuters that the Iran war has been a boon for European EV sales.

One More Thing

""
Keisy Plaza looks at her daughter Arantza Plaza with disappointment after failing to get an appointment on the CBP One app in Ciudad Juárez, Mexico.
ALICIA FERNáNDEZ


The new US border wall is an app

At the US southern border in 2023, asylum seekers had to request appointments with immigration officials via a mobile app. The Biden administration said the app, named CBP One, would make migration more orderly and discourage unauthorized crossings. But for many migrants, it became another obstacle.

While waiting in dangerous border cities, they reported frozen screens, facial recognition issues, spotty connectivity, and difficulty securing appointments. Advocates argue that requiring vulnerable people to rely on smartphones, internet access, and digital literacy creates a system that leaves many behind.

Find out how CBP One endangered some of the people most in need of protection.

—Lorena Ríos

We can still have nice things

A place for comfort, fun, and distraction to brighten up your day. (Got any ideas? Drop me a line.)

+ See how big countries really are with this interactive tool.
+ Explore the entire Star Wars galaxy in detail through this interactive map.
+ Chart the origins of historical events with this interactive cause-and-effect explorer.
+ Discover the surprising origins of global currency symbols in this deep dive into financial history.

Climate tech companies are pivoting to critical minerals

We’re over a year into the second Trump administration here in the US, and support for climate causes is weak. But climate tech companies are finding ways to survive and even thrive in this new environment, including by focusing on potential benefits outside decarbonization.

Suddenly, it feels like every climate tech company has a story to tell about topics that are politically in vogue: data centers, energy abundance, or critical minerals. In my newest story, I covered Boston Metal’s latest funding round. Largely known for its efforts to produce steel with lower greenhouse gas emissions, the company raised $75 million from new and existing investors to help support its critical metals business.

Focusing on metals like niobium and tantalum won’t have the massive climate benefit that cleaner steel would, but it could generate the cash the company needs to keep going. It’s a strategy I’m noticing more as these tough industries like steel look ever tougher to succeed in with limited federal support in the US.  

Boston Metal’s molten oxide electrolysis technology uses electricity to produce metals.

I covered the startup last year, when it announced a major milestone for its steel business, running its pilot reactor in Massachusetts and producing a literal ton of material.

Now the company’s focus has shifted, and it is going all-in on making other metals, from niobium and tantalum (used in aircraft engines and high-end steel alloys) to chromium and vanadium.

The steel industry is a difficult one: It operates at a massive scale, and the product doesn’t command too high a price. Focusing on other metals, especially ones the US government deems critical, could be a way to stay afloat, maybe even long enough to meaningfully cut emissions from the steel industry. 

“By deploying in the critical metals industry where we can go very fast, we generate the resources to continue with the development of steel,” says Tadeu Carneiro, CEO of Boston Metal.

Other companies are also hoping critical materials could help their business models.

California-based Brimstone has a new process to make cement—another heavily polluting industry that’s proving difficult to decarbonize. The company uses a new starting material to help cut down on carbon dioxide emissions. In addition to cement, it makes supplementary cementitious materials that can be added into concrete as well as smelter-grade alumina.

Last year, the US Department of Energy canceled $1.3 billion in funding that had been set aside for cement-related projects. Brimstone saw one of its awards canceled, as did Sublime Systems, another cement startup I’ve covered a lot over the years.

At the time, a Brimstone representative told me that the company saw the cancellation as a “misunderstanding” and said the facility the funding had been designated for would make not only cement, but also alumina, which would support US aluminum production.

Today, the company’s website prominently highlights that it produces critical minerals in addition to cement.

Some carbon dioxide removal companies are hoping to hop on the critical minerals train, too, aiming to work with the mining industry. Others are pitching that they can help mining operations operate more efficiently or serve as cleanup for active or abandoned mine sites.

All of this is part of a much broader messaging shift. Everyone from politicians to heads of energy companies is talking less about climate.

It’s a trend that makes me nervous, even if I understand the impulse. I worry that if we keep too quiet on climate, companies might lose the plot and make choices that won’t help cut emissions. But for some, leaning into a different priority or pushing a different message could help them stay in business long enough to make a difference. We’ll all have to wait to see how it all pans out.

This article is from The Spark, MIT Technology Review’s weekly climate newsletter. To receive it in your inbox every Wednesday, sign up here

Tech researchers are suing the Trump administration over the future of online safety

Since its earliest days back in office, the Trump administration has been going after researchers who study and try to counter hate speech, harassment, propaganda, and disinformation online. 

Now, some of those researchers are fighting back. Last week their lawsuit—which could have global repercussions for online safety and free speech—made its first appearance in court

This fight started a year ago, when US Secretary of State Marco Rubio announced on X what he called a “visa restriction policy” against “foreign officials and other persons” who were “complicit in censoring Americans.” Since then, a handful of foreign officials and researchers have been barred from travel to the US, and in theory, anyone working in fact-checking or online trust and safety more broadly could face the same restrictions. 

Still, the exact implications of Rubio’s announcement are unclear—purposefully so, argues Carrie DeCell, a lawyer representing the researchers. “This policy is expansive and incredibly vague, and the chilling effects are correspondingly enormous,” DeCell said outside the courthouse in Washington, DC, on May 13.  

The case has been brought by the Coalition for Independent Technology Research (CITR), an advocacy organization for tech researchers. It is suing Rubio, former US secretary of homeland security Kristi Noem, and former US attorney general Pam Bondi and asking the court to strike down the policy as unconstitutional. In their complaint, the plaintiffs say the policy violates the speech and due process rights of foreign-born tech researchers and workers whose “work supports greater moderation of content on the [tech] platforms.”

CITR is represented by Columbia University’s Knight First Amendment Institute and the legal nonprofit Protect Democracy. DeCell, a senior staff attorney at the Knight Institute, tells MIT Technology Review that they’re in court because the Trump administration is effectively “using immigration law to punish people for expressing views that it disagrees with.” 


This story is part of MIT Technology Review’s “America Undone” series, examining how the foundations of US success in science and innovation are currently under threat. You can read the rest here.


Most immediately, the plaintiffs are asking the government to halt these visa restrictions while the case proceeds. Zachariah Lindsey, the assistant US attorney representing Rubio and the other defendants, argued in last week’s hearing that the government is not targeting speech but, rather, “conduct [that] is assisting or facilitating foreign government censorship of free speech.” At the end of the week, the government filed a motion to dismiss the case.

The judge has yet to rule on either motion, and his questions so far appeared to focus on parsing what (and who) is actually affected by the State Department’s announcements, as well as other procedural issues. 

The outcome of the case may ultimately affect how much the public knows about the risks of social media and AI, says Nicole Schneidman, head of Protect Democracy’s technology and data governance team. The workers bringing this suit, she says, “serve a really, really important function in educating the public, holding tech companies accountable, doing research on the ramifications that advanced technology has on our society.” 

“A political witch hunt”

CITR’s lawsuit is the latest salvo in a yearslong battle over how the internet should be moderated, and by whom—a question that has become increasingly political and entangled in allegations of censorship. 

For years, Trump and his allies have claimed to be victims of a vast conspiracy between government agencies, civil society groups, academics, and Big Tech platforms to specifically censor conservative voices online. According to this narrative, a so-called “censorship-industrial complex” helped the Biden administration subvert First Amendment protections on speech by allegedly outsourcing censorship to these groups.

The State Department claims Rubio was able to implement the immigration policy because the Immigration and Nationality Act authorizes him to “render inadmissible any alien whose entry into the United States ‘would have potentially serious adverse foreign policy consequences for the United States.’” Before the current Trump administration, the statute was rarely invoked, and when it was, it was typically with more limited, specific criteria, rather than its current application against anyone who has participated in alleged censorship—an action that has no legal definition. 

The administration first deployed the policy in July 2025, when Rubio issued a statement announcing the revocation of visas for Alexandre de Moraes, the lead justice on the Brazilian Supreme Federal Court, and “his allies on the court” who were involved in prosecuting Jair Bolsonaro, Brazil’s former president. The prosecution was a “political witch hunt,” said Rubio, calling it evidence of a “censorship complex so sweeping that it not only violates basic rights of Brazilians, but also … targets Americans.”

Then, in early December, the State Department issued instructions to embassies to reject H-1B visa applications from individuals who had worked specifically in fact-checking, online trust and safety, and mis- or disinformation research, as Reuters first reported. 

A few weeks later, on December 23, the agency announced visa restrictions for five Europeans whom it accused of censoring Americans. This included two CITR members: Imran Ahmed, founder and CEO of the Center for Countering Digital Hate, which documents hate speech on social media platforms, and Clare Melford, cofounder of the Global Disinformation Index, which ranks websites according to how often they publish hate speech and disinformation. Also banned were the former European Union commissioner Thierry Breton, a key architect of the European Union’s Digital Services Act (which the State Department has called “Orwellian” and an example of censorship), and Josephine Ballon and Anna-Lena von Hodenberg, co-CEOs of HateAid, a German nonprofit that fights online hate speech. 

Ahmed, who lives in the US with his American wife and child, quickly filed his own lawsuit to stave off deportation and halt the policy. A preliminary injunction preventing his detention and deportation is in place as the lawsuit continues. 

The Department of Homeland Security referred questions from MIT Technology Review to the State Department, which referred “specific questions” to the Department of Justice, while also writing that “the Trump Administration believes that aliens who are or were involved or complicit in censoring American citizens must face appropriate consequences. An American visa is a privilege not a right.” The Department of Justice did not respond to a request for comment. 

“A gut punch”

Now, more tech researchers are fighting back. 

CITR represents 500 individual and institutional members in 47 countries; 40 are based in the United States, including around 30 noncitizens. The organization argues that US-based tech researchers are experiencing a widespread chilling effect and are having to change or reframe what they’re studying so that it’s less explicitly (or less obviously) about content moderation or countering disinformation. Alternatively, some are leaving the US altogether, or making plans to do so, in order to safely carry out their work. 

CITR member Eirliani Abdul Rahman, a Singaporean online safety expert and a founding member of Twitter’s Trust and Safety Council, is one of these individuals. Her experience was included, though described anonymously, in CITR’s initial legal complaint. 

Back in December 2022, shortly after Elon Musk purchased Twitter, Abdul Rahman and two other Trust and Safety Council members publicly resigned. They spoke out against “red lines” the new owner had crossed, including his reinstatement of accounts that had previously been banned, and noted the marked increase in hate speech on the platform. 

Musk disbanded the council days later, but first he retweeted a post that tagged Abdul Rahman and the others and said: “You all belong in jail.” This led to a level of online harassment, doxxing, and death threats that she had never before experienced. “I was trained as an economist, and I could just see line graphs form in my head of the stochastic jump in what happened,” Abdul Rahman says, referring to the way the dangerous attention spiked after Musk effectively endorsed the other user’s provocation. 

This experience inspired her to pursue a new area of research: using quantitative methods to study and hopefully stop social media harassment “in real time,” she says. 

“The ones that are most harassed are people [who] have historically been marginalized,” she adds. “Most of us know about this already, like it’s intuitive. But until you quantify it, sometimes it’s just not seen and taken seriously.”   

But then Trump was reelected, making the work feel untenable. The US quickly became “a funding desert” for scientific research, she says, with federal support for any research perceived by conservatives to focus on mis/disinformation getting cut. At the same time, tech companies shifted their positions on content moderation to align with the president’s, meaning that her research would be unlikely to have any practical implications: “There’s simply no guardrails around social media anymore,” she says. 

Fast-forward to December 2025, and the travel bans on the five Europeans felt like “a gut punch to the stomach,” Abdul Rahman says. She and Ahmed had both testified earlier in the year before the UK Parliament on the role social media played in spreading false claims about the supposed Muslim identity of a murderer who had killed three British girls; this online activity contributed to violent anti-immigrant and Islamophobic riots across the country in the summer of 2024. 

The targeting of Ahmed and the other Europeans “was the last straw” for Abdul Rahman. Soon after, she left the US for a six-year fellowship in Germany aimed at supporting “international academic freedom”—coincidentally arriving in the country on the same day CITR filed its lawsuit. 

“My body just calmed down,” Abdul Rahman says of landing in Germany. “I didn’t wake up in the middle of the night … always wondering about the next executive order and how it pertained to my situation.”

Abdul Rahman believes this legal battle has implications that reach beyond CITR members and their families. It “pertains to all immigrants in the US to protect our First Amendment rights,” she says.

Additionally, whether fact-checkers, online trust and safety workers, and tech researchers can continue to do their work has a broader impact on anyone who uses the internet. 

Earlier this year, for example, Ahmed’s Center for Countering Digital Hate published widely cited research that Grok’s image-editing feature had generated an estimated 3 million sexualized images, including 23,000 images of children, in an 11-day period. This led to government investigations, lawsuits, and even temporary bans for Grok’s parent company, xAI, across the United States and world. 

“The threats have really sharpened”

MIT Technology Review has reported extensively on this right-wing war on supposed censorship; one of our stories revealing that State Department leadership requested communications records from a now-shuttered office focused on countering foreign disinformation has been included as an exhibit in the CITR lawsuit. This request sought insight into communications with a slew of individuals some far-right activists allege are involved in the “censorship-industrial complex,” including journalists, the German foreign minister, and numerous researchers studying disinformation and hate speech (including Medford, Ahmed, and their organizations).

DeCell tells us that over the past year and a half, there have been more lawsuits against the Trump administration regarding free speech—because “the threats have really sharpened,” she says.

Last year, the Knight Institute sued Rubio on behalf of of university faculty and students who have been arrested, detained, and deported for their pro-Palestinian speech; this past January, a judge ruled that the administration’s deportation policy was unconstitutional. The risk to free speech rights is “palpable” when the government “decides to target people specifically with the threat of rounding them off the streets, throwing them into a detention center, and then potentially deporting them from this country,” DeCell says. 

Though Abdul Rahman is safely abroad for now, she says she’s watching the CITR lawsuit closely. Ultimately, she says, she believes it will determine whether researchers will be able to continue to do their work, “which is to take social media platforms to account,” she says—“making sure there’s actual accountability and independent oversight is critical to protecting our democracies.” 

Green steel startup Boston Metal is doubling down on critical metals

The startup Boston Metal has raised a $75 million funding round to produce critical metals, MIT Technology Review can exclusively report.  

The company has been known largely for its efforts to clean up steel production, an industry that’s responsible for about 8% of global greenhouse emissions today. With the additional money, the new focus could help it survive at a time when support for industrial decarbonization has been waning in the US.

In addition to steel, Boston Metal has also worked to use its technology with other metals, and a subsidiary (Boston Metal do Brasil) is setting up a commercial facility in Brazil to produce niobium, tantalum, and tin. The funding will help support that facility’s operation as well as future efforts to produce critical metals like vanadium, nickel, and chromium, says CEO Tadeu Carneiro. The funding comes after the company faced cash-flow problems following an industrial accident at the Brazil facility earlier this year.

Boston Metal’s core technology is called molten oxide electrolysis (MOE). It involves running electric current through a reactor filled with ore dissolved in a molten electrolyte. The electricity heats everything up to about 1,600 °C (3,000 °F) and drives chemical reactions that separate the desired metal (or metals) from the ore. The metal gathers at the bottom of the reactor, where it can be siphoned off.

In early 2025, Boston Metal completed the largest run of its pilot industrial cell in Woburn, Massachusetts, producing about a ton of steel.

But the focus is currently on making other metals, which are more valuable and can command a higher price. The company’s Brazilian subsidiary is working to test and start up an industrial-scale plant that takes in a low-grade material and makes a mixture of critical metals. Niobium, for example, is used in some steel alloys, as well as in alloys used to make jet engines and the superconducting magnets of MRI scanners. Tantalum is used in aerospace applications like rocket nozzles and turbine blades, as well as medical devices and electronics.

Construction on the Brazil plant kicked off in 2024 and took about 18 months, but the company ran into some challenges that delayed official startup.

In January there was an issue with the plant’s refractory system, the equipment that insulates the reactor and prevents corrosion. That caused electrolyte to leak. Operators shut down the system and removed the metal, and there weren’t any injuries or environmental issues, Carneiro says.

But the leak did interfere with the timeline for the plant’s opening, which meant the company missed a milestone and lost out on funding that had been committed. It restructured and laid off 71 employees in April.

This new funding will help support the plant moving forward. “Because of this delay, we had a big stress in our cash flow, so the investors came very strong to support us,” Carneiro says. Boston Metal is repairing the facility in Brazil now, and it should be ready to start up in September 2026, he adds.  

The funding will also help support other critical metals projects, Carneiro says. The company plans to eventually deploy a US plant to produce chromium, a metal the country imports nearly all its supply of today. 

Boston Metal has now raised over $500 million in total. The latest round of funding includes support from existing investors and from the massive Indian steel company Tata Steel Unlimited.

Making a higher-value critical metal now could help Boston Metal prove its technology and pave the way for future steel projects, says Seaver Wang, director of climate and energy at the Breakthrough Institute. “Nobody wants to pay a green premium for steel—hence niobium,” he adds.

Factors associated with psychological distress among family caregivers of preschool children with autism: an analysis

ObjectiveTo identify factors associated with psychological distress among family caregivers of preschool-aged children with Autism Spectrum Disorder (ASD) using LASSO regression and random forest algorithms.MethodsA convenience sampling method was employed to recruit 213 caregivers of preschool-aged children with ASD from three institutions in Urumqi between December 2023 and October 2024. Participants completed a demographic questionnaire and the Symptom Checklist-90. Predictors were screened through LASSO regression, and a random forest risk assessment model was constructed and validated on the test set. A logistic regression model was simultaneously developed for comparative validation.ResultsThe top five factors associated with caregivers’ psychological distress are comorbid conditions in children with ASD, daily care hours, marital status, the severity of the child’s ASD, and employment status. The model outperformed logistic regression on both the training set (AUC = 0.845, sensitivity=0.893, specificity=0.913, accuracy=0.933, F1 score=0.901) and test set (AUC = 0.87, sensitivity=0.733, specificity=0.727, accuracy=0.710, F1 score=0.721). Decision curve analysis demonstrated clinical utility across threshold probability ranges of 0–0.85.ConclusionFactors associated with psychological distress among autism caregivers include comorbidity status, caregiving duration, marital status, disease severity, and employment status. These findings provide evidence-based guidance for early psychological intervention targeting high-risk caregivers.

Lifestyle, psychological and demographic predictors of anxiety: insights from a large-scale survey and machine learning analysis

ObjectiveAnxiety is influenced by a combination of lifestyle, psychological, and demographic factors. This study aimed to evaluate these associations and explore the potential of machine learning in predicting anxiety severity.MethodsAnxiety levels were evaluated using a large survey-based dataset of 11, 000 adults alongside demographic, physiological, and psychological measures. Descriptive statistics and inferential analyses were conducted in IBM SPSS to identify associations between key variables. Several machine learning regression algorithms, including linear, regularized, and ensemble models, were implemented in Python to predict anxiety levels. Model performance was evaluated using standard error metrics.ResultsOur findings revealed significant associations of anxiety with stress and sleep duration, while demographic attributes such as family history of anxiety and occupation also influenced outcomes. Ensemble machine learning algorithms achieved superior performance compared to single and linear-model approaches. Feature importance analysis identified stress, sleep, and caffeine intake as top predictors of anxiety.ConclusionsThe integration of statistical approaches with machine learning applications highlights the multifactorial nature of anxiety and demonstrates the potential of predictive modeling in mental health care. Future research should emphasize longitudinal designs and the incorporation of biological and digital markers to enhance clinical applicability and prediction.

Seasonal and gender-specific patterns in prescriptions for hypnotic and sedative medications in primary care

IntroductionPopulation-level prevalence of sleep disorders can be assessed using prescription data for hypnotic and sedative medications. Such prescribing patterns exhibit seasonality that may be linked to variations in daylight exposure. The aim of this study was to analyze temporal trends in prescriptions for drugs with sedative-hypnotic properties.MethodsPrescription data for hypnotics and sedatives were analyzed retrospectively and stratified by month, year, and patient gender. Seasonal patterns, associations with day length, and the effects of transitions between daylight saving time and standard time were examined. Changes in prescription numbers during the COVID-19 pandemic were also assessed. Relative differences in prescription counts were evaluated using incidence rate ratios (IRR).ResultsPrescription numbers were lowest in summer (May–August) and highest in winter and early spring. Increasing day length was significantly associated with reduced prescription rates. A decline in prescriptions occurred earlier and was more pronounced in men (February–September; IRR 0.88–0.95), whereas in women the changes were weaker and mainly limited to summer months (June–August; IRR 0.94–0.97), with a slight increase observed in February. During the COVID-19 pandemic, prescription numbers decreased significantly. Transitions between standard and daylight saving time exerted measurable short-term effects on sleep-related health at the population level.ConclusionsBased on data from a single primary care center in Poland, prescribing patterns for hypnotic and sedative medications demonstrate clear seasonality and significant gender differences. Longer daylight exposure and transitions to daylight saving time are associated with lower prescription rates. The COVID-19 pandemic substantially disrupted previous trends in sleep medication prescribing, which may be related to reduced access to healthcare services and changes in healthcare delivery. In addition, transitions between standard and daylight saving time were associated with statistically significant short-term changes in prescription rates.

Exploring the life stories of young adult men in prison with a history of dual harm

People who engage in both self-harm and violence (‘dual harm’) in prison cause widespread disruption to prison services. Whilst the behavioural profile of such individuals is gaining attention, there is very little research which explores their life histories and how these contextualise their dual harm. This study qualitatively explored how five young men in a medium secure prison in England with a history of dual harm (in the community, prison, or both) made sense of their life experiences and engagement in dual harm behaviours. Participants were interviewed using an in-depth life story interview protocol. A narrative analysis identified three themes: ‘Beginning: Making sense of a traumatic childhood’, ‘Middle: Exploring challenges during late adolescence’ and ‘End: Who I am now, and who I must be’. These themes, grounded in life experiences and associated meaning, offer valuable insights into the underpinnings of dual harm behaviours and direction for interventions addressing dual harm in prisons. The paper concludes with a discussion of key implications and directions for future research and practice in relation to the support and management of people who dual harm in custody.