Mental Or Substance Abuse Disorder Essay, Research Paper
Most everyone at some time in his or her life will experience periods of anxiety,
sadness, and despair. These are normal reactions to the pain of loss, rejection, or
disappointment. Those with serious mental illnesses, however, often experience
much more extreme reactions, reactions that can leave them mired in hopelessness.
And when all hope is lost, some feel that suicide is the only solution. It isn.t.
According to the National Institute of Mental Health, scientific evidence has shown
that almost all people who take their own lives have a diagnosable mental or
substance abuse disorder, and the majority have more than one disorder. In other
words, the feelings that often lead to suicide are highly treatable. That.s why it is
imperative that we better understand the symptoms of the disorders and the
behaviors that often accompany thoughts of suicide. With more knowledge, we can
often prevent the devastation of losing a loved one.
Now the eighth-leading cause of death overall in the U.S. and the third-leading
cause of death for young people between the ages of 15 and 24 years, suicide has
become the subject of much recent focus. U.S. Surgeon General David Satcher,
for instance, recently announced his Call to Action to Prevent Suicide, 1999, an
initiative intended to increase public awareness, promote intervention strategies, and
enhance research. The media, too, has been paying very close attention to the
subject of suicide, writing articles and books and running news stories. Suicide
among our nation.s youth, a population very vulnerable to self-destructive
emotions, has perhaps received the most discussion of late. Maybe this is because
teenage suicide seems the most tragic.lives lost before they.ve even started. Yet,
while all of this recent focus is good, it.s only the beginning. We cannot continue to
lose so many lives unnecessarily.
Some Basic Facts
In 1996, more teenagers and young adults died of suicide than from cancer,
heart disease, AIDS, birth defects, stroke, pneumonia and influenza, and
chronic lung disease combined.
In 1996, suicide was the second-leading cause of death among college
students, the third-leading cause of death among those aged 15 to 24 years,
and the fourth- leading cause of death among those aged 10 to 14 years.
From 1980 to 1996, the rate of suicide among African-American males
aged 15 to 19 years increased by 105 percent.
It is a hopeful sign that while the incidence of suicide among adolescents and young
adults nearly tripled from 1965 to 1987, teen suicide rates in the past ten years
have actually been declining, possibly due to increased recognition and treatment.
(1996 is the most recent year for which suicide statistics are available.)
Suicide “Signs”
There are many behavioral indicators that can help parents or friends recognize the
threat of suicide in a loved one. Since mental and substance-related disorders so
frequently accompany suicidal behavior, many of the cues to be looked for are
symptoms associated with such disorders as depression, bipolar disorder (manic
depression), anxiety disorders, alcohol and drug use, disruptive behavior disorders,
borderline personality disorder, and schizophrenia.
Some common symptoms of these disorders include:
Extreme personality changes
Loss of interest in activities that used to be enjoyable
Significant loss or gain in appetite
Difficulty falling asleep or wanting to sleep all day
Fatigue or loss of energy
Feelings of worthlessness or guilt
Withdrawal from family and friends
Neglect of personal appearance or hygiene
Sadness, irritability, or indifference
Having trouble concentrating
Extreme anxiety or panic
Drug or alcohol use or abuse
Aggressive, destructive, or defiant behavior
Poor school performance
Hallucinations or unusual beliefs
Tragically, many of these signs go unrecognized. And while suffering from one of
these symptoms certainly does not necessarily mean that one is suicidal, it.s always
best to communicate openly with a loved one who has one or more of these
behaviors, especially if they are unusual for that person.
There are also some more obvious signs of the potential for committing suicide.
Putting one.s affairs in order, such as giving or throwing away favorite belongings, is
a strong clue. And it can.t be stressed more strongly that any talk of death or
suicide should be taken seriously and paid close attention to. It is a sad fact that
while many of those who commit suicide talked about it beforehand, only 33
percent to 50 percent were identified by their doctors as having a mental illness at
the time of their death and only 15 percent of suicide victims were in treatment at
the time of their death. Any history of previous suicide a
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