Literature Review On Mental Health

Elderly adults make up only 12% of the U.S. population, but account for over 18% of all suicide deaths which is the 10th leading cause of death in the United States (McQueen, 2012). Older adults, especially men 84 years and older, have the highest rates of suicide of any age group (McQueen, 2012).There are many elderly people who take their lives either by their own hands or with the help of a physician or loved one each year. Studies have shown this is due to depression, pain, grief, loneliness, alcoholism and career stress (McQueen, 2012). Fortunately, these are all treatable conditions that could be easily recognized by physicians and family members. Having experienced a couple of suicides by extended elderly

Mental health is a complex phenomenon that consists of a range of diagnoses, treatments and outcomes. Recovery from such experiences has historically meant to completely remove all symptoms of illness, but is now currently thought of as regaining a sense of control over and development of a new meaning and purpose in one’s life, rather than feeling defined by the illness. Each individual understands it in their own personal way, likened to a journey towards self-determination, choice, and empowerment.

Suicide was seen as a just way to die if one was faced with unendurable suffering - be it physical or emotional”. Throughout time, suicide has been viewed and dealt with in countless ways. Recently in America, the problem has grown increasingly. In the past decade, suicide rates have been on the incline; especially among men. According to the New York Times (2013), “From 1999 to 2010, the suicide rate among Americans ages 35 to 64 rose by nearly 30 percent… The suicide rate for middle-aged men was 27.3 deaths per 100,000, while for women it was 8.1 deaths per 100,000”. A 30 percent increase with an average of 19 more male suicides than female suicides is certainly an issue for both genders, and an epidemic for men. The American Foundation for Suicide Prevention (n.d.), found that in 2010, 38,364 suicides were reported, with 78.9% being men. The economic recession, unemployment, and various other factors are speculated to be responsible for this incline in male suicide. As of 2010, an estimated 30,308 men ended their own lives, and it seems as if there is a great risk of that number increasing each year.

Over the past decade suicide rates have been either stagnant or have been decreasing over all of the demographics of people. One demographic of people's suicide rate, on the other hand, has risen at a substantial rate. Scientists and researchers have just started studying this trend and have yet to draw one specific reason on why middle aged white males suicide rates are climbing. The suicide rate for this demographic of people has just surpassed the deaths by automobile accidents. This recent epidemic has got many researchers and scientists asking the question of “why?”.

Throughout the years suicide rates have increased and is a significant public health issue. According to the American Foundation for Suicide Prevention, suicide is the 10th leading cause of death in the United States. However, suicide rates are high among the elderly, yet research on suicide prevention in older adults remains neglected.

Healthy People 2020 set a goal of reducing the number of completed suicides among the adult population by ten percent. This is a reoccurring theme from Healthy People 2010, where the goal was to reduce the number of suicides from 10.5 to 4.8 per 100,000. Unfortunately, from 2003 to 2013, rate of death from suicide has steadily increased to the current rate of 13.0 per 100,000 deaths (Center for Disease Control and Prevention, 2013). The goal of Healthy People 2020 is to improve the health of our Nation over the next ten years, from a baseline set of data (U.S. Department of Health and Human Services, 2014). Though suicide is not an illness, it typically is an untreated or undermanaged mental illness that results in a person resorting to

Healthy People 2020 is a government site that identifies health concerns based on statistics observed and collected over a ten-year period. Mental Health and Mental Disorders is one of the many health concerns or topics listed on their website and has been further subcategorized into objectives and goals (U.S. Department of Health and Human Services [HHS], 2015). The first objective listed under this topic states “reduce the suicide rate” (HHS, 2015). The goal of this objective is to “reduce the suicide rate by ten percent” (HHS, 2015). Suicide is prevalent among varying age groups, ethnicities, and genders (HHS, 2012). It is an increasing problem prompting Healthy People 2020 to label it as a Leading Health Indicator or an extremely important issue (HHS, 2015). To meet their goal, Healthy People 2020 partnered with the U. S. Surgeon General and the National Action Alliance for Suicide Prevention (NAASP) to create a plan that can be utilized throughout the nation. Their plan focuses on removing the stigma associated with mental health and mental health disorders while simultaneously building supportive communities with increased access to care, creating a standardized model promoting the collaboration of health care professionals in order to increase identification and data collection of high-risk patients and provide continuity of care, and ensuring the education and the adequacy of patient support systems.

Psychological research has had a fundamental impact on mental health in the UK, for instance, it has ignited new treatments and made the practices of organisations like the NHS more efficient. However, some may critique the impact research has actually had, for example, the change that has actually occurred because of research. Looking at the impact of research is vital because surely one of the main aims of research is to positively benefit patient’s lives. It means changes in the practices of health organisations are well-informed resulting in effective changes, improving efficiency of health organisations. There has been much research carried out into the stigma of mental health disorders, biological causes e.g. role of dopamine in schizophrenia and new therapies that have emerged- which will all be assessed.

Every suicide effects more than the individual’s life, in truth it impacts families, communities and economic well-being of our nation. According, Piscopo, Lipari, Cooney, and Glasheen, (2016) “Suicide is an important public health problem in the United States and a tragedy for all involved—families, friends, neighbors, colleagues, and communities. In 2014, suicide was the 10th leading cause of death in the United States overall.1 Among people aged 10 to 34, suicide was the second highest cause of death, and for those aged 35 to 54, it was the fourth highest cause of death” (p. 2).

One of the first causes of the suicide at the young people is depression. “According to a survey done using the psychological autopsy method, 70–90% of those who committed suicide had evidence of some mental disorder when alive, and 60–70% were depressed.” (TAKAHASHI, 2001) We consider that approximately 10 % of young adult know a period of depression, and that two thirds of them are females. “Women are twice as likely as men to have depression.” (D. Smith,

Depression is a mental health mood disorder that affects a person’s ability to function in the society, and it has increased over the years. It affects 1 in 6 persons in the United States or approximately 17.6 million Americans yearly (Andrew & Brenner, 2012). Depression affects a person’s ability to function physically, socially, psychologically and economically. . It does not only affect the individual it also affects the family and friends. It is estimated that 10-14 million people yearly will be diagnosed with depression and women age 18- 48 account for the largest proportion (National Alliance on Mental Illness, 2009). Although depression is diagnosed more in women than in men, men are more likely to commit suicide due to depression. The factor of men that commit suicide is 4.5: 1. White men comite78% of all suicide, 56% of suicide in male involve firearm while poison is more common among women. The increase in depression is caused by chronic illness, personal life experiences and life style changes. And the economic cost is estimated at $30- 44 billion annually in the United States (Andrew & Brenner, 2012). Detecting depression early and using the appropriate treatment will prevent frequent

Suicide and dementia are two rising phenomena’s in society today. Dementia is seen in older citizens, and “the prevalence of severe dementia can reasonably be estimated as approximately 4% in persons over age 65” (DEMENTIA BOOKp.17). Suicide is seen among teens, and people suffering from mental illness. Now, there is a correlation between suicide and dementia starting. Suicide is “death caused by self-directed injurious behavior with an intent to die as a result of the behavior” (Violence Prevention). People who commit suicide think that there is no reason for them to be alive, and that no one cares about them. They feel they are better off dead. Some people have suicidal ideations, where they think about taking their life, and some attempt

Each year in the United States approximately 30,000 or 12.93 per 100,00 (prevalence) persons die each year as a result of suicide with an additional 500,000 making a failed attempt. However, in 2013 the official number of reported deaths by suicide totaled 41,149 or 1.6 percent of all reported deaths in the U.S, thereby making suicide the 10th leading cause of death (American Association of Suicidology, 2015). When comparing global suicide statistics, the U.S. ranks 47th amongst the 116 countries included in the study, and although other countries fair far worse, it is important to note, suicide is preventable (World Health Rankings, 2014). These startling statistics are reversible if, we as a society act to dismantle the stigma associated with both emotional and mental disorders given they are often the precursor of suicidal ideation.

Suicide is a main source of death around the world and ranks among the three main causes of death among young adults aged between 15-45 years. Indeed, a response to this continuous worldwide issue, the World Health Organization called for the prevention of suicide (WHO, 2015). Several studies have evaluated some of the contributing factors, however, the connection between suicide and the evaluated factors is conclusively positive or negative.

Suicide is currently the 10th leading cause of death in the United States (Suicide and Self-Inflicted Injury, 2017). On average, 121 Americans complete suicide each day (CDC Fatal Injuries Report 2015, 2015). The American people are living longer with advances to medical care and technology, yet suicide rates continue to rise. According to the CDC, suicide rates have increased by 24% from the year 1999 to 2014 (Curtain, Warner & Hedegaard, 2016). Consequently, the suicide epidemic continues to grow with no clear path to prevention. This literature review was conducted using the Robert Morris University Library online databases. Databases accessed include PubMed…………., from the years 2000 to 2017. Overall, most the articles obtained are