Stigma And Suicide : A Mental Health Problem

When a person with mental illness feels stigmatized among the community they seek health care professionals who can help them feel better. Consumers expect to have understanding and respect in the health sector. Unfortunately, some consumers experience the opposite way and they also felt the stigma with health care providers (SANE Australia 2013).

One of the biggest contributors for poor healthcare is the stigma against mental health. This stigma allows healthcare providers to view those with a mental illness as having low relevance, thus creating disinclination towards providing adequate resources and/or care. This negative stance, based on misinformation and prejudice creates those that have a mental illness to lose their self confidence. Because of this loss, people with mental illness decide not to contribute to their health or livelihood. In the past fifty years, many advances have been made in mental healthcare. However, with the attached stigma, many people choose to not seek out treatment.

The Ontario Government has been responsive to the way stigma acts as a barrier to help with its 2012 “Opening Minds Healthy Minds Initiative” with its broad mandate to address the way Canadians view mental illness. The program’s goal is to effect change that will improve

In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.

Society has stereotyped views about ill health or mental health needs and how it affects people. Many people believe that people with mental ill health are violent and dangerous, when they are the ones that are more at risk of being attacked or harming themselves than harming other people. Stigma and discrimination can also worsen someone’s mental health problems and delay their help and treatment. Stigma and discrimination can trap people in the cycle of illness.

To many a stigma is a disgraceful flaw, that of a negative presence. In mental health this stigma is overwhelming. Approximately 57.7 million Americans experience a mental health disorder in any given year. (National Alliance on Mental Illness) People in dire need of help are not seeking it. Mental illnesses are going undiagnosed. The mental health stigma is having a negative impact on the proper diagnosis and treatment of mental illnesses.

Canada’ mental health system has struggled to implement compassionate mental health treatment and the persistent problem of stigmatization negatively impacts its development. There are prevailing misconceptions and misunderstanding that result in those with mental illnesses being labelled as “idiots”, “imbeciles” and lunatics" (Kirby & Keon, 2004). Fighting this stigma is of paramount importance to ensure the support of those with mental illness and enable them to seek the necessary treatment.

The Canadian Mental Association says in any given year, 1 in 5 people in Canada will personally experience a mental health problem or illness. Among people that have died from suicide, it’s been estimated that 90% were experiencing a problem with mental health or illness. Yet nearly 60% of people under 25 who’ve receives treatment for mental illness report facing stigma and discrimination. Both of which been shown to be serious barriers to

al, 2015; Pearl et. al, 2017). Because of this, it is important that future studies are conducted that investigate the prevalence of the mental health stigma in the United States so that nation-wide programs may be directed to reduce the stigma surrounding mental illness. Enumerating on the negative effects of the mental illness stigma is relatively easy given the fact that there is considerable research on the subject. For example, Corrigan (2004) notes that mental health stigma is linked to decreased access to mental health care in those who need it, which in turn exacerbates their situation and further perpetuates the idea that lack of proper mental health care is acceptable. According to Oexle et. al (2015), mental illness stigma is linked to a higher risk for suicidal ideation and feelings of hopelessness in those with mental health problems, which results in an increased risk of suicide. In addition, the effects of the stigma can be seen throughout the therapeutic process. As Pearl et. al note (2017), increased internalized stigma is associated with worse mental health condition, and decreased stigma results in decreased symptomatic severity in those with mental health issues. This means that if someone feels highly stigmatized throughout the treatment process that they will likely recover more slowly than those who feels less stigmatized. This again proves why it is important to study which populations suffer the most from mental health stigmatization so that it can be properly addresses in hopes of reducing the countless negative effects associated with

Stigma has been said to be “a feeling of being negatively differentiated owing to a particular condition, group membership or state in life”(Arboleda-Florez & Stuart, 2012, p. 458). There are typically two types of mental illness stigma that are discussed. Public stigma, also known as societal stigma, is the stigma associated with the prejudicial attitudes the public holds towards those people who suffer from mental illness (Arboleda-Florez & Stuart, 2012; Corrigan, Markowitz, Watson, Rowan & Kubiak, 2003). Self-stigma, also known as internalized stigma, is the loss of self-esteem, withdrawal, and personal shame that some with mental illness will experience. Self-stigma is usually developed when those who suffer from mental illness associate the negative stereotypes the public holds with themselves (Chronister, Chou, & Lieo, 2013; Corrigan et al., 2003).

Mental health—and the stigma that comes along with it—is a very important issue, one of global importance. Shah and Beinecke explain that 450 to 500 million people suffer from mental illnesses (15). Just considering the amount of people who suffer from mental illness is enough to prove that this is a global issue. Despite the large amounts of people who are affected by mental illness, only one third of countries have some sort of program to help (15). This shows the lack of concern for those who suffer from mental illness. Stereotypes affect many people, and those with mental illness are no exception. Everyone has their own preconceived perspectives and notions of mental health, and many of them are uninformed and unjustified. It is up to us to start changing our viewpoints on mental health.

Mental illness stigma prohibits people from getting the treatment they need, as a result suicide is highly prevalent among untreated sufferers.An instance in which this can be seen is in the statics of the individuals who commit suicide. According to the Oklahoma Department of Mental Health and Substance Abuse Services, because of stigma around mental illness, “90% of individuals who die by suicide [had an] untreated mental illness”. Since a large majority of the individuals who do commit suicide do have an untreated mental illness, it can be seen that stigma around mental illness is a very common occurrences barring people from getting the help they need. This shows that reducing stigma around mental health would save a large percentage of people from committing suicide and also allow them to feel as if they can seek professional treatment.

There are many stigmas, or misconceptions and misperceptions in our society which need to be shattered. I believe that one of the worse possible effects of stigma is that it causes those affected by psychological disorders, or mental illness, to crawl more deeply into themselves because it provokes a sense of shame. Stigma thrusts those suffering with mental illness into a sense of isolation, social exclusion, and discrimination. “Stigma can lead to discrimination … It may be obvious or direct … Or it may be unintentional or subtle…” (Staff). Stigma is often as big as the illness itself and I confess to having been a perpetuator of this dreaded thing, although not consciously aware and without the intent of furthering the harm of someone.

There is a stigma in our country regarding mental health and its treatment. These stigma are divided between social stigma and perceived or self-stigma. Social stigma are those that society places negative feelings towards a certain group, which can lead to discrimination. Perceived or self-stigma are those internalized feelings of the mentally ill individual on how they feel society views them. Both types of stigma can lead to negative feelings of the mentally ill individual through feelings of shame, depression, hopelessness, and anxiety. Current policies on mental health are limited by federal legislation and may only address the aspect of public discrimination.

Individuals with serious mental illness are doubly affected by their disease; not only do they experience the often debilitating symptoms of their condition, but they must also endure mundane mental health stigmas and prejudices. Stigmatized attitudes are perceived to be one of the greatest impediments to living a complete and fulfilling life. Stigma has been defined as a combination of three related problems: ignorance, prejudice and discrimination (Rose, Thornicroft, Pinfold, & Kassam, 2007). Ignorance implies a lack of knowledge, prejudice entails negative attitudes, and discrimination involves exclusionary actions against people deemed to be different. Two forms of stigma are commonly distinguished in literature. Public stigma describes the attitudes of society towards people with mental illness, while self-stigma results from the internalization of prejudice by people who suffer from mental health conditions (Corrigan, Powell, & Rüsch, 2012). The World Health Organization announced that stigma was the most crucial obstacle to overcome for a community to functioning effectively and efficiently (Ontario Hospital Association, 2013).