Suicide Rates In America

"More people in the general population die from suicide than homicide in North America. There are almost 11 suicide deaths each year for every 100,000 people living in the United States, and for every suicide, there are between 8 and 25 attempts" (Brent 4203). Based on this research, the great effect of suicide is displayed. According to dictionary.com, suicide can be defined as "the intentional taking of one's own life." Suicide is a major issue for all people, but it most obviously affects those ranging from ten to twenty-four. People need to understand the tremendous ramifications caused from suicide everyday; when people take their lives, others lose their loved ones. Suicide, one of the leading causes of death of numerous people each day, has reached a crisis point for adolescents and young adults, and it needs to be prevented.

Suicide has been rising at alarming rates; the overall suicide rate for children and adolescents has increased over 300% since the 1950s. (Miller, 2009) Adolescent children are screaming out for our help, are we just ignoring the signs or do we not care? For young people, an average 1,800 take their own lives and 85,000 are hospitalized for attempts nationally (CDC, 2008). With this kind of statistics we need to step in and take some action.

According to the World Health Organization, mental illness will affect approximately 25% of people at some point in their life (“WHO Qualityrights”, n.d.). Despite that, the current mental health care system in the United States is inadequate. Many aspects of the system need improving, especially the barriers to service. In fact, approximately 20% of individuals are left without necessary treatment for their mental health disorder (“Mental Health”, 2016). Mentally ill individuals have difficulty accessing necessary mental health care services for various reasons; insurance, socioeconomic status, and mental health stigma can all function as barriers to treatment. Insurance discrimination can make it difficult for individuals to find treatment (Han, Call, Pintor, Alarcon-Espinoza, & Simon, 2015). Gaps in insurance coverage can also be a barrier, as they disrupt the long-term treatment process (Gulley, Rasch, & Chan 2011). Socioeconomic status has been found to negatively affect appointment scheduling (Kugelmass, 2016). Finally, stigma in our society can also stop people from seeking out treatment that they need (Bathje & Pryor, 2011). The mental health system in the United States is not capable of caring for the mentally ill, as insurance, socioeconomic status, and perceived stigma all act as barriers that prevent people from receiving the treatment they need.

An interesting finding by Huskamp and Iglehart (2016) is that between the Mental Health Parity Act (MHPA) and the Affordable Care Act (ACA), there should be a rise in people with mental illness seeking services, however, services are underutilized more than ever (Huskamp & Iglehart, 2016). According to Bendant (2014), in 2013 a total of 47 million people uninsured and 25% of those suffer mental illness (Bendant, 2014). These numbers are staggering for a service that is more inclusive now more than ever. The Center for Medicare & Medicaid Services (CMS) site indicates that the MHPA is regulated differently depending on the state (CMS, n. d.). The Department of Labor (DOL) has identified a few problems with the MHPA and addressed these issues to Congress via a 2017 report (DOL, n.

Mental illness is nondiscriminatory, can affect any person and transcends all social boundaries. As a result, the issues surrounding mental illness have become common discussion pints among policymakers dedicated or required to formulate solutions around providing the long-term care needed by many patients. Healthcare reforms and changes to the systems that provide services to those living with mental illness and funding for services to the facilities providing care have become major social issues (Goldman, Morrissey, Ridgley, Frank, Newman, & Kennedy, 1992). The reason for this is primarily how it can affect a market economy and how much of a burden diseases of the mind can be in a country such as the United States. According to the 1991 Global Burden of Disease study conducted by the World Health Organization mental health burden accounted for “more than 15% in a market economy such as the U.S.” (The Impact of Mental Illness on Society, 2001). The study also states that for individuals over the age of 5, varying forms of depression are the leading cause of disability. A more recent study indicates that mental illness in general is found in more than 26% of the United States adult population, of which 6% are severe and limit the patient’s ability to function (Martin, p. 163. 2007).

In 2014, suicide was the tenth leading cause of death overall in the United States. According to the National Institute of Mental Health (NIMH, 2015), there were twice as many suicides than there were homicides. Suicidal ideation (SI), defined as an individual thinking about, considering, or planning their suicide, is established before the act of committing suicide. Research suggests that adverse childhood experiences (CDC, 2015) will put an individual at risk for developing a mental illness that could result in SI and suicide attempt (SA). It is important for the psychiatric mental health nurse practitioner (PMHNP) to recognize the signs of SI and SA while assessing their client.

What is left is that we have many citizens who are mentally ill and are not receiving treatment. However the patients who are able to receive treatment are only able to have some treatment covered. Health insurers are responsible for covering the immensely large cost of substantial treatment, a mixture of medication and therapy; since therapy is highly priced, less reliable, and time consuming; patients typically do not receive treatment for therapy. Health insurers would much rather cover medication because it is cheaper, it heals patients faster, and it is more reliable than therapy. However, medication is not made to heal, but to only coax symptoms of a mental illness (Sandberg).

Through environmental and technological innovations, health care in the industrialized world has been transformed over the past two centuries. This transformation also applies to mental health care. With the discovery and acceptance of psychology as a legitimate health science in the past one and a half centuries, mental health has been gradually integrated into the broad health care schema as primary and preventative medicine. However, even with this gradual integration, mental health care in the United States leaves much to be desired. Even after the passage of the 2010 Patient Protection and Affordable Care Act (ACA), this type of care falls short of

Mental illness is a major burden on society that is not given enough attention or resources, especially in the United States. The continued neglect of these needs concerning related conditions dates back to the beginning of history, while diagnoses and the need for adequate care have only continued to rise. These inequalities in the United States mental health care system create enormous ethical challenges for these individuals in receiving health care. “In 2007 about 11% of adults (23.7 million) in the United States experienced serious psychological distress, such as anxiety and mood disorders, that resulted in functional impairment that impeded one or more major life activities” (Sundararaman, 2009,

In today’s society there is a greater awareness of mental illnesses. With this greater awareness one might assume that there would be a substantial increase in government involvement or funding in the area of mental illness treatment. Unfortunately this isn’t the case in the U.S. today. There are hundreds of thousands of people with mental illness that go untreated. These potential patients go untreated for many reasons. These reasons are discussed in the Time article “Mental Health Reform: What Would it Really Take.

Every year, as many as 8 million Americans who have serious mental illnesses do not receive adequate treatment. Kelly, a mother of three, has battled depression for 15 years. Her psychiatrist tried to have her admitted, but there was not a single available bed. Not in the city, not in the entire state. Kelly is one of the millions of people who were turned away from services. “States looking to save money have pared away both the community health services designed to keep people healthy, as well as the hospital care needed to help them heal after a crisis” (Szabo). Thomas Insel, director of the National Institute of Mental Health, states that mental illnesses cost the country at least $444 billion a year, with only one-third of it going towards medical care. States should better fund mental health care because it has been neglected, it is a vital part to a person’s overall health, and it should be listed as a priority.

Response: In today's society, it is apparent that we are facing a mental health crisis. The lack of mental health care has had disastrous effects on this Nation. To address the issue, our society must first concern ourselves with how ordinary people pay for mental health care. The way people pay for mental health services today is not sufficient. Most states have laws in place making it a requirement for insurance companies to provide mental health care. However, because health care providers create limits on how many mental health professionals are on their panel, and thanks to the inordinate amount of people seeking care, health providers purposefully make it difficult to acquire mental health care in order to save money. This intern means that people seeking mental health care often do so at their own monetary expense.

With 33 million Americans utilizing healthcare services as a means to manage mental health conditions and illnesses, adequate delivery of mental healthcare, treatment, and practice is becoming increasingly more important in the American landscape of wellness (SAMHSA, 2004a). The mental health system continues to be a challenging area of healthcare, due to: increased usage of coercion into treatment, diversity in care delivery systems, an unevolved quality measurement mechanism, and a drastically different business and marketplace infrastructure. These factors added to the, already, present stigma associated with mental health, culminates into an extremely

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).

Mental illness refers to all diagnosable mental disorders defined as “health conditions that are characterized by alterations in thinking, mood or behavior (or some combination thereof) associated with distress and/or impaired functioning.” (Williams & Torrens, 2008, p. 221) With one in every five American adults experiencing mental illness, the resulting economic burden exceeds $300 billion per year to include approximately $100 billion in direct health care expenditures, $24 billion in disability benefits, and $193 billion in lost earnings. (Insel, 2008) This estimate is conservative as it excludes the components of incarceration, homelessness, comorbid conditions, early mortality and the incalculable costs to families that absorb much of the financial and emotional burdens of these illnesses. Despite the fact mental illness contributes over 6% to the nation’s health care spending; the United States (U.S.) mental health system has historically lacked integration with physical medicine and public policy support. (Insel, 2008)