Реферат: Mental Or Substance Abuse Disorder Essay Research
Название: Mental Or Substance Abuse Disorder Essay Research Раздел: Топики по английскому языку Тип: реферат |
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 attempts is also reason for concern and watchfulness. Approximately one-third of teens who die by suicide have made a previous suicide attempt. It should be noted as well that while more females attempt suicide, more males are successful in completing suicide. Causes While the reasons that teens commit suicide vary widely, there are some common situations and circumstances that seem to lead to such extreme measures. These include major disappointment, rejection, failure, or loss such as breaking up with a girlfriend or boyfriend, failing a big exam, or witnessing family turmoil. Since the overwhelming majority of those who commit suicide have a mental or substance-related disorder, they often have difficulty coping with such crippling stressors. They are unable to see that their life can turn around, unable to recognize that suicide is a permanent solution to a temporary problem. Usually, the common reasons for suicide listed above are actually not the “causes” of the suicide, but rather triggers for suicide in a person suffering from a mental illness or substance-related disorder. More recently, scientists have focused on the biology of suicide. Suicide is thought by some to have a genetic component, to run in families. And research has shown strong evidence that mental and substance-related disorders, which commonly affect those who end up committing suicide, do run in families. While the suicide of a relative is obviously not a direct “cause” of suicide, it does, perhaps, put certain individuals at more risk than others. Certainly, the suicide of one?s parent or other close family member could lead to thoughts of such behavior in a teen with a mental or substance-related disorder. Research has also explored the specific brain chemistry of those who take their own lives. Recent studies indicate that those who have attempted suicide may also have low levels of the brain chemical serotonin. Serotonin helps control impulsivity, and low levels of the brain chemical are thought to cause more impulsive behavior. Suicides are often committed out of impulse. Antidepressant drugs affecting serotonin are used to treat depression, impulsivity, and suicidal thoughts. However, much more research is needed to confirm these hypotheses and, hopefully, eventually lead to more definite indicators of and treatment for those prone to suicide. How to Help Since people who are contemplating suicide feel so alone and helpless, the most important thing to do if you think a friend or loved one is suicidal is to communicate with him or her openly and frequently. Make it clear that you care; stress your willingness to listen. Also, be sure to take all talk of suicide seriously. Don?t assume that people who talk about killing themselves won?t really do it. An estimated 80 percent of all those who commit suicide give some warning of their intentions or mention their feelings to a friend or family member. And don?t ignore what may seem like casual threats or remarks. Statements like “You?ll be sorry when I?m dead” and “I can?t see any way out,” no matter how off-the-cuff or jokingly said, may indicate serious suicidal feelings. One of the most common misconceptions about talking with someone who might be contemplating suicide is that bringing up the subject may make things worse. This is not true. There is no danger of “giving someone the idea.” Rather, the opposite is correct. Bringing up the question of suicide and discussing it without showing shock or disapproval is one of the most helpful things you can do. This openness shows that you are taking the individual seriously and responding to the severity of his or her distress. Bibliography yo mama can suck it |