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Monday, February 4, 2019

The Suicide Epidemic by Kathleen Devoll


Imagine every day you wake up you face the day with unbelievable pain.  The pain is so great it leaves a constant weight on your chest. Weight so heavy that it causes you to constantly focus solely on breathing. Trying to make it through your 9-to-5-day job feels impossible. At the end of your shift you come home to a beautiful house full of people that feels empty. You feel hopeless, unloved and worthless. Living has become unbearable, so you decide the pain you face every day isn’t worth the rare fleeting moments of happiness. You need a way out, but you believe the only way to make it stop is to end the life you’ve been given.  


Epidemics run rampant throughout the world. One of the largest social epidemics is the suicide epidemic. According to the Centers for disease control and prevention, “Suicide is the leading cause of Death in the US” (“Suicide rising across the US” 1). Most people believe they are not at risk of being affected by suicide because they don’t suffer from any mental health conditions (1). Statistical studies show that 54 percent of people who committed suicide did not have any mental health conditions (1). This has left professionals to believe that there are endless reasons why someone would commit suicide (1). Steadily growing in the past 19 years, Suicide is wreaking havoc in the US (1). Even though suicide has grown substantially in the last two decades there are ways to combat this epidemic (1).
Suicide has been present in human life since ancient civilizations, including Greece, Rome and many others (“A Brief history of suicide” 1). In different ancient civilizations the view of suicide varied but “most of the ancient city-states criminalized self-killing” (Cholbi 1). At English common law, suicide was a felony punishable by burial in the public highway with a stake driven through the body and forfeiture of all one's goods to the Crown” (Jay 1). “In many countries, such as Singapore, it is still considered a crime today” (Lee 1).  “Because of this, historical data on this topic is not easily available” (1). Currently in the United States there are no records of someone being penalized for committing suicide (Jay 1). Although, up to the 1970s some states did penalize those who attempted suicide (1). These laws were repealed because “One who is bent on self-destruction is not likely to be deterred by the possibility of punishment if he fails” (1). “Thus, the rationale for punishing attempted suicide is eliminated” (1).
Data collected from 2000 to 2016 shows 45yrs-to-54yrs of age has had the largest spike in suicides (“Suicide Statistics” 1). Suicides in this age range jumped from a rate of 14.3 to a rate of 19.72 in only 16 years and it seems to keep growing (1). Within this age range lies 2 different generations (“Generations X, Y, Z and the Others” 1). The first is Generation X, they were born between 1966-1976 (1). In 2018 that would make the ages for Generation X 42-to-52 years old (1). The next generation is Baby Boomers 2, not to be confused with Baby Boomers 1, were born between 1955-1965 which currently makes the ages 53-to-63 years (1). This generation is called Baby Boomers 2 because they were the product of the significate rise in birth rates during years 1955-1965 (1). There are several things causing the spike of suicides in the Generation X and young Baby Boomers 2. One cause most commonly known is mental health conditions. A study done by the Psychiatric Clinics of North America showed that 54% of suicides in adults was caused by major depression (“Suicide in Older Adults” 1). The older generations grew up with little to no knowledge of what mental health conditions are. In comparison to the latest generations, they have grown up being taught what they are and how to over come them. In turn, an older adult may not even know they are suffering from mental health problems. They have lived their whole lives thinking the way they are feeling is normal when it’s not.
Another cause involves early childhood abuse or household dysfunction (Felitti 1). House hold dysfunction is any unhealthy environment for the children and family. According to Felitti, the Adverse Childhood Experiences Study found:
 a strong graded relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults. Seven categories of adverse childhood experiences were studied: psychological, physical, or sexual abuse; violence against mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned. The number of categories of these adverse childhood experiences was then compared to measures of adult risk behavior, health status, and disease. Persons who had experienced four or more categories of childhood exposure, compared to those who had experienced none, had 4-to 12-fold increased health risks for alcoholism, drug abuse, depression, and suicide attempt. (1)
Experiencing traumatic events in childhood shaped adults to develop higher risk factors for mental health conditions that ultimately led to suicide (1).
  One more cause involves economic turmoil and increased unemployment (“Relationship between the Economy, Unemployment and Suicide” 1). According to the Suicide Prevention Recourses Center (SPRC), in the past two decades research has showed that “a strong relationship exists between unemployment, the economy and suicide” (1). “Unemployment causes financial strain and can lead to depression and other problems as individuals perceive a loss of personal control” the SPRC calls this the “chain of adversity” (1). One economic down turn can set off a domino effect. With a sharp downturn in the economy there comes a greater risk of suicide (2).In times of economic instability, anxiety over the possibility of losing a job, home or retirement nest egg may affect the employed, as well” (2). The elderly and older adults are more at risk for suicide because their retirement security is in danger during an economic downturn leaving them more vulnerable (2).
Suicide affects every area of society to different degrees. Society’s inner circles such as friends and family are affected to the highest degree by suicide because they are the ones closest to who committed suicide. An older adult who commits suicide leaves behind an array of people that could include children, siblings, spouse, elderly parents, and friends. “Surviving family members and close friends are deeply impacted by each suicide and experience a range of complex grief reactions, including, guilt, anger, abandonment, denial, helplessness, and shock” (“Violence Prevention” 1). Those closest to who committed suicide are so deeply impacted by the traumatizing event they become high-risk factor for suicide (1).
Another area of society affected by suicide is the economy. “Suicide has economic costs for individuals, families, communities, states, and the nation as a whole. These include medical costs for individuals and families, lost income for families, and lost productivity for employers” (“Cost of Suicide” 1). “The average cost of one suicide was 1,392,553” (1). Suicide not only causes emotional turmoil but financial turmoil in families, the state and the nation (1). 
Looking at the adult suicide epidemic from a child’s point, losing a parent to suicide is traumatizing. When losing a parent, it is expected to be a painful experience but losing them to suicide is worse than natural causes. When a parent commits suicide it leaves the child feeling as if they did something to cause their parent to want to leave them. The child begins to believe it is there fault which causes a multitude of mental health problems. One of those mental health problems includes high risk for committing suicide. An adult committing suicide creates a chain effect of suicide risk in inner circles.
 There are many ways to lessen the suicide epidemic, but none are simple. According to The Brief History of Suicide, the United States has been trying to prevent suicide since 1958 (1). “In 1958, the first suicide prevention center in the United States opened in Los Angeles, California, with funding from the U.S. Public Health Service” (1). Since then the United States has been trying many things to solve the suicide epidemic on a national level as well as locally. Neither of these organizations provide long term solutions to suicide.

There have been many steps taken on the national level in the past to reduce the suicide epidemic. One of which being federal policy initiatives. According to the National Millstones in Suicide Prevention, two federal law policies have been put in place to help (Office of The Surgeon General 1).  The first policy was enacted in 2004, called The Garret Lee Smith Memorial Act (1). This act was passed after a college student committed suicide the prior year (1). “The program provides grants to states, tribes, territories, and institutions of higher education for the implementation of youth and college suicide prevention efforts” (1). This program was the first of its kind, and since it was implemented, it has given over 300 grants to prevent suicide (1).  The second policy was enacted only 3 years later in 2007. It was the Joshua Omvig Veterans Suicide Prevention Act (1). This policy was enacted to help veterans. “Components include staff education, mental health assessments as part of overall health assessments, a suicide prevention coordinator at each VA medical facility, research efforts, 24-hour mental health care, a toll-free crisis line, and outreach to and education for veterans and their families” (1).  Federal Policy incentives have been enacted to prevent suicide in the youth and veterans, but what about the sudden spike in adults? Looking at how youth suicide has been a slow incline between 2000 and 2016, a policy like one of these could be effective in the sudden spike in adult suicide. If policy’s like these were made for the generation X and Baby Boomers 2 the statistics could be lowered.
According to the Office of The Surgeon General, another national solution that has been established is program initiatives (1). The top program is the National Suicide Prevention Hotline which was established in 2001 (1). This hot line is set up across the United States and is available to anyone at risk of suicide (1). The national suicide prevention hot line has local crisis centers in each state (1) This resource provides a 24/7 local call line in two languages (1). According to Draper, “in 2014, our expanded network of 165-member centers answered about 1.5 million calls” (1). According to The National Suicide Prevention Lifeline and Texas, “in the first 6 months of 2018, there were 63,507 callers from Texas to the Lifeline (“The National Suicide Prevention Lifeline and Texas”). Of those 63,507 callers, 23% were able to receive help in Texas (1). Which means that 48,746 callers from Texas, were unable to be answered by a local center in Texas” (1). In total that would make 112,253 people to call the hotline in six months. Seeing that 48,746 of 112,253 were not answered, more local crisis centers should be placed in the states (1). If there are more crisis centers more calls could be answered which would improve the 23% that got help.
Local solutions to the suicide epidemic rage from the community to inner circles. One of the local solutions researched by the Centers for Disease Control and Prevention’s (CDC) article, “Promoting Individual, Family, and Community Connectedness to Prevent Suicidal Behavior,” is how connected people are to their community and others around them (3). The CDC research concludes that “connectedness of individuals and their families to community organizations and connectedness among community organizations and social institutions” can improve suicidal behavior (3). “Connectedness was the main component of a post crisis suicide prevention program for adults who presented in a hospital emergency department for nonfatal, suicidal behaviors” (5). Adults suicide risks could be lowered if their connectedness to people around them improved. “Connectedness is a common thread that weaves together many of the influences of suicidal behavior and has direct relevance for prevention” (3).
      Another solution to adult suicide proposed by the CDC includes developing “a surveillance system and necessary infrastructure for monitoring nonfatal suicidal behavior among adults” (8). “We currently lack routinely available data to monitor nonfatal suicidal behavior among adults. These data would enhance our ability to monitor and prevent the nonfatal suicidal behaviors that are often precursors to fatal suicides” (8). Collecting data on suicide attempts in adults will give us a better understanding of what is causing the spike in suicides and allow us to determine a clearer solution.
According to the video Camus: The Absurd Hero, Albert Camus a philosopher, believes in the absurd which he defines as “man’s futile search for meaning in a meaningless world” (1). In this absurd world people choose one of three things; physical suicide, philosophical suicide or acceptance (1). Camus believes, “dying voluntarily implies that you have recognized the absence of any profound reason for living, the insane character of that daily agitation, and the uselessness of suffering” (1). Camus beliefs on physical suicide relate directly to the suicide epidemic. He would believe that these adults committing suicide is their way of escaping the world of absurdity, he says, “it’s merely an attempt to escape the absurd” (1). Camus would think that the sudden spike in adult suicide is wrong, and the adults attempting or committing suicide are refusing to except the reality of life. In refusing to except the absurdity of life they are signing their own death certificate. Also, Camus would think these adults should come to terms with the uselessness of life and make their own meaning.
 The next choice is to commit philosophical suicide (1). This includes “people who find meaning in the concept of god or in the concept of transcendence have taken a leap of faith and have committed philosophical suicide. He also believes that this is an attempt to escape instead of overcome it” (1). He would think that this choice is just as bad as physical suicide.
The final choice is acceptance of the absurd which is the only choice Camus supports (1). “The absurd hero acknowledges the absurd and embraces the freedom it bestows upon him. In a world devoid of absolutes man is free to create his own meaning and purpose this process of creation is enough to make him happy. The struggle its self to the heights is enough to fill a man’s heart” (1). Camus would rather have the adults accept life and make there own meaning instead of killing themselves.
“Suicide is the leading cause of Death in the US” (“Suicide rising across the US” 1). Someone who doesn’t suffer from mental health conditions can still develop a suicide risk. No one is truly safe from this epidemic. Therefore, it is critical for this nation and the community’s in this nation to do what they can to lessen the sudden rise in adult suicide. Not only adult suicide but all suicide.

                                                 Works cited
“Generations X,Y, Z and the Others.” WJSchroer, socialmarketing.org/archives/generations-xy-z-and-the-others/.

“Relationship between the Economy, Unemployment and Suicide.” Suicide Prevention Recource Center, 2008, www.sprc.org/sites/default/files/migrate/library/Economy_Unemployment_and_Suicide_2008.pdf.
“Suicide by Age.” Suicide by Age | Suicide Prevention Resource Center, www.sprc.org/scope/age.
                       “Suicide Statistics.” AFSP, 2016, afsp.org/about-suicide/suicide-statistics/.
“Violence Prevention.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 6 Sept. 2018, www.cdc.gov/violenceprevention/suicide/consequences.html.
“Vital Signs.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 11 June 2018, www.cdc.gov/vitalsigns/suicide/.
Cholbi, Michael, "Suicide", The Stanford Encyclopedia of Philosophy (Fall 2017 Edition), Edward N. Zalta (ed.), URL =  <https://plato.stanford.edu/archives/fall2017/entries/suicide/>.
Conwell, Yeates, et al. “Suicide in Older Adults.” The Psychiatric Clinics of North America, U.S. National Library of Medicine, June 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3107573/.
“Costs of Suicide.” Costs of Suicide | Suicide Prevention Resource Center, www.sprc.org/about-suicide/costs.
Felitti,Vincent J. et al. “Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults.” American Journal of Preventive Medicine, vol 14, no.4, 1988, pp. 245-247,https://www.ajpmonline.org/article/S0749-3797(98)00017-8/pdf.
Jay, and Sammie. “Suicide: Legal Aspects - Bibliography.” Life, Defendant, Attempted, and Murder - JRank Articles, law.jrank.org/pages/2180/Suicide-Legal-Aspects.html.
Lee, Lindsay, et al. “Suicide.” Our World in Data, 2015, ourworldindata.org/suicide.
User, Super. “A BRIEF HISTORY OF SUICIDE.” Society for Old Age Rational Suicide, 2015, www.soars.org.uk/index.php/about/2014-06-06-18-57-5
“Vital Signs.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 11 June 2018, www.cdc.gov/vitalsigns/suicide/.

Centers for Disease Control and Preventions. Promoting Individual, Family, and Community Conectedness to Prevent Suicidal Behavior. CDC, 2018, https://www.cdc.gov/violenceprevention/pdf/Suicide_Strategic_Direction_Full_Version-a.pdf 
Draper, John. “National Suicide Prevention Lifeline: The First Ten Years.” The Role of High School Teachers in Preventing Suicide (SPRC Customized Information Page) | Suicide Prevention Resource Center, 9 Nov. 2018, www.sprc.org/news/national-suicide-prevention-lifeline-first-ten-years.
Office of the Surgeon General (US). “Brief History of Suicide Prevention in the United States.”   Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/books/NBK109918/. 
Pyrrhus, The Rugged, director. Camus: The Absurd Hero. YouTube, YouTube, 26 Jan. 2015, www.youtube.com/watch?v=aAb7nwtHvTU.
Suicide Prevention Resource Center. The National Suicide Prevention Lifeline and Texas. SPRC, 2018.file:///C:/Users/kathl/AppData/Local/Packages/Microsoft.MicrosoftEdge_8wekyb3d8bbwe/TempState/Downloads/Texas%20State%20Report%20Jan-June%202017%20(1).pdf





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