Suicide And Suicide Prevention In The United States

Suicide is the second leading cause of death for people between ages 15 – 34. Now, the question is where’s the effort to stop it? If 90% of people who commit suicide have a mental illness,

"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.

In the United States, suicide is the third-leading cause of death for 10 to 14-year-olds (CDC, 2015) and for 15 to 19-year-olds (Friedman, 2008). In 2013, 17.0% of students grades 9 to 12 in the United States seriously thought about committing suicide; 13.6% made a suicide plan; 8.0% attempted suicide; and 2.7% attempted suicide in which required medical attention (CDC, 2015). These alarming statistics show that there is something wrong with the way suicide is handled in today’s society. In order to alleviate the devastating consequences of teenage suicide, it is important to get at the root of what causes it all: mental illness. According to the Centers for Disease Control and Protection (2013), mental illness is the imbalance of thinking, state of mind, and mood. Approximately 90% of all suicides are committed by people with mental illnesses (NAMI, n.d.). This shows that there is a correlation between mental illness and suicide. If mental illnesses are not treated, deadly consequences could occur. It would make sense that if there is a correlation between mental illness and suicide across all ages, the same should be thought for adolescents. Approximately 21% of all teenagers have a treatable mental illness (Friedman, 2008), although 60% do not receive the help that they need (Horowitz, Ballard, & Pao, 2009). If mental illnesses are not found and treated in teenagers, some of them may pay the ultimate price.

Surgeon General and of the National Action Alliance for Suicide Prevention, National Strategy for Suicide Prevention: Goals and Objectives for Action, 2012 recognizes that prevention should be combined in all fragments of our lives, family members, health care providers, educators, communities and government should be working together in preventing suicide. Goals and objectives are directed to “create supportive environments that promote healthy and empowered individuals, families, and communities; enhance clinical and community preventive services; promote the availability of timely treatment and support services, and improve suicide prevention surveillance collection, research, and evaluation” (National Strategy for Suicide Prevention: Goals and Objectives for Action,

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.

The National Institute of Mental Health (NIMH) has published a fact sheet of statistics on suicide in the United States. In 2007, it is reported that suicide was the tenth leading cause of death. Furthermore, for every suicide committed, eleven were attempted. A total of 34,598 deaths occurred from suicide with an overall rate of 11.3 suicide deaths per 100,000 people. (NIMH, 2010). Risk factors were also noted on this report and listed “depression and other mental disorders, or a substance abuse disorder (often in combination with other mental disorders). More than ninety percent of people who die by suicide have these risk factors (NIMH, 2010).”

The rate of suicide, the act or an instance of taking one's own life voluntarily and intentionally, increases each year. “More adolescents die each year from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung disease, combined” (Preventing Teen Suicide, 2016, p.2). These facts show suicide is a serious problem among teens. Last year, teen suicide became the second leading cause of death in the United States confirming the significant increase in teen suicides.

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

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.

There is at least 113 suicides each day or 1 every 13 minutes. Suicide among males is the seventh leading cause of death and the fourteenth leading cause in females. Most suicides are with a firearm and are carried out with a “ Saturday night special”. (Dilaura,Cynthia DiLaura) “More than 90 percent of suicide attempts with a gun are fatal. “ (Brady Campaign) There are a number of reasons why suicide occurs. Stress is the number one cause among our youth, bullies, peer pressure, depression, and abuse. 41,100 people committed suicide in the United States in 2013. Our young teens today does not take time to look deeper into there problem and to seek out a better solution. They are looking for a quick fix but not realizing once the trigger is pulled the result is final with no turning back. Most people who has attempted suicide is more likely to try a second attempt and most have an underlying mental illness. There is many warming that someone may be in a suicide crisis. We most learn how to see things through their eyes. No matter what one is facing in life or the difficult that lie ahead of them Nothing is worth taken your own

Medical care in America is estimated to cost $2.7 trillion each year with roughly 30 percent of that cost attributed to ineffective or redundant care, approximately $800 billion (America's Health Insurance Plans, 2014; FOX, 2010). Within this section $44.6 billion is attributed to suicide treatment and medical cost (Center for Disease Control and Prevention, 2015). The CDD further estimates that with approximately 40,000 people dying of suicide annually suicide contributes to the 10th leading cause of death for Americans, narrowly being outstrode by kidney disease and influenza yet still achieving a higher overall medical cost than the ninth and eighth ranked causes of death (Keren, Zaoutis, Saddlemire, Luan, & Coffin, 2006;Webberley, 2015).

(2017). Preventing suicide: A technical package of policies, programs, and practices. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/violenceprevention/pdf/suicideTechnicalPackage.pdf

In 2004 Congress enacted the Campus Suicide Prevention initiative which provides funds through the Substance Abuse and Mental Health Services Administration Center for Mental Health Services, to college campuses nationwide (Smulson, 2016). The Campus Suicide Prevention initiative supports program activities, mental health screening services, and prevention strategies to form a foundation for mental health promotion, suicide prevention, and substance abuse prevention (Smulson, 2016). While research shows that mental and behavioral health supports can improve student life and functioning, the program falls short in some areas.

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