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.
Background and Significance
According to the Centers
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Eight percent of students attempted suicide one or more time during the 2013, 10.6% of all females and 5.4% of all males (CDC, 2015). During the same year, 2.7% of students actually made a suicide attempt that resulted in a medial injury needing medical attention, 3.6% of all females and 1.8% of all males (CDC, 2015). A clear disparity in suicide exists among males and females. The CDC (2015), reports males four times more likely to commit suicide and represents 77% of all suicides. Females tend to develop suicidal thoughts and use passive methods of suicide such as overdoes or poisoning (CDC, 2015). To contrast, males will likely use a lethal method of suicide such and a gun shot to the head or hit by train (CDC, 2015). Substantial cost of suicide exists within American society. The National Institute of Medical Health (NIMH, 2017), asserts that in 2013 suicide cost the United States economy 50.8 billion dollars. However, the CDC (2015) estimated in 2010, the cost of 44 billion dollars with 1,164,499 dollars spent per suicide for individuals over the age of ten. This cost reflects medical treatment and loss in productivity. Unfortunately, CDC (2015) reports that most individuals who engage in suicidal behavior never go on to seek treatment for their mental illness. The likelihood of development of a mental illness and suicidal behavior increases with exposure to childhood trauma. One single childhood adverse
According to Fowler, Crosby, Parks, and Ivey (2013), suicide and nonfatal suicidal ideations are significant public health concerns for adolescents and young adults. While the onset of suicidal behaviors is observed as young as six years of age, rates of death and nonfatal injury resulting from suicidal behavior are moderately low until 15 years of age (Fowler et al., 2013). According to Fowler et al (2013), the most current available statistics in the United States (U. S.) reported suicide as the third leading cause of death among youth aged 10-14 and 15-19 years, and it was the second leading cause of death among persons aged 20-24 years.
While the loss of life is significant, there are other costs associated with suicide. The average medical cost associated with suicides is $5,518 per person (CDC, 2010, National Vital Statistics System). In addition to medical cost, the average work loss cost is $1,684,460 (CDC, 2010, National Vital Statistics System). Medical cost and loss of work cost are very important, but they only take into account the numbers associated with the individual who committed suicide. It does not factor in the cost of failed attempts or other cost related to love ones, such as their emotional cost or toll suicides takes on the surviving family members. This is why identifying the factors related to suicide is very important.
While the loss of life is significant, there are other cost associated with suicide. The average medical cost associated with suicides is $5,518 per person (CDC, 2010, National Vital Statistics System). In addition to medical cost, the average work loss, cost is $1,684,460 (CDC, 2010, National Vital Statistics System). Medical cost and loss of work cost are very important, but they only take into account the numbers associated with the individual who committed suicide. It does not factor in the cost of failed attempts or other cost related to love ones, such as their emotional cost or toll suicides takes on the surviving family members. This is why identifying the factors related to suicide is very important.
Two models that provide a framework for understanding Adverse Childhood Experiences being a risk factor for suicide ideation and suicide attempt are: The Suicidal Mode model and
The suicide levels in America have now reached crisis levels. If suicide were a disease, it would be discussed on social media, the news and around the water cooler. People would be in a panic wondering how to counteract the “disease” and escape the clutches of it within their own personal lives. Doctors would appear on talk shows and the news educating the public on what they can do to prevent “suicide” from affecting their own lives. It would be labeled the epidemic taking out even the strongest among us in our modern generation. However, suicide isn’t a disease per say. It can be a symptom of a disease, such as depression. However, it in and of itself is only the embodiment and end-result of the despair and hopelessness that many people in America live with on a daily basis. Perhaps, if it was treated like a contagious, preventable disease, and not something to be ashamed of, less Americans would be meeting their end via suicide and instead seek the help they need to get better.
While the loss of life is significant there are other cost associated with suicide. The average medical cost associated with suicides is $5,518 per person (CDC, 2010, National Vital Statistics System). In addition to medical cost, the average work loss, cost is $1,684,460 (CDC, 2010, National Vital Statistics System). While medical and loss of work cost are very important they only take into account the numbers associated with the individual who commits suicide. It does not factor in other cost related to love ones, such as their emotional cost or toll suicides takes on the surviving family. This is why identifying the factors related to suicide is
Consequently, the economic impact of completed suicides in 2010 falls around $44 billion annually. This is because the economic burden tends to effect working age citizens more often than those who commit suicide (2015). However, non-fatal suicide attempts cost around $2 billion annually for hospitalization costs, and another $4.3 billion is spent on indirect costs such as the loss of wages over an extended period of time (2015). Although these costs seem to be more of a private trouble rather than a
“Never be bullied into silence. Never allow yourself to be a victim. Accept no one’s definition of your life, but define yourself.” - by Tim Fields
Did you know that in the U.S., the suicide rates are their highest during the springtime? In addition to, nearly 30,000 Americans commit suicide every year. In my essay, I will explain the suicide effects/risks and the warning signs and ways of coping with losing a loved one. Typically when someone is contemplating suicide, they come from a rough past and have been through quite a bit. It is also very difficult for someone to have a loved one go through with suicide.
A large amount of adolescent teens and children commit suicide over things that someone has said or done to them personally. It’s troubling to think that that would happen but it’s true. Modern society needs to take caution of what they do and say because it can lead to adolescent teens and children attempting and commiting suicide.
In the United States Suicide is the 10th leading cause of death. Each year 42,773 Americans die by suicide. Suicide costs the U.S. $44 Billion dollars annually. The annual age-adjusted suicide rate is 12.93 per 100,000 individuals. Men die by suicide 3.5x more often than women. On average, there are 117 suicides per day. White males accounted for 7 of 10 suicides in 2014. Firearms account for almost 50% of all suicides. The rate of suicide is highest in middle age — white men in particular. In the state of Mississippi suicide is the 12th leading cause of death. Nearly three times as many people in Mississippi die from suicide than HIV/AIDS.
Suicide rates differ between boys and girls. Girls think about and attempt suicide about twice as often as boys,
Since men are less likely to seek medical help, there are more males lost because of suicide, although twice as many females attempt at killing themselves. The University of Washington published the article, Facts About Mental Illness and Suicide, which states that three to twenty percent of bipolars and six to fifteen percent of schizophrenics die by suicide. Also, people with personality disorders are an estimated three times as likely to take their life during desperate measures according to the University of Washington’s Mental Health Report. Since so many of these mental illnesses go undiagnosed and untreated, this leaves many people facing an extremely high chance for a suicidal death.
In the year 2000 the suicide rate was 10.4, in the year 2013 the suicide rate was 12.6 according to facts and figures. Approximately 86 American commit suicide a day. For those 15-24 suicide is one of the most leading deaths in the U.S.31,000 kill themselves then are killed by homicide. Suicide is overrated don’t kill yourself go to someone for help if you’re having problems.
The study was interesting information on suicide behavior and how it remains an issue among citizens of the United States. According to the “National Institute of Mental Health (NIMH) (2007), it was the tenth leading cause of death, approximately 11.3 suicide deaths per 100,000 people in a single year in 2007, with 11 attempted suicides per death. In the first few months following hospital discharge, even within the first week, inpatients are drastically more likely to re-attempt suicide. The adjusted risk ratio for completed suicide within the first week following inpatient discharge is a 102-fold and 246-fold increase for men and women, respectively, compared to those who have never been hospitalized.” (NIMH, 2007) (Zeng, R. et al., 2015)