DETERMINANTS OF HEALTH2 Introduction Suicide is the act of causing one's death individually and intentionally. Many cases occur hastily hence the means of suicide are accessed quickly. Suicide is now the second leading cause of death among men aged 15-55 years. Many elements can lead an individual to commit suicide. This includes cultural, social and psychological issues although the stigma that comes with mental disorders is one of the aspects that individuals fail to get assistance. Most individuals affected by this are men because they have to provide for their families. This population is affected by this mainly because of poverty (7. Suicide, n.d). Lithuania is the first country worldwide leading in cases of suicide because of its economic problems. Research has shown that 31 in every 100,000 commit suicide. Low socioeconomic status is one of the factors that can lead someone to commit suicide with men being the victims since they lack the means to take care of their families. Mental ailments and alcohol can also drive a person to commit suicide. When men are at an early stage, they tend to hide their emotions. Therefore, it is difficult to comprehend what they are going through. They usually have low self-esteem, and some of them suffer from depression. They always feel like they are not important anymore thus they develop negative feelings about themselves which is difficult to recover. Men are unable to communicate and deal with their feelings hence projecting suicidal thoughts in their minds. They have a sense of sadness confined in them and cannot be discovered easily as suggested by DepressionAfter a Job Loss: Statistics and How to Cope (n.d.).
DETERMINANTS OF HEALTH3 Men are vulnerable when it comes to explaining themselves. They keep their problems secret and deal with them without any help. Young men die as a result being emotionless and keeping their problems a secret. This makes them develop depression and physical illness because of stress. Depression has been found to be one of the leading factors that can cause an individual to commit suicide. The suicidal thoughts might be more frequent which pushes men to make bad decisions of taking their own lives. They tend to start giving away what they have or getting drugs. This happens when they lose their jobs or relationships and lack alternative measures to support their families and other people who are under their care.(Women’s economic empowerment, 2012).The unwillingness of seeking assistance or assessing health care services drives a lot of young men to suicidal thoughts. Some of them believe that committing suicide ends a personal problem when it does not mean thus they end up causing pain to their loved ones. It is essential for other people to always check up on them to avoid such circumstances. They are also driven by the loss of their friends or family members. They get affected by the loss of their loved ones and therefore begin having the thoughts of committing suicide as outlined in World Health Organization: Commission on Social B) Determinants of Health - final report p1-23. In Lithuania, middle-aged men are likely to commit suicide due to lack of employment and economic problems facing the country. It is known as a community that is undergoing stress because of its financial crisis that prevents development. Thus, men find it hard to continue with their lives knowing that they are unable to solve the problem.
DETERMINANTS OF HEALTH4 Social Determinants of Health Low socioeconomic status Individuals with low socioeconomic status are at high risk of committing suicide especially men. Research has shown that unemployment causes young men to start having suicidal thoughts because of frustrations regarding getting well-paying jobs to sustain them. Due to insufficient income, they struggle to keep their families away from suffering and getting quality care. Economic status has been considered as a determinant of health, especially in men. Health effects show various situations according to the position of an individual (Goldberg, 2017). Those who are unemployed tend to be frustrated and experience financial constraints and lack of respect which points them to suicide as their solution. Suicidal thoughts in this population are affected by their status such as poor infrastructure in their areas and receiving inadequate services which cannot prevent an individual from committing suicide. Some elements of poverty, discrimination, and stigma is associated with the low economic status that is a drive for suicidal thinking in men. A recent study has shown that low socioeconomic status put men at risk of committing suicide and is a strong influence, particularly in men. It can push them to begin misusing drugs and overuse alcohol which can be a significant influence on suicidal ideology in men. They are unable to live a healthy lifestyle due to stress, other psychological issues and mental illness (Marmot et al., 2011). Health and healthcare services
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DETERMINANTS OF HEALTH5 Assessing quality healthcare has been difficult particularly for men with suicidal thoughts. They are unable to open up to a practitioner or experts who can help them prevent suicide. This habit has led many men to avoid confronting their issues hence affecting their health. Research has indicated that most times, men like to hide their feelings and pretend to be okay when they are not. Therefore, they try to protect their beliefs to cover up their pain. (Middleton et al., 2018). Many health facilities are expensive, and because most of them are of low economic status, they are unable to afford quality treatment. Some of the drugs available in the health facilities are also expensive for them to purchase. Due to this unavailability, they tend to confide in very close confidants hence their suffering is not readily known. This is dangerous to their health since it may cause depression and will slowly develop suicidal thoughts. Men are significantly affected by lack of healthcare services since they live in underdevelopment areas where the facilities are inadequate. Men tend to act without thinking which drives them to commit suicide. Their alcohol intake makes them impulsive, and there is also a relationship between alcohol and suicide. Alcohol issues are more present in men than women hence they end up developing the chronic illness and cause them to create suicidal feelings. Therefore they need to be encouraged to visit the health facilities and get necessary treatment to avoid such issues (Mathiaset al., 2012). Health systems in many nations are limited in resources, therefore, people with Health education Many people especially men lack adequate and recent information about health promotion and risk habits. Thoughts attitudes and behaviors need to be shaped for them to understand the importance of a healthy lifestyle. They lack an essential notion that involves
DETERMINANTS OF HEALTH6 health problems. They also lack critical thinking skills which are crucial in suicide prevention. They need to be taught how to handle various situations in different settings. Most of them lack interpersonal relationship skills which are the reason why they are always unable to open up when they are facing problems. Men do not have stress administration skills, and this may cause them to make unhealthy choices like suicide. They are surrounded by negative thoughts hence making adverse decisions. This population tends to be irresponsible which in turn leads to risky behaviors that affect their health (Mukherjee, 2017) Esteem issues also need to be approached because most of them have low self-esteem and cannot disclose the problems they are facing. Those who are not located in urban areas are unable to get health education since many experts are based in urban areas. They are disadvantaged because they don't get similar opportunities like those men who are located in the urban areas. They are not taught about self-improvement and how to tackle emerging issues which is a crucial issue in their life (Northridge & Freeman, 2011). Social exclusion Individuals have a right to be accepted in the community as well as the world. Social exclusion has always seemed as a peril \element for suicide. Studies have indicated that social exclusion influences mortality rate in males through death. Moreover, they are still discriminated concerning gender, maturity, and ethnicity which limit them to access health services and social amenities. Social exclusion may have adverse effects on the population like psychological, relationship and work issues. They are discriminated because of the loss of their loved ones who have lost their lives through suicide. They suffer from downplaying public hence bestowing to
DETERMINANTS OF HEALTH7 the deceased exclusion. This causes psychological pain on the affected individual(Polack, & Warwick, 2016) The presence of social exclusion existence makes it hard to attain some social aim like minimizing malnutrition and poverty. Furthermore, they have limited ability to transform their areas of expertise. Resources are limited for those who are excluded in the community (Pry, 2014). They have faced inequality regarding healthcare services and social amenities present in their area. Their experiences are unquestionably unpredictable, and therefore those around them should be vigilant. The population is always marginalized due to technical and economic restrictions. They are denied equal chances of social life through discouragement and intimidation hence lowering their self-esteem. These results in abysmal performance because of the limited resources they are entitled. They may be affected psychologically and health wise. This will push them to commit suicide because of uncontrolled stress. Individual behavior Suicidal behavior symbolizes emotions with significant destructive behaviors. Males who are likely to commit suicide are always violent. They indulge in taking excessive alcohol which makes them develop suicidal thoughts. In this population, the suicidal bid may define a particular meaning for a person or indirect communication of distress or a technique to get attention from people. Furthermore, their psychological attributes contribute to a person’s behaviors when they are disturbed. Their moods and attitude are always negative, and they start behaving in a different way that suggests suicide. The suicide attempt is still planned, and their motives are hidden (Isometsä, 2017).
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DETERMINANTS OF HEALTH8 They also engage in unprotected sex because of frustrations of being a failure in their life. This drives them to start using drugs so that they can forget their predicaments instead it leads them to commit suicide. Reports have indicated that suicides in this population are always planned and executed. Therefore they are still aware of what they are doing and how they behave in front of people or when they are alone. It is common for them to contemplate suicide due to depression or when they are undergoing stress. This affects their health adversely, and it can cause mental illness and other related issues. They tend to stay alone and keep their problems to themselves as they don't open up quickly (Mathias et al., 2012). They often engage themselves in periled behavior such as driving at high speed and giving away their belongings which may be relevant to them. Recommendations Caregivers should develop a tool for recognition and screening of the victims should be created. It is vital to enhance the capacity of health experts to find out and take care of these disasters and other peril elements because this population is exposed to mental ailments. Therefore the government should ensure that enough personnel is trained to deal with such issues. The tools should be used to recognize the victims psychological status and cognitively. This is important for them because they tend to discover the mental disorder early enough and find the treatment that they need. It can prevent males from committing suicide and encourage them to live a healthy life. Lives can be saved by these tools because of early detection as outlined in Poverty, Mental Illness and Suicide Linked (2015). The victims should be screened for early diagnosis and educate them on how to handle stress without being suicidal. They will be able to understand their experiences at each stage of
DETERMINANTS OF HEALTH9 their life. This will lead to reduced severity of suicide and prevent further suicidal thoughts. The efficaciousness of early detection is that the men get to understand their responsibilities and their wellbeing. The practitioners should be able to use these tools to reach as many people as possible to reduce the mortality rate in young men. It is essential for them to understand the victims and inform them about healthy living and avoid stress as commented in Primary Care: Foundations Aim To Improve Access And Quality (2017).Research has indicated that there is a requirement for an early detection program and essential recommendations put in place. The medics should enhance their skills concerning the prevention, risk elements and the intervention that is required. The nation should improve their structures to improve screening services to the population. (Sassen, 2017) Suicide prevention plans must be created and executed through the concerned bodies and other non-governmental agencies dedicated to preventing suicide. The organizations should work together with the government to provide necessary resources and funding that will help in initiating these programs to the community. Those who live in the rural areas should be reached by all means possible so that they can be aware of its effect on their health. Plans that have been successful with this kind of population such as Air Force plan should be embraced by organizations that employ people with increased suicide rates like police officers. Screening plans should be considered for the men and should be executed widely within work and educational environment to recognize and intervene (Saunders, Watanabe & Wong, 2015). There must be recognition of high suicide peril groups for the intervention targeted. This will help the community to identify those who are vulnerable and give solutions to the problems they encounter. The programs should be easy to comprehend as it will help them in tackling the health hazards affecting them. The strategies implemented should be able to cater to
DETERMINANTS OF HEALTH10 the population without discrimination. There should be adequate planning about these strategies so that they can be useful in fulfilling the population’s quest. They will be able to handle their issues diligently. Health education It is crucial for young men to get quality health education because it will sharpen their skills and make them develop a positive attitude towards health. It will motivate them to improve their health and prevent illness. This will help in creating awareness about health-related issues because they will know about physical and mental health. Therefore the non-governmental organizations such as World Health Organization should ensure that they recruit enough personnel to reach those people who are in the rural areas and educate them about the prevention of suicide. Health education is essential in improving a person's health for an extended period (Williams, 2011). Community health personnel should work with public health organizations to inform the public about mental and behavioral health that concerns them. This will help in preventing violent behaviors that can lead to suicide. The government should ensure that the community health centers are within reach for the population. They will educate the people about drug abuse and the dangers of taking alcohol excessively. Health education provides knowledge about personal hygiene and good eating habits. It will help in preventing infectious diseases hence reducing suicidal attempts. The population should be encouraged to interact with the health experts for them to understand the benefits of a healthful lifestyle (Warnakulasuriya, 2010).
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DETERMINANTS OF HEALTH11 Policies should be developed to reduce excess use of alcohol. This population tends to use alcohol without considering its adverse effects on their health. Alcohol interventions should be included to create awareness. The government should play its role in strengthening the leadership for mental health because it should be efficacious. It should also give comprehensive and integrated health and social care services in the society's environment. The execution of this policy should be fastened to help the victims affected by mental ailments. The government should also strengthen the research about mental health to get more information about the causes of suicide and find necessary measures to curb the problems. This will help in reducing the mortality rate of this population as outlined inSocial Exclusion: Definition, Mechanisms, and Impact of Social Exclusion (2014) The policies will help in making interventions for the victims. They should put in place restrictions on the people using alcohol for the wrong reasons. They should inform the victims about the harmful effects of excessive consumption of alcohol. A legal system must be present to ensure that these strategies are implemented and the patients carefully examined. The victims should have restricted methods of suicide because most of them practice self-poisoning. This is vital in preventing suicide especially impulsive suicide as it will help in changing the mind of the person intending to commit suicide (Vilela, Brito & Vilela, 2018). Access to Healthcare Access to healthcare is an essential aspect of reducing the risk of suicidal behavior. There must be the application of health systems throughout the health facilities and institutions particularly at the community centers are a significant method to progress the healthcare services especially mental health care. The caregivers must use appropriate language when engaging with
DETERMINANTS OF HEALTH12 the victims. The vulnerable population should be assisted in getting adequate health services which in turn will help them deal with their issues properly (Stolldorf, 2017). The discharged patients should be encouraged to have support so that they do not feel as if they are isolated. The experts should ensure that there are repeated follow-ups for the victims because it is useful mainly in low-income nations. Therefore, the facilities should develop mental treatment systems that will be able to get quality services as outlined inSuicide and Suicidal Behavior: Causes, Symptoms, and Diagnosis (n.d.). The individuals should be able to be evaluated by developing techniques for suicidal behaviors. It is vital for them to open up to the experts so that the experts can be able to understand the individual issues. It will enable them to know the kind of treatment to offerthe victims ( Tausch, 2012) In conclusion, suicide has been one of the significant causes of death in the world. Health education, personal behaviors, and other related issues can also cause suicide. Thus necessary measures should be put in place to curb this situation.
DETERMINANTS OF HEALTH13 References 7. Suicide. (n.d.).Mental Disorders / Suicide. doi:10.4159/harvard.9780674493537.c12 Depression After a Job Loss: Statistics and How to Cope. (n.d.). Retrieved from https://www.healthline.com/health/depression/job-loss Goldberg, D. S. (2017). The Social Determinants of Health & Public Health Practice.SpringerBriefs in Public Health Public Health Ethics and the Social Determinants of Health,43-50. doi:10.1007/978-3-319-51347-8_5 Isometsä, E. (2017). Suicide and suicidal behavior.Oxford Medicine Online. doi:10.1093/med/9780198746638.003.0012 Marmot, M., Allen, J., Bell, R., & Goldblatt, P. (2011). Building of the global movement for health equity: From Santiago to Rio and beyond. The Lancet. http://www.scopus.com/inward/record.url?eid=2-s2.0- 80054101334&partnerID=40&md5=585ae4cbdfd89fb20a4cf2f3518a0fa6
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DETERMINANTS OF HEALTH14 Mathias, C. W., Furr, R. M., Sheftall, A. H., Hill-Kapturczak, N., Crum, P., & Dougherty, D. M. (2012). What’s the Harm in Asking About Suicidal Ideation?Suicide and Life- Threatening Behavior,42(3), 341-351. doi:10.1111/j.1943-278x.2012.0095.x Middleton, N., Ellina, P., Zannoupas, G., Lamnisos, D., & Kouta, C. (2018). Socio-Economic Inequality in Health.Oxford Scholarship Online. doi:10.1093/oso/9780190492908.003.0006 Mukherjee, J. S. (2017). The Roots of Global Health Inequity.Oxford Scholarship Online. doi:10.1093/oso/9780190662455.003.0001 Northridge, M. E., & Freeman, L. (2011). Urban planning and health equity. Journal of Urban Health, 88(3), 582-597. http://www.scopus.com/inward/record.url?eid=2-s2.0- 80052967968&partnerID=40&md5=e9542c6b3e71160ec7c6403889341c68 Polack, P., & Warwick, M. (2016). Eight Keys to Ending Poverty.The Business Solution to Poverty: Designing Products and Services for Three Billion New Customers,1-17. doi:10.5848/bk.978-1-60994-078-2_2 Poverty, Mental Illness and Suicide Linked. (2015, October 06). Retrieved from https://psychcentral.com/news/2011/04/04/poor-mental-illness-and-suicide-linked/ 25013.html Primary Care: Foundations Aim To Improve Access And Quality. (2017).Health Affairs,36(10), 1852-1853. doi:10.1377/hlthaff.2017.1061 Pry, R. L. (2014). Suicide.Encyclopedia of Special Education. doi:10.1002/9781118660584.ese2313
DETERMINANTS OF HEALTH15 Sassen, B. (2017). Health Promotion and Health Education: Improving Patients’ Health Status.Nursing: Health Education and Improving Patient Self-Management,81-140. doi:10.1007/978-3-319-51769-8_4 Saunders, P., Watanabe, K., & Wong, M. (2015). Poverty and Housing Among Older People: Comparing Australia and Japan.Poverty & Public Policy,7(3), 223-239. doi:10.1002/pop4.110 Social Exclusion: Definition, Mechanisms and Impact of Social Exclusion. (2014, March 25). Retrieved fromhttp://www.yourarticlelibrary.com/sociology/social-exclusion-definition- mechanisms-and-impact-of-social-exclusion/31424 Stolldorf, D. P. (2017). Sustaining Health Care Interventions to Achieve Quality Care.Journal of Nursing Care Quality,32(1), 87-93. doi:10.1097/ncq.0000000000000204 Suicide and Suicidal Behavior: Causes, Symptoms, and Diagnosis. (n.d.). Retrieved from https://www.healthline.com/health/suicide-and-suicidal-behavior Tausch, A. (2012). A globalization-oriented perspective on health, inequality and socio- economic development.The International Journal of Health Planning and Management,27(1), 2-33. doi:10.1002/hpm.1090 Vilela, I., Brito, D., & Vilela, N. B. (2018). Health Determinants - The Importance For Education.INTED2018 Proceedings. doi:10.21125/inted.2018.0643 Warnakulasuriya, S. (2010). Significant oral cancer risk associated with low socioeconomic status.Evidence-Based Dentistry,10(1), 4-5. doi:10.1038/sj.ebd.6400623
DETERMINANTS OF HEALTH16 Williams, P. G. (2011). Can the poor in Australia afford healthy food?Nutrition & Dietetics,68(1), 6-7. doi:10.1111/j.1747-0080.2010.01485.x Womens economic empowerment. (2012).Poverty Reduction and Pro-Poor Growth,79-106. doi:10.1787/9789264168350-6-en World Health Organization: Commission on Social B) Determinants of Health - final report p1- 23http://www.who.int/social_determinants/thecommission/finalreport/e n/index.html