Looking at Ms. Dai Qiurong and Ms. Xu Haina, she felt a lot of articles about depression and prevention of suicide, and benefited a lot.
Depression and suicide have always been taboos in society, so lack of discussion, sometimes it will cause people's deep -rooted prejudice.It is very important to pay attention to the mental health of the people around us.Whether there is a mental illness or a patient with suicide, what needs is not compassion, but a heart that is willing to understand them, so that they don't feel lonely.Sometimes driven by kindness, we may not know how to conclude thoroughly, but will cause anti -effects.Therefore, I want to take this opportunity to discuss some views on depression and suicide.
First, although depression is related to suicide, suicide is exactly a phenomenon caused by multiple factors, reflecting psychological torment, not necessarily the severity of mental illness.In the United States, suicide, alcoholism, and drug use are classified as despair and despair (Diseases of Despair Deaths of Despair).Their thing in common lies in the unknown prospects of society and economy, leading to a pessimistic and despair about life, thereby leading to committing suicide and alcoholism.
Therefore, suicide may not necessarily have a direct relationship with mental illness.In the diagnosis of psychiatry, although mental illness is regarded as one of the common causes of suicide, it is confirmed as psychiatric patients, which does not mean to predict future suicide behavior.According to data from the American Mental Disease Alliance, only 46%of those who died of suicide died have a history of mental illness, so suicide must have other reasons to cooperate before they will happen.Conversely, suicide experience is generally considered to be a high -risk factor, which is more accurate to predict suicide.Compared with depression, data from the World Health Organization shows that most of them have bipolar disorder or marginal personality disorders and died of suicide.Patients with edge -type personality disorders reached 70%of the suicide attempt, and 10%of them died of suicide.Unlike depression and suicide together, it is easy to ignore social factors and attribute responsibilities to personal psychological quality.
Secondly, although the society is really under great pressure, the psychological pressure of men and women is not disparate.Taking suicide as an example, although women's self -harm or suicide ideas, although the number of attempts is more than men, the case of male suicide death is three to four times that of women.This means that men's pressure may be even more fatal.
The University of Cambridge University shows that women's self -harm behavior is a common method for venting psychological suffering, but men's self -harm is expressing their willingness to suicide.
From a subjective perspective, men may have a more extreme response to stress.Therefore, although women's life pressure may be greater than men, their ability to self -adjust and convey the "help" signal is superior to men.Women are also more likely to form a "support network" with family and friends to resist various pressures in life.
According to the Ethics Magazine of the American Medical Association, the case of insufficient diagnosis of male depression is worse than women.This is because men are not good at expressing themselves, and they are afraid that society will treat depression as the weakness of "no man's spirit", so there are not many proactive consultation.What must be added here is not necessarily that most patients with depression will not go to the consultation, but that the consultation may be related to depression but not obvious problems.For example, the elderly are most likely to go to family doctors for a physiological disease, while men are most likely to pay attention to the problems of insomnia and insufficient energy, and they do not necessarily realize the fluctuations of emotions.In addition, this report also clearly states that women are not the risk factors of depression, so how to accurately judge and treat depression is more important than gender.
Finally, we must jump out of the frame of suicide.When Singapore had not abolished suicide, some mental patients frankly admitted that they had experienced the predicament of being forced to be hospitalized with a tendency to suicide.As everyone knows, many patients actually occur during the peak period of one month after discharge.
Why do you want to commit suicide after hospitalization?The reason may not be related to whether the mental illness is relieved, but the treatment of medicalization, depriving the patient's ability to autonomy and self -care, and let them be confused after being discharged.Obviously, the medical system is not the best answer to handling mental illness and suicide at the same time. The tolerance and active practice of social people to return to society are the key to cure mental illness and suicide.
When we try to over -associate mental illness and suicide, whether it is based on goodwill or deliberate, we also add social prejudice and error messages in virtue.Suicide is a behavior, not synonymous with mental illness or depression.What we can do is not to highlight the characteristics of a certain group and give them a space for healing and restraint.
The author is a doctor and a clinical psychology researcher
