Suicide in men

Author(s):  
Wolfgang Rutz ◽  
Zoltán Rihmer

Male life expectancy in Europe is between 5 and 15 years lower than women. This might be related to the fact that men, in general, approach and consume medical services only half as often as females. Between 70 and 90% of all suicides are committed in a clinical condition of major depression, paradoxically, men commit suicide 3–10 times more often than women despite being diagnosed as depressive half as often. Male depressive symptoms are different from those reported by females, mainly because of men’s alexithymic problems in recognizing and reporting their own depressive symptoms. Additionally, male depression can manifest itself more atypically as abusive, aggressive, risk-taking, or antisocial behaviour. Moreover, in the case of suicidal behaviour, males more frequently use violent or lethal methods. Training of healthcare workers to better detect male depression and increasing public awareness for male’s often atypical depression are promising tools in the prevention of suicide.

K ta Kita ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 279-287
Author(s):  
Sheena Sugiarto

This creative thesis aims to show depressive symptoms in men, the stigma associated with depression, and the way stigma impacts depressed individuals by means of a screenplay. Using drama as the genre and psychological drama as the sub-genre, I exploit the emotional strain of the main character to show the struggles of male depression as well as the brutal consequences of stigma. The screenplay, titled Coda, follows Arya, a boy who struggles with depression and stigma associated with depression. As the story progresses, Arya’s mental health condition increasingly declines. Arya exhibits depressive symptoms although they are not typically recognized as depression. These include frequent irritability and inappropriate anger, escapists behavior, physical symptoms, problems with drug use, and risky behavior. In addition to that, Arya also experiences personal stigma from his family, which gradually affects their relationship and ultimately leads him to impulsively commit suicide. Keywords: Male depression, stigma, impact


1997 ◽  
Vol 81 (2) ◽  
pp. 635-639
Author(s):  
Motoko Hayashi ◽  
Isao Fukunishi

This study examined what kinds of social support are related to mood states in a sample of 50 HIV-positive patients without AIDS (46 men and 4 women; M age 36.5 yr., SD = 9.8). In the early stage of HIV infection, HIV patients without AIDS may be prone to depressive symptoms although none of these HIV-positive patients' symptoms fulfilled the DSM-III-R Mood Disorders including Major Depression. The depressive symptoms were not significantly related to lack of ordinary social support such as friends and family but were significantly associated with dissatisfaction with HIV/AIDS-related medical support


2021 ◽  
pp. 000486742199879
Author(s):  
Pavitra Aran ◽  
Andrew J Lewis ◽  
Stuart J Watson ◽  
Thinh Nguyen ◽  
Megan Galbally

Objective: Poorer mother–infant interaction quality has been identified among women with major depression; however, there is a dearth of research examining the impact of bipolar disorder. This study sought to compare mother–infant emotional availability at 6 months postpartum among women with perinatal major depressive disorder, bipolar disorder and no disorder (control). Methods: Data were obtained for 127 mother–infant dyads from an Australian pregnancy cohort. The Structured Clinical Interview for the DSM-5 was used to diagnose major depressive disorder ( n = 60) and bipolar disorder ( n = 12) in early pregnancy (less than 20 weeks) and review diagnosis at 6 months postpartum. Prenatal and postnatal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale, along with self-report psychotropic medication use. Mother and infant’s interaction quality was measured using the Emotional Availability Scales when infants reached 6 months of age. Multivariate analyses of covariance examining the effects of major depressive disorder and bipolar disorder on maternal emotional availability (sensitivity, structuring, non-intrusiveness, non-hostility) and child emotional availability (responsiveness, involvement) were conducted. Results: After controlling for maternal age and postpartum depressive symptoms, perinatal disorder (major depressive disorder, bipolar disorder) accounted for 17% of the variance in maternal and child emotional availability combined. Compared to women with major depressive disorder and their infants, women with bipolar disorder and their infants displayed lower ratings across all maternal and child emotional availability qualities, with the greatest mean difference seen in non-intrusiveness scores. Conclusions: Findings suggest that perinatal bipolar disorder may be associated with additional risk, beyond major depressive disorder alone, to a mother and her offspring’s emotional availability at 6 months postpartum, particularly in maternal intrusiveness.


2021 ◽  
Vol 13 (597) ◽  
pp. eabe1376
Author(s):  
Peter Nagele ◽  
Ben J. Palanca ◽  
Britt Gott ◽  
Frank Brown ◽  
Linda Barnes ◽  
...  

Nitrous oxide at 50% inhaled concentration has been shown to improve depressive symptoms in patients with treatment-resistant major depression (TRMD). Whether a lower concentration of 25% nitrous oxide provides similar efficacy and persistence of antidepressant effects while reducing the risk of adverse side effects is unknown. In this phase 2 clinical trial (NCT03283670), 24 patients with severe TRMD were randomly assigned in a crossover fashion to three treatments consisting of a single 1-hour inhalation with (i) 50% nitrous oxide, (ii) 25% nitrous oxide, or (iii) placebo (air/oxygen). The primary outcome was the change on the Hamilton Depression Rating Scale (HDRS-21). Whereas nitrous oxide significantly improved depressive symptoms versus placebo (P = 0.01), there was no difference between 25 and 50% nitrous oxide (P = 0.58). The estimated differences between 25% and placebo were −0.75 points on the HDRS-21 at 2 hours (P = 0.73), −1.41 points at 24 hours (P = 0.52), −4.35 points at week 1 (P = 0.05), and −5.19 points at week 2 (P = 0.02), and the estimated differences between 50% and placebo were −0.87 points at 2 hours (P = 0.69), −1.93 points at 24 hours (P = 0.37), −2.44 points at week 1 (P = 0.25), and −7.00 points at week 2 (P = 0.001). Adverse events declined substantially with dose (P < 0.001). These results suggest that 25% nitrous oxide has comparable efficacy to 50% nitrous oxide in improving TRMD but with a markedly lower rate of adverse effects.


2014 ◽  
Vol 55 (3) ◽  
pp. 518-525 ◽  
Author(s):  
Roberto Maniglio ◽  
Francesca Gusciglio ◽  
Valentina Lofrese ◽  
Martino Belvederi Murri ◽  
Antonino Tamburello ◽  
...  

2018 ◽  
Vol 12 (2) ◽  
pp. 227-254
Author(s):  
Niila Khoiru Amaliya

WHO’s data shows that suicide rates increase every year. In 2015, more than 800,000 people died caused by suicide. The average of suicide case in Indonesia is about 300.000 people each year. Depression, stress and inability to face life's challenges are considered as the trigger for more suicidal behaviour. By those phenomena, many efforts are needed to solve them. Paul G. Stolz (called as Stolz) states that one of important thing for human is Adversity Quotient (AQ) or intelligence to face problems. Based on Stolz, the one who has a high Adversity Quotient will not easy to give up when s/he faced difficulties. s/he will keep tough, tries to face many obstacles well.This paper will explore the concept of Adversity Quotient values in Qur’an since it is the source of life, rich of values of how to face and live the life. Thus thematic methodis chosen to analyse this paper. The result of this study shows that the intelligence to face the problems taught in Qur’an is like the concept of patient in the Qur’an. There is adimension of human spirituality, in which to face loads of problems, human is reminded to take in or receive (to be ridla, to be sincere, and to do maximum effort and to have spiritual element: to submit everything to Allah). Allah is with those who are patient. The result of this study is expected to construct human perspective and mentality in facing life problems, so as to have a high Adversity Quotient, thus human does not easily despair of his problems, keeps tough and does not easy to commit suicide.


2014 ◽  
Vol 205 (4) ◽  
pp. 268-274 ◽  
Author(s):  
Pim Cuijpers ◽  
Sander L. Koole ◽  
Annemiek van Dijke ◽  
Miquel Roca ◽  
Juan Li ◽  
...  

BackgroundThere is controversy about whether psychotherapies are effective in the treatment of subclinical depression, defined by clinically relevant depressive symptoms in the absence of a major depressive disorder.AimsTo examine whether psychotherapies are effective in reducing depressive symptoms, reduce the risk of developing major depressive disorder and have comparable effects to psychological treatment of major depression.MethodWe conducted a meta-analysis of 18 studies comparing a psychological treatment of subclinical depression with a control group.ResultsThe target groups, therapies and characteristics of the included studies differed considerably from each other, and the quality of many studies was not optimal. Psychotherapies did have a small to moderate effect on depressive symptoms against care as usual at the post-test assessment (g = 0.35, 95% CI 0.23–0.47; NNT = 5, 95% CI 4–8) and significantly reduced the incidence of major depressive episodes at 6 months (RR = 0.61) and possibly at 12 months (RR = 0.74). The effects were significantly smaller than those of psychotherapy for major depressive disorder and could be accounted for by non-specific effects of treatment.ConclusionsPsychotherapy may be effective in the treatment of subclinical depression and reduce the incidence of major depression, but more high-quality research is needed.


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