Tuesday, May 5, 2020

Depression and Suicide for Critical Mental Health-myassignmenthelp

Question: Discuss about theDepression and Suicide for Critical Mental Health. Answer: Introduction In Australia, almost every household has a person who has suffered or is suffering from a form of mental illness. Thus this is a real issue that affects everyday people. This essay will focus on depression and suicide in Australia.It will also look at the various ethical aspects that are associated with it. In addition it will study some mental issues and what interventions nurses can make in mental health care provision. Investigate and outline the incidence of both depression and suicide in Australia. Depression is a widespread and critical mental health issue that adversely impacts your mood, your thinking and actions. Depression triggers dispositions of melancholy and leads to one losing interests in hobbies. It could lead to several emotive and body issues and can reduce an individuals capability to perform while working or in their home. Hence, it is not just when someones mood is blue without cause for a short period, it is a drawn-out quarry of hopelessness where optimism is just but a reminiscence (Sanna, et.al, 2014).When a person is depressed they can exhibit the following signs and symptoms; they will feel sad most of the time, they will not enjoy taking part in activities that once brought them joy. They will either sleep too much or suffer from insomnia, they will think about suicide and death, they will feel like they are guilty or worthless, they will have difficulty in concentrating while doing different things and finally their appetite will change leading to eithe r weight loss or gain (Ibrahim,Kelly, Adams, Glazebrook,2013). When we look at cases of depression in Australia, we find that about 5.9% of the population are affected by major depressive episodes in a given year. In this 5.9%, 5% will be women while 3% will be men. Thus in any given year in Australia, approximately one million people will suffer from depression. These statistics make Australia among one of the most depressed countries in the world and also lets us know that almost every household in Australia has a person who has been affected with some degree of depression. Also, another fact is that women in general, and in this case in Australia, are more at risk of being depressed (Sanna, et.al, 2014). Suicide is when a person intentionally causes harm to themselves with the intent of killing themselves. People resort to committing suicide as a way of ending their suffering or dealing with their problems. They also feel that if they do so, they will be removing some pain from the people around them (Robinson, Pirkis, 2014). There are various risk aspects that can make someone to contemplate suicide some of them include; schizophrenia, bipolar disorder and depression. Most people will hold on to what is affecting them and hide their pain while they are depressed, then they over-focus on these things that contribute to the depression. This will create a snowball effect which leads a depressed person to contemplate suicide as the only way to deal with their problems. Suicide is prevalent in many countries, and Australia is no different (McNamara, 2013). Overall, in every 100,000 people in Australia, 12.6 people died in 2015 as a result of committing suicide this translated to 3,027 deaths in that year alone. It means that each day eight people in the country committed suicide and were successful in ending their lives. In Australia, deaths by suicide in men is three times the number of those in women, but of late the number of deaths by suicide in women is increasing. Another fact is that not everyone who attempts suicide is successful and thus for every one person who dies as a result of suicide, thirty people tried to commit suicide unsuccessfully (Qi, Hu, Mengersen, Tong,2014). Critically discuss one community group identified as at risk of depression and one different community group identified as at risk of suicide. A community group that has been identified as being at risk of being depressed is the elderly . Older people are an essential part of the society, but they are the most at risk group to be affected by depression. They are especially at risk because of factors such as chronic illnesses and isolation. However, ageing does not factor into someone suffering from depression. Some of the things that increase the risk of an older person being depressed are chronic illnesses like Alzheimers disease, side effects from medications they are given. Losses of relationships, work and income, mobility and their self-worth, and finally social isolation or moving from their usual environment to an assisted living facility. Every older person differs, and it could be a combination of different factors which will lead to them being depressed. Older people may use a different language to describe their symptoms like instead of saying they are sad they may talk about their nerves. Thus people around them should be more observant so that they can they can get help as early as possible (Taylor, 2014). A community group identified as being the highest at risk of committing suicide are people who as children were taken from their families and put in the care of the state. They are more likely to experience risk factors which lead to suicide. These risk factors include; sexual abuse, emotional abuse, neglect, physical abuse and self-injurious behaviour. These traumatic events in their lives mostly lead to these individuals contemplating suicide at some point in their lives as a way to deal with their various issues. Children in foster care are three times more likely commit suicide than those who never went through it, also four times more likely to try and commit suicide (Tarren-Sweeney, 2013). Critically discuss three factors that may have contributed to the development of the clients mental health concerns and risks. Several factors have led to the development of mental health issues in Jack, and I have identified three factors. First is the sudden death of his father which occurred eleven months before the suicide attempt. It has led to him being distant emotionally from his mother. He admits that he misses his father so much especially now that his death anniversary is approaching. His mother also has two jobs which take up most of her time, and when she gets home, she is too tired. Thus, he cannot talk to her as she does not have the time and when there is she is too tired. Secondly, over the past few months he has been feeling tired and unmotivated, and thus he does not take part in activities that were normal to him before such as going to the gym. It has also led to him not going to work as a mechanic apprentice, and he has not handed in assignments given to him at work. He is anxious that he may lose his apprenticeship and it makes him feel like a failure. Finally, his relationship has bee n doing poorly for the past two months because his girlfriend Jill has noted that he has become more distant and withdrawn from the relationship thus Jill mentioned that she is considering ending their relationship which is overwhelming him. Define and discuss the ethical principles of beneficence and non-maleficence and aspects of the Mental Health Act 2014 W.A., which are relevant to the areas of risk in the case study. In this case study, there are various ethical issues regarding self-harm and causing harm to others. It especially puts into consideration the Western Australian Mental Health Act 2014. Beneficence is the guiding principles for healthcare providers, and it is do no harm while non-maleficence is where individuals can get benefits and their welfare taken care of hence do good. In this case, as the nurse, I am obligated to ensure no harm comes to my patient thus the proper step to take is to ensure what he tells me is not revealed to others. Also, I should do good for my patient which means I should ensure he gets the psychiatric help he requires (Pozgar, 2014). Some of the ethical aspects covered in this case study include; first, respecting a patients privacy and confidentiality. In this case, as a nurse, the dilemma is if I should refer Jack to a psychiatrist as he has opened up to me and discussed the issues he is facing or if I should keep what he has told me in confidence a secret. It will be a bit ethically wrong to use the information he told me in confidence to make him seek the help he needs. Another ethical aspect is when to involve other people in the issue affecting the patient. It becomes a dilemma for me as a nurse because as I was examining him he seemed to be happy and open and it does not fit with the symptoms of depression. Also, it is ethically wrong according to me to make someone get help against their will. According to me, people should seek help when they are ready and thus it will be more effective when they are willing to get the help. It should be his decision whether to involve a third party or not (Slade, et.al, 2014). Identify a high priority mental health risk from the case study, and provide two relevant nursing interventions. In this case study, there are several mental health issues some of them include; first, when an individual is faced with a bad situation they may begin to feel worthless, and thus they look down on themselves . In this case, Jack feels like he is worthless because he is not delivering at work and therefore might lose his job, therefore, he feels he will be a disappointment for his family. Another problem is stress where a person is stressed because of overthinking a particular situation like Jack who is stressed because of his deteriorating relationship with Jill his girlfriend and also his fathers sudden death. When a mental health patient has no one to talk to or turn to when they have problems it becomes an issue because they could take drastic steps such as suicide to deal with the problem. In this case, Jack and his mother have become distant therefore he does not talk about his issues with her so that she might help (McGorry, Bates, Birchwood, 2013). Various steps by healthcare practitioners can be taken to intervene these mental health issues, some of these interventions include; one as a nurse you should be ready to listen to a patient as they talk to you so that you can understand what issues they have and if you can provide any help to them. Thus you can handle the situation better as a nurse if you have all the facts at hand and also you can give support to them which is equally as important when caring for patients with mental health issues (Videbeck, Videbeck, 2013). Another intervention is to listen to this issues and determine whether there is a need for suicide prevention precautions. Then determine if there is high risk if there is a need for the patient to be hospitalised or if its low if its safe for them to go home. Also, as a nurse, you should ensure to contact the patients family or friends and inform them of the situation so that they may provide the support the patient needs (Halter, 2017). Identify a mental health problem/ issue/ need from the case study, and provide two relevant interventions. In this case study, there are a variety of mental health problems that the patient is going through. One of it is that Jack needs a support system around him to whom he can go to when he has problems and they can help him (Fortinash, Worret, 2014). By doing this, he will be able to deal with issues as they occur and not let them build up and over time he may explode and attempt suicide once more. Some interventions I can make as a nurse is, one I should communicate with his mother and let her know of the situation and let Jack explain how he is feeling. Thus by doing so and teaching her the importance of a support system, she will ensure that he has one (Muskett, 2014). Another intervention is that I can suggest to Jack to join a support group for depression patients where he can go and discuss with people who understand his situation and thus he can find ways to deal with his issues from people who have gone through similar situations (Townsend, Morgan, 2017). Conclusion. In conclusion, a huge part of the Australian population has been affected by either depression or suicide. Hence, a country more interventions mental health care and laws that support mental health interventions. Medical health practitioners should realise that they play a considerable part in mental health management. By doing so, people with mental health issues will get the help they require. References Robinson, J., Pirkis, J. (2014). Research priorities in suicide prevention: an examination of Australian-based research 200711.Australian Health Review,38(1), 18-24.Fortinash, K. M., Worret, P. A. H. (2014).Psychiatric Mental Health Nursing-E-Book. Elsevier Health Sciences. Halter, M. J. (2017).Varcarolis' Foundations of Psychiatric-Mental Health Nursing-E-Book: A Clinical Approach. Elsevier Health Sciences. Ibrahim, A. K., Kelly, S. J., Adams, C. E., Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students.Journal of psychiatric research,47(3). McGorry, P., Bates, T., Birchwood, M. (2013). Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK.The British Journal of Psychiatry,202(s54), s30-s35. McNamara, P. M. (2013). Adolescent suicide in Australia: rates, risk and resilience.Clinical child psychology and psychiatry,18(3). Muskett, C. (2014). Trauma?informed care in inpatient mental health settings: A review of the literature.International journal of mental health nursing,23(1). Pozgar, G. D. (2014).Legal and ethical issues for health professionals. Jones Bartlett Publishers. Qi, X., Hu, W., Mengersen, K., Tong, S. (2014). Socio-environmental drivers and suicide in Australia: Bayesian spatial analysis.BMC public health,14(1). Sanna, L., Stuart, A. L., Pasco, J. A., Jacka, F. N., Berk, M., Maes, M., Williams, L. J. (2014). Atopic disorders and depression: findings from a large, population-based study.Journal of affective disorders,155. Sanna, L., Stuart, A. L., Pasco, J. A., Kotowicz, M. A., Berk, M., Girardi, P., Williams, L. J. (2014). Suicidal ideation and physical illness: does the link lie with depression?.Journal of affective disorders,152. Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems.World Psychiatry,13(1). Tarren-Sweeney, M. (2013). An investigation of complex attachment-and trauma-related symptomatology among children in foster and kinship care.Child Psychiatry Human Development,44(6). Taylor, W. D. (2014). Depression in the elderly.New England journal of medicine,371(13),. Townsend, M. C., Morgan, K. I. (2017).Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis. Videbeck, S., Videbeck, S. (2013).Psychiatric-mental health nursing. Lippincott Williams Wilkins.

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.