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Depression 1152010

Depression 1152010 - Depression Depression The “common...

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Unformatted text preview: Depression Depression The “common cold’ The of psychological disturbances disturbances More than 19 million More Americans suffer from this each year from 80-90% improve 80-90% with proper treatment treatment What Causes Depression What Biological Factors Family history Brain chemistry Psychological Factors Poor self-esteem Stress Extreme pessimism about future Environmental Factors Difficult life experiences Source: Mark George, M.D. Biological Psychiatry Branch Division of Intramural Research Programs, NIMH 1993 Symptoms of Depression Symptoms Sadness or “down” mood Loss of energy/ feeling slowed down Loss Changes in sleep/ appetite Trouble concentrating, indecisiveness Loss of interest or pleasure in normal Loss activities activities Irritability Lack of motivation Feelings of worthlessness or guilt Thoughts of death or suicide How Depression Feels How [www.wingofmadness.com] You feel like you can’t do anything right You feel as though you are drowning or suffocating Your senses seem dulled- food tastes bland, music doesn’t Your affect you anymore affect You’re crying a lot, either at nothing, or something that You’re normally would be insignificant normally It seems like there’s a glass wall between you and the rest of It the world the The memory of every failure, every bad or uncomfortable The experience, interview or date, comes into your mind uncontrollably like a torrent of negativity uncontrollably Three Dimensions of Depression Depression Duration Frequency: How often do you feel down or depressed: Every day? Three times a week? Once a month? All the time? Severity How bad is it: Do you feel suicidal? Totally hopeless and stuck in a dark hole? Or just kind of lousy and negative? How long does it last: Until you see your partner? Until you go home for the weekend? Just a couple of hours? Does it drag on for days, weeks, months? Have you felt somewhat depressed your whole life? Depression at UMCP Depression [Source: NCHA Survey 2007] In the past year, 74.9% of students In reported that they felt very sad at least on one occasion one 26,215 undergraduates and graduates 7,490 undergraduates living in the dorms 92.6% of students reported feeling 92.6% overwhelmed by all they had to do at least once least 32,410 undergraduates and graduates 9,260 undergraduates living in the dorms Why do so many college students suffer from depression? suffer Greater academic demands Being independent in a new environment Financial responsibilities Alienation / Isolation Feelings of failure / decreased Feelings performance performance Use of alcohol / drugs Issues of Identity Lack of adequate coping skills Preparing for life after graduation Suicide Prevention... Suicide Everyone’s Concern Suicide Suicide 2nd leading cause of death among college students students 75 – 90% of all people who die by suicide are 75 clinically depressed clinically 70% of all suicides give some warning of their 70% intentions to a friend or family member intentions Males are 3-5x more likely to commit suicide Males than females, although females are 3x more likely to attempt suicide likely Suicide Suicide More than 90% of people who commit suicide More are suffering from one or more psychiatric disorders disorders A recent college health survey indicates that recent most students diagnosed with depression are not in treatment not However, most people give some warning or However, indication of their intent to commit suicide… indication making your observations incredibly important! Suicide & UMCP Suicide [Source: NCHA Survey 2007] 56.9% of students reported feeling that things 56.9% were hopeless on at least one occasion. were 5,690 undergraduates living in the dorms 19,915 undergraduates and graduates 6.8% of students reported seriously 6.8% considering attempting suicide at least once. considering 680 undergraduates living in the dorms 2,380 undergraduates and graduates 0.8% of students reported attempting suicide 0.8% at least once. at 80 undergraduates living in the dorms 280 undergraduates and graduates True or False True People who talk about suicide really People won’t do it won’t If a person is determined to kill If him/herself, nothing is going to stop him/her Talking about suicide may give someone Talking the idea the Risk Factors of Suicide Risk Previous suicide attempt Alcohol / Substance Use Impulsive / aggressive tendencies Experience of trauma Family history of suicide Access to means Hopelessness Sense of failure Sense Recent loss Lack of social support and sense of isolation Stigma associated with help-seeking behavior Warning Signs Warning A sudden, unexpected switch from being very sudden, sad to being very calm or appearing to be happy Increase in alcohol / drug use Having a "death wish," tempting fate by taking Having risks that could lead to death, like driving fast or through red lights Giving things away, tying up loose ends Isolation – staying in room, shutting down Visiting or calling people to say goodbye Visiting Seeking information or methods to commit Seeking suicide suicide Talking about wanting to leave or die Protective Factors Protective Effective treatment Strong connections to family and Strong community support community Problem solving and coping skills Avoidance of alcohol / drug use Cultural and religious beliefs that Cultural discourage suicide and support selfdiscourage preservation A Suicidal Person May Not Be Able To: Stop the pain Think clearly Make decisions See any way out Get out of the depression Make the sadness go away See a future without pain See themselves as being worthwhile Get control of their lives Personal Reactions Scared Helpless Burdened by the “secret” Angry Resentful Worried, panic Fearful How To Help How Ask. Listen. Tell. Ask specific questions Listen without judgment Tell someone Encourage mental health treatment Seek support for yourself Do not leave the person alone Remove firearms, drugs, or objects Remove that could be used for suicide that Take person to the Health Center or Take nearest Emergency Room nearest Call 911 Remind Them… Remind Seeking help is a sign of strength. Resources To Find Help On Campus: Mental Health Service, University Health Center 301-314-8106 Open Mon- Fri, 8:30 a.m to 5 p.m. Counseling Center, Shoemaker Building 301-314-7651 Open Mon-Thurs, 8:30 a.m. to 9 p.m.; Fri, 8:30 a.m. to 4:30 p.m ***Help Center Hotline . 301-314-HELP (4357) Resources After-Hours Emergencies, Off Campus: National Suicide Prevention Lifeline 800-273-TALK (8255) Maryland Youth Crisis Hotline 800-422-0009 Prince George’s Hospital Center 301-618-2000 Washington Adventist Hospital 301-315-3030 Post Partum Depression Warmline 800-773-6667 Homeless Hotline 888-731-0999 Resources Helpful Web Sites: University Health Center [www.health.umd.edu] University Counseling Center [www.inform.umd.edu/CampusInfo/Departments/Counseling] Department of Public Safety [www.umpd.umd.edu] Victim Advocate [www.health.umd.edu/services/victimadvocate] The JED Foundation [www.jedfoundation.org] American Foundation for Suicide Prevention [www.afsp.org] Substance Abuse and Mental Health Services Administration [www.samhsa.gov] ...
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