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Depression and Suicide:Treatable And Preventable Community Mental Health Indicators Candy Kragthorpe, MSW, LGSW Suicide Prevention & Mental Health Division of Family Health Minnesota Department of Health
Mental Health “A state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity.” - Surgeon General’s Report on Mental Health (1999)
Public Health Model of Mental Health • Public health approach is becoming increasingly popular • Seen by many as effective strategy • Looks at health of entire population • Treats mental health as an essential condition for overall health • Links health to the physical and psycho-social environments
Elements of the Public Health Model • Diagnosis • Treatment • Etiology of mental disorders • Epidemiology • Health promotion • Early intervention • Prevention • Access to care and education
Mental Health Fits in Existing Programs · Pregnancy Planning · Violence Prevention · Prenatal Care · Safety · Parenting Skills · Disability Prevention · Systems Development · Chemical Health · Infant, Child, and Adolescent Growth and Development
Priority of the U.S. Surgeon General • National Strategy for Suicide Prevention: Goals and Objectives for Action (2001) • Mental Health: Culture, Race and Ethnicity, A Supplement to Mental Health: A Report from the Surgeon General (2001) • Report of the Surgeon General’s Conference on Children’s Mental Health: A National Action Agenda (2000) • The Surgeon General’s Call to Action to Prevent Suicide (1999) • Mental Health: A Report of the Surgeon General (1999)
Suicide in Minnesota • Second leading cause of death (ages 10-34) • Highest rate among Minnesotans > 65 years • Males account for 80% of suicide deaths • American Indians have suicide rates higher than any other racial/ethnic group from A Report to the Legislature: Suicide Prevention Plan
Suicide in Minnesota (continued) • Number of annual suicide deaths in MN is 300% greater than homicide deaths • Self-inflicted poisoning is leading cause of nonfatal, hospitalized injury among those aged 15-19 & 25-34 (MDH, 2000) • Among women (ages 10-44), self-inflicted poisoning is leading cause of nonfatal, hospitalized injury (MDH, 2000)
Depression in Minnesota • Data are scarce on depression in MN • Surgeon General estimates 20% of individuals experiences mental health disorder each year • Two-thirds of these disorders are undiagnosed and untreated • Depression can be a precursor to suicide
MN Mental Health Resources • A Report to the Legislature: Suicide Prevention Plan (1999) http://www.health.state.mn.us/divs/opa/suicide.pdf • A Public Health Approach to Mental Health (2000) http://www.health.state.mn.us/divs/opa/tbmh.pdf • Toward Better Mental Health in Minnesota http://www.dhs.state.mn.us/mental_health/tbmh/default.asp