Mental health is a far greater problem than we realise. According to the 2007 National Survey of Mental Health and Wellbeing, 368,100 Australians had contemplated suicide in the 12 months prior to the survey interview.

This World Mental Health Day, ask your friend if they're OK

Of those, almost three‐quarters had had a 12‐month mental disorder. Yet, according to ABS statistics, there were 1,881 suicide deaths reported in 2007 of which 72 per cent were males.

Today six Australians will tragically take their own life and chillingly, more than 200 will make a suicide attempt. Suicide is the biggest killer of men under 44, women under 34 and currently ranks 15th in the overall causes of death in Australia.

In younger Australians, the statistics are even more alarming. Suicide accounts for one in four deaths among young people and is the leading cause of death for 15‐24 year olds each year.

But speak to any mental health professional and they will tell you that this is only the tip of the iceberg. The real figure is much higher. They will also tell you that until we have a proper handle on the actual number of suicides in Australia, we can not begin to properly tackle the problem.

These figures don’t include the young man who wraps himself around a tree at midnight on a country road or the little old lady found dead alone in her home, both of which would more likely be reported as accidental deaths.

Suicide statistics are dependent on investigations and findings by State authorities such as coroners. When dealing with human emotions and indeterminate situations, it is easier to err on the side of a finding of accidental death. All Governments need to work together to get a far better picture of the size and scale of the real problem.

One can also cite similarly confronting statistics with depression, anxiety, schizophrenia, bi‐polar, personality and eating disorders. In summary, one in five Australians will suffer from some form of mental illness each year and almost 45 per cent of Australians will face some form of mental health problem in their lifetime.

Today is the United Nations World Health Organisation World Mental Health Day. The theme for this year is Depression: A Global Crisis. In recent weeks we have marked World Suicide PreventionDay, RUOK? Day, Dementia Awareness Week, and World Alzheimer’s Day. The month of October is Mental Health Month in NSW and encompasses numerous Mental Health weeks for other States and Territories.

On Friday, we have National Hat Day, followed by Sock it to Suicide week. All great initiatives. All designed to raise awareness and hope. All striving to lessen the stigma. All seeking to engage with us about being aware, being understanding and how to seek help.

Stigma remains the big issue. Whilst we can now have conversations about mental health, this has only been a relatively recent development. It is not something people want to openly talk about. They don’t understand mental illness and therefore, understandably, they shy away from talking about it, let alone finding out more.

With the right resources and support, people suffering with mental illness, just like people who suffer physical illness, can overcome their illness and return to a fully functioning daily life. This brings us to last year’s federal budget.

In the year of ‘decision and delivery’, where mental health was promised to be a second term priority for the Labor Government we saw a $2.2 billion headline. This headline with much fanfare was designed to look impressive and even the mental health sector applauded it.

Unfortunately, however as with everything this Labor Government announces the devil is in the detail. It was quickly discovered that only $583 million of this was new money. The reality is there was only $47 million in the first year and the sector is now rightfully critical of this budget.

One should also go back to the 2010 election promise of $277 million to tackle suicide of which only $9.5 million was allocated in 2010‐2011. Of this $7,373,727 was actually spent!

Contrast this with the Coalition’s 2010 election policy, which was widely endorsed by mental health experts such as the 2010 Australian of the Year, Professor Patrick McGorry and Professor John Mendoza who described the Coalition policy as “the most significant announcement by any political party in relation to a targeted, evidence‐based investment in mental health”.

Therefore, until this Labor Government gets serious about tackling mental illness in our communities, we cannot begin to meet the challenges that this brings.

Events in our lives are unpredictable and mental illness can strike anyone at any time. So next time someone stops you and seeks to engage on any one of these important days, listen to them. Be prepared to raise your awareness. Stop and think whether your family member, friend or colleague is OK.

Remember, one day it could be you; it could be any of us.

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31 comments

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    • acotrel says:

      04:51am | 10/10/12

      What I find concerning is that most people don’t recognise the difference be tween psychology and psychiatry, and the different role each has to play in treating mental illness.  All the drugs do is treat the symptoms, and give temporary relief and a reprieve.  If the underlying issue is still there provoking the disease, the symptoms return. What is needed is coordination between psychiatrists and clinical psychologists.  Unfortunately we don’t appear to create many professional psychologists in Australia, and the lack of their services is a serious problem. The profession seems to be poorly recognised and funded?

    • SAm says:

      06:30am | 10/10/12

      Actually your half right (regarding the difference).
      However, drugs do more than just ‘treat the symptoms’, they can go a long way in restoring the chemical imbalances in your brain, something which a therapist cannot do.
      It is the current accepted practice to combine both treatment options for the best results, drugs are more than ‘feel good’ pills

    • acotrel says:

      07:10am | 10/10/12

      If you are looking for a ‘cause’, I suggest the psychological problem precedes the chemical imbalance.  The disease is often delusion caused by an inability to cope. The drugs only take the patient so far, the rest is psychological. Sometimes if the patient responds to the drugs, then believes the world he/she has reacted to has changed, when they find that it hasn’t changed, they immediately become ill again. A major problem lies in the inability of psychologists to empathise, and empathy is often inadvisable.  Most mentally ill people are ill for good reason, if you listen to them, you can have their experience.

    • andrew says:

      07:29am | 10/10/12

      SAm is correct.

      Drugs can help stabilise an individual to the point where psychological therapy can be applied.  Moreover, they help maintain that stability.

    • acotrel says:

      08:01am | 10/10/12

      Andrew, the drugs are essential, but they are not an end in themselves.  If the underlying problem is not addressed mental disease in ‘incurable’.  The services of clinical psychologists are not easy to obtain, and they are also essential. One without the other, the disease will always remain unless the patient grows out of it.

    • Tim the Toolman says:

      08:40am | 10/10/12

      “If the underlying problem is not addressed mental disease in ‘incurable’”

      That presupposes that all mental conditions are based fundamentally in psychology, and that purely chemical issues are never at play.

    • andrew says:

      09:04am | 10/10/12

      @acotrel

      ” but they are not an end in themselves. “

      Nobody, except you, said that drugs are and end in themselves.

      READ WHAT OTHERS HAVE WRITTEN, FOR A CHANGE.

      Drugs are PART of an overall therapy.  That therapy is different for every single person.  Some people do not require drugs.  Some people do.

      If you disagree, I invite you to talk with real practitioners in the field. People like mental health nurses who see the real-world effects of various therapeutic (and non-therapeutic approaches).

      i.e. people who don’t have an axe to grind. Just a job to do, and results to achieve.

    • Colin says:

      09:29am | 10/10/12

      @acotrel, SAm, Andrew, et al

      What i find even more concerning are the number of self-professed ‘Experts’ out there who dish out ‘Psychological advice’ to all and sundry on the pretext of ‘Helping’...If someone appears to have a Mental Health Problem, don’t offer ‘Advice’, other than to direct them to their nearest GP for a referral to a Mental Health Professional…

    • Al B says:

      12:02pm | 10/10/12

      Colin some mental health ‘professionals’ have a lot to answer for sometimes, especially if u are including GPs among them LOL. Speaking from experience here, both myself and plenty of others.

      There are plenty of dissenting voices among psychologists especially regarding the direction this profession has gone in. Easy, efficient categorisation over much more complex individualist root causes…just for starters!

      And nothing wrong with a range of views. Plenty of ‘amateurs’ are very well informed in their own ways and sometimes have more insight than folks with a piece of paper backing them up. Just sayin’... smile

    • Colin says:

      12:35pm | 10/10/12

      @Al B 12:02pm | 10/10/12

      “...Plenty of ‘amateurs’ are very well informed in their own ways and sometimes have more insight than folks with a piece of paper backing them up. Just sayin’... “

      Yes, indeedy. I don’t know why ‘folks’ go in fer all that learnin’ nonsense, it never did me nor my pappy any harm to go without a edukashin when it came to horse doctorin’. Why, we barely lost two out of every three horses to disease…So we must’ve been doin’ sumthin’ right…

      Just sayin’

      grin

    • Al B says:

      01:09pm | 10/10/12

      Please dont over simplify my position, Colin. This is an important issue and i am no mug. Mental disorders are a flawed construct…there is little scientific about it, so i would argue your attempt at drawing some (albiet comedic) parallel to broader medical learninz is a little off base smile

      Just sayin hehehe! There is more than one way of learnin’, friend. There’s a fair case that in some professions people get too far down the rabbit hole to be able to accept dissenting views.

    • Bertrand says:

      02:45pm | 10/10/12

      There is actually very little evidence (ie. pretty much none) in support of the ‘chemical imbalance’ hypothesis.

    • Nathan says:

      05:17am | 10/10/12

      Great piece, opened my eyes to the lack of funding this issue truly deserves. I think attitudes towards mental are changing hopefully that continues and it gets the funding it rightfully deserves. I think a real issue with getting the message out there is the shame that people feel towards their condition, we will hear about a cancer survivors story and take strength from it but someone recovering from a mental health issue is not likely to want to discuss it publicly.

    • stephen says:

      07:50am | 10/10/12

      Seems a civilization really is in decline if we have to stop someone and ask if they’re going mad.

    • Colin says:

      11:24am | 10/10/12

      Seems to me that civilisation has already declined into some Americanised purgatory if we start spelling everything with a ‘Z’...

      And - please god, no - don’t tell me that you pronounce it ‘Zee’..!

    • acotrel says:

      08:05am | 10/10/12

      Perhaps somebody should do a cohort study of the asylum seekers who became mentally ill on Nauru during the Howard era, and compare that group with the mental health of current inmates who now have access to Australian courts to be shown just cause for their imprisonment ? Those who are not being locked up will all hope removed from their lives.

    • marley says:

      08:36am | 10/10/12

      @acotrel - well, the current crop on Nauru don’t have access to the Australian courts, so why don’t we compare them with their Howard-era predecessors.

    • Matt says:

      08:51am | 10/10/12

      Feelings of worthlessness are quite normal for me, in fact 70% of my week is made up of these feelings. I carry on though, hoping that just one day I’ll wake up and the black dog will finally just go away!

    • Scotchfinger says:

      09:20am | 10/10/12

      *whistles* here boy! Come on… that’s it, into the car… in you go, Blackie…
      Should be OK now Matt, carry on smile I’m taking Blackie here to meet his new owner, Christopher Pyne. Here’s your new dog: a beagle, Snoopy (not original I know).

    • Tanya says:

      10:54am | 10/10/12

      I’m sorry to read that, Matt. I sincerely hope you have some support and that things do get better for you. There are a lot of good and caring people out there but for the most part, they are anonymous and swallowed up in the crowd. Seek them out to grow the 30 percent.

    • Shane* says:

      09:15am | 10/10/12

      In basketball (and I’m sure in other sports) there is a common phenomenon: Imagine a player is perpetually underrated. For years and years they plug away, with people commenting “Geez, they’re a good player, they just get no respect. So underrated.”

      But eventually the player receives so much ‘You’re underrated’ praise that they actually become slightly overrated.

      I think we’re witnessing something similar with mental health.

      No-one, certainly no-one in a position of power, is still sweeping mental health issues under the carpet.

      “Only” $583million was new money? Bloody hell! For that amount you’re funding the full rollout of the medical and economical no-brainer that is a national bowel cancer screening program that takes in the full at-risk population instead of the piecemeal approach we got for so many years. And bowel cancer kills far more people than mental health issues do.

      But it’s not about whipping them out and grabbing the measuring tape. It’s about reassuring mental health campaigners that no-one takes the issue lightly. We all know it’s a major issue. We all acknowledge the harm and pain. We also realise that statistics are bastards and that surveys are easily skewed.

      McGorry et al need to take comfort from the fact that they’ve succeeded on many many levels: parliamentarians are onside; no-one with two brain cells still thinks mental health is a minor, fringe issue; people are starting to talk openly, especially celebrities (you can’t deny that it helps) and so everyone is either directly or indirectly affected (and KNOWS about it!); we have experts determining policy now, rather than politicians.

      But we need to stop pretending this is an underrated issue in Australia. It’s not. Not anymore.

    • Tanya says:

      10:32am | 10/10/12

      People live in states of isolation, loneliness and hopelessness in the ‘big society.’ Aside from organic mental illness, the cost of living and the escalating gap between rich and poor in Australia is a major factor in it. People feel inferior as a result of the inability to achieve the lifestyle factors that are considered desirable and respectable and normalised by mass media. The drudgery of the daily grind is difficult for everyone but people who can afford the luxury of home ownership, holidays and other lifestyle choices probably fare better emotionally and physically than those who struggle to afford the basics. Middle to high income earners also have greater access to health services.

      It is tragic beyond words and the government needs to address it urgently on a human rather than a political/economic level. How embarrassing for the current government of the *lucky country* and its predecessors that this is happening.

    • serenity says:

      10:55am | 10/10/12

      Not all doctors are sympathetic. In the country its worse. People are reduced to tears over doctors refusing to see them because they need a certain medication

    • Independent thinker says:

      11:53am | 10/10/12

      The chemical imbalance theory of mental illness has never been proven. The drugs are only masking the real underlying psychological problems or moral dilemmas that someone is facing. Saying that drugs are needed because of low “serotonin” (there are 100 + neurotransmitters in the brain…) is like saying a cocaine addict needs cocaine because they have a cocaine imbalance in the brain. Psychiatrists have long held lucrative partnerships with big pharma which biases there views immensely and the diagnostic symptoms in the DSM are so broad that anyone, at some point in their lives, can be diagnosed as depressed (but depressed about something - unhappiness or even severe melancholy is not cancer, type 1 diabetes etc). Its no coincidence that Matthew Newton is recovering now that his cocktail of “mental illness” drugs has been tapered - it may prove to be that his erratic and violent behaviour were symptoms (iatrogenic) of the drugs and not a mental illness.
      If used judiciously, drugs are a short term solution, but only in the most extreme of cases as they alter the brains bio-chemistry in a harmful way. Inevitably people will accuse me of Scientology and insensitivity - neither of which are true. I’ve had friends and family with so called mental illnesses and looking at the latest scientific research am convinced that a large part of there erratic behaviour could be attributed to the effects of the drugs and there subsequent addiction to them. Suicide is a serious issue in our country - particularly in the country and amongst adolescent males but we are, as a society deluding ourselves into thinking that drugs are the answer to the problem. There are many other more effective avenues to pursue in treatment.

    • Al B says:

      12:22pm | 10/10/12

      And the troubling thing with the chemical imbalance Theory ...which it is…is that its based on an existing mindset and approach via the DSM…and then they are attempting to backfill evidence to fit the already accepted orthodoxy. Which is part of why it is often called pseudo scientific by more people than just scientologists.

      And thats not even getting into the assumed validity of a disorder based approach…grouping specific and real symptoms to create the easily medicated labels, served by big pharma…Richard Bentall’s work has really influenced me…there are some brave contrarian types out there legitimately bucking the system.

    • Colin says:

      12:53pm | 10/10/12

      Whoa ho! And the two Armchair Experts go at it head-to-head..!

      The crowd is enthralled!

    • bael says:

      03:19pm | 10/10/12

      The drugs saved my life.
      I am really sick of people just whatever they think makes sense rather than what might actually be evidence based.

    • Colin says:

      03:41pm | 10/10/12

      @ bael 03:19pm | 10/10/12

      “The drugs saved my life.”

      Spot on, Bael; SSRIs played a pivotal role in helping restore my “Normality”. I would not have done it with Cognitive Therapy alone because i was stuck in a chemically-depressed “Loop”.

      The combination of drugs and therapy worked for me; it may not for everyone - dependent on the severity/disorder - but it sure as heck helped me.

    • Peter Scott says:

      12:27pm | 10/10/12

      The sheer audacity of this woman is mind blowing

      Concetta Fierravanti-Wells you happen to be one of the most homophobic politicians in our senate and yet here you are preaching about mental health issues and suicide

      So I ask myself, do you have no shame?

    • Tommy says:

      03:05pm | 10/10/12

      In what way is she “homophobic?” I suggest that if you’re going to make such childish, offensive, outrageous claims, you back them up with evidence.

      Is opposing same-sex marriage “homophobic?” That would apply to Julia Gillard then.

      Is thinking that a child is entitled to both mother and father “homphobic?” That is an issue relating to whether or not gender is relevant in parenting, utterly unconnected to sexuality.

      Also, if you bothered to do some research, the homosexual youth suicide rate in Canada hasn’t gone down since they allowed same-sex marriage many years ago.

 

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