Question

What is the relationship between serious mental illness, substance abuse, and violence? Why is it important to rule out any substance use or physical conditions before diagnosing any mental illness? How can framing a crisis as an opportunity help with a suicidal client? What role do you think stigma plays in mental health in the criminal justice system?

Answer 1

The relationship between violence, mental illnesses and substance use is more complex than we see in the media, and it’s as reflective of our communities as it’s reflective of our individual experiences.

Many different factors increase the risk of violence. These risk factors may be found in our communities, such as exposure to violence (for example, seeing people commit an act of violence or knowing people who have experienced violence). Community factors (like safe and affordable housing), economic factors (like your income), and personal experiences (such as a history of violence and physical abuse) also play a role. Finally, violence may be influenced by individual characteristics like age or gender. These factors are the most important in predicting violence.

To determine a diagnosis and check for related complications, you may have:

   1   A physical exam. Your doctor will try to rule out physical problems that could cause your symptoms.

   2   Lab tests. These may include, for example, a check of your thyroid function or a screening for alcohol and drugs.

   3   A psychological evaluation.

A suicidal person may not ask for help, but that doesn't mean that help isn't wanted. People who take their lives don't want to die—they just want to stop hurting. Suicide prevention starts with recognizing the warning signs and taking them seriously. If you think a friend or family member is considering suicide, you might be afraid to bring up the subject. But talking openly about suicidal thoughts and feelings can save a life.

  

1   Stigma can affect many aspects of people’s lives

   2   Self-stigma is the process in which people turn stereotypes towards themselves

   3   How the general public perceive people with mental health problems depends on their diagnosis

   4   Stigma can be a barrier to seeking early treatment, cause relapse and hinder recovery

   5   Future research should investigate the experiences of service users and their families to understand and measure the impact of stigma