By Dr. Salvatore J. Giorgianni, Jr.
African-American boys and men in America continue to kill themselves at an alarming rate.
Over the past several months the Centers for Disease Control (CDC) has released several reports about the demographics of this national disgrace. African-American men and boys continue to have a higher death rate in nine of the 10 leading causes of death than is seen in women. It is most unfortunate that the overall healthcare system is inherently non-male friendly, and, in some health care situations men tell us they do not feel welcome at all.
One consequence of this shocking and disturbing reality is the male suicide rate in America. Males are 3 to 7 times more likely than females to commit suicide, which explains why suicide is the 6th leading cause of death for males. According to the Health and Human Services Office of Minority Health, African Americans are 20 percent more likely to experience serious mental health problems than the general population.
African American youth, particularly young men, who are exposed to violence are at a greater risk for PTSD by over 25 percent. African Americans are also more likely to be exposed to factors that increase the risk for developing a mental health condition, such as discrimination, social isolation, homelessness and exposure to violence.
In the African American community, people often misunderstand what a mental health condition is and therefore the subject is uncommon. This lack of understanding leads many to believe that a mental health condition is a personal weakness or a form of punishment and that impedes boys and men from talking about emotional issues let alone seeking medical help.
A careful
reading of the CDC data shows that the current rate of suicide for males is the
overwhelming majority of all suicides. And
the news gets worse. Recently, the CDC highlighted a significant increase in
the number of suicides for teens and younger men. The incidence of suicide for
Millennials increased almost 300% from the 1950s for the Baby Boomer generation.
Most male
suicides occur in boys and men who have not been diagnosed as depressed or have
a history of mental health issues. We believe, in part, this is because:a lack of cultural competence in mental
health care, which results in misdiagnosis and inadequate treatment for those
of color; African-American men, like men in general, access health
care far less frequently then do women; there are no clear guidelines on when
and how to screen men; health care providers do not properly or regularly
screen them for emotional-wellness. The
importance of the screening is underscored by the fact that this is something integral
to Well Woman Visits, and for post-partum female care.
Earlier this
year, Men’s Health Network (MHN) convened a meeting of 27 internationally recognized
experts in health care and mental health to examine the failure to identify
mental stress and depression in boys and men and propose a comprehensive
call-to-action that provides a blueprint for identifying and helping boys and
men in trouble before it is too late.
This free report is found at www.MensHealthLibrary.com, Behavioral
Aspects of Depression and Anxiety in the American Male.
While the
reasons for this national tragedy are complex and still not certain one thing
is certain, this is unacceptable in a society that values lives. Report after report, death after death, the
situation becomes more and more tragic. There is a tragic and perplexing lack
of acknowledgement of the magnitude of male suicide. All too many studies give top line results
without underscoring the disparity in male suicide by homogenizing data. This would not be an acceptable practice in
most any other type of medical reporting.
Men’s Health
Network recommends that those charged with the health and social welfare of
boys and men consider the following: 1) acknowledge the heterogeneity of boys
and men and the unique needs of diverse populations; 2) develop culturally
appropriate male-focused screening tools; 3) develop guidelines that recognize the need to
regularly and routinely screen boys and men; 4) address the poor reimbursement
for behavioral health clinical services and; 5) establish culturally and gender
appropriate programs to identify, interrupt, triage, and manage mental health
issues in African-American boys and men for those in the community who interact
with boys and men.
In addition, we
urge insurance companies and other payers to include adequately reimbursed
Well-Man medical visits similar to the yearly Well Woman Visits required under
the Affordable Care Act (Obamacare). The ACA, as passed by Congress, does not
provide for Well Man Visits.
Men’s Health Network (MHN) is the oldest non-profit
organization whose mission is to reach men, boys, and their families about
comprehensive wellness and health matters.
MHN believes much more can and must be done by all stakeholders in both the public and private sector to address
the root causes of suicide and prevent them.
The humanitarian, emotional and financial cost to American society of
continuing to treat the growing treads of male suicide as just another blended
statistic in a long litany of health concerns is no longer acceptable.
We genuinely
hope that this new data from the CDC will be the catalyst to bring the
topic of men’s health onto the front burner in any discussions of healthcare,
whether in Congress, among presidential hopefuls, or in the media. By doing so,
we’ll not only save the lives of thousands of men and boys who are dying
prematurely, but also improve the lives of the women and girls who love them.
According to the Health and Human Services Office of Minority Health, African Americans are 20 percent more likely to experience serious mental health problems than the general population. African American youth who are exposed to violence are at a greater risk for PTSD by over 25 percent.1 African Americans are also more likely to be exposed to factors that increase the risk for developing a mental health condition, such as homelessness and exposure to violence.
In the
African American community, people often misunderstand what a mental
health condition is and therefore the subject is uncommon. This lack of
understanding leads many to believe that a mental health condition is a
personal weakness or a form of punishment.
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