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2. Jeff Cherry, Clear Creek High School 2008. The Dark Facts. 58,000 Russians commit suicide each year (34.3 per 100,000).Russia ranks 3rd globally to former Soviet republics Lithuania and Belarus in suicide rates.Suicide is the
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1. Jeff Cherry, Clear Creek High School 2008 1 Suicide and Russia Looking at a cloudy future
2. 2 Jeff Cherry, Clear Creek High School 2008 The Dark Facts 58,000 Russians commit suicide each year (34.3 per 100,000).
Russia ranks 3rd globally to former Soviet republics Lithuania and Belarus in suicide rates.
Suicide is the # 2 cause of death in Russia behind heart disease.
3. 3 Jeff Cherry, Clear Creek High School 2008
4. 4 Jeff Cherry, Clear Creek High School 2008
5. 5 Jeff Cherry, Clear Creek High School 2008
6. 6 Jeff Cherry, Clear Creek High School 2008 Basic Demographics Largest group of suicide victims in Russia:
Males ages 45-54
106.7 per 100,000
Women are most prone after the age of 75
27.4 per 100,000
Men are 6 times more likely to commit suicide than females
Higher rates of suicide for military personnel
7. 7 Jeff Cherry, Clear Creek High School 2008 Faces of pain
8. 8 Jeff Cherry, Clear Creek High School 2008 What causes suicidal behavior?
Why didn’t mental health improve after the fall of communism?
Is there a geographical pattern to suicide?
Is there a historical precedent for high suicide rates in Russia?
What health issues exist to create suicidal depression?
How do the economic conditions of a country contribute to the problem?
9. 9 Jeff Cherry, Clear Creek High School 2008 Psychology of suicideWhat causes suicidal behavior? “the extent and diversity of facts related to suicide are intimidating and baffling….”
Thomas Joiner – “Why People Die by Suicide”
Hopelessness brought on by factors such as:
Varying degrees of mental illness
Physiological conditions
Economic situation
Every suicide has its own story
10. 10 Jeff Cherry, Clear Creek High School 2008 A high profile case sometimes gets attention, even when not in Russia Russian supermodel Ruslana Korshunova leapt to her death from her NYC, 9th story apartment on June 30, 2008
11. 11 Jeff Cherry, Clear Creek High School 2008 The euphoria of the break-up of the Soviet Union was short-lived
12. 12 Jeff Cherry, Clear Creek High School 2008 Uncontrolled Capitalism Why didn’t mental health improve after the fall of communism? The 1990’s saw a “grabification” of virtually all assets.
Growing mafia and control by “oligarchs” led to continued shortages for most and runaway inflation.
16% rise in mortality during the 1990’s attributed to suicide.
13. 13 Jeff Cherry, Clear Creek High School 2008 Global geography of suicide
14. 14 Jeff Cherry, Clear Creek High School 2008 Geography of Russian suicide Higher in rural areas than urban areas
Largely rural districts of Koryak and Komi have Russia’s highest suicide rate.
Koryak 133.5 per 100,000
Komi 110.3 per 100,000
Cause of death in cities are often difficult to determine and may actually be higher.
St. Petersburg 17.8
Moscow 11.0
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16. 16 Jeff Cherry, Clear Creek High School 2008 Komi Republic Koryak A.D.
17. 17 Jeff Cherry, Clear Creek High School 2008 Dostoevsky’s RussiaIs there a historical precedent for high suicide rates in Russia? Tsarist Russia, starting in the 1860’s saw a significant rise in suicides.
Many social and political reforms accompanied this time period including the freeing of the serfs.
Newspapers and journals reported this newly addressed sociological issue.
Dostoevsky wrote about it both in newspaper and in his book, “The Possessed”.
18. 18 Jeff Cherry, Clear Creek High School 2008 Tsar Alexander II is assassinated during this time of social turmoil
19. 19 Jeff Cherry, Clear Creek High School 2008 Fyodor Dostoevsky (1821-81) Dealt with suicide and the nihilistic times of the 1860’s and 1870’s in “The Possessed”.
20. 20 Jeff Cherry, Clear Creek High School 2008 What social conditions exist to create serious depression? Alcoholism in Russia is rampant, with strong evidence of its detrimental effect on the health of the Russian people, and specifically to higher suicide rates.
21. 21 Jeff Cherry, Clear Creek High School 2008 Alcoholism in Russia 8 million men and 2 million women are alcoholics
500,000 young people under the age of 15 are alcoholics
22. 22 Jeff Cherry, Clear Creek High School 2008 Options are limitless
23. 23 Jeff Cherry, Clear Creek High School 2008 The anti-alcohol campaign Mikhail Gorbachev attempted to slow the rate of alcoholism and its effects in a campaign in the 1980’s to make drinking un-patriotic and un-Soviet.
Lower mortality rates and a 23 to 100,000 suicide rate during this period was effective in the short term.
24. 24 Jeff Cherry, Clear Creek High School 2008 Drunkenness NO! … A communist must prefer milk or water!
25. 25 Jeff Cherry, Clear Creek High School 2008 Alcohol is the best partner Count the days withoutin crime! Alcohol. (Or count the days in the gulag). The choice is clear!
26. 26 Jeff Cherry, Clear Creek High School 2008 Post Communist effect The state monopoly lifted in 1992 led to an international market of alcohol into Russia.
Homemade spirits called samogon or gamyrka also flood the market.
Inflation of food prices do NOT affect alcohol prices as taxes go uncollected.
Alcoholism increases
27. 27 Jeff Cherry, Clear Creek High School 2008 Vodka - a new spin on chess
28. 28 Jeff Cherry, Clear Creek High School 2008 Anything with alcohol Cleaning fluids, cologne, anti-freeze and virtually anything with alcohol is drank.
43% of alcohol deaths are directly related to one of these products.
29. 29 Jeff Cherry, Clear Creek High School 2008 Effect on Suicide 12% reduction in life expectancy between 1990-1994 in post Gorbachev era.
Findings:
Frequent and heavy drinking lead to higher rates of suicide.
Cultures preferring distilled spirits have higher suicide rates than wine and beer cultures.
Acute intoxication also leads to increased incidence of suicide.
(Gruenwald, Ponicki, & Mitchell 1995; Razvodosky 2003; Rossow 2000)
30. 30 Jeff Cherry, Clear Creek High School 2008 HIV/AIDS and Suicide in Russia UN statistics suggest anywhere from 550,000 to 1.6 million in Russia infected with HIV.
Increase in infection rates starting in 1996.
Primary source, the increase in intravenous drug usage.
50% of all new cases are women and children.
31. 31 Jeff Cherry, Clear Creek High School 2008 Under-reported HIV cases (2001)Russian Federal AIDS Centre
32. 32 Jeff Cherry, Clear Creek High School 2008 13,000 orphaned HIV children as of 2005.
33. 33 Jeff Cherry, Clear Creek High School 2008 Industrial areas most prone
34. 34 Jeff Cherry, Clear Creek High School 2008 Public demands government response
35. 35 Jeff Cherry, Clear Creek High School 2008 Ads to address the HIV problem Almost 100 new cases of HIV are registered every day
It is estimated that 1.2% of adults are HIV-positive
80% of those infected are 15-30 years old
43% of all newly registered HIV cases are women of childbearing age
As of June 2006, 63 harm reduction programs were under way in Russia.
36. 36 Jeff Cherry, Clear Creek High School 2008 The impact on suicide WHO report says there is at least an 8 times greater risk of suicide among AIDS patients.
Most suicides occur shortly after discovery of the HIV virus.
26% of recently HIV diagnosed women in one study attempted suicide in NYC.
Russian numbers have yet to be determined
37. 37 Jeff Cherry, Clear Creek High School 2008 Economics and suicide in Russia Suicide rates rose during the 1990’s as the economic free for all hurt most Russian citizens.
Rising unemployment rates, massive declines in per capita income, and failed reforms led to this increase in suicide and increase in overall mortality in Russia.
38. 38 Jeff Cherry, Clear Creek High School 2008 The State Dissolves Loss of State run industries led to large scale unemployment.
State subsidies disappeared for food and housing.
People who had jobs were left with no support network, no expendable income, and no credit.
39. 39 Jeff Cherry, Clear Creek High School 2008 Economics and suicide in Russia It is estimated that suicides were responsible for approximately a 16% increase in the deaths during the 1990’s alone.
40. 40 Jeff Cherry, Clear Creek High School 2008 21st century – Putin and beyond Suicide rates continue to remain one of the highest in the world.
Health care facilities lag behind world standards for industrialized nations.
Chronic diseases brought about by lifestyle choices threaten longevity of this nation.
GDP ranks 58th in the world and its HDI at 67th globally.
41. 41 Jeff Cherry, Clear Creek High School 2008 Sources Henriksson, Markus M., Erkki T. Isometsä, Päivi S. Hietanen, Hillevi M. Aro, and Jouko K. Lönnqvist. "Mental Disorders in Cancer Suicides." Journal of AffectiveDisorders . 36 (1995):11–20.
Mitaishvili, Ramaz. 15, April 2008. Abkhazia Institute for Social and Economic Research. Russian peacekeeping in Abkhazia and suicide.
United Nations. (2007) UN Aids Annual Report: Knowing Your Epidemic
>http://data.unaids.org/pub/Report/2008/jc1535_annual_report07_en.pdf
Paperno, Irina. (1997). Suicide as a Cultural Institution in Dostoevsky’s Russia. Cornell University Press
Krastev, Nikola. “CIS: UN Body Takes on Rising Suicide Rates”. Radio Free Europe/Radio Liberty. 9, September 2006. (2008)http://www.rferl.org/articleprintview/1071203.html
“Suicide rates in Russia on the increase”. The Lancet. Vol. 362 19, July 2003 (2008) <www.thelancet.com
Transatlantic Partners Against Aids. 2008. July 2006 Policy Brief #3(2)
HIV/AIDS Epidemic in Russia and Measures Required to Avert its Further Spread
Brainerd, Elizabeth. (January 2001). Economic Reform and Mortality in the Former Soviet Union: A Study of the Suicide Epidemics in the 1990’s, Williams College and Center for International Development, Harvard University, and IZA Bonn.
Yelizarov, Valery, PhD Economics, Head of the Center of Population Studies, Moscow State University. United Nations in Russia. (2008). Demographic Policy in Russia: From Reflection to Action
42. 42 Jeff Cherry, Clear Creek High School 2008 Sources Yelizarov, Valery, PhD Economics, Head of the Center of Population Studies, Moscow State University. United Nations in Russia. (2008). Demographic Policy in Russia: From Reflection to Action
Rancans E., Renbert E.S. & Jacobsson L. (2001). Major demographic, social and economic factors associated to suicide rates in Latvia, 1980-1998. Acta Psychiatrica Scandinavia, 103, 275-281
Bertolote, Jose Manoel and Fleischmann, Alexandra (2002). A global perspective in the epidemiologic of suicide. Suicidologi 2002.
Gruenewald, P. J., Ponicki, W.R. & Mitchell, P.R. (1995). Suicide rates and alcohol consumption in the United States, 1970-1989. Addiction, 90, 1063-1075
Razvodosky, Y.E. (2003). Association between distilled spirits consumption and violent mortality rate. Drugs: Education, Prevention, and Policy, 10, 235-250.
Pridemore, William Alex, PhD, (1999). Heavy Drinking and Suicide Mortality in Russia, Indiana University
Joiner, Thomas E. (2005). Why People Die by Suicide. Harvard University Press, Cambridge, Massachusetts, and London, England
World Health Organization. 2008. 3, July 2008
>http://www.who.int/mental_health/prevention/suicide_rates/en/print.html<
43. 43 Jeff Cherry, Clear Creek High School 2008 Photo Credits Perry-Castaneda Library – UT
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Jeff Cherry – Russia 2006