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Showing posts with label illness. Show all posts
Showing posts with label illness. Show all posts

Thursday 30 October 2014

Today, males under 40 are three times more likely to kill themselves than women

Yasmin Alibhai-Brown: We must wake up to the silent suffering afflicting too many young men


We were discussing terrorism at a private seminar two weeks ago when one of the attendees – an academic – wondered aloud whether jihadis had found their own way of expressing grave and growing male despair: “They go off to kill others, while here in the UK an unprecedented number of men under the age of 40 are killing themselves. Do both these come from the same source?” The question stunned us all. It was bold, astute, lateral and exposed the inadequacy of the national discourse on terrorism.
Muhammad Mehdi Hassan, only 19, was killed in Syria this week. Like three other young men who have also died in those killing fields, he was from Portsmouth. Many such Muslims appear to have gone out to help Syrian people caught in the bloodiest of civil wars. Then some got in with Isis, while others took up arms to fight the bad guys, whoever they are. A number British Muslims want to come back home, but can’t because Isis makes them stay on pain of death. And, besides, they know they would be imprisoned upon return.
In most cases, the families are shocked and traumatised. Imagine how Hassan’s mother feels. They sent him to a private school hoping he would make them proud. Now they have to mourn, feel guilt and be accused by those around them. They have no help groups and worse, are seen as pariahs.
Meanwhile a reader, Lucinda (not her real name), emailed me last week. She is alarmed at the way her leftie, liberal friends are now vehemently anti-Muslim and think that such parents are liars or should know what their children are up to. Parents of young white men who commit suicide are similarly disbelieved or blamed. The guilt, the silent accusations, circulate around them: “How could they not have seen the signs? Why didn’t they do something to help him?”
Female suicides have gone down since 1981, while male suicides are up. Today, males under 40 are three times more likely to kill themselves than women in the same age group. Suicide is the biggest cause of death among men under 35. Though most are from the lower socio-economic groups, over the past decade sons of politicians, judges, and other professionals have killed themselves.
Janet Cosgrove, who now volunteers with Survivors of Bereavement by Suicide, still can’t believe her son William stabbed himself to death 11 years ago. They had shared a takeaway, watched TV the night before. His note said: “I just don’t want to be here any more.”
That must be how many of the other men felt when they could not go on – when they didn’t want to wake up to another day. And that, I suggest, could be one factor pushing jihadis, too. Brian Jenkins, a counter-terrorism analyst at the American Rand Corporation’s National Defence Research Institute, believes many of those young, impressionable men could be mentally ill, or are individuals “facing personal crises and having trouble coping”.
We must condemn what they do, but at the same time find out what is going on in their impenetrable minds. A retired, respected expert from the intelligence services told me on Thursday at a YouGov conference in Cambridge that jihadis who wanted to come back should be allowed to do so – and then helped. They are disturbed, restless men who need to be brought back into society.
The problem, however, is way bigger than that. Our nation has neglected the pain of young men for far too long. Why are so many giving up on society and their futures? The feminist instinct is to damn males, not to understand them. That can’t be right. After all, we have sons too who could one day either destroy others or themselves because they find life impossible. Feminism made great strides, but we have not thought about the unintended effects of this movement that I wholly support.
Leaders who run our society, politics and economics must interrogate themselves. Some of the men from privileged families who committed suicide felt like failures and losers as they weren’t top achievers. The less well-off are made to feel as if they don’t matter at all, in this fast and materialistic nation where the winner takes all.
Old assumptions persist. Boys don’t cry. They must man up. And new assumptions are just as bad: you are what you have, and furious ambition makes you a man. In this environment, men can find it harder to talk about feelings or ask for help. Within too many Muslim families, authoritarianism rules and adds further pressures.
I thank the academic who made me think about the connections between Islamists and those who feel they are no use to anyone and therefore must die. Humans are more alike than we ever care to admit. The destruction and self-destruction will only get worse unless we collectively try to save young men from themselves.

Monday 13 February 2012

Sugar: it's time to get real and regulate


The consumption of fructose and sucrose is on the increase – and so are preventable diseases such as Type 2 diabetes

Last week, a trio of American scientists led by Robert Lustig, professor of clinical paediatrics at the University of California, published an article in the journal Nature, outlining the toxic effects that sugar has on humans and arguing for governmental controls on its sale and distribution. While the authors come short of labelling sugar a "poison" outright, in a 2007 interview with ABC Radio about excess sugar consumption, Lustig said: "We're being poisoned to death. That's a very strong statement, but I think we can back it up with very clear scientific evidence."

That evidence has been growing – particularly in the western world, where consumption of sugar is increasing rapidly. Globally, sugar consumption has tripled in the past 50 years. But, it turns out, the greatest threat to human health is one type of sugar in particular: fructose.

In the US, per-capita consumption of fructose, a common food additive there – mainly in the form of high-fructose corn syrup – has increased more than 100-fold since 1970. Although fructose is not a common added sweetener in the UK and other countries, sucrose is; sucrose contains 50% fructose. Lustig and his co-authors note that last year, the United Nations announced that non-communicable diseases (NCDs) had, for the first time, overtaken infectious diseases in terms of the global health burden. Non-communicable diseases now account for 63% of all deaths, and that total is expected to increase by a further 17% over the next decade.

The scientists cite growing evidence that our increasing consumption of sugar is partly responsible for the growth of NCDs: diseases such as cardiovascular disease, cancer, diabetes and the suite of symptoms known as metabolic syndrome. And they argue that, as for substances known to cause NCDs such as tobacco and alcohol, sales and distribution of sugar should be controlled, and products with added sugar should be taxed.

I used to be a sugar addict. And yes, for those who haven't found out first-hand, sugar is addictive; perhaps not to the same degree as alcohol and tobacco, but a recent study has shown that sugary foods, or even just the expectation of eating sweets, can trick the brain into wanting more. When I decided to cut my sugar consumption 12 or so years ago, I had no idea of the serious health concerns that excess sugar consumption brings. I only wanted to avoid the so-called "empty calories" that sugar provides. I had noticed that eating cookies and desserts was making me feel lethargic.
Sugar, and in particular fructose, affects metabolism. Unlike glucose, fructose can only be metabolised in the liver. Some of its effects on the human body include increasing levels of uric acid, which raise blood pressure; increased fat deposition in the liver; and interference with the insulin receptor in the liver. This inhibits ability of the brain to detect the hormone leptin, which regulates appetite. So beyond the empty calories that fructose provides, eating it makes you want to eat more.

When I started reducing my sugar intake, I had no intention of cutting it out completely. Reducing my consumption was a gradual process, over many years. Sugar had been used as a reward when I was a child, and sweets were still a comfort food for me. But I found that the less of it I ate, the less I craved it. Today, I barely eat sweetened foods at all. If I were to eat what to most North Americans or Europeans is an "average" dessert serving, I would feel sick. Avoiding sugar is no longer an exercise in willpower; I have developed a revulsion for it. I feel that I have brought my body back to its original state. Sugar, in anything other than small quantities, feels like a poison to me.

Illnesses related to dietary choices do not affect only the individuals who become sick; they affect us all, as a society. The US alone spends $150bn on healthcare resources for illness related to metabolic syndrome. Of course, I would like to think that governmental regulation of a food-item such as sugar is not necessary. I do place value on an individual's right to choose, and on personal responsibility. But in the case of sugar, it's time to get real. The incidence of preventable diseases such as Type 2 diabetes is increasing and many health authorities have expressed concern that our current youth may be the first generation that does not live as long as their parents.

Most of us have known for some time that excess sugar is not good for us, but education and knowledge are clearly not enough. Regulation is required. This is no longer an issue of personal responsibility, but one of public expenditure and public health.