Archive for the ‘Men’ Category

Surprising Hike in Suicide Rates Found Among Baby Boomers

Thursday, September 30th, 2010

Suicide rates among middle-aged people are increasing. The trend seems to be driven by the Baby Boomers entering into middle age, when chronic diseases start to appear.

The study, published in the journal Public Health Reports, shows middle-age suicides to be at odds with the overall U.S. suicide rate, which has been decreasing. According to sociologist Ellen Idler of Emory University, people aged 40-59 have had a longtime moderate suicide rate.

Idler said, “The findings are disturbing because they’re a reversal of a long-standing trend.”

Using data from the National Center for Health Statistics and the U.S. Census Bureau, Idler and colleagues tracked suicide rates from 1975 to 2005. By 2000, most people aged 40-59 were Baby Boomers; the suicide rate started climbing steadily for these middle-age ranges. There was an increase of over 2% per year per man, and more than 3% for women from 1999 to 2005.

Data from 2006 and 2007 indicate that the trend toward more middle-age suicides is continuing, according to Idler. The National Center for Health Statistics lists the suicide rate for 45-54-year-old as 17.7 deaths per 1000,000 people in 2007. For the 25-34-year-old age group, the suicide rate is 13 deaths per 100,000 people and 12.6 deaths per 100,000 in the 65-74 age group.

The post 1999 increase in middle-aged suicide has been particularly dramatic for those who are unmarried and less educated. Suicide rates in men aged 40 to 49 who had some college but no degree increased 16.3% between 2000 and 2005, while the suicide rate in men aged 50-59 went up 29.6%. Women showed a 30% increase in the suicide rate for both ages for women with some college but no degree.

Men and women with a high school degree or less also became more likely to commit suicide. Rates in men with a high school diploma increased 11.7% in the 40-49 age group and 27% in the 50-59 age group.  Women saw their suicide rate increase by 15 and 17%.

Middle-participants with a college degree appeared largely protected from the trend.

The Baby Boomers also experienced higher suicide rates during their adolescent and young adulthood, doubling the rate for those age groups at the time. Their suicide rate then declined slightly and stabilized, before beginning to increase again in midlife.

“You might think higher rates in adolescence would lead to lower rates later because the most suicide prone people would be gone, but that doesn’t appear to be the case,” Idler said.

Studies show that knowing someone who committed suicide is a risk factor for people who later kill themselves.

“The high rates in adolescence could actually be contributing to the high rates in middle age,” said Idler, who also credits substance abuse and the onset of chronic diseases as contributing to Baby Boomer suicides.

“As children, the Baby Boomers were the healthiest cohort that had ever lived, due to the availability of antibiotics and vaccines. Chronic conditions could be a rude awakening for them in midlife than they were for earlier generations.”

Postpartum Depression in Fathers

Thursday, May 20th, 2010

A recent study published in the Journal of the American Medical Association found 10% of men have prenatal and postpartum depression; more common than previously thought.

James Paulson, the author of the study who works at the department of pediatrics at Eastern Virginia Medical school, said “It’s not screened for and caught enough in women, and I would say in practice it [depression in new fathers] is virtually unknown. Most clinicians and most moms and dads aren’t aware that there’s an increased risk of depression for fathers.”

Depression in fathers has potential negative implications for the family, along with the child’s development, behavioral, and emotional health.

The study also found that depression in fathers had an association with depression in mothers; when moms were more depressed, so were dads. However, more research is needed to see how the two are related, for one parent’s mood has not been proven to cause the other’s.

Researchers analyzed 43 studies of documented depression in fathers between the first trimester and the first year after childbirth between January 1980 and October 2009, which led to data on more than 28,000 participants.

The study found that about 25% of new fathers had depression in the first 3 to 6 months after childbirth. While the study did not examine causes, the author suggests that leaves of absence from work normally expires around 3 months; care for the infant changes as do sleep schedules.

The United States had the highest rates of fathers’ depression at 14%, while countries abroad had depression rates of about 8%. The countries analyzed in the study were primarily from developed countries.

The reasons for the differences are unknown, but Paulson theorizes that the U.S. has comparatively stricter family-leave policies in the work place than some European countries do.

“In the U.S., there’s a known problem with men seeking help for depression and a documented stigma with mental health,” said Paulson, citing possible additional causes.

Limitations of the study are that it drew from a large pool of studies that had different methodologies and different ways of reporting and measuring depression. Therefore, the authors can’t determine what the prevalence of depression is in any specific time frame.  Additionally, the overall analysis may include bias inherent in the studies that put it together.

Regardless, the findings do point to a need for greater screenings of depression in expecting fathers. The authors wrote that the connection between parents’ depression suggests that depression in one parent should prompt clinical attention to the other.

The study said, “prevention and intervention efforts for depression in the parents might be focused on the couple and family rather than the individual.”

Depression rates among men of different age groups were not compared, and the study did not have any teen fathers.

 Postpartum depression symptoms in men include sadness, anxiety, and worthlessness. Men may experience it more in the forms fo anger, irritabilty and withdrawal than in sadness, which is a common symptom in women.

Paulson says that the first step in addressing the problem is to get both spouses and physicians to recognize that new and expecting fathers are at increased risk for depression and may need treatment such as psychotherapy and medication.

“Actually getting fathers to the point where they’re talking to a doctor about it is the most difficult challenge,” he said. “Once fathers are in the appointment, I think they have a much better chance of getting effective help for depression.”

No Job & 5 Kids, Man Wrote It Is “Better To End Our Lives”

Thursday, May 6th, 2010

Los Angeles – In late January 2010, a man fatally shot himself, his wife, and their five young children: Brittney, 8; twins Jaszmin and Jassely, 5; and twins Benjamin and Christian, ages 2 years and 4 months.  Before the killings, Ervin Antonio Lupoe faxed a note to a television station claiming him and his wife were fired from their hospital jobs and planned the killings together, as an escape for the whole family.

Lupoe Family

Lupoe Family

The station called the police after receiving the fax and a police dispatcher received a call from a man stating, “I’ve just returned home and my whole family’s been shot.”   The police believe the man was Ervin. Officers rushed to the home around 8:30 a.m., minutes after the killings, only to smell gun powder lingering in the air.

The fax alleged that Ervin’s wife, Ana Lupoe, helped plan the killings of the family but police Lt. John Romero said Ervin was the suspect; a revolver was found next to his body.  Ana’s body was found in an upstairs bedroom with the bodies of the couple’s twin 2-year-old boys. The bodies of an 8-year-old girl and twin 5-year-old girls were found alongside Ervin Lupoe’s in another bedroom.

Ervin removed three of his children from school a week and a half prior; the school prinicipal said that they were moving to Kansas.  

Kaiser Permanente Medical Center West Los Angeles released a statement confirming both Lupoe and his wife had worked there; both were medical technicians.

The letter indicated that Lupoe and his wife had been under investigation for misrepresenting their employment to an outside agency in order to obtain childcare. Ervin alleged that an administrator told the couple on December 23 that “You should have not even bothered to come to work today, you should have blown your brains out.” The couple complained to human resources and were offered an apology. However, they were fired two days later.

In his fax, Ervin wrote: “ They did nothing to the manager who stated such and did not attempt to assist us in the matter, knowing we have no job and five children under 8 years with no place to go. So here we are.”

In a statement, the hospital said it was  “saddened by the despair in Mr. Lupoe’s letter faxed to the media, but we are confident that no one told him to take his own life or the lives of his family.”

“After a horrendous ordeal, my wife felt it better to end our lives; and why leave our children in someone else’s hands? We have no job and 5 children under 8 years with no place to go. So here we are,” wrote Lupoe.

One news outlet reported Lupoe was $600,000 in debt.

The letter concluded with, “Oh lord, my God. Is there no hope for a widow’s son?”

“Today our worst fear was realized,” said police Deputy Chief Kenneth Garner. “It’s just not a solution. There’s just so many ways you find alternatives to doing something so horrific and drastic as this.”

According to the Center for Disease Control and Prevention, more than 30,000 people kill themselves each year. The CDC notes that there was a job loss or financial hardship present in a significant number of cases.  Researchers say that unemployment alone does not cause suicide, but can act as a stresser.

The loss of a job combined with financial uncertainty, loss of retirement savings, stress of overdue bills or debt, and mortgage or rent payments can leave the individual feeling that suicide is the only way out. For some, this may involve taking one’s family with them.

Several studies have found that suicide and domestic violence increase during unemployment.  A 1998 study in the British Medical Journal found “the link between suicide and unemployment is more powerful that other socio-economic measures.”

Unemployment can become harder to deal with when other stressers, such as losing the family’s house and loss of savings, are present. Economic turmoil may also lead to more frequent abuse and increasingly violent abuse when domestic violence already exists.

Jacquelyn Campbell at John Hopkins University School of Nursing found in 2003 that unemployment is the single strongest predictor in cases where men murder their wives. The study, published in American Journal of Public Health, stated that an abuser’s lack of a job increased the risk of murder.

The abuser’s access to a firearm increased the risk to more than five times, and threats to kill her and threats with a weapon also were strongly associated with homicide after taking the other factors into account.

“In the United States, women are killed by intimate partners more often than by any other type of perpetrator, with the majority of these murders involving prior physical abuse,” said Campbell.

Roughly 90% of people who commit suicide have some form of untreated mental illness which compounds their feelings of hopelessness and depression. Financial problems and job loss can be triggers, especially for men, reported the Association for Suicide Prevention.

“It creates a lot of anxiety,” said Mary Jane Landrock, a social worker at Torrance Memorial Medical Center. “People start feeling hopeless, or that their life is out of control. They feel trapped, like there’s no way out.

“Most people have no idea how much structure going to work provides to your day,” she said. “You go to work, typically where your friends are. Being laid off can be very shameful for people, a lot of anger involved.”

Ask Steve

Thursday, April 1st, 2010

Q. About three months ago I started dating this really neat guy. He’s very sensitive and caring. Things were going really well up until about two weeks ago when he started pulling away from me. I asked him if I had done something to offend him and he said he still really likes me but that our relationship had been very intense for him and he needed to reconnect with other parts of himself that he ignored. Is this the big bump off, or what?

A. If he is truly being honest with you, then you may be experiencing what is known in the Mars and Venus world as the rubber band effect. This is when a man begins to pull away from a woman after a period of very active emotional and intimate connection.

It is as if he’s temporarily given all he’s got to give in the intimacy department and feels the need to regain some person in order to re-experience his male sovereignty.

It is important to know that he is not doing this because you have done anything wrong.  This is sometimes hard for a woman to understand because when she pulls away it is usually because she feels hurt or angry about something that has occured in the relationship. But not so for a man. He will pull away just because he needs to in order to regain his balance.

Support Helps

Just like when a man goes into his cave, it is important that the woman not make the man wrong for this behavior. In fact, it is her loving support and acceptance of him in these times which allows him to stretch like a rubber band to his fullest extension of autonomy.

At this point if he doesn’t feel her blame, anger or hurt feelings, he will being the process of returning back towards her just like a retracting rubber band. This is because once he has fully experience his autonomy, he will actually being to miss the good feelings of love and connection he had with her and will want to spring back into the relationship again.

During their separation, a woman can further assist a man in springing back with something like a simple or friendly gesture that gives him a clear message that he is not in trouble and he will feel free to begin pursuing her again.

However, unlike a woman who may need a little time in order to get back into the flow of intimacy, a man will come back and want to start up right where the relationship left off before he pulled away.

In this situation, the man needs to realize that the woman may need a short period of time to reacquaint herself with the feelings she had before he pulled away. Therefore, he needs to give her the same non-blaming and accepting behaviors that she gave him.

Steve Mandell is a therapist at our Apex Westland office (734-729-3133).

Transgender Couple Expecting Baby

Thursday, January 28th, 2010

Scott Moore, thought to be only the second  ‘pregnant man’ to go public, will give birth to a baby boy in February with his husband Scott by his side.  The first ‘pregnant man,’  Thomas Beatie from Oregon, gave birth to a girl in 2008.  

Scott and Thomas were both born as girls and have undergone surgery to change their sex.

Scott, age 30, and Thomas have decided to name their baby Miles. Scott is legally wed to Thomas, he still has a female birth certificate. The California couple already have two children (Gregg, 12, and Logan, 10) who Thomas had with a previous female partner. 

“We know some people will criticize us but we are blissfully happy and not ashamed,” said Scott.

Scott was born a girl named Jessica and realized he wanted to be a man when he hit puberty at age 11.

“When I told my family they thought I was crazy but they gradually realized I was serious and allowed me to start taking male hormones when I was 16 years old,” he said.

His parents paid for Scott to have his 36DDD chest removed. He could not afford the gender reassignment surgery, so he still has female organs.

Scott’s partner, Thomas, used to be called Laura, had a histeroctemy and gender reassignment surgery last year.  The two met at a support group in 2005 at a meeting for transgender men but lost touch until they saw each other again in 2007. Scott became pregnant in June of 2009 after being inseminated with the sperm of a male friend.

Thomas’s children refer to Scott as “dad two,” and live in a four bedroom house.  They have dismissed concerns that Miles will be teased at school, saying that they have been through it already.  Thomas said, “My son Logan was bullied but now he just says to teasers, ‘You may have a problem with my two dads but I don’t so you’re not hurting me’.”

Scott wants to have a natural birth at the local hospital. “We didn’t want everyone to be shocked when a man turns up to give birth,” he said. “We found it very difficult to get a doctor and midwife at first. It was hard when people didn’t want to treat me.”

“No pregnant person should be denied healthcare just because they are a man.”

Thomas added, “We want to show the world that trans-families can be healthy, loving and nurturing.”

 

Transgender people don’t identify with the body they were born into. They feel they have the brain of the opposite gender, which does not match their biological gender.  It is the state of one’s gender identity (self identifying as a man or women) not matching one’s physical sex.

Transgender does not imply any specific sexual orientation. They may identify as homosexual, heterosexual, bisexual, asexual, or feel that sexual orientation lables are inapplicable to them.

The term transman refers to female-to-male transgender (FTM, or F2M) people while transwoman refers to male-to-female (MTF, or M2F) transgender people. The Native Americans referred to transgender people as Two-Spirit, a masculine and feminine spirit living in the same body.

Transvestites, or cross-dressers, describes wearing the clothes or accessories associted with the opposite gender. Cross-dressing doesn’t necessarily affect sexual preference; not all cross-dressers are gay.

A transgender individual  involves wanting to be considered another gender, not just dressing as one. Transgender people may or may not undergo surgery and hormone therapy to complete their gender transformation.

A pre-op transgender person refers  to a transgender individual who has not had surgery to alter his or her body, though he or she may want the surgery.

A post-op transgender person has had the gender reassignment surgery.

Hormone therapy, or hormone replacement therapy,  involves taking synthetic hormones such as testosterone and estrogen. Biologically, women produce more estrogen while men produce more testosterone.

Males transitioning to females, male-to-female (MTF), experience the following effects of estrogen through hormone treatment:

  • Breast development (full development takes several years)
  • Loss of ejaculation
  • Loss of erection
  • Shrinkage of testicles
  • Sterilitiy

Temporary changes for MTF, which are reverisible if hormone therapy is stopped, include the following:

  • Decrease in acne
  • Decrease in facial and body hair
  • Decrease in muscle mass and strength
  • Skin becomes softer and smoother
  • Slowing of balding pattern
  • Redistribution of fat from abdominal area to hips and buttocks

Females transitioning to males, female-to-male (FTM),  may experience the following  permanent effects of testosterone:

  • Atrophy of the uterus and ovaries, resulting in sterility
  • Baldness; hair loss, especially at temples and crown of head
  • Beard and mustache growth
  • Deepening of the voice
  • Increased growth of body hair
  • Sterility

Temporary changes for FTM, which are reversible if hormone therapy is stopped, include the following:

  • Behavioral developments associated with testosterone production during male puberty, such as aggression and increased libido
  • Development of acne, similar to male puberty
  • Increased mass muscle and strength
  • Increase in number of red blood cells
  • Redistribution of fat from breasts, hips, and thighs to abdominal area

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