Suicide is one of the leading causes of death in our country and actually in the world, and yet it's largely preventable.
不仅在我国 实际上就全世界来说 自杀都是死亡的主要原因 但这在很大程度上是可以预防的
It has been trending up in terms of our national rate of suicide over the last decade or so.
纵观过去十年 我们国家的自杀率呈上升趋势
It had trended down prior to that.
在那之前还是下降的趋势
So we're at a place now where we really want to make a difference; we want to use the methods
所以现在到了做出决断的时候了 我们想要用这种
that we know can work to lower the suicide rate and allow those who are struggling to get the help that they need.
自认为行之有效的方法来降低自杀率 并给予有需要的人以援手
Mental health problems play a significant role for suicide risk.
心理健康问题在自杀风险上起着举足轻重的作用

In fact if you had to pick out one of the many risk factors that tend to come together
事实上 如果不得不从诸多易于引发自杀
to create suicide, mental health problems could be called actually a necessary but not significant factor in place.
的风险因素中挑出一个的话 心理健康问题 是必要的但绝非重要的那个
In greater than 90 percent of cases of suicide, as shown in the research, there is a diagnosable
研究显示 在超过百分之九十的
mental health condition at play, whether or not it was diagnosed or treated.
确诊或治愈的自杀案例中 都有可诊断的心理健康状况存在
Now, many other factors then lay on top of that to rise up to create an imminent risk
现在 很多其他因素的影响
for that sense of desperation, hopelessness but then also the thought and the planning
对绝望的感觉犹如火上浇油 但另一方面 也正是
and the ability to act on those suicidal impulses.
这种想法和打算及能力在自杀的冲动中施加影响
It is really important to note that white males in their middle age account for about
值得关注的是 在每年的自杀总人数里
70 percent of the death toll from suicide each year.
中年白人男性约占百分之七十
And in fact over the last decade, the rate of suicide for that part of our population
事实上 十年来 自杀率相较于我们的人口来说
went up the most, it went up almost 30 percent.
达到了峰值 几乎达到人口数的百分之三十
You can think about things like they are just as prone to mental health problems as any
你可以把他们看成 和社会上其他具有
other segment of society, and yet they might be some of the folks in our society who are
心理健康问题倾向的人们一样 然而 坦白地讲
the least willing or able to seek help because of the social norms and frankly because men
总体上 男性并不像女性那样频繁的寻求药物治疗 同时 由于社会准则的存在
don't seek medical care as frequently as women do in general,
使得他们成为社会上最不愿或是最没有可能寻得帮助的一群人
let alone when it comes to mental health factors.
当这种倾向最终发展成影响心理健康的因素时也毫无作为
One other factor that's really important to understand is that for the baby boomer generation,
另一个重要因素就是 诞生于多年前的婴儿潮那代人
that group as a cohort starting many decades ago actually had already shown an increased
如今已经显现出诸多
risk for mental health problems and suicide, addictions and other psychosocial problems.
心理健康问题 比如自杀 嗜瘾 及其他心理问题 而且这个风险还在不断增长
Ten years ago, within the suicide prevention world, which is a pretty specialized world,
十年前那样自杀预防的世界是一个专业的世界
there were very limited activities going on on a grassroots level.
草根阶层只能做一些非常有限的活动
There were some and it was largely families who had lost a loved one suicide.
他们中的大部分家庭都有亲人死于自杀
In our organization, for example, we went from a few people banning together to over
以我们的组织为例 我们从有限的几个人发展
150,000 people walking, speaking out about their experience of even lived experience
成现在的十五万人 大家畅所欲言的谈论自己的生活经历
of having lived through suicidal thinking or attempts.
甚至是最难熬的 有过自杀念头及尝试的经历
That level of awareness raising and sort of shedding of the stigma is one of the signs
人们认知水平的提高及对过去经历的泰然 标志着情况有了改观
of just the changing times and the readiness and the desire to make an impact on suicide.
同时也标志着 对自杀的反击已准备就绪