The globalisation of trade Literature review Example | Topics and Well Written Essays - 5000 words

The globalisation of trade - Literature review Example For example, Starbuck was one American company which had coffee shops virtually in every corner of America before the introduction of globalization. Since their operations were saturated in America, they struggled a lot to find enough space in America for expansion. Globalization helped them to expand their operations to overseas countries. In short globalization helped international or cross cultural trade to increase a lot. Globalization of trade brought many opportunities and challenges. Some people argue that international trade helped countries to attract more foreign direct investments so that their economy started grow rapidly. They cite India and China like countries as examples to show how well a country can utilize globalization opportunities. In fact China opposed the â€Å"global economic order, political order and the major global institutions such as the IMF and the World Bank before the reforms started in China† (Overholt, 2005, p.3). However, they quickly reali zed the possibilities of global trade and globalization. It should be noted that these two most heavily populated countries in the world have been struggling for growth before the introduction of globalization. Their huge population size was a curse or barrier in front of their struggle for growth. However, globalization helped these countries to convert this population barrier into a blessing. In other words, these countries are currently the providers of manpower for international market in which manpower shortage is a big problem. â€Å"During 1997–2005, China’s average annual growth rate in real GDP was 8.9%. During the forecast period of 2005–2010, it was assumed that the PRC continued its historical growth trend of 8.9% per year† (Mai et al, 2010, p.5). Moreover, â€Å"the PRC’s exports increase by about 46%and imports by about 45% relative to their respective baseline levels in 2010†(Mai et al, 2010, p.7). According to Albert Keidel ( 2008), China’s economy will surpass that of the United States by 2035 and be twice its size by midcentury (Keidel, 2008). Indian economy also showed similar trends during the last few decades as a result of globalization of trade. The globalization of trade has assured the place of multi-national. It has been suggested that the role of such firms is to generate wealth, create work and raise the standard of living in the countries in which they operate. However, critics of globalization suggest that multi-national companies often exploit physical resources and take advantage of labor in countries where legal requirements may be less stringent than in their own countries. This paper critically discusses this statement providing arguments for and against the globalization of trade, taking India and China as major examples. Overview of economic growth in India and China It is often said that global wealth is currently shifting from the less heavily populated American and European regions to the more heavily populated Asian region because of globalization. The above argument seems to be correct when one would consider the economic statuses of India and China before the introduction of globalization. The standard of living and per capita income of Indians and Chinese people have increased a lot in the past few decades. Moreover, unemployment problems in these countries were come down a lot in the recent past. It should be noted that international

Teaching paper Research Example | Topics and Well Written Essays - 1250 words

Teaching - Research Paper Example It uses discussion and case method to illustrate the effects and solution to stress management disorder in the young adults with more stress being on high school and college students. The major occurs of the research lies on its goals towards student health enhancement. In this case, the teaching plan helps students to understand the forms of stress, causes of stress in young adults, characteristics of despairing episodes used for the prognosis of dejection, gender analysis and contribution to the prognosis of stress management disorder, amount of anger that relates to the prognosis of depression as well as ways of countering stress problems among students in various institutions (Kottler & Chen, 2012). The goals of the teaching plan research aim at solving the growth of stress management disorder in schools which is highly related to drug addiction among young people, transition to self dependence, relationship issues as well as exam related stress. Young adults are prone to stress disorders due to the high level of adrenaline fluctuation as a result of the adolescent stage. The objective of the teaching plan is to provide assessment of stress management in youn g adults. This objective helps learners to understand the primary causes of stress management disorder and its impending effects to health thus achieving one of the learning goals of creating awareness. The teaching plan also aims at creating programs that help students deal with stress management issues as it targets an essential and vulnerable group in the human growth process. Due to this notion, the document helps to achieve the learning goal of problem solving through use of education. The teaching plan also achieves the objective of enhancing learning through the provision of knowledge. There are many theories regarding stress disorder that provide a deep understanding to the concept behind the relation of stress

Mickey and Eddie Essay Example for Free

Mickey and Eddie Essay As part of our Drama GCSE unit on Blood |Brothers we were requires to use a vast amount of sills and drama techniques in order to improve our understanding of Blood Brothers; in order to do this we completed various exercises to develop our explorative skills. One of the improvisations we had to partake in was the re-enactment of the finale scene in Blood Brothers. As we had already seen the Blood Brothers production, this acted as both an advantage and a hindrance. This acted as an advantage as we had an idea of both characters and therefore an insight into how we could perform this re-enactment, however the disadvantage was that this may prevent us from having our control over the character, this may also prevent us from using our own imagination to interpret the character and their actions as we would have been heavily influenced to mimic what we had already seen. However though we already had familiarity with the production, as it had been a considerable amount of time from when we had seen the production, our drama teachers refreshed our memories by establishing a class discussion on the subject, and the main themes of Blood Brothers. As a group discussed the main themes, scenes and then discussed the finale scene into depth; while doing this we discussed what body language and facial expressions were used and what we all found particularly effective in the scene. Once we had completed our discussion, we were then given a time frame to work towards. Once we had dispersed into our groups we divided the roles in the scene amongst ourselves; Adrian as Eddie, I was Mickey, Tamara was Mrs Johnston and both Zion and Emma acted as the police officers. I felt that this particular exercise was particularly interesting and beneficial for us all; this is as we had a new insight and understanding of Blood Brothers on a higher level. Through the re-enactment of the Blood Brothers production I also found a new knowledge of each character, particular Mickey (the character I played), this is because as you take on the role and youre in a maximum involvement level you absorb the character and believe in the scene although it is actually happening. This lead to me felling more empathetic towards Mickey as I really felt able to relate to his feelings and his situation, therefore understanding what made him react in the way he did. Mickey reacted in the way he did as he was angry and felt completely betrayed by Eddie, his feelings werent helped by what hed already been through in prison and with him now having to be on medication. Our own re-enactment was fairly accurate to what we had seen in the reduction, however I genuinely feel that we added our own input and originality into the way the final scene was devised and appeared to be (this is inevitable as when you relate to a character, your own feelings and opinions are bound to show through). In our own finale, Adrian (Eddie) opened the scene by thanking the audience for being elected as councillor, while doing so my character then interrupts by running down the stairs and onto the stage. I felt that y my character (Mickey) running down the tiered seating stairs, the audience became more involved in the scene. My character then started pushing Eddie and shouting about his infidelity with Lynda, Eddie then tries to reassure Mickey and justify himself by claiming that both him and Linda are only friends. At this point my character becomes enraged and grabs him by his collar. In our re-enactment there was more physical violence and confrontation on Mickeys part, I felt that this would portray his rage more effectively. I also took a conscious decision to make Mickeys tone of voice, behaviour and body language very erratic; this was in order to portray t the audience that he wasnt in a completely stable state of mind. As b5h character continued in their confrontation, Eddie continues to try and make peace with Mickey and when it reaches the heightened tension of Mickey raising a gun to Eddies head, Mrs Johnston shouts stop and runs onto the scene. At this point both police officers run to the bottom of the stage from separate sides, a voice then circulates the room, saying we have you surrounded, put the gun down. At this point my character then starts to look around, suspicious about where the noise is emerging from; at this point I lower the gun. I feel this part of our re-enactment is particularly effective and original as all the other groups used the same approach as the one used in the production whereas in our own improvisation we devised it to appear as though the police have surrounded the building on the outside and are ready to burst in at any time. At this not Mrs Johnston (Tamara) then reveals to both Mickey and Eddie that they are literally Blood Brothers as they are twins that were separated at birth, at this point both brothers ask why, at this point Mrs Johnston continues to explain. However in the middle of her explanation Mickey makes his final outburst screaming that because of being with her hes ended up with no career or money whereas Eddie has managed to become some great councillor; Mrs Johnston then tries to calm Mickey down and t this point his voice raises, as does his hand and gun and he screams It should be me, at this point the gun goes off and Eddies killed. Meanwhile at the same point one of the police officers (Emma) emerges on scene and reacts to the sound of the bullet by shooting Mickey. I felt particular sympathy for the police offer that shot Mickey as she only reacted to the gun shot she had heard. I also feel that this particular situation gives the audience a real understanding into how difficult the job of a police officer can really be as they are often put in compromising situations in which quick instinct decisions have to be made. Another improvisation we re-enacted was the kids play scene. Our drama teachers explained that the purpose of this is to enable us to lose all inhibitions and feel in essence what its like to be a child again. We were then told about Starkravskis theory on the three essential skills tat needed in order for a person to be a god actor, the most important factor being that of naivatiae. This means to be in a child like state, oblivious to anyone there and t feel completely free, this is as children are extremely nai ve and innocent and with this they can believe in anything, allowing them to have a vivid imagination.

Naturalism And Anti Naturalism Philosophy Essay

Naturalism And Anti Naturalism Philosophy Essay Naturalism is the natural state where there is no other types of knowledge other than scientific knowledge and aims to explain all known or other apparently un natural. Naturalism is justified by empirical evidence, experiment, empiricism, theory, data collection and laws. Anti-Naturalism denies the claim of human behaviours and evidence supporter but do not have the same positive route instead comes from hermeneutics. Example Human action is characterized by intentionality, rationality and reflexivity. ii. falsificationism and hermeneutics The falsificationism is proposed by scientist K.Popper. According to him, the scientific knowledge has to be at least in principle, if principle or theory is refutable and the logic behind no matter how large is empirical evidence, scientist does not attempt to prove or make their theory plausible by means of observations and experiments. Scientist should put the theory on trial by falsification. This methodology is falsificationism. If the theory is not stand by falsification the theorem is not true. Hermeneutics is the study of interpretation and understanding. It has broad scope; its base is in literary criticism rather than linguistics. It is one of the most sophisticated ways of reading text and concerns with understanding its meaning, how it is related to its own contemporaneous world and in turn, how it is related to our present world. It is criticized for having no any theoretical base that, some argue and leads practitioners to invent underlying structures rather than discover them. iii. realism and anti-realism Realism is the position that maintain, there is a real world and that is independent of us. It is concerning with science and should therefore be to give true or approximately true description of reality. Anti-realism means there is no possible justification of believing in reality other than constructed in human mind. In anti-realism we make our own world in mind or we can say Anti-realism and idealism is very much similar. iv. Marxism, feminism and humanism Marxism is historical materialism. This theory revolves round material condition of human existing and different modes of production of societies called the capitalism. These modes create certain relationship and attitudes towards nature. This relation reforms economical based of society and its activity, it could be living matter, political system and religious belief etc. In Classical sense Marxism is a historicist in which it past detailed knowledge in order to know something about present. Feminism is holistic theory in comparison with individual conduct explained by laws, scale and social facts. Mass of feminism is related with economic of society. It is the way of justify the knowledge claims. Humanism is more of precision and assumes that human beings have consciousness, intentionality and we all are moral beings. All human being actions are voluntarily and which allowed individual exercise with their free wheel in the machine of societies. The structure of society is influenced by human and its activities. v. post-modernism Post-modernism is against the grand theory (other social theories and methods) in Post modernistic methods, several voices and theories not just only one are allowed to say and no theory is privilege over known. Post-modernism creates differences, often uses construction and analysing tool and way to understand research and difference discourses involved. In Post-modernism, knowledge is multiple and situated which means situation is depended upon circumstances. 2. What can post-modernism be accused for and what do you think about it? Post-modernism can be accused for its relativism, it makes some time impossible to choose between two different interpretations. In different prospective we have different answer in those case both answer are right and it is difficult to act which is correct and which should be judged correctly. 3. Do you think it is possible to be a pure realist or anti-realist, and naturalist or anti-naturalist? I think it is not possible to be pure realistic or anti realistic and naturalist or anti realist as a practical matter. Its depend upon in which field you are conducting your research. Realist is based on scientific theories who describes that there is real world which is independent us, while Anti realist is who takes scientific theories which is not true. Realist and anti realist behave identical in doing scientific research. The only difference is that the realist adds an extra and unnecessary assumption that the reason our best theories are so empirically useful is that they accurately describe the world as it is, whereas the anti-realist prefers not to make that assumption (Pigliucci, 2012). As an example, theory A is true or false on the basis of some empirical evidence or test and it may not in other evidence or test because there might be many theories logically coherent to give empirical evidence. Similarly, Naturalism is the way of scientific methods on the basis of empirical evidence. For doing research in natural science is based on theory, laws, data collection and experiment but in case of social science like human geography is not always based on such evidences, its also based on human behaviour and experience and its support anti naturalism. 4. Do you think it is possible to exclusively have only an empiristic or hermeneutic perspective in the search of knowledge? It is not exclusively possible either empiristic or hermeneutic in the search of knowledge. The main question arises here in which field you are doing your research; natural science or social science. Empiristic way of searching knowledge always emphasis on evidence such as; observation, data collection and experiment as the basis of scientific knowledge to justify its claim. Empiristic supports naturalism. But hermeneutic way of searching knowledge is based on number of ways of interpreting human action such as, idealism, phenomenology, postmodernism, and post -structuralism. Hermeneutic supports anti naturalism. As a researcher both prospective have to choose according to research field. The following problem requires a little bit more of time and space: 6. Write a short essay (2-3 pages long) describing some different scientific philosophies in relation to your own research area. GIS and its Philosophy: Introduction: The term Geographical Information system (GIS) or geographic information system is recent phenomena, was used in North America and frequently applied to geographically based computer technology. It is very difficult to exactly define the term GIS due to number of reasons. There has been some debate about its origin and first application in the field although there have been several technological and theoretical organizational developments during the last thirty years. The rapid rate of progress has not been conductive to the analysis and definition of GIS (Maguire: 1991). The GIS is broad field, it is characterized by diversity of applications because it is integrated systems which brings many developed ideas including agriculture, botany, computing, economics, engineering, mathematics, photogrammetry, surveying, zoology and mostly Geography together in the same platform. There is not specific theory or philosophy which exactly defines the GIS because there are many different ways of defining and classifying objects and subjects. Due to diversity application of GIS in different field, many different methods have been applied to GIS. Classifications based on functionality have been popular and some other tried to develop schemes based genealogy, cost size, platform, application area and data model (Maguirie: 1991). There are theoretical difficulties of genuine academic debate about the central focus of present GIS activity. Some people believe that GIS focuses hardware and software, other argues that the main element is information processing, some people think that GIS is just tools or is it social process? Here are some definitions given by GIS philosopher: Aronoff (1989): any manual system or computer based set of procedures used to store and manipulate geographically referenced data. Carter (1989): an institutional entity, reflecting an organizational structure that integrates technology with a database, expertise and continuing financial support over time. Parker (1998): an information technology which stores, analyses and displays both spatial and non spatial data. Dueker (1979): a special case of information systems where the database consists of observations on spatially distributed features, activities, or events ,which are definable in spaces as points, lines or areas. A GIS manipulates data about these points, lines and areas to retrieve data for ad hoc queries and analyses. GIS and Feminism: Kwan (2002) argued how some of most influential feminist were used in the critical disclosure of GIS. For example Donna Haraway (1991), Liz Bondi and Mona Domosh (1992) were criticized GIS for objectifying way of knowing and the transcendent vision or the Gods eye view it enables. But Haraway (1991) proposition about possibility for feminist to undermine the views towards the main subjects was ignored, an important aspects of her cyborg agenda was lost in critical disclosure. According to Kwan (2002), using of Haraway in asserting GIS impose systems of monitoring misses her emphasis on womens participation in science and technology. He mentioned that women engagement with GIS as an important feminist strategy for writing cyborg and warns that failure to do so can severely impact upon gender equality in Geography on the basis of recent result of enrolment and employment trends of Women Geographers. The form of another engagement with GIS is to raise the voices of feminist GIS users and researchers who spoke their personnel experience on the issue of GIS. Carol Hall (1996) explored the link between the masculinist culture of Computer work and GIS lab, where women cultural identity is dominated by constituted technology culture and turn affects their attitude towards GIS technology. Hagger (2003) mentioned about the discomfort experienced in the GIS lab, which she described as the domain of white, middle to upper class graduate geography students. GIS and Post modernism: Postmodernism theory argue for the productive view of the objects either objects in reality with essential attributes or such objects are indirectly created by people for their needs. GIS is objective subscriber because objects are located in Cartesian space. There are at least three aspects of GIS (Yapa: 1998)- it technology, disciplinary location and methodology, which maintained the distance from concern of modern social theory. In this instance, GIS played the very limited role for addressing the social problems and question related to social policy.

Free Blacks in the Seventeenth Century Essay -- essays papers

Free Blacks in the Seventeenth Century In the early sixteen-hundreds there were nearly equal opportunities for blacks and whites in the New World, most specifically in Virginia. One African-American man in particular exemplifies this fact. Anthony Johnson escalated in society from being a slave1 to becoming a wealthy landowner with slaves of his own.2 The successes of this man both economically and socially provide a rather important window into the lives and opinions of the peoples in Virginia at the time, especially the black community and their treatment by their fellow white agriculturalists. â€Å"Antonio a Negro† arrived in Virginia in 1621 as a servant on a tobacco plantation, it was during his servitude that he met his wife Mary who had been bought to work at the same location several years after Anthony. Although it still remains a mystery how Anthony and Mary accumulated their wealth, they managed to buy their way out of servitude and acquire land of there own.3 They were not alone in this endeavor, however; it is known that several free blacks were able to advance in society in similar fashion. In the years between the mid 17th century into the later part of the century blacks were able to acquire land and status in the Virginian society. This proves that racial prejudices were subtle in this time span. In a society of even minimal equality in race it is possible for blacks to succeed alongside the white community. In the 18th century the lifestyle... Free Blacks in the Seventeenth Century Essay -- essays papers Free Blacks in the Seventeenth Century In the early sixteen-hundreds there were nearly equal opportunities for blacks and whites in the New World, most specifically in Virginia. One African-American man in particular exemplifies this fact. Anthony Johnson escalated in society from being a slave1 to becoming a wealthy landowner with slaves of his own.2 The successes of this man both economically and socially provide a rather important window into the lives and opinions of the peoples in Virginia at the time, especially the black community and their treatment by their fellow white agriculturalists. â€Å"Antonio a Negro† arrived in Virginia in 1621 as a servant on a tobacco plantation, it was during his servitude that he met his wife Mary who had been bought to work at the same location several years after Anthony. Although it still remains a mystery how Anthony and Mary accumulated their wealth, they managed to buy their way out of servitude and acquire land of there own.3 They were not alone in this endeavor, however; it is known that several free blacks were able to advance in society in similar fashion. In the years between the mid 17th century into the later part of the century blacks were able to acquire land and status in the Virginian society. This proves that racial prejudices were subtle in this time span. In a society of even minimal equality in race it is possible for blacks to succeed alongside the white community. In the 18th century the lifestyle...

Midlife Crisis in William Shakespeares Sonnet 138 Essay -- William sh

Midlife Crisis in William Shakespeare's Sonnet 138 William Shakespeare’s â€Å"Sonnet 138† presents an aging man’s rationalization for deceit in an affair with a younger woman. The speaker of the sonnet realizes his mistress lies to him about being faithful. He in turn, portrays himself as younger than he actually is: â€Å"When my love swears that she is made of truth / I do believe her though I know she lies, / That she might think me some untutored youth†¦Ã¢â‚¬  (1-3). â€Å"Sonnet 138† allows the reader a glimpse into the speaker’s mind, and what one finds is a man suffering from what is commonly known as a midlife crisis. In an effort to reverse â€Å"the downslope [sic] of age† (Kermode â€Å"Millions†), he takes part in a duplicitous affair with a promiscuous woman possibly â€Å"in her early twenties† (Hubler 107). Three main themes permeate the speaker’s â€Å"tissue of rationalization† throughout the sonnet (Moore â€Å"Shakespeare’sâ € ): dishonesty, aging, and lust. â€Å"Sonnet 138† is written in the first-person voice in iambic pentameter. According to Leslie Dunton-Downer and Alan Riding, â€Å"iambic pentameter produce[s] sensations of comfort† (45). In this particular sonnet, though the speaker and his mistress lie to each other, they both find comfort, in the form of sexual gratification, from the affair: â€Å"Therefore I lie with her and she with me, / And in our faults by lies we flattered be† (13-4). The sonnet has three parts: the first two quatrains, the last quatrain, and the couplet. The first two quatrains express two distinct, yet complementary ideas (Dunton-Downer and Riding 461). In â€Å"Sonnet 138,† the two ideas are the speaker and his mistress’ individual deceits and their mutual deceits (1-8). The last quatrain is signaled by the word â€Å"But† (9).... ...ed. Shakespeare’s Sonnets: Critical Essays. New York: Garland, 1999. Shakespeare, William. â€Å"Sonnet 138.† Shakespeare’s Sonnets. Eds. Barbara A. Mowat and Paul Werstine. New York: Washington Square, 2004. Smith, Gordon Ross, ed. Essays on Shakespeare. University Park: Pennsylvania State UP, 1965. Swisher, Clarice, ed. Readings on the Sonnets of William Shakespeare. San Diego: Greenhaven, 1997. Traversi, D. A. An Approach to Shakespeare. Garden City: Doubleday, 1956. Traub, Valerie. â€Å"Sex without Issue: Sodomy, Reproduction, and Signification in Shakespeare’s Sonnets.† Shakespeare’s Sonnets: Critical Essays. Ed. James Schiffer. New York: Garland, 1999. 431-52. Webster’s New World Dictionary of the English Language. 2nd ed. 1970. Willen, Gerald and Victor B. Reed, eds. A Casebook on Shakespeare’s Sonnets. New York: Crowell, 1964.

A Study or Research on Depression and Anxiety Essay

I. Introduction ‘’ Anna† had been suffering from depression and anxiety attack since adolescence. Her depression started when her parents broke up while her anxiety attacks started her mother started working in Cebu, leaving Anna her psychological problems, but when she was 17, Anna did the ultimate act giving in to her depression, she committed to suicide by hanging. This true story brings home the reality of the problems of depression and anxiety that could afflict individuals regardless of age, status, race, social standing or gender, and the intensity and severity of the pain they bring that could be lead to the ultimate act of suicide. Even the great Sir Winston Churchill suffered from depression in his lifestyle. Severe depression marked by prolonged and very deep sorrow and lowered self-esteem, and anxiety, a serious state of deep worry and panic, affect a large number of individuals today. Shimberg (1991) identifies depression as â€Å" the most common biological disorder seen in psychiatry today that nobody can escape because people are either directly affected by it or try to cope with a  family member who is affected with depression† Aside from the ever-present danger and risk of suicide, depression and anxiety rob affected persons with loss of happiness and well being that could lead to physical, psychological and well social ailments. Many are prevented from going to school from finding or maintaining lucrative jobs, and from enjoying social activities with family and friends. All of these negative effects and fatal impact on depression and anxiety make this study highly significant. This aims to show that depression and anxiety when left undetected o untreated would lead to suicide among teenagers and adults alike. The second part of this study will present the salient facts about depression, its types, causes, risk factors, effects and dangers from suicide, as well as therapy and preventive measures to stop afflicted individuals from committing self-destruction. The next part will present all the facts about anxiety, the different types or manifestations, cause, risk factors, effects, dangers of suicide and also therapy and preventive measures.  The least part will focus on suicide. -the types and methods, the statistics of suicide due to depression and anxiety and the preventive measures that must be done by those nearest to the afflicted people with suicidal tendencies. II. Depression A.Definition Depression can be defined and described in various ways. Kyes and Hofling (1980) define it as a pathologic state, brought on the feelings of loss and/ or guilt and characterized by sadness and lowering of self-esteem. ¹It may also be simply defined as a brain disorder that affects thoughts, moods, feelings, behavior and physical health. More specifically, depression is best defined in terms of its attributes, or the observable signs, symptoms and charges it brings to an afflicted person. These include: (1) a marked alteration in mood such as sadness, loneliness and apathy; (2) a negative self-concept associated with self-reproaches and self-blame; (3) Regressive and self-punitive wishes such as the desires to escape, hide, or die; (4) vegetative changes including anorexia, insomnia, loss of libido ; and (5) change in activity level including retardation or agitation. ³ B.Types of Depression Today, psychiatrists categorize depression into the different types based on their characteristics. The first type termed Major depressive episode is marked by symptoms that appear without any cause that can be pinpointed. It prevents the person from doing normal daily activities and may be isolated (occur once) or recurrent. The second type called Manic episode is marked by dominating abnormal euphoria (extreme happy agitated state) or irritability. The third is Mixed episode marked by alternating mood, between mania depression for at least one week. This episode also goes by the name manic depression or bipolar disorder. The fourth and last in this group of psychiatric categories is Dysthymic disorder marked by the affected individual can still perform normal activities.⠁ ´ The reaction states in the depression are also classified in terms of state or intensity of impairment and disturbance. Neurotic depressive reaction is identified as a state of depression of neurotic intensity wherein realty testing is largely unimpaired and physiologic disturbances are mild. On the other hand, Psychotic depressive reaction is that state depression of psychotic intensity in which realities testing severely impaired and physiologic disturbances (vegetative signs) are usually conspicuous. The third state called Reactive depression is a depressive state which the precipitating stress can be clearly discerned and seen to be of some magnitude. The fourth state called Unipolar depression is a condition characterized by recurrent episodes of depression, usually of psychotic intensity, without episodes of mania.⠁ µ Another type of depression is called Seasonal Affective Disorder or SAD. This is a pattern of major depression related to seasonal changes which might be caused by decreased levels of sunlight and increased melatonin (mood-controlling hormone) in the brain.⠁ ¶ Unlike SAD which can be explained by a biochemical cause the cause of depression and its various types and states difficult to pinpoint. Scientists and experts believe that a combination of factors such as genetic vulnerability, environmental factors, stress, physical illness, or neurotransmitter imbalances in the brain could lead to depression. The known causes of depression are inherited vulnerability; environmental triggers; medications; illnesses; personality; alcohol; nicotine; and drug abuse; and diet.⠁ ¶ Inherited vulnerability as cause of depression means that having a family history of depression increases the risk of developing depression. A person who has a parent or relative with this condition is in danger of getting bogged down with depression. Researchers have isolated several genes involved in bipolar depression, although not all with this negative heredity trait develops the problem. It has been clarified that there are other factors that can lead t depression and one of these are environmental triggers such as stressful life events including loss or death of a loved one, divorce, break up of a relationship, loss of a job, financial worries, and sickness or loss of health or independence.⠁ · Although depression just like stress, is a part of life, when the depression starts to control a person’s life for over two weeks and leads to passive behavior prolonged sorrow, lack of appetites and a loss of the general zest for living, then he or she has shifted from simply being depressed to suffering from depression. This type of depression caused by a situation, specific event or life changing situation is called reactive or situational depression.⠁ ¸ In addition to inherited vulnerability, environmental triggers and stressful  events or situations, personality traits can also be cause of depression having low self-esteem, being too dependent, self critical, pessimistic and negative, and being easily overcome by stress can make a person prone to depression.⠁ ¹ Also, medications and illnesses, as well as habits such as drinking alcohol, smoking and drug abuse as well as poor dietary habits can also cause depression. Prolonged use of certain medications such as beta blocker propanolol or Inderal, some blood pressure medicines and drugs for treating arthritis and Parkinson’s disease may cause depression. Sometimes, steroid medications such as Prednisone and oral contraceptives, and anti-cancer medicines can also being on depression. Those chronically sick from heart disease are also greater risk for suffering from full blown depression. This connection between heart disease and hypothyroidism has been established by studies. ¹Ã¢  ° Studies also found that contrary to previous beliefs, people did not turn to alcohol, nicotine or drugs to get comfort from depression but it is these substances that make them prone to depression and anxiety disorders. Studies found that about 30% of depressives and 60% of bipolar depressives abuse alcohol and drugs. Moreover other bad habits such as not eating well and lack of foliate and Vitamin B-12 may also result in depressive symptoms. ¹Ã‚ ¹ With the various cause of depression cited above and one might ask what the risk factors are and who are at risk for depression. Shimberg (1991) point to stages in life that might trigger the problem including forced retirement; being left behind by children who get married or leave for school; becoming an adolescent. These life stages and occurrences individuals at the risk for depression. Childhood depression and post depression are forms of depression that often do not get recognized. ¹Ã‚ ² Moreover, according to Kyes (1980), some research had indicated that depression and bipolar disorders might earlier by experts. This indication is linked to increase in the adolescent suicide rate in recent years. ¹Ã‚ ³ Experts also warn that outside of those already mentioned as at risk for  depression because of the altered stage in life, families of those who are depressed at most at risk for depression. The reason for this is the destruction that depression cause on the depressed and all family members round them: damage to relationships, end to careers, lost dreams and chaos and torment for the family. So mothers of depressed children become depressed, and children of depressed parents also become more likely to get depressed. ¹Ã¢  ´ In terms of age, race, status, gender and other factors, experts point out that depression can affect all ages and all races, but typically the first episode occurs between the ages of 25 and 44. Although older people are no more at risk than other age groups, depression are higher among single individuals and those not in long-term relations- among divorced people and those who live alone. Women are more prone to major depression, dysthemia and seasonal affective disorder. It is said that one out of four women will experience some type of depression so women are at 25% higher risk, although both genders have about the same risk for bipolar depression.  ¹Ã¢  µ More important than knowing the risk factors causes of depression is knowledge of preventive measures and the signs and symptoms of depression so that its negative effects and serious impact can be avoided. When left untreated and undetected, depression can result only in the worst consequences of disability, dependency and even suicide. Statistics reveals that as high as 70 percent (70%) of people who committed suicide may have some form of depression. ¹Ã¢  ¶ D.Effects and Dangers of Suicide Indeed, the impact of depression is severe because it negatively affects all aspects of health and depresses thinking, moods, feelings and behavior, as well as weakens physical health. The depressed person loses interest in normal day to day activities and experience lack of pleasures in activities previously enjoyed. This loss of happiness is called anhedonia; it erases all the enjoyment previously experienced in life. Hence, the depressed person feels very sad, helpless and hopeless and suffers from crying spells.  These effects last for a long time.  ¹Ã¢  · In addition to the above major affects of depression, the afflicted individual also suffers from disturbed sleep; marked less or gain in weight; agitation or slowed body movements; fatigue; diminished self-esteem; persistent thoughts of death and suicide; impaired thinking or concentration and loss of libido or interest in sex. Depressed individuals either sleep too much or suffer from insomnia. They may wake up in the middle of the night or at dawn and not fall asleep again. They often become agitated, irritable and easily gets angered at little things. On the opposite extremes, they become robot like, moving slowly and speaking in a monotone. They feel fatigued and weary, filled with guilt and feelings of worthlessness. Because of these, they think of suicide and not death, unable to make the right decisions and forgetting things. They lose interest in sexual relations. It is when they become overwhelmed that depressed individuals commit suicide. ¹Ã¢  ¸ A study by Cassidy, Flamegon and Spellman (1957) found that 58% of depressed individuals were psychologically affected, often saying that they had nothing to look forward to, were afraid to be alone, could not remember anything, had black moods and blind rages, felt all mixed up, very unhappy or simply brooded around the house. Some (18%) felt that their head was heavy, pressured in the throat or had headaches. Some left a pain in the head like a balloon about to burst urinated frequently and had upset stomach. A few (11%) felt tired, exhausted or jumpy. They confessed to inability to do work, lack of strength and trembling like a leaf. A small number (2%) experience a mixture of medical and psychological problems such as getting scared and not being able to breath, suffering from stiff necks and loss of power, feeling a weakness in their arms. ¹Ã¢  ¹ In the major form of depression, depressed persons become so fatigued that they sleep throughout the day and night. They are unable to work or do simple chores due to exaggerated sadness and lack of lethargy that cannot overcome. Compounding their depressive feelings are those of worthlessness, excessive guilt and receiving thoughts of suicide affected by the lifetime  of these major depressive effects are 5-12 out of 100 men and 10-26 of women. The American Psychological association (APA, 1994) also point slowly increasing severity of the problem. Maj. Et al. (1992) state that about 75% of those who suffer from a depressive episode may suffer it again within five years . ²Ã¢  ° People who suffer from bipolar disorder or manic depression marked by alternating moods of depression and mania are affected differently. In this period of a manic episode, they become restless and feel energetic even with only three hours of sleep. They become very talkative, with racing thoughts and flighty ideas. They easily get distracted and increase their social work, school or sexual activities. They also become excessively involved in pleasurable activities that could lead to painful consequences such as uncontrollable buying sprees, sexual indiscretions or foolish business investments. All these can affect their work and social relationships. ²Ã‚ ¹ Less marked affects can be seen in the people with dysthemia or chronic low-level depression. While they may also suffer from disturbed sleep, energy and self-esteem, they are not debilitated; those who suffer from it often lack self-confidence or motivation and remain in abusive relationships. ²Ã‚ ² E.Therapy and Prevention Because depression especially major episodes can lead to suicide, treatment measures must be followed starting with techniques including giving of tranquilizing drugs for mania or antidepressant drugs for depressions, electroconvulsive therapy, milieu therapy, occupational and recreational therapies, and supportive psychotherapy. In addition to these, the most important treatment objective is to change whatever underlying personality problems are causing the depression through psychoanalysis or psychotherapy. ²Ã‚ ³ Three specific forms of psychotherapy that can effectively treat depression are cognitive therapy, behavior therapy and interpersonal psychotherapy.  These are combinations of one of the recommended such as tricyclics or selective serotonin reuptake inhabitations can effectively treat the condition. Other specified forms of treatment are electroconvulsive therapy and phototherapy for seasonal depression. ²Ã¢  ´ The type of treatment given to a depressed person depends on the physiological symptoms that can be observed including disturbance of sleep or loss of the desire to eat. In such cases, anti depressant medications that act to increase the amount of nor epinephrine, serotonin or both available in the synapses. These substances identified as neurotransmitters are found in decreased amounts in depression. Antidepressants that have been found effective are tricyclic antidepressants, monoamine oxidate (MAO) inhibitions and selective serotonin reuptake inhabitations (SSRIS). The SSRIS are preferred because of fewer side effects and they are better tolerated for longer treatment. One example is Prozac. For those suffering from bipolar depression, lithium is usually given in all cases where these medications are used; care should be taken to prevent patients from using them in suicide attempts. ²Ã¢  µ The need to prevent depressed individuals from suicide attempts cannot be overemphasized. Statistics reveals that about 15% of the population experiences major depression and some point in life, putting them at risk for suicide. This danger increases due to the fact that depression is often not diagnosed, or when diagnosed, it is not treated adequately. Physicians need to always assess the risk of suicide by direct questioning because patients often fail to put their thoughts into words if they are not encouraged to do so. When such specific plans of suicide are discovered and if significant risk factors exist such as a past record of suicide attempts, deep hopelessness, accompanying medical illness, substance abuse, or social isolation and loneliness, the patient or depressed individual must be referred right away to a mental health specialist. The physicians should try to dig deeper with hope and empathy in dealing with the depressed patient, and become sensitive to hidden feelings denial a [atient who shows signs of anxiety, panic or agitation is at significantly increased risk of suicide. Almost 15% of patients with untreated depression will commit suicide but  majority of these will have asked for help within a month of their suicide. ²Ã¢  ¶ Because of the ever present danger and risk of suicide among depressive individuals, therapy and treatment should be implemented with clear steps for preventive measures. These include providing a safe environment to protect them from self-injury or suicide; providing a structured environment to encourage the patients to engage in daily and recreational activities ; to reactivate their interests away from personal concerns ; and to motivate them for the treatment and introduce psychotherapy and occupational therapy always, the doctors and caregivers should aim at building trust through one-to-one relationships, showing interest and giving positive support to help build the patients ego and self-esteem. They have to help provide adequate nutrition, sleep and exercise for the patients. ²Ã¢  · IV. Anxiety A. Definition Aside from and often occurring with depression are feelings of anxiety, best described as â€Å" an abnormal and overwhelming signs such as sweating, tension, and increased pulse ; by doubt concerning the reality of the threat ; and by self-doubt concerning one’s capacity to cope with it.  ²Ã¢  ¸ It must be pointed out that anxiety is a normal and useful feeling when it warns of possible danger, but uncontrollable anxiety becomes a disorder when the affected person becomes bombarded with intense, frequent and continuous false alarms. These false alarms may result in dysfunctional avoidance behavior such as refusal to leave the house for fear of a panic attack. Such anxiety disorders are reported as most frequently occurring type of mental disorders in the general population as reported by the American Psychological Association (1994). About 5% of the population suffers from acute or chronic anxiety, with women twice more likely to be affected. More than two percent (2%) of Americans for example have generalized anxiety disorder and are persistently axioms and disturbed. They become excessively and unrealistically worried about life circumstances. About a third of the populations also have at least one irrational or unreasonable fear or phobia. ²Ã¢  ¸ Such exaggerated worry often goes together with depression, which experts think is also caused by imbalance of neurotransmitters. As opposed to normal worry that encourages people to plan and prepare for the future, and to get financial security for the family and the future, anxiety disorders lead to feelings of apprehension, nervousness and nagging uneasiness that resemble a heart attack, accompanied by fast heartbeat, palpitations, seating and dizziness. People with anxiety disorders may also suffer from headaches, insomnia and relentless fatigue. ²Ã¢  ¹ B.Types of Anxiety Anxiety disorders are usually classified as generalized or free floating anxiety; phobic anxiety; or panic attacks. Free floating anxiety refers to morbid states of anxiety that are relatively persistent and generalized. On the other hand, phobic anxiety refers to directed of focused anxiety which is an unreasonable and unfounded fear of an object or situation that leads to avoidance situation. Such phobias are of three main categories. The first are phobias of specific objects or situations such as fear of thunder, spiders, etc. The second are social phobias connected to social situations such as speaking or eating in public; while the third is agoraphobia, anxiety of leaving ones home or familiar surroundings and being in crowded place. The last major category of anxiety disorders, panic attacks, refer t brief but very intense attacks of anxiety. ³Ã¢  ° Such panic attacks are or panic disorders are distinguished from real panic because the intense fear and feelings of doom or terror are not justified by the situation. These attacks are accompanied by shortness of breath, dizziness, heart palpitations, trembling, chest pains and even fear dying or going crazy. ³Ã‚ ¹ In the related disorder called agoraphobia mentioned earlier, the fear is connected to inability to escape such as from crowded grocery stores, elevators, a bridge, or a train, car or bus. The investigating factor is fear of having a panic attack in a public place; hence the afflicted person  avoids leaving home altogether. A similar anxiety disorder is obsessive- compulsive Disorder which is characterized by recurring obsessions and compulsions that lead to severe distress that interfere with life. Obsessions are persisting thoughts or ideas like the notion of a terrible accident about to happen to a loved one or that underwear is filled with germs compulsions and intentional behaviors or mental acts performed to act on an obsession, often as a magical technique to world off the obsessive threat, such as taking a bath over or washing the hands repeatedly. Those with OCD give in to irresistible acts that they perform repeatedly even if they know are irrational. ³Ã‚ ² One type anxiety disorder that has become common is Post- traumatic Stress Disorder or PTSD. This is marked by flashbacks and recurrent thoughts of a psychologically distressing experience outside the range of usual human experience such as seeing someone killed; being tortured; being raped; or losing one’s home in tsunami or natural disaster. The signs include nightmares, flashbacks, lessened responsiveness to the world, and psychological numbness. ³Ã‚ ³ C.Causes and Risk Factors of Anxiety Whether anxiety is generalized or free-floating, phobic, obsessive- compulsive or caused by traumatic stress or panic attack, it is often exaggerated worry that goes together with depression. Hence, like depression, it is also caused by an imbalance in neurotransmitters as experts believe. ³Ã¢  ´ Also, like depression, anxiety disorders can be traced to several root causes including genetic vulnerability, and environmental factors. Family studies have shown that genetic factors. Family studies have shown that genetic factors and heredity contribute to anxiety disorders such as panic, simple phobia and obsessive-compulsive. People suffering from anxiety disorders have family members with anxiety and mood disorders. This generic vulnerability is believed to be due to mechanisms involving the neurotransmitters epinephrine and norepinephrine. Obsessive- compulsive  syndromes, for example, have been found to be the result of imbalance among neurotransmitter systems. As for environment, growing eyes in a home with pathologically anxious parents or family members give a significant environmental risk for anxiety disorders. ³Ã¢  µ One group of anxiety disorders, the phobias, can be traced to traumatic or painful roots. Psychiatrists believe that they often result from one single incident that was very frightening, painful or traumatic enough to leave a scar in the unconscious mind, one famous example was Rita Hayworthis phobia for riding elevators. A famous actress, she was once trapped in a lift in a tall building in Madrid when all of sudden, it plunged 20 floors down before the emergency brakes worked. After this event, she developed a phobia for elevators and moved only ride escalators or go to the event of walking up to a destination. She confessed that even thinking above riding an elevator would make her feel cold; she had developed claustrophobia. ³Ã¢  ¶ However, experts also point out that phobias maybe caused by a series of disturbing experiences or situations. This series of unpleasant, frightening events can deeply ingrain the fear in a person’s subconscious mind. One example is the case of famous Mike Douglas who developed acrophobia or fear of flying. At the first, he saw gasoline pawing out of the gas tanks of a B-24 Liberator he had to ride on a assignment. Although the plane did not burn the sight of gasoline hitting the airplane’s wings terrified him. On another tour, the plane he rode on lost an engine and they had to crash-land. Douglas had to be carried from the wreckage and since these two experiences, he had developed from the wreckage and since these two experiences, he had developed acrophobia. ³Ã¢  · In addition to different types of phobias, teenagers can develop anxieties because of difficulties connected with their struggles with issues of freedom and separation from parents, and the need to establish their personal identity. Teenagers often experience fear, ambivalence, and confusion about assuming the role of adults, and these may result in deep emotional conflicts and anxieties. High degree of anxiety among teenagers may be indicated by their overly passive, compliant and conforming  behaviors. ³Ã¢  ¸ Oftentimes, anxiety is caused by exaggerated concerns with the possibility of being physically or emotionally hurt in the future. For example, a student suffering from anxiety would experience continual thoughts of failing in a coming test and everyone thinking that he is stupid. ³Ã¢  ¹ D.Effects of anxiety and Dangers of Suicide Like depression, anxiety has harmful effects on the affected individual. They might feel apprehensive and nervous, troubled by nagging and constant uneasiness about the future. Attacks of anxiety are similar to a heart attack accompanied by rapid heartbeat, palpitations, sweating and dizziness. Anxious people also from headaches, insomnia, and relentless fatigue. When left untreated, anxiety disorders increase the risk for hypertension and heart disease.⠁ ´Ã¢  ° In the case of phobias, the extreme fright results in physical changes including quickening of heartbeat and responses, dilation of the pupils, and pouring of large amounts of energy producing adrenalin.⠁ ´Ã‚ ¹ This response is called the Flight or Fight response and is commonly known to become harmful to health when prolonged. In the case of teenagers, those suffering from anxiety often become preoccupied with physical complaints and feelings. They experience disturbed interpersonal relationships and become plagued and bothered by unrealistic fears. Because they cannot express their fears and anxiety, they may act out their feelings through dysfunctional behaviors like aggression, juvenile or drugs, and truancy. But the worse impact of anxiety is suicide.⠁ ´Ã‚ ² Indeed, the danger of suicide due to anxiety cannot be ignored. A study conducted in Sweden involving 3000 patients suffering from anxiety disorders found that before they reached 70 years old, one third or about 1000 died because of suicide. Hence, anxiety disorders predisposed affected people to commit suicide. ⠁ ´Ã‚ ³ E.Therapy and Prevention To relieve suffering and prevent suicide, proper management of anxiety attacks, treatment techniques and preventive measures must be followed by the afflicted individual and those who care for them. Persons affected by anxiety can learn the techniques of muscle relaxation and biofeedback. They have to take prescribed anti-anxiety medications such as benzodiazepines, selective serotonin reuptake inhibitions (SSRIs) and buspirone (bulpar) to help relieve anxiety symptoms.⠁ ´Ã‚ ³ According to western (1996), benzodiazepines are useful for short-term treatment of anxiety symptoms. The earliest medicine of this type was valium but this has since been replaced by alprazolen or xanax which is more effective in treating panic symptoms. These medications increase the activity of GABA neurotransmitters that inhibits activation throughout the nervous system. Hence, anxiety is reduced by increasing inhibitory neurotransmitters. In the case of panic disorder, psychiatrists prescribe antidepressant medications for faster relief of anxiety.⠁ ´Ã¢  µ In addition to medications which can be habit forming, those suffering from phobias can turn to other techniques to combat phobias. Trudy weirs man, director of the Phobia Workshop in New York suggests an eight-step plan to fight phobias. The plan includes the following steps; â€Å"(1) accepting the phobia; (2) Realizing that phobia cannot kill; (3) Not running and focusing instead on the present situation; (4) Making a chart of feelings and thoughts during a phobic situation; (5) Relaxation using the tighten-relax method; (6) Keeping in touch with reality to divert attention such us opening mail; (7) Belief in one’s own ability to function with fear levels; (8) Seeking professional help when all else fails’’ ⠁ ´Ã¢  ¶ However, it must be pointed out that the anxious individuals need all the help they can get. Those who come in contact with the, especially parents,  teacher and guidance counselors must be careful and be very cautious with teenagers rather the ignore behavior that often signs of serious disturbance and anxiety. For example, a teenager was suspended from school because of tribal rebellion, truancy and drug use. In the absence of social support from school officials and friends, the teenager overdosed on a bottle of pills in an attempt to commit suicide. The treatment revealed problems of depression.⠁ ´Ã¢  · People who come in control with anxious or depressed individuals must be aware of suicidal wishes that are expressed. Such suicidal wishes are extreme expressions of the desire to escape the suffering they imagine in the future and the burdens they believe they are placing on their families. In order to lighten the burden of suffering, hopelessness and mistaken ideas of the facility of their lives, the guidance counselor, teacher or psychiatrist must help the anxious person to examine their reasoning and think about alternative solutions to their problem. They must be guide in correcting their mistaken ideas about things that make them feel hopeless burden that add to their family’s sufferings once they recognize that there is a hope or alternative way, they will be motivated and forget about suicidal thought.⠁ ´Ã¢  ¸ Indeed, the need to correctly assess those people who are in danger of committing suicide and to follow the strategies to prevent them from putting into action suicidal thoughts cannot be overemphasized. School Nurses especially need to be vigilant in diagnosing teenagers with suicidal tendencies. The signs and symptoms of emotionally disturbed teenagers include the following. Social isolation related to inability to engage in personal relationships; Potential for self-directed violence related to suicidal behavior; Anxiety related to situational or maturational crisis; IV. Suicide A.Methods and types of suicide Mass media have successfully raised the awareness of people about the various methods and types of suicide. Some intentionally cause their own death directly by using firearms, knives, or poison while others hang themselves. There are also those who commit suicide indirectly by continuous intake of harmful substances such as alcohol, drugs or tobacco, though most people are aware only of direct suicide. Other types of suicide that have become well-publicized are euthanasia (doctor assisted suicide) and teen age suicide. The issue of teenage suicide has raised to the forefront with the case of the teenager committing suicide in a Pampanga mall recently. B.Statistics of Suicide Gelman (1994) cited in Smith (1992) reported that in the United States of America alone, about 30,000 people die from suicide every. Belluck (1998) cited in Smith (1992) reported that suicide ranked as the 8th leading cause of death among young people in the 15-24 age range. Among adolescents, there has been a marked increase in suicide rate since 1950. ⠁ ´Ã¢  ¹ In addition, statistics reveal that for every successful suicide, there are 5-10 attempted suicides. Moreover, women are reported to make more suicide attempts than men, but four times as many men actually commit suicide. Suicide cases have been increasing in both the teenage and elderly age group.⠁ µÃ¢  ° Furthermore, out of the estimated 30,000 people who actually committed suicide in the United States, 10-50 percent or about half suffer from major depression. For depressed people, the most dangerous time for suicide is when they are already to come out and recover the depression. When they are severely depressed, they are weakened and emotionally paralyzed so that they could not act on the impulse to kill themselves.⠁ µÃ‚ ¹ Just like depression, the anxiety disorders also predispose people to suicide and place them at risk for untimely death. As stated earlier, a study conducted in Sweden found that of more than 3000 impatient who have been  diagnosed with anxiety disorders, about one third or 1000 deaths before age 70 were due to suicide. Aside from those suffering from depression and anxiety disorders, those suffering from schizophrenia and personality disorders also die from suicide. Suicide is the primary cause of death among schizophrenics who are often faced with alienation and homelessness. Those with personality disorders are also prone to suicide because of the chaos and social problems they encounter in life. C.Preventive Measures In order to prevent individuals afflicted with depression, anxiety and other disorders from committing suicide, careful assessment of their status has to he made. Those near to them must recognize the level to depression or anxiety and the potential for suicide. Also, the presence of suicide ideation or thoughts of suicide have to be determined. The behaviors of these afflicted individuals have to be observed closely to note any clues to possible suicide. Most of the time, the person concerned will talk about suicide plans. Hence, it is important that a anxious individuals from self-destructive acts. Care must be taken especially at times when the patients depression in lifting. Support and care must be established so that the afflicted persons will know that those around them are concerned about their welfare. At all times, the depressed and anxious must be encouraged to express their feelings and anger. Relevant questions must be asked such as: â€Å"Do you wish your well dead?†, etc. All concerned should recognize such continued desire to commit suicide. More importantly, those around afflicted individuals should help increase their self-esteem by focusing on their strengths and success a structured schedule and involvement in activities with others should be helpful, as well as a structured plan to use to cope with future suicidal thoughts. The client should be helped to plan for continued professional help to relieve depression and anxiety in order to fully prevent suicide. In the case of teenagers, those educators, social workers, psychiatrists and others near them should help prevent teenage suicide by taking note of the risk factors and signs of suicide. These signs include changes in their behavior, anger,  irritability, depression, sadness, withdrawal, changes in eating and sleeping habits, and preoccupation with death are the other signs of suicidal tendencies. Those young people who are contemplating suicide often report headaches, stomach aches and ailments and also talk about killing themselves. IV. Conclusion In the end, public health workers and care givers could not be less vigilant in assessing suicide risks and in implementing measures to prevent suicide among others people suffering from depression, anxiety disorders and others disorders and severe stress. This is especially there in hospitals and health agencies. For example, a patient who had undergone mastectomy became quiet and withdrawn after a mastectomy operation upon learning that confirmation of cure would take months, she refused to eat and eaten jumped out of a window. Those who are most prone to depression and anxiety leading to suicide are those with chronic or incurable disease with loss or severe damage to body parts, and those with other concerns in addition to illness such as death of loved one, loss of property, divorce, separation and other overwhelming problems. The severity of depression and anxiety will depend on the evens catastrophe, or critical incident that has occurred. Whatever the case, the caregivers must always be aware of the damage from suicide. In conclusion, those concerned with individuals who are likely to commit suicide have to be aware of points at which to repeat suicide assessments. These individuals at a time prior/ before sustained therapentic response; first 6 months after hospital discharge; in presence of a new, painful, or disabling medical condition; in the presence of anxiety, panic or substances abuse; at evidence of relapse or recurring symptoms; at times of major stresses, losses, threats or shame inducing events; with comorleid personality disorders; or coming out of acute risk factors. Suicide, as what statistics has shown in recent years, have been increasing at a fat rate and is becoming more common especially among the young; but, it could be prevented with prompt and appropriate intervention. Depression  and anxiety, the most common causes of suicide, when left unchecked and untreated could lead to suicide among teenagers and adults alike. Hence, it is important for all who come in contact with depressed and anxious individuals to encourage them to undergo therapy and treatment.