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Column: Mental health and alcohol – the elephant in the room

Mental well-being is finally getting some of the attention it warrants – but the dark relationship between psychological health and alcohol continues to be largely ignored, writes Anne-Marie Flynn.

At a time when mental health is finally well and truly a ‘hot topic’, firmly embedded in the public consciousness, I can’t help feeling that we’re quietly omitting a vital part of the discussion – our relationship as a nation with alcohol, and how it affects our mental well-being.
The term “mental health” is a wide-ranging one, and it can be argued that at the moment it has somewhat negative connotations and is almost synonymous, in public discourse, with mental ill-health and suicide – something that needs to quickly change. Slowly but surely, however, we are witnessing a realisation that preventative measures and positive mental health promotion, particularly among young people, are ultimately excellent and necessary long-term strategies on which we need to focus as a matter of urgency to tackle the current suicide epidemic.
Ongoing struggle to adapt

In the wake of an abrupt economic crash, attitudes have changed rapidly in an adjusting Ireland. While it can be argued that a return to more prudent values is to be welcomed, there is an ongoing struggle to adapt. We have not adequately dealt with the practical reality of the economic fall-out that has decimated employment, household income and consumer confidence. There is evidence to suggest that pressure resulting from economic difficulties is a contributory factor to the increase in the number of suicides we have seen in recent years. To attribute the rise purely to this, however is to simplify the issue greatly. There are biological, sociological and psychological factors at play, and these are often intertwined – just as everyone is different, the individual causes of suicide vary greatly.
But let’s pull back from suicide for a moment, as that’s just one element of mental health we need to look at. Mental “ well-being” is a term I’d prefer to focus on for now. And while most of us at this stage know that there are steps we can take to look after our emotional health, it’s apparent that our alcohol consumption behaviour and attitudes often directly contradict this. While it’s been touched on by aspects of the media in recent weeks, notably by Breda O’Brien in the Irish Times and also as part of a recent Frontline discussion on mental health, it remains the elephant in the room when it comes to the national conversation we are attempting to have about mental well-being.
Extreme attitudes towards alcohol

Our drinking habits and our attitudes towards alcohol in Ireland are what can probably fairly be classified as “extreme”. A recent study conducted by Millward Brown Lansdowne on behalf of Drinkaware.ie, indicated that while Irish people drink less frequently than our EU counterparts, our consumption is three times higher than the EU average. (Drinkaware.ie, interestingly, is an initiative developed by MEAS, a group comprised of various players in the alcohol industry, under the guise of social responsibility. The site contains lots of eye-opening information about the effects of alcohol, including its impact on relationships and mental health.)
In particular, attitudes among our young people are telling. The cross-border survey, “Alcohol Consumption and Alcohol Related Harm in Ireland” published by the National Advisory Committee on Drugs (NACD) last year found that a third of drinkers aged between 18 and 24 consumed the equivalent of nine standard drinks on a typical night out, and regard having at least five standard drinks on a night out as the “norm”. The Department of Health’s recommended weekly low risk drinking limits are 17 standard drinks for a man and 11 for a woman. So right there, that’s half your weekly intake, in one night.

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Source: Anne-Marie Flynn thejournal.ie, 06/03/13

Posted by drugsdotie on 03/06 at 10:26 AM in
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