In this task, you are given a context, a subject, a relation, and many options. Based on the context, from the options select the object entity that has the given relation with the subject. Answer with text (not indexes).

Input: Consider Input: Context: The genus Psammolestes belongs to the subfamily Triatominae . 3 species : Psammolestes arthuri ( Pinto , 1926 ) ( Tc ) Psammolestes coreodes Bergroth , 1911 Psammolestes tertius Lent & Jurberg , 1965 ( Tc ) ( Tc ) means associated with Trypanosoma cruzi, Triatoma infestans, commonly called winchuka "(vinchuca)" in Argentina, Bolivia and Chile, barbeiro in Brazil and also known as "kissing bug" or "barber bug" in English, is a blood-sucking bug (like all the members of its subfamily Triatominae) and the most important vector of "Trypanosoma cruzi" which can lead to Chagas disease. It is widespread in the Southern Cone countries of South America; that is, in Bolivia, Argentina, Uruguay, Paraguay, Chile, Brazil and Peru. In all these countries "T. infestans" is almost an exclusively domestic species, except in Bolivia where sylvatic forms have been recorded in rock piles in association with wild guinea pigs. This region has joined the control intervention called "Southern Cone Initiative" managed by the PAHO., Rhodnius is a genus of assassin bugs in the subfamily Triatominae (the kissing bugs), and is an important vector in the spread of Chagas disease. The "Rhodnius" species were important models for Sir Vincent Wigglesworth's studies of insect physiology, specifically growth and development., Vertebrates comprise all species of animals within the subphylum Vertebrata (chordates with backbones). Vertebrates represent the overwhelming majority of the phylum Chordata, with currently about 64,000 species described. Vertebrates include the jawless fish and the jawed vertebrates, which include the cartilaginous fish (sharks and rays) and the bony fish. , The Reduviidae are a large cosmopolitan family of the order Hemiptera (true bugs). They are slightly unusual overall, but very common among the Hemiptera because almost all are terrestrial ambush predators (most other predatory Hemiptera are aquatic). The main examples of nonpredatory Reduviidae are some blood-sucking ectoparasites in the subfamily Triatominae. Though spectacular exceptions are known, most members of the family are fairly easily recognizable; they have a relatively narrow neck, sturdy build, and formidable curved proboscis (sometimes called a rostrum). Large specimens should be handled with caution, if at all, because they sometimes defend themselves with a very painful stab from the proboscis., Argentina, officially the Argentine Republic, is a federal republic in the southern half of South America. Sharing the bulk of the Southern Cone with its neighbor Chile to the west, the country is also bordered by Bolivia and Paraguay to the north, Brazil to the northeast, Uruguay and the South Atlantic Ocean to the east, and the Drake Passage to the south. With a mainland area of , Argentina is the eighth-largest country in the world, the second largest in Latin America, and the largest Spanish-speaking one. The country is subdivided into twenty-three provinces (singular "provincia") and one autonomous city ("ciudad autónoma"), Buenos Aires, which is the federal capital of the nation as decided by Congress.
The provinces and the capital have their own constitutions, but exist under a federal system., Rhodnius prolixus is the second most important triatomine vector of the Chagas parasite due to both its sylvatic and domestic populations in northern South America as well as to its exclusively domestic populations in Central America. It has a wide range of ecotopes, mainly savanna and foothills with an altitude of between 500 meters to 1,500 meters (1600 feet to 4,900 feet) above sea level and temperatures of 16 °C to 28 °C (61 °F to 82 °F). Sylvatic "R. prolixus", as virtually all "Rhodnius" spp., is primarily associated with palm tree habitats and has a wide range of hosts including birds, rodents, marsupials, sloths, and reptiles., Trypanosoma cruzi is a species of parasitic euglenoids. Amongst the protozoa, the trypanosomes characteristically bore tissue in another organism and feed on blood (primarily) and also lymph. This behaviour causes disease or the likelihood of disease that varies with the organism: for example, trypanosomiasis in humans (Chagas disease in South America ), dourine and surra in horses, and a brucellosis-like disease in cattle. Parasites need a host body and the haematophagous insect triatomine (descriptions "assassin bug", "cone-nose bug", and "kissing bug") is the major vector in accord with a mechanism of infection. The triatomine likes the nests of vertebrate animals for shelter, where it bites and sucks blood for food. Individual triatomines infected with protozoa from other contact with animals transmit trypanosomes when the triatomine deposits its faeces on the host's skin surface and then bites. Penetration of the infected faeces is further facilitated by the scratching of the bite area by the human or animal host., Triatoma is a genus of assassin bug in the subfamily Triatominae (kissing bugs). The members of "Triatoma" (like all members of Triatominae) are blood-sucking insects that can transmit serious diseases, such as Chagas disease. Their saliva may also trigger allergic reactions in sensitive individuals, up to and including severe anaphylactic shock., Chagas disease, also known as American trypanosomiasis, is a tropical parasitic disease caused by the protozoan "Trypanosoma cruzi". It is spread mostly by insects known as Triatominae or kissing bugs. The symptoms change over the course of the infection. In the early stage, symptoms are typically either not present or mild, and may include fever, swollen lymph nodes, headaches, or local swelling at the site of the bite. After 812 weeks, individuals enter the chronic phase of disease and in 6070% it never produces further symptoms. The other 30 to 40% of people develop further symptoms 10 to 30 years after the initial infection, including enlargement of the ventricles of the heart in 20 to 30%, leading to heart failure. An enlarged esophagus or an enlarged colon may also occur in 10% of people.
"T. cruzi" is commonly spread to humans and other mammals by the blood-sucking "kissing bugs" of the subfamily Triatominae. These insects are known by a number of local names, including: "vinchuca" in Argentina, Bolivia, Chile and Paraguay, "barbeiro" (the barber) in Brazil, "pito" in Colombia, "chinche" in Central America, and "chipo" in Venezuela. The disease may also be spread through blood transfusion, organ transplantation, eating food contaminated with the parasites, and by vertical transmission (from a mother to her fetus). Diagnosis of early disease is by finding the parasite in the blood using a microscope. Chronic disease is diagnosed by finding antibodies for "T. cruzi" in the blood.
Prevention mostly involves eliminating kissing bugs and avoiding their bites. Other preventative efforts include screening blood used for transfusions. A vaccine has not been developed as of 2013. Early infections are treatable with the medication benznidazole or nifurtimox. Medication nearly always results in a cure if given early, but becomes less effective the longer a person has had Chagas disease. When used in chronic disease, medication may delay or prevent the development of endstage symptoms. Benznidazole and nifurtimox cause temporary side effects in up to 40% of people including skin disorders, brain toxicity, and digestive system irritation.
It is estimated that 7 to 8 million people, mostly in Mexico, Central America and South America, have Chagas disease as of 2013. In 2006, Chagas was estimated to result in 12,500 deaths per year. Most people with the disease are poor, and most people with the disease do not realize they are infected. Large-scale population movements have increased the areas where Chagas disease is found and these include many European countries and the United States. These areas have also seen an increase in the years up to 2014. The disease was first described in 1909 by Carlos Chagas after whom it is named. It affects more than 150 other animals., The members of Triatominae , a subfamily of Reduviidae, are also known as conenose bugs, kissing bugs, assassin bugs, or vampire bugs. Other local names for them used in the Latin Americas include barbeiros, vinchucas, pitos and chinches. Most of the 130 or more species of this subfamily are haematophagous, i.e. feeds on vertebrate blood; a very few species feed on other invertebrates (Sandoval "et al." 2000, 2004). They are mainly found and widespread in the Americas, with a few species present in Asia, Africa, and Australia. These bugs usually share shelter with nesting vertebrates, from which they suck blood. In areas where Chagas disease occurs (from the southern United States to northern Argentina), all triatomine species are potential vectors of the Chagas disease parasite "Trypanosoma cruzi", but only those species (such as "Triatoma infestans" and "Rhodnius prolixus") that are well adapted to living with humans are considered important vectors., Subject: psammolestes, Relation: parent_taxon, Options: (A) area (B) argentina (C) chordata (D) insects (E) protozoa (F) reduviidae (G) rhodnius (H) triatoma (I) triatominae (J) trypanosoma (K) vertebrata

Output: reduviidae


Input: Consider Input: Context: The Umbau - Wagen or Umbauwagen was a type of German railway passenger coach operated by the Deutsche Bundesbahn ( DB ) which appeared in the mid- 1950s . The name means `` rebuild coach '' and they were made by rebuilding or converting former state railway ( Länderbahn ) compartment coaches , many of which were over 30 years old ., Deutsche Bahn AG (abbreviated as "DB", "DB AG" or "DBAG") is a German railway company. Headquartered in Berlin, it is a private joint-stock company (AG), with the Federal Republic of Germany being its single shareholder. Deutsche Bahn describes itself as the second-largest transport company in the world, after the German postal and logistics company Deutsche Post / DHL, and is the largest railway operator and infrastructure owner in Europe. It carries about two billion passengers each year., The Deutsche Bundesbahn or DB (German Federal Railway) was formed as the state railway of the newly established Federal Republic of Germany (FRG) on 7 September 1949 as a successor of the Deutsche Reichsbahn-Gesellschaft (DRG). The DB remained the state railway of West Germany until after German reunification, when it was merged with the former East German Deutsche Reichsbahn (DR) to form Deutsche Bahn AG, which came into existence on 1 January 1994., The German reunification was the process in 1990 in which the German Democratic Republic (GDR/East Germany) joined the Federal Republic of Germany (FRG/West Germany) to form the reunited nation of Germany, and when Berlin reunited into a single city, as provided by its then Grundgesetz constitution Article 23. The end of the unification process is officially referred to as German unity, celebrated on 3 October (German Unity Day). Following German reunification, Berlin was once again designated as the capital of united Germany., Subject: umbau-wagen, Relation: operator, Options: (A) deutsche bahn (B) deutsche bundesbahn (C) germany

Output: deutsche bahn


Input: Consider Input: Context: , officially , abbreviated as , and used as a verb as , were suicide attacks by military aviators from the Empire of Japan against Allied naval vessels in the closing stages of the Pacific campaign of World War II, designed to destroy warships more effectively than was possible with conventional attacks. During World War II, about 3,860 "kamikaze" pilots died, and about 19% of "kamikaze" attacks managed to hit a ship., Hanging is the suspension of a person by a noose or ligature around the neck. The "Oxford English Dictionary" states that hanging in this sense is "specifically to put to death by suspension by the neck", though it formerly also referred to crucifixion and death by impalement in which the body would remain "hanging". Hanging has been a common method of capital punishment since medieval times, and is the official execution method in numerous countries and regions. The first account of execution by hanging was in Homer's "Odyssey". In this specialised meaning of the common word "hang", the past and past participle is "hanged" instead of "hung"., Nylon is a generic designation for a family of synthetic polymers, more specifically aliphatic or semi-aromatic polyamides. They can be melt-processed into fibers, films or shapes. The first example of nylon (nylon 6,6) was produced on February 28, 1935, by Wallace Carothers at DuPont's research facility at the DuPont Experimental Station. Nylon polymers have found significant commercial applications in fibers (apparel, flooring and rubber reinforcement), in shapes (molded parts for cars, electrical equipment, etc.), and in films (mostly for food packaging).<ref name="Materials/Polyamide"></ref>, Bullying is the use of force, threat, or coercion to abuse, intimidate, or aggressively dominate others. The behavior is often repeated and habitual. One essential prerequisite is the perception, by the bully or by others, of an imbalance of social or physical power, which distinguishes bullying from conflict. Behaviors used to assert such domination can include verbal harassment or threat, physical assault or coercion, and such acts may be directed repeatedly towards particular targets. Rationalizations for such behavior sometimes include differences of social class, race, religion, gender, sexual orientation, appearance, behavior, body language, personality, reputation, lineage, strength, size or ability. If bullying is done by a group, it is called mobbing., SiN is a first-person shooter video game developed by Ritual Entertainment and published by Activision in late 1998. The game was later released over Steam platform on April 5, 2006, either as a standalone product, or bundled together with its sequel, "SiN Episodes". It was also released, along with its expansion pack "" on GOG.com on January 30, 2014, DRM-free and fixed for modern hardware. It based on a modified version of the id Tech 2 engine., In religion and ethics, inviolability or sanctity of life is a principle of implied protection regarding aspects of sentient life which are said to be holy, sacred, or otherwise of such value that they are not to be violated. This applies to both animals and humans because they are holy and worthy of life., A crisis hotline is a phone number people can call to get immediate emergency telephone counseling, usually by trained volunteers. The first such service was founded in England in 1953 and such hotlines have existed in most major cities of the English speaking world at least since the mid-1970s. Initially set up to help those contemplating suicide, many have expanded their mandate to deal more generally with emotional crises. Similar hotlines operate to help people in other circumstances, including rape victims, bullying victims, runaway children, human trafficking victims, and people who identify as LGBT or intersex., </div> War is a state of armed conflict between societies. It is generally characterized by extreme aggression, destruction, and mortality, using regular or irregular military forces. An absence of war is usually called "peace". Warfare refers to the common activities and characteristics of types of war, or of wars in general. Total war is warfare that is not restricted to purely legitimate military targets, and can result in massive civilian or other non-combatant casualties., Death is the cessation of all biological functions that sustain an organism. Phenomena which commonly bring about death include biological aging, predation, malnutrition, disease, suicide, homicide, starvation, dehydration, and accidents or trauma resulting in terminal injury. Bodies of living organisms begin to decompose shortly after death. , A mental disorder, also called a mental illness or psychiatric disorder, is a diagnosis by a mental health professional of a behavioral or mental pattern that may cause suffering or a poor ability to function in life. Such features may be persistent, relapsing and remitting, or occur as a single episode. Many disorders have been described, with signs and symptoms that vary widely between specific disorders.
The causes of mental disorders are often unclear. Theories may incorporate findings from a range of fields. Mental disorders are usually defined by a combination of how a person behaves, feels, perceives, or thinks. This may be associated with particular regions or functions of the brain, often in a social context. A mental disorder is one aspect of mental health. Cultural and religious beliefs, as well as social norms, should be taken into account when making a diagnosis.
Services are based in psychiatric hospitals or in the community, and assessments are carried out by psychiatrists, clinical psychologists, and clinical social workers, using various methods but often relying on observation and questioning. Treatments are provided by various mental health professionals. Psychotherapy and psychiatric medication are two major treatment options. Other treatments include social interventions, peer support, and self-help. In a minority of cases there might be involuntary detention or treatment. Prevention programs have been shown to reduce depression.
Common mental disorders include depression, which affects about 400 million, dementia which affects about 35 million, and schizophrenia, which affects about 21 million people globally. Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion. , Assisted suicide is suicide committed with the aid of another person, sometimes a physician. The term is often used interchangeably with physician-assisted suicide (PAS), which involves a doctor "knowingly and intentionally providing a person with the knowledge or means or both required to commit suicide, including counseling about lethal doses of drugs, prescribing such lethal doses or supplying the drugs." , Schizophrenia is a mental disorder characterized by abnormal social behavior and failure to understand what is real. Common symptoms include false beliefs, unclear or confused thinking, hearing voices that others do not, reduced social engagement and emotional expression, and a lack of motivation. People with schizophrenia often have additional mental health problems such as anxiety disorders, major depressive illness, or substance use disorders. Symptoms typically come on gradually, begin in young adulthood, and last a long time.
The causes of schizophrenia include environmental and genetic factors. Possible environmental factors include being raised in a city, cannabis use, certain infections, parental age, and poor nutrition during pregnancy. Genetic factors include a variety of common and rare genetic variants. Diagnosis is based on observed behavior, the person's reported experiences, and reports of others familiar with the person. During diagnosis a person's culture must also be taken into account. As of 2013 there is no objective test. Schizophrenia does not imply a "split personality" or "multiple personality disorder"conditions with which it is often confused in public perception.
The mainstay of treatment is antipsychotic medication, along with counselling, job training, and social rehabilitation. It is unclear whether typical or atypical antipsychotics are better. In those who do not improve with other antipsychotics clozapine may be tried. In more serious situationswhere there is risk to self or othersinvoluntary hospitalization may be necessary, although hospital stays are now shorter and less frequent than they once were.
About 0.30.7% of people are affected by schizophrenia during their lifetimes. In 2013 there were estimated to be 23.6 million cases globally. Males are more often affected than females. About 20% of people do well, and a few recover completely. Social problems, such as long-term unemployment, poverty, and homelessness are common. The average life expectancy of people with the disorder is ten to twenty-five years less than for the general population. This is the result of increased physical health problems and a higher suicide rate (about 5%). In 2013 an estimated 16,000 people worldwide died from behavior related to, or caused by, schizophrenia., Abrahamic religions, emphasizing and tracing their common origin to the tribal patriarch Abraham or recognizing a spiritual tradition identified with him, are one of the major divisions in comparative religion (along with Indian, Iranian, and East Asian religions). Judaism, Christianity and Islam are the largest Abrahamic religions in terms of numbers of adherents., An anti-suicide smock, Ferguson, turtle suit, or suicide gown is a tear-resistant single-piece outer garment that is generally used to prevent a hospitalized, incarcerated, or otherwise detained individual from forming a noose with the garment to commit suicide. The smock is typically a simple, sturdily quilted, collarless, sleeveless gown with adjustable openings at the shoulders and down the front that are closed with nylon hook-and-loop or similar fasteners. The thickness of the garment makes it impossible to roll or fold the garment so it can be used as a noose. It is not a restraint and provides modesty and warmth while not impeding the mobility of the wearer., A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a heart attack. A district hospital typically is the major health care facility in its region, with large numbers of beds for intensive care and additional beds for patients who need long-term care. Specialised hospitals include trauma centres, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) and certain disease categories. Specialised hospitals can help reduce health care costs compared to general hospitals., Suicidal ideation, also known as suicidal thoughts, concerns thoughts about or an unusual preoccupation with suicide. The range of suicidal ideation varies greatly from fleeting thoughts, to extensive thoughts, to detailed planning, role playing (e.g., standing on a chair with a noose), and incomplete attempts, which may be deliberately constructed to not complete or to be discovered, or may be fully intended to result in death, but the individual survives (e.g., in the case of a hanging in which the cord breaks)., Latin (Latin: ) is a classical language belonging to the Italic branch of the Indo-European languages. The Latin alphabet is derived from the Etruscan and Greek alphabets., A pesticide poisoning occurs when chemicals intended to control a pest affect non-target organisms such as humans, wildlife, or bees. There are three types of pesticide poisoning. The first of the three is a single and short-term very high level of exposure which can be experienced by individuals who commit suicide, as well as pesticide formulators. The second type of poisoning is long-term high-level exposure, which can occur in pesticide formulators and manufacturers. The third type of poisoning is a long-term low-level exposure, which individuals are exposed to from sources such as pesticide residues in food as well as contact with pesticide residues in the air, water, soil, sediment, food materials, plants and animals., An anti-suicide blanket is a tear - resistant blanket that is used to prevent a hospitalized , incarcerated or otherwise detained individual from forming a noose to commit suicide . The blanket is typically made of simple and sturdily quilted nylon or similarly reinforced material . The stiffness of the blanket makes it impossible to roll or fold without continuously applied pressure . The same material is used for the anti-suicide smock ., Bipolar disorder, also known as manic depression, is a mental disorder with periods of depression and periods of elevated mood. The elevated mood is significant and is known as mania or hypomania, depending on its severity, or whether symptoms of psychosis are present. During mania, an individual behaves or feels abnormally energetic, happy, or irritable. Individuals often make poorly thought out decisions with little regard to the consequences. The need for sleep is usually reduced during manic phases. During periods of depression, there may be crying, a negative outlook on life, and poor eye contact with others. The risk of suicide among those with the illness is high at greater than 6 percent over 20 years, while self-harm occurs in 3040 percent. Other mental health issues such as anxiety disorders and substance use disorder are commonly associated.
The causes are not clearly understood, but both environmental and genetic factors play a role. Many genes of small effect contribute to risk. Environmental factors include a history of childhood abuse, and long-term stress. The condition is divided into bipolar I disorder if there is at least one manic episode and bipolar II disorder if there are at least one hypomanic episode and one major depressive episode. In those with less severe symptoms of a prolonged duration, the condition cyclothymic disorder may be diagnosed. If due to drugs or medical problems, it is classified separately. Other conditions that may present in a similar manner include attention deficit hyperactivity disorder, personality disorders, schizophrenia, and substance use disorder as well as a number of medical conditions. Medical testing is not required for a diagnosis, though blood tests or medical imaging can be done to rule out other problems.
Treatment commonly includes psychotherapy, as well as medications such as mood stabilizers and antipsychotics. Examples of mood stabilizers that are commonly used include lithium and various anticonvulsants. Treatment in a hospital without the individual's consent may be required if a person is at risk to themselves or others but refuses treatment. Severe behavioral problems may be managed with short term antipsychotics or benzodiazepines. In periods of mania it is recommended that antidepressants be stopped. If antidepressants are used for periods of depression they should be used with a mood stabilizer. Electroconvulsive therapy (ECT) may be helpful for those who do not respond to other treatments. If treatments are stopped, it is recommended that this be done slowly. Many individuals have financial, social or work-related problems due to the illness. These difficulties occur a quarter to a third of the time on average. The risk of death from natural causes such as heart disease is twice that of the general population. This is due to poor lifestyle choices and the side effects from medications.
About 3 percent of people in the United States are estimated to have bipolar disorder at some point in their life. Lower rates of around 1 percent are found in other countries. The most common age at which symptoms begin is 25. Rates appear to be similar in females and males. The economic costs of the disorder has been estimated at $45 billion for the United States in 1991. A large proportion of this was related to a higher number of missed work days, estimated at 50 per year. People with bipolar disorder often face problems with social stigma., Suicide is the act of intentionally causing one's own death. Risk factors include mental disorders such as depression, bipolar disorder, schizophrenia, personality disorders, alcoholism, or substance misuse. Others are impulsive acts due to stress such as from financial difficulties, troubles with relationships, or from bullying. Those who have previously attempted suicide are at higher risk for future attempts. Suicide prevention efforts include limiting access to method of suicide, such as firearms and poisons, treating mental disorders and substance misuse, proper media reporting of suicide, and improving economic conditions. Although crisis hotlines are common, there is little evidence for their effectiveness.
The most commonly used method of suicide varies between countries, and is partly related to the availability of effective means. Common methods include hanging, pesticide poisoning, and firearms. Suicide resulted in 842,000 deaths globally in 2013 (up from 712,000 deaths in 1990). This makes it the 10th leading cause of death worldwide.
Approximately 0.5% to 1.4% of people die by suicide, about 12 per 100,000 persons per year. Three quarters of suicides globally occur in the developing world. Rates of completed suicides are generally higher in men than in women, ranging from 1.5 times as much in the developing world to 3.5 times in the developed world. Suicide is generally most common among those over the age of 70; however, in certain countries those aged between 15 and 30 are at highest risk. There are an estimated 10 to 20 million non-fatal attempted suicides every year. Non-fatal suicide attempts may lead to injury and long-term disabilities. In the Western world, attempts are more common in young people and females.
Views on suicide have been influenced by broad existential themes such as religion, honor, and the meaning of life. The Abrahamic religions traditionally consider suicide an offense towards God due to the belief in the sanctity of life. During the samurai era in Japan, a form of suicide known as seppuku was respected as a means of making up for failure or as a form of protest. Sati, a practice outlawed by the British Raj, expected the Indian widow to kill herself on her husband's funeral fire, either willingly or under pressure from the family and society. Suicide and attempted suicide, while previously illegal, are no longer in most Western countries. It remains a criminal offense in many countries. In the 20th and 21st centuries, suicide has been used on rare occasions as a form of protest, and kamikaze and suicide bombings have been used as a military or terrorist tactic. The word is from the Latin "suicidium", which means "the killing of oneself".
Definitions.
Suicide, also known as completed suicide, is the "act of taking one's own life". Attempted suicide or non-fatal suicidal behavior is self-injury with the desire to end one's life that does not result in death. Assisted suicide is when one individual helps another bring about their own death indirectly via providing either advice or the means to the end. This is in contrast to euthanasia, where another person takes a more active role in bringing about a person's death. Suicidal ideation is thoughts of ending one's life but not taking any active efforts to do so., Alcoholism, also known as alcohol use disorder (AUD), is a broad term for any drinking of alcohol that results in problems. It was previously divided into two types: alcohol abuse and alcohol dependence. In a medical context, alcoholism is said to exist when two or more of the following conditions is present: a person drinks large amounts over a long time period, has difficulty cutting down, acquiring and drinking alcohol takes up a great deal of time, alcohol is strongly desired, usage results in not fulfilling responsibilities, usage results in social problems, usage results in health problems, usage results in risky situations, withdrawal occurs when stopping, and alcohol tolerance has occurred with use. Risky situations include drinking and driving or having unsafe sex among others. Alcohol use can affect all parts of the body but particularly affects the brain, heart, liver, pancreas, and immune system. This can result in mental illness, WernickeKorsakoff syndrome, an irregular heart beat, liver failure, and an increase in the risk of cancer, among other diseases. Drinking during pregnancy can cause damage to the baby resulting in fetal alcohol spectrum disorders. Generally women are more sensitive to alcohol's harmful physical and mental effects than men.
Both environmental factors and genetics are associated with alcoholism with about half the risk attributed to each. A person with a parent or sibling with alcoholism is three to four times more likely to be alcoholic themselves. Environmental factors include social, cultural, and behavioral influences. High stress levels, anxiety, as well as inexpensive easily accessible alcohol increases risk. People may continue to drink partly to prevent or improve symptoms of withdrawal. A low level of withdrawal may last for months following stopping. Medically, alcoholism is considered both a physical and mental illness. Both questionnaires and certain blood tests may detect people with possible alcoholism. Further information is then collected to confirm the diagnosis.
Prevention of alcoholism may be attempted by regulating and limiting the sale of alcohol, taxing alcohol to increase its cost, and providing inexpensive treatment. Treatment may take several steps. Because of the medical problems that can occur during withdrawal, alcohol detoxification should be carefully controlled. One common method involves the use of benzodiazepine medications, such as diazepam. This can be either given while admitted to a health care institution or occasionally while a person remains in the community with close supervision. Other addictions or mental illness may complicate treatment. After detoxification support such as group therapy or support groups are used to help keep a person from returning to drinking. One commonly used form of support is the group Alcoholics Anonymous. The medications acamprosate, disulfiram, or naltrexone may also be used to help prevent further drinking.
The World Health Organization estimates that as of 2010 there were 208 million people with alcoholism worldwide (4.1% of the population over 15 years of age). In the United States about 17 million (7%) of adults and 0.7 million (2.8%) of those age 12 to 17 years of age are affected. It is more common among males and young adults, becoming less common in middle and old age. It is the least common in Africa at 1.1% and has the highest rates in Eastern Europe at 11%. Alcoholism directly resulted in 139,000 deaths in 2013 up from 112,000 deaths in 1990. A total of 3.3 million deaths (5.9% of all deaths) are believed to be due to alcohol. It often reduces a person's life expectancy by around ten years. In the United States it resulted in economic costs of $224 billion USD in 2006. Many terms, some insulting and others informal, have been used to refer to people affected by alcoholism including: tippler, drunkard, dipsomaniac, and souse. In 1979, the World Health Organization discouraged the use of "alcoholism" due to its inexact meaning, preferring "alcohol dependence syndrome".
Signs and symptoms.
Early signs.
The risk of alcohol dependence begins at low levels of drinking and increases directly with both the volume of alcohol consumed and a pattern of drinking larger amounts on an occasion, to the point of intoxication, which is sometimes called "binge drinking". Young adults are particularly at risk of engaging in binge drinking., Suicide prevention is an umbrella term for the collective efforts of local citizen organizations, health professionals and related professionals to reduce the incidence of suicide. Beyond direct interventions to stop an impending suicide, methods also involve "a") treating the psychological and psycho-physiological symptoms of depression, "b") improving the coping strategies of persons who would otherwise seriously consider suicide, "c") reducing the prevalence of conditions believed to constitute risk factors for suicide, and "d") giving people hope for a better life after current problems are resolved., Subject: anti-suicide blanket, Relation: use, Options: (A) cutting (B) engine (C) execution (D) hospital (E) language (F) nutrition (G) observation (H) religion (I) research (J) service (K) sleep (L) suicide (M) suicide prevention (N) test (O) therapy (P) training (Q) use of force (R) video game (S) war


Output: suicide prevention