what came first, the depression, or the arrival of the Fog? SUICIDE IN LITHUANIA Lithuania Takes the Dubious Honor of Having Highest Suicide Rate in World This tiny former Soviet republic on the shores of the Baltic Sea has acquired a dubious distinction: It has the highest suicide rate in the world. Suicides have increased steadily since independence in 1990, especially among young men (up 195 percent) and women aged 50 to 59 (up 106 percent). In 1996 the suicide rate hit an all-time high of 46.4 per 100,000 people before settling at 44 in 1997. These figures compare with 38 per 100,000 in Russia, 34 in Estonia, 33 in Hungary, 20 in Switzerland, seven in Spain, and three in Greece. A Gallup International poll showed Lithuanians were the most pessimistic people among 62 nations polled, with 53 percent of the country believing the year 2000 would be worse than the year 1999. Duration of unemployment and depression: a cross-sectional survey in Lithuania. BACKGROUND: In spite of a growing economy, unemployment is still a severe socio-economic problem in Lithuania. Nonetheless, no studies have been performed about the associations between unemployment and mental health in Lithuania. The aim of this study was to evaluate the associations between unemployment duration and depression in Lithuania. CONCLUSION: The results indicated that depression is a severe problem in the unemployed population. Depression is more elevated among the long-term unemployed. This leads to arguing for common efforts in providing needed social support and health care to reduce the effects of unemployment on mental health. SELLING MADNESS: PSYCHOPHARMACEUTICAL COMPANIES IN LITHUANIA, 1990-2000 The breakup of the Soviet Union has created enormous tensions, both economic and cultural, for its former member states. Once under the watchful and guiding eye of the Soviet Union, the former republics suddenly had to determine how to react to an increasingly integrated global economy. Lithuania, since its reestablishment of independence in 1991, has been torn between the legacy of Communist influence from the East, and cultural and economic pressures from the West. As I will show, Western influences have led to major changes in Lithuanian mental health. Lithuania has experienced a sharp increase in certain types of mental illness between 1997 and 1998, as indicated in Table 1.* The question driving this research is why rates of mental illness in Lithuania have increased so rapidly in the 1990s in light of the rising influence of Western pharmaceutical companies. These firms expanded their marketing strategies in Lithuania, since it became an untapped market after the fall of the Soviet Union. Using both formal and informal means, the pharmaceutical industry influences the diagnosis of various types of mental illness treated by medications sold by these same pharmaceutical companies.