Actual or threatened physical violence, psychological violence, and denial of physical and economic resources all have a huge impact on women's mental health. These problems take many forms, all affecting women's ability to achieve a basic quality of life for themselves and their families. Abuse is strongly associated with alcoholism and drug use among women (Facts About Domestic Violence). It can also lead to “fatigue and passivity associated with an extreme feeling of worthlessness” (Violence Against Women in the Family, 78). Together, these symptoms deprive the victim of all initiative and decision-making ability. This lethargy, combined with economic barriers, makes it very difficult to escape the situation. Lack of initiative also hinders women's ability to participate in activities outside the home. High levels of stress and depression are also extremely common mental health problems among victims of domestic violence, often leading to suicide (Facts About Domestic Violence). In the United States, a quarter of suicide attempts by white women and half of attempts by African-American women are preceded by abuse (In the Health of Women: A Global Perspective, 128). World Bank analysis found that domestic violence is a major cause of disability and death among women; the burden of domestic violence is comparable to that of HIV, tuberculosis, cardiovascular disease or cancer (Domestic Violence Against Women: A Global Issue,