Reasons to Stay Alive is a short story that follows the protagonist, Corinne Larson, and her experiences with depression and anxiety as well as self-harm and suicidal ideations. It is meant to act as an antithesis to media that romanticizes suicide, such as the television show 13 Reasons Why (2017), and instead glorify growth and healing. Specifically, it focuses on the importance of social support in the healing process. The story is separated into three different formats: narrative, letter, and free-verse poetry. It is prefaced by a poem titled ‘death by suicide’ that discusses the stigma around suicide and the reason why the phrase ‘commit suicide’ was changed to ‘death by suicide’. The story then starts with a letter written by Corinne to her future self during a time she was really struggling with depression and self-harm and suicidal ideations. It is a plea with her future self to tell her everything will be alright. The rest of the story is broken into four parts, each about a specific and important person in Corinne’s life. Each part starts off as a first person narrative from Corinne’s point of view and is a memorable experience she had with each person and ends with a short letter addressed directly to each person. The letters are a chance for Corinne to tell each person how important they are to her, how they made an impact in her life, and how they gave her a reason to stay alive. Between each part is a poem that deals with different themes relating to depression or anxiety. The story ends with a letter written by Corinne to her future self that goes back and addresses the first letter. It gives past Corinne some words of advice and tells her that her reasons to stay alive are the important people in life as well as herself and the person she will become.

A recent analysis has predicted that close to a million Americans will have died from contracting COVID-19 (Sullivan, 2021, para. 1). Unsurprisingly, the most vulnerable people, like those who have been incarcerated, have been hit the hardest (Brennan Center for Justice, 2020, para. 1). The ongoing COVID-19 pandemic has created additional stress affecting inmates both physically and mentally. Therefore, the maintenance of good mental health among inmates should be a concern. However, the nature of the correctional environment limits the therapeutic options available to health care professionals. Among the challenges mental health professionals face in ensuring quality care are a poor rapport between the care provider and client, having a client living in an environment where distressing factors are omnipresent, and a lack of resources (Gussak, 2015, p. 2). All of these issues are exacerbated when the client requiring mental health care is in the correctional system. Depression and anxiety are some of the most common disorders affecting the prison population. However, in the correctional system, therapies that have been found effective among a general population have been shown to not benefit 30% to 60% of clients (Abbing, Baars, Van Haastrecht, & Ponstein, 2019, p. 1). Effectively treating depression is of great concern because, as Gussak (2007) found, depression can lead to self-harming behaviors and suicide when left untreated (p. 2). Additionally, addressing and treating anxiety is of particular importance today as COVID-19 has been a significant source of distress; explicitly, one incarcerated journalist reported witnessing entire units of inmates experiencing high levels of anxiety and panic attacks (Popperl et al., 2020, para. 5). Thus, a critical review of the available literature can reveal the particular effectiveness of art therapy in treating depression and anxiety in prison populations. The impacts of implementing more effective therapies in the correctional system are a reduction in recidivism and successful reintegration into society. Consequently, this literature review will suggest a potential application of art therapy for improving the mental health of those incarcerated in the correctional system with the intent of engendering positive social impact.