professional mental health services. In 2015 a study concluded, African Americans with high value in religion are less likely to utilize mental health services compared to those who have low value in religion. Most counseling approaches are westernized and do not fit within the African American culture. African American families tend to resolve concerns within the family, and it is viewed by the family as a strength. On the other hand, when African Americans seek counseling, they face a social backlash and are criticized. They may be labeled "crazy", viewed as weak, and their pride is diminished. Because of this, many African Americans instead seek mentorship within communities they trust. Terminology is another barrier in relation to African Americans and mental health. There is more stigma on the term psychotherapy versus counseling. In one study, psychotherapy is associated with mental illness whereas counseling approaches problem-solving, guidance and help. More African Americans seek assistance when it is called counseling and not psychotherapy because it is more welcoming within the cultural and community. Counselors are encouraged to be aware of such barriers for the well-being of African American clients. Without cultural competency training in health care, many African Americans go unheard and misunderstood. Although suicide is a top-10 cause of death for men overall in the US, it is not a top-10 cause of death for Black men. Genetics Genome-wide studies Recent surveys of African Americans using a genetic testing service have found varied ancestries which show different tendencies by region and sex of ancestors. These studies found that on average, African Americans have 73.2–82.1% West African, 16.7%–24% European, and 0.8–1.2% Native American genetic ancestry, with large variation between individuals. Genetics websites themselves have reported similar ranges, with some finding 1 or 2 percent Native American ancestry and Ancestry.com reporting an outlying percentage of European ancestry among African Americans, 29%. According to a genome-wide study by Bryc et al. (2009), the mixed ancestry of African Americans in varying ratios came about as the result of sexual contact between West/Central Africans (more frequently females) and Europeans (more frequently males). Consequently, the 365 African Americans in their sample have a genome-wide average of 78.1% West African ancestry and 18.5% European ancestry, with large variation among individuals (ranging from 99% to 1% West African ancestry). The West African ancestral component in African Americans is most similar to that in present-day speakers from the non-Bantu branches