KATHMANDU, SEPTEMBER 10
Suicide is among the top three causes of death among youth worldwide. According to the World Health Organisation, almost one million people die from suicide every year and 20 times more people attempt suicide a(global mortality rate of 16 per 100,000, or one death every 40 seconds and one attempt every 3 seconds, on average).
Around 800,000 people die by suicide every year. 15 men and 8 women in every 100,000 individuals die due to the cause. Behind every suicide, there are 25 related attempts. The number of deaths due to suicide in men is three times higher than that of women, while the number of attempts is two to three times higher among women.
In Nepal, over 20 people die of suicide every day. It is the seventh highest rate in the world and in South Asian countries, Nepal comes second after Sri Lanka.
In the fiscal year 2075/76, 5754 suicide deaths were reported as per Nepal Police’s data. The ongoing fiscal year 2076/77 has already witnessed 4586 death reported due to the same.
During the pandemic lockdown, the suicide rate has increased rapidly in the country. There have been more than two thousand suicides of which around 200 were children and adolescents.
Let me remind a case of a villager who had contracted the coronavirus infection but his village and his co-villagers refused to ‘accept him’ due to the lack of knowledge about the disease. He unfortunately resorted to suicide. This is to say that community members and the community as a whole can play a huge role in prevention of suicides while it can also at times be a hurdle in prevention of the same.
If there are trained people in a community who can identify persons that are at risk of suicide and refer them to treatment or provide supporting services as appropriate, lot of lives can be saved.
There are many factors that often play a vital role for prevention of suicide. Let’s discuss a few of them here:
Knowledge about suicide
The knowledge factor includes declarative and perceived knowledge about suicide, depression, and resources available for at-risk persons. If the community is unaware about suicide, they cannot help its members. It always helps for community members to have knowledge about such vital life threatening illness and reasons behind the same.
Beliefs and Attitudes
Beliefs and attitudes on suicide prevention can be understood in a larger sense, however, it primarily focuses on whether or not suicide is considered preventable, if it is appropriate to intervene with at-risk individuals, and whether seeking help for mental illness is a viewed as a form of self-care.
Changes can happen if we incorporate changes in our attitudes and beliefs which can lead to reaching out to someone in need. Rather than merely talking and negating others’ understandings, one can always listen to people around them.
Reluctance to Intervention, and Stigmatisation
Since people may deem it inappropriate, they may be reluctant to intervene with an at-risk individual. The stigmas attached to mental health is another reason why community members are reluctant to approach at-risk individuals.
Stigma basically means negative stereotypes and discriminatory behaviours against those that have or are perceived to have mental health issues. The most common form of discriminatory action is the social-avoidance of an individial who is thought to have mental illness. Potential gatekeepers may not feel comfortable interacting with individuals in distress and may avoid them. Furthermore, gatekeepers may ignore the topic of depression and suicide altogether in a bid to avoid attributing the label of mental illness to another individual, which they fear could cause further distress.
How can one help or prevent suicide?
The first and foremost means of preventing suicides is to prevent the at-risk person’s accessibility to lethal means such as sharp objects, pesticides, harmful chemical, kerosene, etc. There are many studies which support the fact that such vigilance yields positive results.
(Similar interventions were used like limitation of the access to specific means such as firearms, notably in Canada at the end of the 1970s and in Austria at the end of the 1990s)
If we are able to continuously follow up with high risk clients or individuals in the long term, than we have higher success in prevention of the issue.
A randomised controlled trial (RCT) conducted in five countries (Brazil, India, Sri Lanka, Iran, China) on a total of eight hospitals evaluated the impact of a program including an information session through different means were beneficial.
Helplines are easily accessible for help and give immediate relief for the high risk behaviours. There are a lot of toll free numbers available in our country. One of them is 16600122223 ran by Mental health promotion and suicide prevention center. According to their report, the organisation was able to save 45 lives in a year. Such baby steps can help prevent suicides.
Studies have shown that training of general practitioners and medical officers to identify and intervene in cases pertaining to depression can reduce corresponding risks.
School children are the most vulnerable groups and as such awareness, prevention measures and accessibility to information should be made available right from early ages. One has to take the lead to form small groups to identify and intervene at the right time
Interventions aimed at the continuity of therapeutic management by specialists upon discharge from the hospital is also one of the vital mechanisms to manage related risks.
Public awareness definitely has a positive impact on reducing suicide rates. If the campaign is run by the following groups, then the success rates are higher:
LIVERPOOL: Premier League champions Liverpool maintained their 100% start to the season with a 3-1 win against Arsenal at Anfield on Monday leaving them level on nine points with pacesetters Everton and Leicester City. The visitors took the lead through an Alexandre Lacazette strike but L Read More...
LONDON: Aston Villa moved into the Premier League top four after they strolled to a 3-0 win at Fulham thanks to goals from Jack Grealish, Conor Hourihane and Tyrone Mings in a lopsided contest on Monday. The result left Villa, who narrowly avoided relegation last season, fourth on a maximu Read More...
KATHMANDU, SEPTEMBER 28 Private hospitals have fixed their own rate for conducting polymerase chain reaction tests, saying that the fee allocated by the Ministry of Health and Population was too less. Eight private hospitals and labs, including HAMS Hospital, Star Hospital, B&B Hospital an Read More...
KATHMANDU, SEPTEMBER 28 President Bidhya Devi Bhandari today issued two ordinances to increase jail sentence for acid attackers and to regulate the sale and distribution of acid and other harmful chemicals. One of the ordinances amended the new penal code, proposing to increase jail term for a Read More...
The unemployment problem cannot be addressed unless all levels of govt work together to create jobs within the country Unemployment is a big problem in Nepal. That is why youths in large numbers migrate to other countries, mostly India, the Middle East, Malaysia, South Korea and Japan, where they e Read More...
The travelogue of Chinese pilgrim Faxian was the earliest testimony to describe the healthcare system in ancient South Asia. It is close to the description by the earliest Ayurvedic compendium, Charaka Samhita Ayurveda has become a buzzword in the contemporary setting of medicine in the era of COVI Read More...
KATHMANDU, SEPTEMBER 28 Six student leaders of Nepal Student Union, the student wing of major opposition Nepali Congress, were arrested today for staging a protest outside the Chinese Embassy at Baluwatar against the alleged border encroachment by the Chinese side in Humla district. The NSU le Read More...
A police team has been deployed from Province Police Office, Janakpur, to investigate the case RAJBIRAJ, SEPTEMBER 28 A 50-year-old woman was found dead at Mayanakaderi village, Ward No 2 of Tirhut Rural Municipality, Saptari, yesterday. The body of Dayaman Devi, wife of local Shiv Narayan, w Read More...