(A Public Health Issue)B. Mohammad IdrisBIET MBA PROGRAMMEBAPUJI B-SCHOOL.
• Suicides have serious impact on Public Health andaffect mortality status.• Stress is a combination of mental, physical andemotional responsesWhat creates stress?Exam pressures, low self esteem, poor self image,academic failure, rejection by others and lack ofemotional and social support.
• Over 16,000 students suicides in the last threeyears.(Acc. to Health Ministry)• Out of every three cases of suicide reported every15 minutes in India, one is committed by a youthin the age group of 15 to 29.• Every 90 minutes a teenager tries to commitsuicide in India. Many of these attempts are half-hearted cries for attention, help and love. Butevery six hours, one succeeds• Girls may be more likely to make suicidalattempts, but boys are more likely to make a trulylethal suicide attempt.
43% examination fear 40% sibling rivalry 36% issues at school 33% warring parents 20% fear of punishment 17% death of a loved one 17% distressed parents(Source: Child & Adolescent Psychiatry Clinic,AIIMS)
Faulty education system Pushy and unaware parents More expectations Childhood depression Inability to cope and mental weakness Biological changes Hormonal changes Copycat deaths
• Anger, depression and excessive worries• Reluctant to go to school• Mood swings• Anxiety and forgetfulness• Tiredness• Self hatred• Sadness and suicidal talk• Poor concentration• Profuse sweating• Lack of interest in studies despite efforts made• Changes in sleep or eating patterns
Drug or alcohol abuse Exposure to violence in the home or the socialenvironment Access to handguns, pesticides etc. at home Previous suicide attempts Close family member who has committed suicide Past psychiatric hospitalization Recent losses: death of a relative, a family divorce,or a breakup with a girlfriend. Social isolation
• Three steps parents cantake -1. Become informed (library,local support group,Internet)2. Support your child (listen,avoid criticism, remainconnected)3. Get help (medical ormental healthprofessional)• Three steps teens cantake - 1. Take your friend’s actionsseriously2. Encourage your friend toseek professional help,accompany if necessary3. Talk to an adult you trust.Don’t be alone in helpingyour friend.
• NIMHANS holds suicide prevention workshops• CMC, Vellore wants ban on the sale of lethal pesticides• AIIMS is working on mental health in Delhi schools.• Psychologists and counselors Dr Jitender Nagpal andDr Geetanjali Kumar have made a 40-minute short film(Smile Your Way Through Exams)• CBSE runs a helpline (tele-counselling facility) and hasmodified exam system – GRADING• The Hindustan Times, runs a series called “Crackingthe Boards.”• Television programmes have psychiatrists andpsychologists take questions and calm fears.• Radio stations broadcast messages urging students toremain calm.
• International Association For Suicide Prevention(IASP) in collaboration with WHO announced in 2003and uses this day to call attention to suicide as aleading cause of premature and preventable death.Legal Issues –• In India attempted suicide is a punishable offence.Section 309 of Indian Penal Code states that whoeverattempts commit suicide and does any act towards thecommission of such an offence shall be punished withsimple imprisonment for a term which may extend toone year or with a fine or with both.
Education efforts to alert community Participation of Public Health experts along withpsychologist, psychiatrist, school counselor and socialworkers Protecting and helping students in distress Awareness of suicidal behavior PTA meetings Peer counseling programmes Clear plans in place in advance “Turn off The TV Week” Postvention after suicide
Media should avoid repeated or sensationalisticcoverage. Programmes and workshops for parenting The schools should have plans to deal with stressamong children National suicide intervention programme. Providing support to those bereaved by suicide anddecriminalizing attempted suicide. Complementary therapies to combat stress Chill-out zones in school to relax
Positive Attitude Rest & Recreation( Sleep , Breaks, Exercise ,fresh air/sun) Good nutrition habits(Proper meals ,Less sugar/caffeine,8 glasses of water daily , Fruits & vegetables) Autonomy & Space Support and guidance Affirmation & Praise Empathic Listener Unconditional love & regard
Exams are important as their results influencefuture professional career, social status and self–esteem. Every person has own optimal level ofworry and anxiety, which helps him/ her toachieve the best results. We must learn how tocontrol stress and extra anxiety for preparing forthe test. If exams cause great worry, and there aresome symptoms of exam stress (insomnia, rapidpulse, hands trembling and so on) we ought to dosomething about it. We must prepare students tohandle stress in a better way.