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tv   The Stream  Al Jazeera  March 30, 2022 10:30pm-11:00pm AST

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say the government claims a fuel shortage for the crisis for the lack of foreign currency, leaving them unable to pay for fuel shipments. the countries also one out of hydro electric power shall anchors experiencing its worst economic crisis since independence in $1000.00. 48 with foreign exchange reserves down 70 percent in the past 2 years. or you can find out much more about the stories we're following on our website at al serra dot com. ah. our current top stories on al jazeera chin as he is president, has announced on state television that he's decided to dissolve parliament. earlier . chi side condemned attempts to hold what he described a school illegal meetings of the body is accused. its members of court conspiring against state security side suspended parliament and dismiss prime minister hytcher mitchie. last july is denied the co allegations and promised to uphold the rights
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and freedoms. one in tennessee is 2011 revolution that triggered the arab springs across the region. ukrainian official say russian forces have continued to bombard the outskirts of keith and the northern city of chair to him. and despite the crammed, and pledging to radically scale back military operations in those areas to help build trust in peace talks. overnight strikes destroyed markets, libraries and homes in chair and have the north west of cave has seen explosions. and the fighting shows that we think is growth mosel's, mom you available to me? well, me, as i understand, in order to take a step forward, they said they will significantly cut back military activities in the truly have and key of regions. unfortunately, we're not saying your significant co park yet. we're saying that everything continues as it used to be a tax on our studies are ongoing for the separate science that some units are withdrawing, but it's not massive. russian forces are relentlessly attacking car cave. a 3rd of
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the population has managed to escape ukraine's 2nd largest city. the mayor says no part of it is safe. you ends refugee agency says the number of people leaving ukraine has now passed 4000000 in the world. food program says the process of negotiating humanitarian access inside the country hasn't improved. you and hcr commissioner philipo grande has been end of it looking at how to increase support for refugees. today we reached 4000000 refugees from ukraine, but are you observed or so on? the border with colin is not likely for now fewer people at this moment are going out of the country. you're up to date with our headlines for the moment. those are our top stories. do stay with us though. the stream is coming up next, looking at india's suicide crisis, and we'll be back a little bit late to cease in ah
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ah i anthony. okay, and you're watching the stream on today's episode. we are going to be focusing on the death by suicide rights in india. it's a sensitive, very difficult conversation to have. i want to warn you, so you can decide way you want to spend the next 25 minutes, whether it's with us here at out 0 or you need to just take a break and move away from the screen. the leading cause of death in young people in india is suicide. that if 6 percent of all women in the world who take
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the lice are in india, this is a huge, serious problem. but he had a problem at he has solutions. we start, i showed with nelson moses, i started suicide prevention india from be she because i lost my best friend to solicit suicide is most preventable of debt. 8 or 10 individuals are giving us warning signs. what will non verbal and written, organization trains, individuals, students, housewives crisis, helpline wall, interiors, medical students, doctors, nurses, corporate professionals to be able to pick up these, wanting science, have a conversation with them. provide emotional support post to lead them to get help and refer them to mental health profession depos a position to save thousands of lives. and this is critical in a country like india, when we do not have enough infrastructure investment research, or is who said prevention policy. we need to train williams to stream thousands. i
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want this episode to be a very open conversation between you viewers and our panelists. so you can talk to us about anything connected to death by suicide. the comment section is here on youtube. ask your questions, share your comments, would be delighted to hear from you. let me introduce you to your panel. we have am rita said meter, rocky. thank you. for being part of the string to day. and rita, please introduce yourself to the stream audience. hi, thank you so much for having. i saw i'm, i'm a former journalist and i set up something called a health collector to look at mental health and illness from an indian lens about 6 years ago, yet to happy. hello, sammy child, welcome to the story of the sandoval men line. all the research, organization based media, welcome iraqi. get to see please introduce yourself to have you as around the world . thank you for having me. i'm rockin gunner professor, public health and public in foundation of india based in new jerry and professor at
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university of washington based in guess i 1st challenge is how do you explain in a countries lodges, india, why they would be such a high proportion of young people who take their lives, such a high proportion of women who take their lives. why this is such a big issue for india, they're going to be certain areas about economics and social economics that we want to delve into. and let me start amrita. you can give us one idea once thought we can build as a panel. what is it? in india, an indian society, where people in quite large numbers would consider that suicide is an option for them. i think, you know, one thing that we've learned is that it's multifactorial, it's a multi dimensional issue. i also want to say it's not just limited to get to visit the topic here, 90 percent of that student suicide in adolescence, globally on the developing world. so i walked on this book with dr. a tardy, so i'm going to talk this question to him. this is maybe to investigate what's
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happening with the suicide crisis in india. and i would say the big morning for me looking at this as a, from a john mr. game and to understand i'm back in the interview was that unlike the madison we have in the west, it's not all mental illness related doctor provided we've talked about this and not socially dominated that have so many issues that come come to play as well. that's what the book on the screen so we can see it and then to me to not, not we haven't ready, we knew we were going to talk about it. and then switching what would be really helpful would be to talk about it's not naturally depression. that is forcing people into feeling they have no option taking such drastic action. it is life life in terms of poverty. can they afford to fall? we know about the pharmacy. so if i crisis, there are other elements. well, in some parts of the world, it would be depression. but in india,
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when looking at it cannot make factors that are pushing people into extreme action . talk to us about that. well, i mean that it is true if you look at some of the data that we have from in there, not that we have in our data with the data, everything less than half of the people who die by suicide. india would have a. busy problem on the remaining car or even more than that 60 person would have pro, presumably no medical problem. now this is extremely challenging and it's very difficult to do how it does in the rest. you know, rocky can talk to you about that. about what happens in the way it's, but i'm numbers up predominantly because of the non mental health issues. and just to kind of dawson, something which might be interesting that in 2020 last year or during the band a me killer, are suicide numbers went up by 10 percent off in the if you look at the west and in
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the western hemisphere in north america, suicide bridge did not more dawn, and one of the big difference is really, as i see it are, is that the livelihoods and incomes were protected during the quarter not been to make in the, the best red as in india we didn't really have that kind of protection, so you know, there is clearly a link between economics. those are the issues like and we can talk about that b t r key and on the status of women in society. the fact that we have a lot of gender based while in, in our, in our society and those li, she's rich and benjamin that alcohol is another big issue. i mean, these are all the things that we don't really talk about as having a direct relationship to suicide. rocky. what do you think? yeah, if i could, if i could add to that, i think in terms of you could ask questions, send me the numbers. and i think if you look at the 2 acres how we compare the same
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disease across the geography to the read 1st place to say global average is about 10100000 people. and in india, that 14, the rate is not very good, but it's better population is so much that the numbers become a lot. and that's what the problem is, or rate is not as much, but a numbers of a more than what you would expect given a large population. but in 10th grade, if you compare our problem is with them, then the men died by say, twice more in india, then we will leverage to india. if you take 100000 women to a would die by say, baby, the 6, which is global average to bed in terms of numbers, we have a i, or rates we have a bigger than an average. a problem is because there are a large concrete to begin with. i think creating depression is less diagnosed and, you know, redo no one and 7 people and then get is suffering from depression. but that's
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still a diagnosis. and there is a relationship between depression and suicide. that's in india, but overall diagnosis of mental health issues in order to very nice which makes it ready for us to to, to you know, right. ok, that's a very good point because you can say it's not due to depression. but if you don't have numbers of people who have access to talk to therapist, how would we know? well that is a scene set of folks. so the multiple challenges that india is dealing with regarding dec by suicide. i'm going to push on a little bit because the offices to these challenges, i want to buy that to dr. palka. he spoke to a few hours ago. this is what he told us. almost all that i should be getting was for dis in the country now haven't integrated security and a psychology unit. and most of these are new southern ingrid for isn't wendy more
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than this. i was always open. there is definitely a school being minded headed to the roster level as well so that it becomes more accessible and the weird little dentist would be sigma dice our talks anglin williams. i did it once we started accepting that we are as well. anybody to suffering from depression, anxiety or as of right now as we are, it was. but even when needed, i for diabetes or hybrid engine, then we will start to accept over to him just as we accept of as a go ahead and we'll start seeking help as well. so what i'm hearing law is that hospitals are beginning to understand that there are mental illnesses and they have department to mental illnesses. but from the grassroots level, eyes where most of the help needs to come from. let me start. we've reduced the nature when we're talking about actual practical solutions. name one. well, i give you the one which fascinates me most, you know there was this wonderful study that came out of brazil. i don't know if you've heard of it, but they followed up 100000000 people who. ready peter 15 years, who had received
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a conditional cash trans, well, you know, brazil during president last time started this program. so they've got a huge amount of data. and what you find there is that the suicide rate among people who receive those unconditional cash funds was, was down by 61 percent. there's not a single man dimension which brings down suicide by $61.00 person. a similar intervention in indonesia read the cash flows to the board of people in the country about 10 percent of the population brought down suicide by what, any person you know, these are big numbers and none of our, many of the dimensions have, have done that or look at the policy change and they do cation that happened in one of the states. and again, dominant nod bridge, brought down suicide by 75 course and or period of 10 years. us. so, you know, a lot of this isn't, you're going to actually make,
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you're going to make changes if you actually intervene at the broader level of pharmacy and my analog for this i always use if i'm talking to lee, people is imagine if you're having a lot of accidents on a particular road on now, one thing you would always do is station a lot of ambulances out there, you know, try and save lives, because ambulances are then available quickly. but really, if you want to prevent those accident, you need to look at try what training, you need to look at the design of the road. you need to look at what is going wrong . they're blind spots on the road. is the lighting ready for on the road? now, those are the things that create or prevent accidents happening in the 1st instance . the health care service will see life, but it's not going to prevent the accident. and it's the same thing with suicide. she also insides if you want to save them, we need to look the broader structural issues which we are not addressing at the moment. then i have a question for you. do you want,
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if i just put them to you because i invited audience to talk to you, so just give me a moment and i want to share this with you. if i may, then you can come right back in the re shop. it says the majority of suicides by women off from rural areas. many of these areas are common with domestic violence. they have domestic violence in those areas. and they don't have support or help for family members. rocky. i see you nodding. you want to take that question so, i mean, that's an interesting question, the religion of and resend yet, and they're given the data that we have, the more them and they live in india, order and, and yet, but we do understand that, you know, the indian state says an indian state more educated, more than other men as compared with the not been in space, have a higher rate of that which is quite difficult to explain or understand. because on one side, we say that as you get more women, as you make them more empowered as you make them financially more empowered,
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the decision making is better. but that is also the thing in a higher rate of to say that among the them and the do understand a little bit about the risk factors for the depth in northern india. yes, alicia said a lot around family problems medication, but they do not have the details of what this means. and in the southern states, it's also about family issues. but the issue here may be things, but the police data, the testers, all this information in india does not allow us to differentiate. if the family problems, i'm more of the domestic violence on the northern indian side and moral other issue . there's some earlier in the southern indian side, i'm going to, i want to really focus on solutions that save lives and change lives. i'm going to start with one thought from gasoline, cow ha. and then pick up of the back of jasmine because they're all real changes
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that happen that save people from taking their own life. he's jasmine festival, but it's mental health environment education, social welfare is that to mention is everyone's responsibility. a philosophy to acknowledge that 2 sites are prevented. and therefore look at evidence based interventions that have to wonder whether it is at the level of individual community and structural reforms. never. we do need to focus on a national dimension. want to see that in a chest, some of these issues and help us reach the sustainable and goals. so yeah, that's a really great point to pick up off of when i think the idea is to look at what implementable, i'll give you 2 examples. one is we look at what she longer has done with limiting access to betty, talk the pesticides. if you look at the work that we're seeing in india, when it comes to the a gradient crisis that's leading to pharma suicide, she was able to slash this suicide rates by taking action and putting others have
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been advocating for in get to look at something like this but let me, let me also talk about the media because i feel like what ends up happening sometimes in these conversations that we don't realize. we all have a role to play. so, you know, we are looking at what the media can do. one is to follow the guidelines that have been put in place by the w h o in india by the council of india as well on how you report about suicide, how you talk about suicide, so that you can avoid coffee get suicidal suicide, contagion, which is called the what that effect and we had that example in the book that might go so i mean i writes about actually the health collective this example. it should be in the mid eighties where there was a sudden bike of suicide related to the some way. and they were able to bring this down by 75 percent by putting in responsible reporting from the media, putting in media blackout. because honestly, we don't need to sensationalize how we tell these stories. we don't need to focus on the crisis. but i mean, what journals do best is look at the heart of the story. they put the families back in the heart of the story, talk about what can be prevented,
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what can be done. so we don't want to look at what our evidence based ways of battling this crisis and each stakeholder has it all the place. that's really important point because all the way for the show and as we put together this episode, i've been so careful to make sure i'm using the right vocabulary. the right tone. how are we talking about it? let's not stigmatizing. so my head right now is so focused on that, and i have a feeling that not everybody know every publication, not every broadcaster is thinking that carefully that they woods, whether they're written or they're broadcast, could impact some family's life that outcomes. and i think that's really important and we go back to you tube, i have a thought here. so raj says that it's not only farmers that have a suicide crust crisis, but also there's a high rate of student suicide in india, particularly around exam time. and some meter, i know that there was a solution put in place that it was so simple. so genius that has saved young
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people's lives. tell us about that. the, the way that the exams, a stat which stop young people from feeling that they've, they've ruined their lives, that their exams are awful. and they have no other options. what was the fix for that? actually it was a very simple fix. you know what, what we heard normally every year is at the exam on exam times as much as the results time june, july is when the results of the board exams come out, which is the equivalent of your high school exams or the levels at all levels. as you would know from the u. k. ah, so said that diamond, these results come out. there's a lot of times when young people, especially students age 16 grading. my dad died by suicide take their lives. and most of the time there's a you and i would cry and every state government was starving counseling help line at that time. we actually don't really those counseling help lines make the
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difference or don't make a difference. or one of my friends and colleagues, dr. lucks me reject wires, been working in the area of suicide prevention and india for decades now. now she got after one of the state governments in them, and i do in the southern state of them in and they did a very simple thing of which is that they said once the ward reserves are out. ok if you haven't faded or if you got poor marks, you could thought you should have about better and you've got poor mugs. you could actually sit for a supplemental exam within the next $1520.00 days or a month after the results. and if you bought the exam or if you've got a better sport than grade, you'd go ahead with those scores as you scores of and just as simple as paying you know, this one simple thing. what 10 years renden suicide rates and dominant are do off the results exam reserves. we're down by 50 barson. and you want to remember that during that name, that number of students taking that exam rent out by 50,
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by about 100 course, you know the number of certain staking the exams doubled while the suicide read how . so you can see that is like, 034 and said so saying it's very samples. i don't like anything. i love the idea. i mean, i know that he had taken exams, but having more than one. ok, did you want to do i that we would need to have a do i have a nice rocky i am wondering about are that enough mental health professionals in india to cope me for me? knit out and spend me and that's, that's a big challenge. and many of them who are actually going to areas and as you know, most of the population is still rooted. so we haven't begun mismatch or so the already have a shortage. and then we have mismatch within that chart that we do have a national mental health program under which i think one of the 2 that more
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mental health experts are now being said units that being set up of the unit and not really mand all the time and the quality of the mental health care that's being given is, is still questionable. so we have be here a lot to do to get their mentors has diagnosis, right? but then we also have an issue in terms of treatment. one is, you know, having the doctor to, to treat you, but then the other is having access in terms of money in medicine to actually continue with that treatment. so it's a larger issue to deal with in terms of addressing mental health. especially if this is say, i mean, i just made a want to go back to work. and i think a very simple solution done in summer now who but what's unfortunate is that the, the space, i'm not using it that much. i think what i like for us is how the,
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the basin and need to learn from each other. so if you need to learn from the way, i think i'm going to give an example of st. regulations. but even women in the space need to learn to ask you to use the numbers of students that you see every i'm wondering, i'm reach, i'm just looking at the book, which is where we started. life interrupted the road with a number of colleagues, including things to nature. it's all my laptop right now. a, i'm wondering if india is missing a national suicide prevention policy programming. i know that there's there's work in progress, but when will that work be done? yeah, mostly, thank you. that looks much better than me waving, but i appreciate your commitment. i think the maintenance advocates have been clear about this. we need a national suicide prevention policy. i'm the walk that has been done the has been
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phenomenal. right. i mean, you'll find the be criminalized suicide. we've actually mind boggling the thing that, you know, attempting suicide out what the client decently, which is also why it's the, you know, the police and the crime, you know, that collects all the data. because under to the fact that, you know, we don't have very accurate data or the data collection is a problem. we do need that policy, but the other thing i would say is, it's not enough for us to look at that and see it's missing. so let's just wait for that to happen. you know, and that's the examples. again, i think between you know, professor rocky and dr. patel, they can share these kind of be or educate a programs about getting the message out. we know that gatekeeper training is something that you know, especially for your audience as well, maybe maybe maybe open privileged and so on can can look at. because i think the, what's clear from what the document to saying is you're not going to have enough dreamed export. and again, we do have to clarify, it's not just the mental in this issue, right?
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i mean there are so many dominance to this, but i think that for each of us to know that there is a role, we can please, you know, whether when the media, whether when public policy, whether when i could be me and i could be met school counselors, teachers, principal, you're also gatekeepers to a young people, so that is a crisis that you can help. all right, so i want to play one more, one more thought and this comes from king joe, go y'all. he talks about it. it takes a village, takes a country, takes all of us to really appreciate the toll that death by suicide has on a society. he shifts suicide. prevention is a multifaceted dusk. the personally medical and social angles are equally important unless they are all taken into consideration. it will be impossible to make any change in the statistics. as i was handbook can be very useful tool for the friends and family of someone who dies. both you said it can help the survivors deal with their feelings of grief guilt and even she was the guilt and shame have been taken
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care of. it becomes easier for people to look at suicide with a sort of reverence and understanding of what happened. it is only to will this deep understanding that we can actually prevents you sites in the future. i want to fall emily tasks demitra iraqi for helping us understand the suicide crises in india. so much more clearly, if you are currently having suicidal thoughts or you know, somebody who is though always wait for people to help here. so i won't get to leave you with this video from the world health organization. thanks for watching. take care. ah ah,
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view sarajevo, holiday, and all hotels on al jazeera blue . hello there. i'm gyla mcdonalds here in london, our current top story san al jazeera. we begin with our breaking news from chin india for president chi side has announced on state television, but he's dissolving parliament after what he called a failed coo. earlier in an online session, parliamentarians voted to repeal presidential decrees suspending the chamber and giving site near total power. the president dismissed their meeting as illegal and accused as members of conspiring against state security bass july side suspended parliament and dismissed at preventive.

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