because i didn't say it travels faster through the air than any previous balls used in world cops. nasa hubble telescope has captured an image of the oldest star ever seen lights from the star, cold air and down took nearly 13000000000 years to reach us such as estimate the annandale is or possibly was at least 50 times bigger than our son. and 1000000 times brighter. ah, this is all, these are the top stories. russian forces have continued shutting and north and ukraine despite russia saying it was scaled back. overnight strikes, destroyed the buildings in china, have in the north west of keith as also seen explosions and fighting against president says russian forces are only considering withdrawing from keith because the military setbacks stuck yet. but it was important to keep up. there is an

ongoing negotiation process, but for now it's only where it's without specifics, or also other words about the alleged withdrawl of rushing forces from keep turning . he and about the alleged decrease of the occupiers activity in these directions. we know that it's not the withdrawal, the consequences of expulsion consequences of our defenders work on that cause, but was sure would cease. but we also see at the same time russia as a massing forces for new attacks in the done the us. and we are getting ready for this year. we don't believe anyone in their flowery words, are russians. deputy un ambassador has told are the 0 that moscow is not with drink . troops from give and shall have limits. you probably on sky says there regrouping now. russia has completed the 1st phase of its operation. it says the next goal is to liberate. don't boss, right? cross says one of its facilities has been hit by shelling in mario paul. the agency says this building was marked with a red cross on a white background indicating the presence of wounded people or civilian congo. to

this is president has dissolved parliament after what he says was an attempted cou, i said, made the announcement of to politicians, led by the opposition held an online meeting for the 1st time since the president suspended parliament 8 months ago. a chinese australian journalist accused of jeopardizing china state security is going on trial in beijing. chung lay was detained in 2020, and charged with handling the state secrets to foreign organizations who's been in jail for 19 months. police in chile have arrested at least 55 people during a day of nation wide protests violence broken the anniversary of the killing of 2 brothers by police officers. the pay to be protesting against the augusta pen issue regime. at least 5 officers were injured. there was the headlines coming up next on al jazeera. it's the stream. goodbye. on april 3rd, some gary ends will vote and parliamentary elections for the war and ukraine has

changed. the political landscape. prime minister victor orbit, has long been an ally of vladimir putin. his opponents as that poses a security risk for hungry. so will peter mark his voice policy, getting up seats to when they, with al jazeera, for the latest developments. i anthony ok, and you're watching the stream on today's episode. we are going to be focusing on the death by suicide rates in india. it's a sensitive, very difficult conversation to have. i want to warn you so you can decide where you want to spend the next 25 minutes. whether it's with us here at out his era, or he need to just take a bike and move away from the screen. the leading cause of death in young people in india is suicide. 36 percent of all women in the wild who take the

i lice are in india. this is a huge, serious problem, but he has a problem at he has solutions. we start a shout with nelson moses. i started suicide prevention india from be she because i lost my best friend to so said so sad is most preventable from of debt. 8 or 10 individuals are giving us warning signs. we're 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 pursuing them to get help and ref for them to a mental health, professionally trained gatekeepers or her 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 a suicide prevention policy. we need to save millions proceed, austin's. i want this episode to be

a very open conversation between us 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 amrita. so meter, rocky, thank you for being part of the string today. i'm 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 the health collective to look at mental health and illness from an india lens about 6 years ago. it's a happy holiday. me, child, welcome to the stream. please introduce yourself. i thanks for asking me to join. i am so mad, sir, but i am a psychologist by training and i work as the director of the sandoval medical line, all of the research organization named. yeah, welcome, iraqi. good to see. please introduce yourself to have you as around the world.

thank you for having me. i'm really keegan, berner professor, public health agile because foundation of india based in new jerry and professor at university of washington based in guess i 1st challenge is how do you explain in a country's largest 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, one 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 beyond is that it's multi factorial. it's a multi dimensional issue. i also want to say it's not just limited to again,

this is the topic here, 90 percent of debt due to suicide in adolescence, globally. and the developing world, so i worked on this book with dr. godaddy, so i'm going to ask this question to him. this is what we did to investigate what's happening with the suicide crisis in india. and i would say the big learning for me, looking at this as a, you know, from a john, mr. game and to understand i'm back into interviews. was that unlike the narrative we have in the west, it's not all mental illness related. doctor, provided we've talked about this a lot, socially dominance, there are so many socio economic issues that come to play as well. that's what the book on the screen so we can see it. and then me to not, not we, we have it ready. we. we knew we were going to talk about it and then some each what would be really helpful would be to talk about. it's not necessarily depression, that he's forcing people into feeling they have no option. taking such drastic action is life. life in terms of poverty,

can they afford to fall? we know about the pharmacy. so as i crisis, there are other elements where in some parts of the world it would be depression. but in india, we're looking at economic 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 a normal data with the date on that. the area less than half of the people who die by suicide. india would have a problem on the remaining car, or even more than that 60 person would have pro, presumably no mental health problem. now this is extremely challenging and it's very difficult to do how it does and the rest, you know, rocky can talk to you about that, about what happens in the ways. but i'm numbers are 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 of

mc, your are suicide numbers went up by 10 percent. and if you look at the west and in the western hemisphere in north america, suicide rates 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 all the rest 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'll talk about that btr key and on the status of women in society. the fact that we have a lot of gender b as to why lives 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 a 2 acres how we compare the same disease across the geography to the very 1st place to say global average is about 140-0000 people. and in india that would be the rate is not very good, but it's better population is so much that the number is 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 and then we will be average to india. if you take $100000.00 women to a would die by said as compared to 6, which is global average to bed. in terms of numbers, we have a 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 the diagnosis. and there is a relation to between depression and suicide. that's in india, but overall diagnosis of mental health issues is also very nice, which makes it ready for us to to, to you know, right? yeah. ok, that's a very good point because you can say, oh, 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 up for the multiple challenges that india is dealing with regarding death by suicide. i'm going to push on a little bit because the offices to these challenges, i want to dr. palka. he spoke to a few hours ago. this is what he told us almost all the time you get this and that

agreed. now have a dedicated, junior and most of this month there is definitely a school big money to the living room so that it becomes more accessible. and the weird little dial distribution, my dice or box. and i don't know when to start accepting that we are as well. we'll do something from depression, anxiety as we articles and engine. then we will start to accept over. just as we accept all of that, go ahead. i will start taking help as well. so what i'm hearing is that hospitals all beginning to understand that the mental illnesses and they have departments for mental illnesses, but from the grassroots level, that is way most of the help needs to come from. let me start with you to me. when we're talking about actual practical solutions. name one.

well, are you the one who it 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 or peter 15 years who had received a conditional cash trans. well, you know, brazil during president last time started this program. so there are a huge amount of data and what you find there is that the suicide rate among people who receive those unconditional cash funds was down by $61.00 person. there's not a single mental health 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. more 10 percent of the population brought down suicide rate. by what ready? course, 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. and

one of the states and dominant nod bridge brought down suicide by $75.00, or said or be it over 10 years. us. so, you know, a lot of this isn't your go to actually make, 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 i 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 with 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 really born on the now those are the things that create or prevent accidents happening in the 1st instance. the health care service will save lives, but it's not going to be when the accident. and it's the same thing with suicide. she goes suicides. if you want to save them reading the broader spectrum issues,

which we are not addressing at the woman dinner. i have a couple questions for you. did you want if i just put them to you because i, i invited audience to talk to you. so just give me a moment and i want to share this with you if i may, and then you come right back in. so risha says the majority of suicide by women are from rural areas. many of these areas are common with domestic violence. so they, 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. we relate to not yet, and the data that we have, the more them and they live in india order in india. but we do understand that, you know, the indian state says an indian state more more than other men as compared with the non building. and they have a higher rate than. busy which is quite difficult to explain or

understand because on one side we say that as you get more room, as you make them more empowered as you make them financially more empowered, the decision making is better. but that is also the thing in a higher rate of to say among the them and we do understand a little bit about the risk factor for the 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, maybe the 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 issues. there's some earlier in the southern and inside 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 jasmine, cow ha. and then pick up of the back of jasmine because they're all real changes that happen that save people from taking their own life. he's jasmine festival by the mental health, the environmental education, se dimension. everyone's just wanted me to acknowledge that you are prevent and therefore new evidence based interventions that are whether it is level of individual community. and so therefore, we do need to focus on a national convention policy back in a check, some of these issues and headphones and goals. so yeah, that's a really great point to pick up. also, when i think the idea is to look at what's implementable, i'll give you 2 examples. one is we look at what she 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 leading to pharma suicide, she was able to slash this suicide rates by taking action. i know dr. petard and others have been advocating for india to look at something like this. but let me, let me also talk about the media because i see like what ends up happening sometimes in these conversations is that we don't realize we all have a role to play. so, you know, we're 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. when, on how you report about suicide, how you talk about suicide. so that you can avoid coffee, get suicide, the suicide contagion, which is called the what that effect. and we had, you know, that example in the book that might go. so, i mean, i writes about actually books for the health collective. this example. it should be in the mid eighty's 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 out of the story, talk about what can be prevented, what can be done. so we don't want to look at what evidence based ways of tackling this crisis. and each stakeholder has it, or not the really important point because all the way through 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, don't know everybody, not every publication, not every broadcaster is thinking that carefully that they words, whether they're written or they're broadcast, could impact some family's life that outcomes. i think that's really important and we go back to you tube. i have a thought here. so raj says that he's not only farmers that have a suicide, chris crises, 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 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 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. all saw it aside 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 headlines make the difference or don't make a difference or one of my friends and only 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 thumb 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 results out are if you haven't faded or if you've got poor marks, if you thought you should have about better and you've got 4 marks. you could actually sit for a supplementary exam within the next 15 brandy days or a month after the results. and if you pass the exam or if you've got a better sport than grade, you'd go ahead with those floors as you scores. and just this simple thing, you know, this one simple thing, what 10 years renden suicide rate and dominant are do off the results exam results

were down by 50 percent. and he was wanting to remember that during that name, that number of students taking that exam rent out by 50, by about 100 course, you know, the number of certain stating the exams doubled while the suicide read how. so you can see that's like, 034 and so and so, so it is very samples. i think i love the idea of that in taking exams that having more than one option and i did do a good do i have as we would need to have a do i have a nice rocky. i am wondering about other enough mental health professionals in india to cope me for me. knit out and spend me a net that's a big challenge. and many of them who are actually going 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 shortage. we do have

a national mentor has program under which i think one of the more mental health experts are now being said, units that are being set up the unit and not to really manage all the time. and the quality of the mental health care that's being given is, is still questionable. so we have, we have a lot to do to get our mentors has diagnosis, right? but then we also have an issue in terms of treatment. one is, you know, having a doctor to, to treat you. but then the other is having access in terms of money intensive medicines to actually continue with the treatment. so if they feel like you should to do it in terms of addressing mental health, especially if this is say, i mean, i'm just may, don't want to go back to that. i think a very simple solution done in summer now who but what's unfortunate is that

the other states are not using it that much. i think what i like for us is how the face and, and get you to learn from each other. so if you need to learn from as the way i think i'm going to give an example of a degradation. but even with in, in, in space need to learn from last year to use numbers for students. every, i'm wondering and i'm just looking at the book, which is where we started, life interrupted that you wrote with a number of colleagues including the nature, it's all my laptop right now. a, i'm wondering if india is missing a national suicide potential policy programming. i know that there's there's work in progress, but when will that will be done? yeah, thank you. that looks much better than me waiting that i appreciate you. ok,

thank you. i think i think the advocates have been clear about this. we need a national, a suicide prevention policy. the work that has been done though, has been phenomenal, right? i mean, you find the decriminalized suicide. we've actually mind holding the thing that, you know, attempting suicide was a crime very decently. which is also why it's the police and the crime, you know, that collects all the data alluded to the fact that, you know, we don't have very accurate data. all the data collection is a problem. we don't need that policy, but i mean, the other thing i would say is, it's not enough for us to look at that and say it's missing. so let's just wait for that to happen. or, you know, fantastic examples. again, i think between, you know, professor rocky and dr. baton, they can share but these kind of feel educate 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 that what's

clear from what i said, i was also saying is you're not going to have enough trained experts. and again, we do have to gratify it's not just a mental in this issue, right? i mean there are so many dominance to this. but i think that each of us to know that that is a role we can play here where the when the media, where they were in public policy, where they were in academia and academia at school counselors, teachers, principals. you're also gatekeepers for 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 jo, yell he talks about it takes, if it takes a country, takes all of us to really appreciate the toll that deaf my suicide has on a society. isn't you said prevention is a multifaceted dusk. the bursley medical and social angles are equally important unless they are all taken into consideration. it will be impossible to make any change in the city sticks a so i has 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 shame was the guilt and shame have been taken 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 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 serious i crises in india. so much more clearly. if you are currently having suicidal thoughts or you know, somebody who is though always ways 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, harmful pathogens are increasingly affecting our lives with terrible consequences. a new documentary asks whether we've learned any lessons from the h. i. v epidemic in the fight against coven 19. how we ignore the global. so to put profits before people. and it won't cost time of panics coming soon or not. mainstream coverage of big stories can sometimes deliver more heat than lights in any waters scenario. there's always a force to simplify. narrative nuance is always called for, even in the case of an aggressive war. the listening post, delve into the news,

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