teaching out to hosting the world. and now we are looking forward to building trust in ourselves in everybody that everything is possible we can realize dream is and that working together is the best way that the catherine prime minister cali to ben kelly for been abdul aziz. al tarney, a speaking at the fee for congress, what just a couple kilometers away from here at the doha convention center saying that cutter is a small country, but with big ambitions and big dreams. we are representing merit world. he said, and bringing the arab spirit to the world cup and on friday we'll have a special program falling the ball cut draw as it happens, live here in ohio. our courage begins at 1545, g and ah, or at the time for a quick update, but lines here on our desert and a russian sees fight to allow civilians are to marry poland come into effect. around a 160000 people remain trapped in the port city that's been under siege for weeks.

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in another town, a called boucher as well. she needs his president as dissolved parliament after what he says was an attempt to political cou. politicians had been holding an online meeting 8 months after president case said to spend at parliament impedes voted against so called exceptional measures, which the president used to give himself sweeping past last july. a palestinian man has been shot dead on a bass by an israeli civilian. after stabbing a 30 year old man in a separate incident, the palestinian health ministry says his ready forces have killed at least 2 palestinians. a 17 and 25. it happened during an israeli rate in the occupied west bank following attacks in israel. nurse's hobbled telescope has captured an image of the oldest star ever seen. light from the star called arundel took nearly 13000000000 years to reach earth research as estimate or, and l is or possibly was at least 50 times bigger than our son. and 1000000 times brighter. that's the headlines. the stream coming right up. the

biggest source event on the planet is coming to the middle east villa 1st find it's time to find out who your scene will be. find will be live from go home and across the globe. the special coverage of the fee for weld cup dro join us on april 1st on al jazeera ki, i i, anthony. okay, 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 break 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 that lice are in india. this is a huge, serious problem. but he had a problem at he has solutions. we start ash old 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 mental it professionally trained need keep us on 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 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 am rita said meter rocky. thank you for being part of the string to day. i'm marita. please introduce yourself to the stream audience. hi, thank you so much for having. i saw 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, yet to happy hello 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 scientist by training, and i work as the director of this and a woman line policy research organization research named you. welcome, i'm racking,

get to see. please introduce yourself to have you as around the world. thank you for having me. i couldn't burner professor public health education foundation of india based in new jerry and professor at university of washington based india. 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 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 beyond is that it's multi factorial. it's a multi dimensional issue. i also want to say it's not just limited to 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 knew we were going to talk about it. and then switching, 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. it 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 medical 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 and we cure our 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 went on. 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 live in our, in our society and those li, she's rich and benjamin that alcohol is another big issue. i mean, these are all things that we don't really talk about as having

a direct relationship for 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 disease across geographies to the very 1st place to say global average is about 10100000 people. and in india that would be the rate is not very good, but it's population is so much that the number become a lot. and that's what the problem is. rate is not as much, but a numbers away more than what you would expect given a large population intensive rate. if you compare our problem is with them, then the men died by say, twice more in india, then we will be average to india. if you take $100000.00 women to a would die by say, baby, the 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 is suffering from depression. but that's the diagnosis. and there is a relation between depression and suicide that's in india. but overall diagnosis of mental health issues is also very nice, which makes it very difficult 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 seen set of folks. so the multiple challenges that india is dealing with regarding death by suicide. i'm going to push on a little bit because there are to these challenges. i want to dr. palka. he spoke

to a few hours ago. this is what he told us. almost all that i should be getting was produced in the country now have under indicated se cardeana psychology union. and most of this in southern england, always wendy. more than the service is 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 sick my days, our box revisions. i only did it once we started accepting that we are as well. anybody to suffering from depression, anxiety, us as of right now as we are, it was a 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. and 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 with g semi chair 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 a 100000000 people who. ready peter 15 years, who had received a conditional cash trans, well, you know, brazil during president last time started this program. so there were a huge amount of data. and what you find there is that the suicide rate among people who received those unconditional cash funds was down by 61 percent. 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 20 years. 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, and dominant nod bridge, brought down suicide by those $75.00, or said, or be it over 10 years. us. so, you know, a lot of this isn't you 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 laurel ambulances out there. so, you know, try and save lives, that those ambulances are that really 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 do 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 reading the accident. and it's the same thing with suicide . she goes suicide. if you want to save them reading the broader spectrum issues, which we are not addressing at the woman dinner. i have a couple of 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 suicides by women are from rural areas. many of these areas are common with domestic violence or 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 need to know that yes and the data that we have, the more them and their lives in india order and yeah, but we do understand that, you know, the, in the states this as an indian stays the same or more than them. and as compared

with and i've been in state, have a higher rate of say, which is quite difficult to explain or to spend because on one thing we say that as you get more remain, as you make them more empowered and you make them financially more empowered the decision making is better, but that is also the thing in a higher rates or to say among them and we do understand a little bit about the risk factors 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 may be things like the police data, the testers, all different formation. and then the ad does not allow us to differentiate. if the family problems, i'm more of domestic violence on the northern indian side and moral other issues.

there are 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 jasmine, cow ha. and then pick up of the back of jasmine because they're all real changes. the happen that save people from taking their own life. he's jasmine festival by the mental health enjoyment, the education dimension. everyone's just want me to acknowledge that you guys are prevent food and therefore new evidence based interventions that are whether it is level individual community. and so therefore, we do need to focus on a national convention policy that going to 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 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 bleeding to pharma suicide, she was able to flash that suicide rates by taking action and putting others have 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 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 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 with the families back and out of the story. talk about what can be prevented, what can be done. so we do want to look at what evidence based ways of battling this crisis. and each stakeholder has lots of 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 that 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. i think that's really important. let me 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 students 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 do the really simply 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. all saw 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 lights. 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 has going to make a 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 the amazon. and they did a very simple thing of which is that they said once the ward results out, or if you haven't faded or if you've got poor marks, you could thought you should have about better. and you've got poor marks. you could actually sit for a supplemental exam within the next $1520.00 days or a month after the results. and if you pass the exam or if you've got a better sport than grade, you go ahead with those floors as you scores, bob,

and just the simplest thing, you know, this one simple thing. what 10 years men than suicide rates and dominant are do off the results. exam reserves were down by 50 barson. and he was trying to remember that during that time, that number of students taking that exam rent out by 50, by about 100 course, you know, the number of certain staking the exams doubled while the suicide read half. so you can see that is like, oh, $34.00 and so, and so same as any samples i can, i say i love the idea. i mean, i know that he had taken exams that having more than one option and i did do, do i have as we would need to have a do i have a nice rocky, i am wondering about, are there enough mental health professionals in india, the country for me out and send me a net that's a big talent and many of them who are actually going areas. so

and as you know, most of the population is still rudy. so we haven't begun mismatch or so the already haven't shortage. and then we have mismatch within that chart that we do have a national mentor has program under which i think one of the 2 that more mental health experts are now being said units. that being said, there's unit not to really mand all the time. and the quality of the mental health care that's being given is, is still questionable. so we happy her not to do to get our mental health 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 and dentist money in medicine to actually continue with that treatment. so if they feel like you should 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 this is a very simple solution done in summer now who but what's unfortunate. ringback that the other states are not using it that much. i think what i like for us is how the, the basin and yeah, need 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 st guy and degradation. but even when in the space need to learn to ask you to do numbers for students. every, i'm wondering, i'm really just looking at the book, which is where we started, life interrupted that you wrote 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, you know, i think the mental advocates have been clear about this. we need a national prevention policy. i'm the walk that has been done. the has been phenomenal, right? i mean, you're find the be criminalized suicide. we've actually mind boggling the thing that, you know, attempting suicide out what the client base decently, which is also why it's the, you know, the police and the crime, you know, that collects all the data docket because of the fact that, you know, we don't have very accurate data, the data collection is a problem. we do need that policy, but i mean, 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. that are fantastic examples. again, i think between, you know, professor, i can that opportunity, they can share these kind of be educated 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 our professor document to saying is you're not going to have enough dreamed export. and again, we do have to clarify, if not just the mental in this issue. right, i mean there are so many dominance to this, but i think that for each of us to know that that is it all, we can please whether when the media, whether went public policy, whether when i could be me and i could be met, school counselors, teachers principal year, also gatekeepers for young people. so that is a crisis that you can help. all right, i want to play one more, one more so and this comes from kings. i'll go y'all. he talks about 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 she is. 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 a very useful tool for the friends and family of someone who dies base you said it can help to 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 file anita, anita 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 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.

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