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THREAD: #SuicidePrevention
I get annoyed when ppl think the solution to India& #39;s suicide crisis is having more suicide prevention helplines. Don& #39;t get me wrong, they are absolutely necessary, but not enough! Why? Helplines are crisis intervention. Essential, but...1/n
I get annoyed when ppl think the solution to India& #39;s suicide crisis is having more suicide prevention helplines. Don& #39;t get me wrong, they are absolutely necessary, but not enough! Why? Helplines are crisis intervention. Essential, but...1/n
Are we doing anything to prevent the crisis occuring in the 1st place? Ah, I hear you say - it& #39;s bcoz of depression & we need better mental health services. True, but depression is a final common pathway, not the cause of the crisis. Bcoz...2/n
~40-50% of suicides in India, there is no diagnosable mental illness (unlike West). So what& #39;s causing the crisis? Let& #39;s begin with children! If school going children are dying of suicide, shouldn& #39;t we ask what is wrong with our education system? And do something about it?... 3/n
If childhood abuse is implicated in suicides & 30% of Indian children have experienced abuse, what r v doing about that?
Let& #39;s turn to women dying of suicides...4/n
Let& #39;s turn to women dying of suicides...4/n
36% of women suicides in 
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🌍" title="Europa-Afrika auf dem Globus" aria-label="Emoji: Europa-Afrika auf dem Globus"> are Indian women. 30% of women who die of suicide, domestic violence is implicated. What r v doing about DV?...5/n
http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2015;volume=57;issue=6;spage=233;epage=238;aulast=Vijayakumar">https://www.indianjpsychiatry.org/article.a...
http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2015;volume=57;issue=6;spage=233;epage=238;aulast=Vijayakumar">https://www.indianjpsychiatry.org/article.a...
How about unemployment? In Greece, suicide rates ↑ 25% after the economic crisis 2008-12 With high unemployment rates, what r v doing for this group at high risk for suicide?...6/n https://www.google.com/amp/s/www.nytimes.com/2019/02/03/world/europe/greece-economy-mental-health.amp.html">https://www.google.com/amp/s/www...
I could go on - caste, alcohol use/misuse, etc are also implicated.
My point is, that unless we address the structural determinants of suicide, we will get nowhere!...7/n
My point is, that unless we address the structural determinants of suicide, we will get nowhere!...7/n
Our crisis services such as helplines will get overwhelmed. Our mental health services will be overwhelmed. It& #39;s a public health crisis. And like many public health crises, the solutions (and causes) are outside the health sector!...8/n
As Snow showed long ago, the way to tackle cholera was to address the quality of drinking water (sanitation). Similarly, we need to address mental health sanitation - childhood abuse, education systems, domestic violence, financial stress!...END
https://twitter.com/NIAAAnews/status/1176121577815060483?s=19">https://twitter.com/NIAAAnews...
