Did you know if you google how to do suicide, it redirects you to the helpline page? If not, try it. Don’t be astonished when it says help is available only between 8 AM to 10 PM, not on Sundays.  Did you know that most of the suicides take place between 1 AM and 4  AM? Ironical. Suicide has been a major issue for generations, but it’s considered more of a sin than illness. It’s always considered one of that touch, not a problem. We have seen the statistics, and we know deep inside that it’s not something we can ignore further. We are accountable for each student and each person who is committing suicide. Sunday is not a break for a person who’s suffering from an illness like depression. It’s a constant body mechanism working together. 

Anatomy of suicide shows the abnormality of serotonergic mechanism, like increased serotonin receptor subtypes and decreased serotonin mechanism. It’s not just about serotonin but about neurological tension. Suicide kills 8,00,000 people every year and nearly 20 times more people try to commit but cannot execute. Likewise, people who could not execute it are likely to do so in the 10 years of span.  Moreover, it is the second leading explanation for death within the younger age group, second only to vehicular accidents.  We don’t have the resources, as per studies we have only 3000 psychiatrists. Compared to a handful of psychiatrists that’s 1 per 3.33 lakh, while the proper should be a minimum of ten times more as per national center for biotechnology information. Which suggests that we have a shortage of help to prepare for the neurological illness which kills 8,00,000 people each year. 

SOCIAL WITHDRAWAL

A three-pronged attack to combat suicide suggested during a 2003 monograph was first reducing social isolation, second preventing social disintegration, and lastly treating mental disorders. But a six month long social alienation has tossed us into a compulsory hikikomori. Hikikomori is a Japanese term for social withdrawal. Coping mechanism of people with suicidal tendency is social withdrawal or avoidance behaviour. More adolescent suicide attempters start using social withdrawal when they face problems like depression and anxiety. Baltic states witnessed social disintegration and increase in suicides, following the collapse of the Soviet Union. Through routine process only 4 percent of the people were provided ICU beds in spite of all the efforts done by government. While 78 percent had to use connections and clout according to a survey conducted by an internet civic portal.

How can we deal with centuries old suicide which may be a magnificent problem within the upcoming years because of social isolation and social integration? Studies show that low educated men have mortality rates twice as high as men with more education and social support. More recently, two studies demonstrated that living alone led to a near doubling of the danger of recurrent attack and death in post-MI patients. Over a five-year period, independent of other prognostic medical factors, unmarried male and female coronary artery disease patients with lower income were at increase risk. Which further highlights that income can be a major issue with respect to psychological help.

SUICIDE NOT A NEW PROBLEM.

The concept of suicide has existed for a a long period of time, even at the time of epics like Ramayana and Mahabharata. Consider Mahabharata, on hearing the news about the death of his son Abhimanyu within the battle, Arjuna wanted a huge fire to be prepared for him to commit suicide; however, that was prevented by Lord Krishna. The need of the hour is social support and a health care system. Social support may directly reduce the quantity of stress hormones within the body, thus enhancing the functioning of the system.

The effect of support groups on carcinoma has been the foremost widely researched of all medical conditions. It has been found consistently that girls with carcinoma who attended carcinoma support groups lived twice as long as women with the same illness who didn’t attend such a support group. In another study, patients who attended the support groups showed improved psychological adjustment, better coping skills, better compliance with treatment regimens, and enhanced immunological functioning compared with controls who didn’t attend a carcinoma support group.  Low social support is said to higher levels of stress, depression, dysthymia, and posttraumatic stress disorder and with increased morbidity and mortality from a variety of medical illnesses. 

WHAT WE CAN DO

We need to open eyes and see that suicide has existed since outing of mind, but we also know that fashionable attempts at suicide prevention haven’t.  The figure is rising, and it will hit us hard within the upcoming years and it is a priority of public health issue now which we cannot ignore. If we look for the right medication, illness can be cured. We need to realise that people don’t stop committing suicide on Sundays. On Sundays people face more anxiety and depression because of social isolation. Brain is an organ, mental illness is an illness of the organ. 

Like any other organ, we need to look for it as well. We as a society can face and combat this issue, which is only going to follow an upwards curve due to pandemic. Pandemic has already taken millions of lives, we need to protect what we have. We cannot fight a pandemic without vaccines, but we can fight this. All we need to do is talk, help one another and understand. People are losing their jobs and their livelihood, and they are putting a brave face. One cannot fight all the battles on there own. It’s okay to let things go. We need to talk because right now that’s the only solution. Let us be kind to ourselves, for the year has not been kind and to us. The nightmare has to end, there will be morning again. 

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