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Showing posts with label wellness and wellbeing. Show all posts
Showing posts with label wellness and wellbeing. Show all posts

Monday, June 30, 2014

Article in The Star World(Toronto Star) with reference to AASRA


http://www.thestar.com/news/world/2011/03/22/as_stressed_indian_students_hit_breaking_point_new_ad_urges_parents_to_chill.html



News / World

As stressed Indian students hit breaking point, new ad urges parents to chill

TV commercial sparks debate about one of India’s most pressing social issues: the off-the-chart stress India’s children face to excel in school.













NEW DELHI—The boy lies flat on his back on a judo mat, wincing under his heavier opponent’s weight.
His mother watches from the stands nearby and even though the crowd roars, her son — he’s maybe 10 years old with a shock of sweat-soaked black hair — can hear her voice in his mind.
“Are you wondering what people will say? No one will say anything. And it’s not necessary to win each time.’’
The mother and son are actors who appear in a new TV commercial for a malt drink mix that’s airing across India. The 30-second ad has touched off a discussion about one of this country’s most pressing social issues: the off-the-chart stress India’s children face to excel in school.
“It’s such an important message to send that children are not worthless if they don’t finish first,” says Johnson Thomas, who runs a youth helpline in Mumbai.
“Most people in this country now are in pursuit of a better life and their children are the way for them to get there.”
Far too often, Johnson and education experts say, India’s school-aged children shuffle into exam halls understanding that the fortunes of their families rest on their shoulders. They are acutely aware that the odds are against them.
India has 1.2 billion people, a figure that’s expected to surge by 30 per cent over the next 40 years, and 60 per cent of the current population here is under the age of 30. With roughly 30 million students graduating high school each year, space in a university or college program is precious.
In New Delhi, Jawaharlal Nehru University receives about 100,000 applications every year and accepts about 1,500.
Then there’s St. Stephen’s College, where just 450 of 12,000 applicants are accepted.







In India, competition for university spots is fierce and students are under so much stress that some schools have removed ceiling fans so students can't hang themselves. Shashwat Misra, 15, (foreground) and his brother Samarth, 18, study in their New Delhi home.

RICK WESTHEAD / TORONTO STAR Order this photo
In India, competition for university spots is fierce and students are under so much stress that some schools have removed ceiling fans so students can't hang themselves. Shashwat Misra, 15, (foreground) and his brother Samarth, 18, study in their New Delhi home.


By:  Staff Reporter, Published on Tue Mar 22 2011

Rumour has it this year that nothing less than 98 per cent on the final high-school exam will be good enough for St. Stephen’s.
A recent survey showed India’s heralded middle class spends an estimated one-third of its income every month on tutors and other forms of private tuition.
Weekend newspapers are bursting with ads for tutoring centres such as the Cambridge School and the Harvard Centre.
For some students, the pressure becomes impossible.
When exam marks are disclosed each June, Indian newspapers publish a slew of student suicide stories.
In New Delhi last month, a 15-year-old named Aljin reportedly hanged himself from the ceiling fan in his bedroom because of school-related stress.
His death occurred at the same time the Indian magazine Outlook reported that several universities have replaced ceiling fans in classrooms with desk-top models to remove the temptation for depressed students.
A study in the South Indian city of Vellore that was published in The Lancet medical journal in 2004 showed suicides among young women (15 to 19) running at 148 per 100,000 population, against 58 per 100,000 for young men. In comparison, the world average among all age groups is 14.5 per 100,000.
Educators, community leaders and filmmakers are beginning to spotlight the issue.
The federal education ministry this year gave schools the option to eliminate a series of crucial Grade 10 exams, replacing them with a grading system that evaluates a student’s progress through the course of the year. The move is designed to reduce pressure on students.
At the Indian Institute in New Delhi, first-year students are now required to spend 10 hours with a psychologist, the school’s dean of students said in an interview.
On traffic bridges in the city of Jodpur, in Rajasthan state, messages in Hindi script urge students to call a helpline.
Social workers like Johnson are slowly making progress at establishing ties with schools and employers.
“By and large, most schools don’t want us around, they say their students are too busy with studying,” Johnson said, chuckling at the irony.
He started the Aasra Suicide Prevention Helpline in 1998 and in its first few years, averaged about 40 calls from distressed students each week. Now, he and his volunteers field about 175.
The pressure for students to excel here starts long before their senior year.
During Class 10, when students are 16, they take an exam that determines the specialized stream they’ll pursue during their final two years of high school. The science stream is most popular because it leads to university programs in engineering and medicine.
On a recent evening in a middle-class New Delhi neighbourhood, Rati Misra sat in the living room of her modest three-bedroom apartment and groused over India’s ultra-competitive education system.
Her two boys, Samarth, 18, and Shashwat, 15, are likely to pursue careers in business administration. While his mother said Samarth was destined to become a veterinarian, he scored a 60 per cent on his Class 10 exams two years ago.
That scotched any possibility of medical school.
“I understand that we all can’t be heroes, that someone has to be the one offstage clapping, but what they do as a young boy shouldn’t impact them so far down the road,” Misra said.
Before sitting down to their dinner table for a study session, Samarth and his brother Shashwat said they are coping with the pressure of school, even as those around them struggle.
Their 18-year-old cousin killed herself several years ago and only a few weeks earlier, a classmate who lived around the corner did the same.
“It’s not something that’s talked about a lot,” said Shashwat.
There’s no arguing academic pressures are hot topic.
Another ad that aired on Indian television recently showed a number of young Chinese students learning Hindi. The ad’s implicit message: Better do well in school because they’re coming for your jobs.
But the new Kraft Foods malt mix commercial is a positive step and it will be broadcast for a year, said Siddharth Patkar, a company spokesman.
“The portrayal of the mother-child relationship is seen as being very real and in line with the changing mindsets of today’s parents,” Patkar said, adding the message the commercial delivers is that “winning is important, but not at the cost of putting undue pressure on the child.”

Aasra in Scroll.in on the New mental health Bill 2013

Government's move to decriminalise suicide is half-hearted
The Mental Health Bill says that suicide cannot be prosecuted. But it remains a criminal offence under the Indian Penal Code and allows for people who attempt to take their lives to be incarcerated in institutions.



Amendments to the Mental Health Care Bill were approved by the cabinet on Thursday, in an attempt to protect the rights of people suffering from mental illness. But experts have criticised its provisions relating to suicide, even though the proposed legislation claims to decriminalise the action. Unless the Indian Penal Code is also changed, they say, people who attempt to take their own lives can still be prosecuted.

“At the end of the day, suicide will still be a crime,” said Amba Salelkar, a lawyer and disability and mental health rights activist. “If suicide were truly being decriminalised, legislators would have removed it from the IPC itself.”

The bill will be tabled in the Lok Sabha in the budget session in February. The original draft of the bill was filed in the Rajya Sabha in August 2013. A parliamentary committee on health and family welfare submitted their review of changes to the union cabinet.

At present, attempting to kill oneself is illegal under section 309 of the Indian Penal Code, and can be punished by a year in prison. The Mental Health Care Bill says that notwithstanding the IPC, anyone attempting suicide “shall be presumed...to have severe stress at the time of attempting suicide and shall not be liable to prosecution and punishment."

It goes on to state that it is the government’s responsibility to help ensure that those who have survived a suicide bid do not attempt it again. This clear puts all those who attempt suicide under the health care provisions of the bill, one clause of which includes the right of the government to incarcerate people of unsound mind for up to three months against their will.

By retaining IPC legislation and classifying suicide as a mental illness, the bill effectively gives the government the right to incarcerate anyone in a mental institution if suspected of having attempted suicide, experts say.

“If suicide were truly being decriminalised, legislators would have removed it from the IPC itself,” said Salelkar. “At the end of the day, suicide will still be a crime. This is what makes me uncomfortable about the bill.”

Dr Bhargavi Davar, another mental health activist, added that the decision to cite the cause of suicide as “severe stress” is dangerous because it allows a much larger range of people to be classified as mentally ill. “Mental illness is defined so broadly, any person is liable to be brought under the bill,” she said. “Who in urban areas is not stressed? Will they also be deemed mentally ill?”

She said that the earlier draft of the bill left open the option for people had attempted suicide but did not have any official diagnosis of mental illness to go to court to prevent themselves from being incarcerated in a mental institution. “How do you prove to the court that someone is not stressed?” she asked.

Both Davar and Salelkar believe that the solution would be to change the IPC, and not mention suicide in the Mental Health Care Bill at all.

Not a deterrent

Most psychiatrists agree that criminalising suicide is illogical. According to them, the law has never served as a deterrent to people wanting to take their own lives. The rate of suicides in India has steadily risen in the past five years.



“It is a good move to decriminalise suicide,” said Dr NN Raju, secretary of the Indian Psychiatric Society. “Suicide is a move taken to end suffering. They think it is the only option left to them. Society has an obligation to help them out, rather than labelling them as criminals.”

Dr Kedarnand Banerjee of the National Institute of Behavioural Sciences concurred. “Suicidal people are least bothered about legislation,” he said. “When the thought comes, it comes. Thinking about the law never stopped anyone from attempting suicide.”

While they welcomed the apparent decriminalisation of suicide, they too were not pleased with its being described as a mental illness.

Labelling suicide as a mental illness is inaccurate, according to Raju. “While severe stress doesn’t necessarily cause suicide, calling somebody mentally ill is not correct either,” he said. “Someone who tries to commit suicide may need the help of mental health professionals, certainly, but trying to commit suicide is not necessarily the result of inherent mental instability.”

According to National Crime Records Bureau figures, which are most likely under-representative, India’s rate of suicide, 11.2 per 100,000 in 2012, is far lower than the global rate of 16 per 100,000.

Within India, nuances emerge. More men kill themselves than women. According to an NCRB report, men kill themselves for economic reasons, while women kill themselves for personal reasons. Housewives formed 18.2 per cent of the total number of suicide attempts in 2012. This is more than over half of the women who were reported to have killed themselves in that year.

The top five specified occupations of those who committed suicide from 2001 to 2012 included housewives, farmers, those in private service, the unemployed and self-employed. These constitute 54 per cent of a total of 1.4 million people who killed themselves during this decade.



“It is necessary to understand that suicide is not an event,” said Johnson Thomas, who works with Mumbai-based suicide helpline Aasra. “It is not a one-time process. People go through different stages of stress and when it comes to a head, that is when they commit suicide.” Thomas, however, believes that the bill will be useful as it will force the government to take the responsibility of therapy after a failed suicide attempt, which is their stated intention.

Dangers of the bill

The social and political consequences of including suicide in the Mental Health Care Bill extend beyond just wrongful incarceration if the person survives, according to Salelkar. For instance, if a housewife were to survive a suicide attempt, they will be classified as mentally unstable and could have custody of their children taken away from them under the Juvenile Justice Act.

There are also cases in which pressure from in-laws for dowry is a pressing cause of women committing suicide. “When the case comes to trial, because she is deemed to be mentally ill, her evidence could become shaky,” said Salelkar. “Even if she doesn’t survive, the fact that suicide is filed under the Mental Health Care Act means that the family that might have abetted the suicide has some more room to wiggle out of being convicted.”

Political acts of protest are also likely to be prosecuted as before. Irom Sharmila has been on a hunger strike for ten years now. Each year, she is released from hospital custody for one day, then re-arrested under section 309 of the IPC. The government can choose to argue that Sharmila is not under severe stress. Since suicide has not been decriminalised, the government will not be obliged to release her from custody.

With this misguided attempt to help suicide survivors, experts say, the government has instead laid the ground open for them to be persecuted further.

 

Wednesday, May 21, 2014

Four students questioned by police and cleared after bullied girl, 15, kills herself and names them in tormented suicide note saying 'thanks for all the pain'

Stop Bullying...Bullying is a sign of low self-esteem and complexed self-image- a sign of weakness as they say

http://www.dailymail.co.uk/news/article-2634094/Girl-15-bullied-years-kills-leaving-suicide-note-naming-tormenters.html


  • Cora Delille hanged herself in her family's Ohio home on May 10
  • In a suicide note, she named four students, including two ex-boyfriends
  • Friends say she endured name-calling in the halls at school and one student even said she was glad she was dead
  • But police said they interviewed the students named in the note and found evidence of 'name-calling' - but nothing to warrant prosecution
  • Cora, whose boyfriend had broken up with her the day before she died, also wrote about feeling unloved at home amid her parents' divorce
A 15-year-old girl who was bullied by classmates for years has killed herself after naming her tormenters in a suicide note and telling them: 'Thanks for all the pain.'
Cora Delille's body was found by a family member at their home in Pickerington, Ohio on May 10 after she hanged herself, Commander Matt Delp of Pickerington Police said.
She left an emotional note giving a 'myriad of reasons' why she took her life, including classmates calling her names and feeling abandoned by her father and stepfather, he told MailOnline.
'There were complex issues,' Delp explained. 'She wrote about her home life and feeling unloved. Her mother and stepfather - the father she had known for 14 years - were getting a divorce. Her boyfriend had broken up with her the day before. There were many reasons.'
Tragic: Cora Delille, 15, hanged herself on May 10 after enduring years of bullying, her friends have said

Monday, May 19, 2014

Article on Aasra in Moneylife magazine, may 2014 issue

Despite the erroneous spelling of Aasra (Asra and Aasara in body copy) and origin story this is a decent enough article

http://www.moneylife.in/article/asra-helps-the-depressed-lone-and-prone-to-suicide/37365.html


Moneylife » NGO that helps the depressed, lonely, in despair, or prone to suicide
NGO that helps the depressed, lonely, in despair, or prone to suicide
QUEENCY RAICHADA | 15/05/2014 02:24 PM |   
Helping the depressed, lonely and people prone to suicides, by providing confidential care is what Aasara does 

Aasara means support or shelter in Hindi. It is also the name of a crisis-interventioncentre which works at “preventing and managingmental illness by providing voluntary, professional and essentially confidential care and support to the depressed & the suicidal.” Aasara was started in 1998 when the number of suicides was rising inexplicably. This not-for-profit organisation located at Koparkhairane (Navi Mumbai) has been acting as a pillar of support for the depressed, lonely, in despair, or prone to self-destruction.
 
Aasara believes that every life is precious and worth saving. So it helps people fight depression and destructive tendencies in multiple ways—it has a listening service and a free 24X7 phone service. It is accessible by email or even face-to-face meetings. Since Aasara is a unit of Befrienders Worldwide/Samaritans, a UK-based charity, it has access to an international network that includes Volunteer Emotional Support Helplines (VESH), LifelineInternational and the International Federation of Telephone Emergency Services (IFOTES); these help in increasing Aasra’s reach and efficiency.
 
Back in the 1990s, people staying in the far away suburbs of Mumbai required to make a long-distance call, which was expensive and a deterrent for those in emotional distress. This prompted Johnson Thomas, director of Aasara and a writer to set up Aasara as a crisis intervention centre with 36 passionate volunteers.
 
Apart from helplines, Aasara conducts street plays to spread the message that suicide is an irreversible response to a reversible condition and that prevention of suicide is everybody’s responsibility. It also conducts workshops in schools, because over-burdened 

students are often under family pressure to perform, especially during exams, making 
them more susceptible to drastic actions. Aasara has joined hands with Satya Sai Baba 
 
Trust to provide emotional support to farmers and Antara NGO empowering and providing skill training to young adults. Along with the Navi Mumbai NGO Forum, it is involved in conducting seminars for women, anti-tobacco campaigns, HIV/AIDS awareness programmes and health melas in colleges. These activities have helped increase its geographical spread to reach out to many more people for its life-saving activities.
 
Over the years, it has expanded—from being available for just six to seven hours, to working round the clock. The number of calls received by the helpline has also increased 10-fold—from six or seven to around 60 to 70 a day—from India as well as abroad sometimes.
 
Mr Thomas says, “It feels great to have Aasara as the first listing when anything related to suicide is searched on the Internet. This Search engine optimisation (SEO) rating assures us that all the hard work has been worth it!” Moreover, famous TV shows and news channels, such as Crime Patrol, CNN-IBN7, NDTV and now Moneylife magazine, have reached out helping it serve the society better. Aasara was awarded the Maharashtra Ratna Gaurav Puraskar (in the NGO’s/activist category) in 2006 in recognition for its contribution to the society.
 
Like most NGOs, one of the main challenges Aasara faces is the lack of volunteers and donations. Mr Thomas says, “It is disappointing to see only 3-4 volunteers turn up for orientation sessions conducted on Sundays to attract potential volunteers. We all go through pain; some of us have people to help us and some don’t.” He feels that, as a society, we are unwilling to donate time or money. Hence, people doing genuine work struggle to make ends meet. Students and youngsters are not encouraged to volunteer, because studies are of primary importance, but our tragedy is that very few senior citizens and retirees are also willing to devote time in a consistent manner to good causes. Mr Thomas makes a strong pitch for volunteering.
 
Donations to Aasara are tax-exempt under Section 80-G.

Aasara 
104, Sunrise Arcade
Plot No. 100, Sector 16 
Koparkhairane, 
Navi Mumbai - 400709
Tel: 022-27546667
Email: aasrahelpline@yahoo.com
Website: http://www.aasra.info/index.htm


Tuesday, April 1, 2014

Children's hyperactivity 'is not a real disease', says US expert Neuroscientist says children are being 'labelled' as having ADHD when there could be other reasons for their disorder

http://www.theguardian.com/society/2014/mar/30/children-hyperactivity-not-real-disease-neuroscientist-adhd?CMP=twt_gu



Children's hyperactivity 'is not a real disease', says US expert

Neuroscientist says children are being 'labelled' as having ADHD when there could be other reasons for their disorder
Bruce D Perry
Bruce D Perry of the Houston ChildTrauma Academy: 'We are very immature in giving diagnoses.'
One of the world's leading neuroscientists, whose work has been acknowledged by work and pensions secretary Iain Duncan Smith, has suggested that attention deficit hyperactivity disorder (ADHD) is not "a real disease".
On the eve of a visit to Britain to meet Duncan Smith and the health secretary, Jeremy Hunt, Dr Bruce D Perry told the Observer that the label of ADHD outlined a broad set of symptoms. "It is best thought of as a description. If you look at how you end up with that label, it is remarkable because any one of us at any given time would fit at least a couple of those criteria," he said.
Prescriptions for methylphenidate drugs, such as Ritalin, which are used to treat children diagnosed as suffering from ADHD, have soared by 56% in the UK, from 420,000 in 2007 to 657,000 in 2012. Such "psychostimulants" are thought to stimulate a part of the brain that changes mental and behavioural reactions.
However, Perry, a senior fellow of the ChildTrauma Academy in Houston, Texas, said he was concerned that children were being labelled as having ADHD when that merely described the symptoms of a range of different physiological problems. The symptoms that lead to a diagnosis of ADHD include inattentiveness, hyperactivity and impulsiveness over a sustained period.
Perry added that clinicians were also too readily prescribing psychostimulants to children when the evidence suggested there were no long-term benefits. Animal studies have raised concerns over the potential for damage to be done.
Perry, who will also meet cabinet secretary Sir Jeremy Heywood during his visit as a guest of the Early Intervention Foundation, a charity aimed at tackling the root causes of childhood dysfunctions, said: "We are very immature in our current evolution in giving diagnoses. A hundred years ago, someone would come to the doctor and they would have chest painand would be sweating. And they would say, 'Oh, you have fever.' They would label it, just like we label it [ADHD] now. It's a description rather than a real disease."
He added: "If you give psychostimulants to animals when they are young, their rewards systems change. They require much more stimulation to get the same level of pleasure.
"So on a very concrete level they need to eat more food to get the same sensation of satiation. They need to do more high-risk things to get that little buzz from doing something. It is not a benign phenomenon.
"Taking a medication influences systems in ways we don't always understand. I tend to be pretty cautious about this stuff, particularly when the research shows you that other interventions are equally effective and over time more effective and have none of the adverse effects. For me it's a no-brainer."
Perry said he favoured an approach that went back to the root causes of the problem, and often required attention being focused on the parents. "There are number of non-pharmacological therapies which have been pretty effective. A lot of them involve helping the adults that are around children," he said.
"Part of what happens is if you have an anxious, overwhelmed parent, that is contagious. When a child is struggling, the adults around them are easily disregulated too. This negative feedback process between the frustrated teacher or parent and disregulated child can escalate out of control.
"You can teach the adults how to regulate themselves, how to have realistic expectations of the children, how to give them opportunities that are achievable and have success and coach them through the process of helping children who are struggling.
"There are a lot of therapeutic approaches. Some would use somato-sensory therapies like yoga, some use motor activity like drumming.
"All have some efficacy. If you can put together a package of those things: keep the adults more mannered, give the children achievable goals, give them opportunities to regulate themselves, then you are going to minimise a huge percentage of the problems I have seen with children who have the problem labelled as ADHD."
The chairman of the Early Intervention Foundation, Labour MP Graham Allen, said Perry was the "best in his field" and was meeting senior officials and politicians already "convinced by the philosophy of his research. I would argue that if you can diminish adverse childhood experience, then we eliminate a lot of the causes of dysfunction."