### Let’s Unite to Stop Suicide - Dr. Agarwal

On World Suicide Prevention Day, the statistics surrounding suicide are alarming. Globally, one person dies by suicide every 40 seconds, with around 800,000 deaths by suicide annually. For every suicide, there are 25 attempts, and the impact extends to 130 people, including family and community members. Countries like Lithuania, South Korea, Russia, and China have the highest rates, while in India, states such as Sikkim, Chhattisgarh, Telangana, Tamil Nadu, and Karnataka show the most concerning trends. In Rajasthan, the suicide rate increased from 4.8% to 5.8% per 100,000 people this year, reflecting a similar 3-4% rise seen globally from 2019 to 2020.

Dr. M.L. Agarwal, a senior psychiatrist from Kota, emphasizes that many who contemplate suicide often seek help but are unheard. Recognizing warning signs such as sleep disturbances, withdrawal from social activities, or talking about death is crucial. Timely intervention can save lives. In India, cultural values and family structures keep suicide rates lower compared to the West, but it's important for everyone to offer support. You don’t need to be a healthcare professional—simply asking if someone is thinking of harming themselves can make a difference.

Dr. Agarwal explains that various factors contribute to suicide, including personal, social, and economic issues, mental health disorders like depression, relationship problems, exams, and financial difficulties. Hanging remains the most common method (53.6%), followed by poisoning, especially in rural areas. During the pandemic, loneliness and economic stress were key triggers. Dr. Agarwal advises offering support to those struggling with depression, encouraging them to seek medical help, and engaging them in healthy activities like exercise, yoga, and meditation. The slogan for this year’s World Suicide Prevention Day is, “Let’s Stop Suicide Together.”

Kota’s Hope Helpline has been working towards suicide prevention for over 10 years, offering 24/7 support to those in need. With over 12,000 beneficiaries, including many students, their free counseling services have saved numerous lives. For assistance, contact the Hope Helpline at 0744-2333366.

*(Interview by Dr. Prabhat Kumar Singhal with Kota-based psychiatrist Dr. M.L. Agarwal)*