Authors
Professor Pranab kumar Bhattacharya MD(cal) FIC Path(Ind), Professor and Head , Department of Pathology; Professor and Head Department of Pathology; Course Coordinator ,convener, In charge Diploma of Clinical Pathology & Diploma in Laboratory Technology of West Bengal University of Health Sciences ; DD36 Salt Lake City; Kolkata, School of Tropical Medicine Kolkata; 108 CR Avenue Kolkata-73; West Bengal; India
Miss Upasana Bhattacharya; Mr Rupak Bhattacharya; Mr Ritwik Bhattacharya; Mrs Dalia Mukherjee; Miss Oaindrila Mukherjee; Mr Debasis Mukherjee; Miss Rupsa Bhattacharya; of 7/51 Purbapalli Po-Sodepur Dist 24 Parganas(N) W.B Dr Pijush Kanti Roy IPGMER; Dr Anuradha De MD(AIIMS) DCP (cal); Associate Professor Pathology Soma Das MBBS Demonstrator Kolkata, School of Tropical Medicine Kolkata; 108 CR Avenue Kolkata-73; West Bengal; India
3 December 2012
India Bengal the picture is still just
reverse. Mental health of men
becoming so unstable when couple chooses
to live with bride’s parents or in a unit family, than to live with his family.
Very few percentage of people can adjust such situations and
family economics & moral support breaks, putting other family
members in great trouble& mental and
economic distress. There is trend of nuclear family, where things are often
under control of wife, artificial, economic market value contract, individualism, and status
competiveness in life style, with expensive in education for children, transport through car,
purchasing flat, interior decoration, and consuming goods from shopping malls with bank or personal loan
from market. These are inevitable in nuclear family in open bazzar economy and globalization market. These
nuclear families are making
communications between husband’s or wife’s family members more difficult as
well disrupting communications between family and local society, where he had
friends, schooling, and brought up. Today marriage in educated middle class, upper
middle class society is looked with market values. In middle class modern
educated boys tries to avoid marriage as institution or sharing
responsibilities (40%) in their fertile age range 30-35 years and total marital
fertility rate so dropped from 4.1 in 2001 to 2.9 in 2006. They prefer to live
alone or make live together. The members of nuclear families are eager to show
false impression to peers pretending that no problems exist between themselves,
while all members husband-wife-children try to hide their own problems, own
worries and insecurities to neighbours, husband’s family members or rather
chose to tell ,where from they do not receive any assistance when in real
needs. As a result no one knows what others think. Children from these families
have difficulties in personal relationship, being impeded in their social adaptation,
in their interplay with other children. They are not allowed to mix with
children of bellow level status or children of neighbours. When children members
are few one or two[ gross reproduction rate in urban areas of West Bengal in
2006 was 0.7,when in 2001 it was 1.3] it makes parents( mainly a graduate
mother) enormous expectation and herculous tasks and burden on children with school
education, private tuitions bag full syllabus, home tasks, Dance classes,
drawing classes, music classes and children today are an important tactic in human rat race of growing up. What
a foolish ideology! In the case child is born. In the case the child is born
under investment in education ( high tuition cost schools) are done in excess,
This is in order to increased demands of mother of child to increase false
market value of the child. All these are done by parents to enrich their own
ego and they demand directly or indirectly that the duties to be set up by
father. This trend is especially more strong in case mother having bestowed up
on fathers’ duty towards the child. The role of Child is then like a puppet to
deserve of his/her mother. Thirty cores (30 cores) of people in India
The opinion expressed in this article is completely Personal opinion of Professor Prnab kumar Bhattacharya and is under copy right as per IPR copy right Act & laws. This article is dedicated to prof.pranab kumar Bhattacharya's a Female known soul who had severe grade depression, high blood sugar, had several suicidal tendency very often, had long standing struggle in middle class society, lived alone, was driven out from home separated from only child, tortured by own family , lost her job had enough debt in market and did unexpected suicide all on a sudden by drowning herself in a pond
The Mental health of people depends thus on
economic class, character of population changes, basically on house hold
economic structure, degree of poverty in family and age of family members. Of
these most important is economic structure and security and family people as a
joint family living under one roof is most useful buffer system for the
presentence of any psychological disturbances as a facilitator for self soul
respect, sense of growing psychological and social well being, regardless one
or two persons share of contribution to the total amount of family resources.
In family elderly, middle aged, retired people, jobless people, house
wives(<40 yrs) suffer more psychological endogenous depressions or
disturbances, chronic diseases and are often reluctant to involve themselves in public affairs or
community programme and their depression is leading cause of suicide.
Extreme poverty, sudden loss of Job ,depression,
MDP, Florid Perkinsons long standing Diabetics
mellitus, Schizoid mood disorder, Divorce, Widow, single living bachelors,
elderly people, COPD, Cancer, terminal illness are major etiological factors of
Suicide. Suicide is more common in middle aged and can be a main denominator
for joblessness in globalization open market economy. In 1970s-1980s suicide
was more common in adolescence , teenaged, when today suicide is more seen in
middle aged men and women and this is because middle aged people are contained
in a solitary situation ,because of stress both from upper and lower position
of nuclear family or organizational demands. A 2001 data in west Bengal
provinces of India shows 2,70,500 people suffered from psychological disorders(
DSM IV) of which in rural areas 1,81,981 and in urban areas it was 88,900 people and 1,56,500 males and
1,14,390 were women(M:F ratio 2.5:2.04) and suicide in west Bengal more common
in women rural west Bengal while vice versa in metropolis, cities. This is
because in metropolis, cities middle aged educated working class or middle
class or upper middle class women are enjoying more economic & social opportunities,
hidden Extramarital affairs & sex and involvement with various public affairs due to laws & acts in favour of
women. The laws shows a tendency to obtain a position in society equal to man, often
more than a man, rather than to manage the house hold efficiently. A good wife
and good mother is pillar for a family,
society, nation. For example there is increasing numbers of middle aged house
wives working ladies in upper or middle class society who spend their spare
time with much younger boy friend’s with physical or mental involvement (40%
divorce is due to EMA) or to NGOs or to private companies or to open schools
for adults or in theatre, cinema or as insurances
agents and sales representatives and engage themselves for easy money making.
Today the suicidal rate is 20-25% amongst depressed and mentally or physically
disabled persons according to one of my colleague friend in psychiatric
department of IPGME&R/SSKM hospital.
The rate of divorce is in steep raise in west Bengal since 1990s. The crude divorce rate was 2.5% in
2001 and ratio between marriage and divorce are in increase trends. The mean
age of divorce in west Bengal for male is
around 36 years while for female 30 years. The median age of marriage in female
is 20.6 years. The basic cause of divorce can be domestic difference, marital
conflicts, family troubles, adultery’s, economic problems, impotency,
infertility,. The death and suicidal rate for divorced men and women are also
high. Divorce causes mental health problems such as excessive smoking,
alcoholism, depression, and secede .The divorce for married women tends to
result feminization of poverty, unemployment, less income which detoriate
mental health and suicide. Divorce has a negative impact on children and
children from divorced families are more likely to experience academic as well
psychologically imbalanced or maladjusted then peers.
Privatization ,Globalization is a double aged sword with both good side for middle
class, upper class and rich people but bad side for lower economic class
people. Globalization and bazzar economy are to cut employment from both
government and private sector and results unemployment & in west Bengal one
and half cores(1.5 million) people are today unemployed(64% non workers) and in
India about 61% non workers. The bread winner of a family in India
Elderly People(< 65 years) are high risk of
Suicide. As the number of elderly people in West Bengal
increases there is gradual decrease in social productivity and competiveness
and increase in the demand and support of elderly. Who will take care olds and
oldest of old? The depressive disorder, depressed mood thus become higher among
older persons, female, widows and those suffering from Chronic disorders,
cancer. Prevention of their depression is the key to reduce suicide rate
amongst elderly
So depression and suicide is always multi factorial
and based on economic structure of family, diseases, chronic diseases, family
norms, social value, society, community and many things. Depression is major
cause of suicide. Mode of Suicide in West Bengal
is either by hanging, or by self poisoning,
or jump from high rise building or under train & rarely by drugs. In 2001
data amongst hospitalized patients in Medical colleges of Kolkata 4.26%( Study
was done with 53,0026 patients admitted)
were from suicidal attempt by various poisons when in rural areas
,district hospitals amongst 1,15,652 cases admitted suicidal case by poisoning
were 5.12%
Physical activity is known
to have a variety of positive effects on the overall functioning of human
beings. the counsellors, psychiatrists,
should understand the effects of physical activity on mental
health is of special concern. In order to understand the specific effects of
physical activity on adolescents and emerging adults, an analysis of recent
literature was conducted. It was found that physical activity has a profound
impact on various aspects of development in these stages. Regular muscular
exercise releases increased DOPAMINE in brain synapses and inhibits serotonin
synthesis within brain, which is the culprit enzyme for depression. SRI drugs
are today choice of treatment in the endogenous depression, depression in MDP.
Schizophrenia, depression in Diabetes
mellitus. So Increase muscle mass, Increase muscle tone through exercise, daily
half an hour running or brisk walking, jogging or swimming can be an
alternative therapeutic approach for
treatment of Depression and suicide
The opinion expressed in this article is completely Personal opinion of Professor Prnab kumar Bhattacharya and is under copy right as per IPR copy right Act & laws. This article is dedicated to prof.pranab kumar Bhattacharya's a Female known soul who had severe grade depression, high blood sugar, had several suicidal tendency very often, had long standing struggle in middle class society, lived alone, was driven out from home separated from only child, tortured by own family , lost her job had enough debt in market and did unexpected suicide all on a sudden by drowning herself in a pond
Competing interests: None declared
Copy Right- 2012-22 The Copy Right of this article The etiology of Suicide in Adolescence is Multifactorial; Depression- one of leading cause of Suicide becomes less who has regular Muscular Exercises and may be a therapeutic modality" is strictly reserved to all authors only, as per Copy Right rules of Intellectual Property Right act (IPR) of World Intellectual Property Right organization (WIPO), of 2012 amended in 1996 in this country and applicable from 2006 January, inIndia
Copy Right- 2012-22 The Copy Right of this article The etiology of Suicide in Adolescence is Multifactorial; Depression- one of leading cause of Suicide becomes less who has regular Muscular Exercises and may be a therapeutic modality" is strictly reserved to all authors only, as per Copy Right rules of Intellectual Property Right act (IPR) of World Intellectual Property Right organization (WIPO), of 2012 amended in 1996 in this country and applicable from 2006 January, in
Dear Professor Bhattacharya,
Thank you for your rapid response (copied below). Please would you reduce to a maximum of 1000 words and resubmit.
Best wishes,
Sharon Davies
Letters editor
Thank you for your rapid response (copied below). Please would you reduce to a maximum of 1000 words and resubmit.
Best wishes,
Sharon Davies
Letters editor
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The BMJ Group is one of the world's most trusted providers of medical information for doctors, researchers, health care workers and patients group.bmj.com. This email and any attachments are confidential. If you have received this email in error, please delete it and kindly notify us. If the email contains personal views then the BMJ Group accepts no responsibility for these statements. The recipient should check this email and attachments for viruses because the BMJ Group accepts no liability for any damage caused by viruses. Emails sent or received by the BMJ Group may be monitored for size, traffic, distribution and content. BMJ Publishing Group Limited trading as BMJ Group. A private limited company, registered in England and Wales under registration number 03102371. Registered office: BMA House, Tavistock Square, London WC1H 9JR, UK.
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