01/11/2023
Sharing a tweet by Dr Asma Humayun:
About a su***de in Pakistan:
1) Recent developments should help Pakistani powerhouses (political, policy, media, health, religion) reflect. Mental healthcare needs to be prioritized.
It is shocking that a young person who was known to suffer from a [treatable] mental illness and had access to specialist health resources, has died because of lapses in care. Su***des are preventable.
2) One of the earliest lessons in my psychiatric training in the UK was to assess the risk for su***de. Su***des can even happen on psychiatric wards, and one did during my training as well. Doctors and nurses were trained to assess and monitor that risk. People who were at most risk were [then] put on ‘Level 1’ observations. This meant that at NO time, that person was left alone. Even if that person had to use the toilet, a nurse would put their foot in the door.
3) Reportedly, this person was severely unwell and had [or was] receiving ECT (Electro-convulsive treatment). ECT is a highly effective treatment for severe depression. It should NOT be called ‘Bijli ka elaj’, because the term is stigmatizing and deters people from accepting this treatment. Close monitoring for the risk of su***de has to be done during a severe episode (even daily assessments). It is also a known fact that when people start to recover (following treatment), the risk of su***de can increase. Therefore ongoing monitoring is needed.
4) There are so many medical questions about this tragedy. More most being: Quality of mental healthcare? Standard of training of psychiatrists?
Related to the incident: Why was he not in a hospital or safe environment? Why was he alone at home? Why did the guard not know about his risk? Why was there an easy access to a firearm?
5) Then there are serious questions about how this tragedy has been managed by reporters, journalists, newspapers, TV channels, vlogs, social media etc. There are no regulations, no guidelines, lack of sensitivity, unscientific and unethical approach etc.
6) The grieved father, also a religious scholar, stated that his son was so close to Allah that he chose to be with his Almighty. Probably struggling to find solace in his grief [understandable] or perhaps neutralizing the prevalent religious view is that su***des are the result of being detached from faith/religion. When will we understand that people do not kill themselves because they are or aren’t close to Allah. THEY ARE UNWELL. They need medical help.
7) What has been impressive is the courage, honesty and sensibility of the younger brother of the deceased who recorded a brief video message stating facts and requesting privacy and respect for his brother and their family.