Day 734

Posted by kidsaregifts20

The tradition of fasting to death is called ‘Santhara’. It is glorified in Jainism, an ancient religion of India that teaches a life of renunciation. It usually applies to elderly people who feel they have entered the final phase of life with no meaningful purpose left to fulfil.

Early this month a beautiful 13 years old girl, Aradhna, from a Jain family died two days after fasting for 68 days. She lived only on boiled water for nearly 10 weeks. (http://timesofindia.indiatimes.com/city/hyderabad/13-year-old-Jain-girl-dies-after-observing-68-day-fast-to-bring-good-luck-to-family/articleshow/54750457.cms)

According to the media, her father, a jeweller was in financial difficulty and he consulted some senior Jain monks who came up with the idea of her fasting to get the family out of that situation.

According to her father, it was her wish. She had fasted for 8 days in 2014, for 34 days last year and it ‘suited’ her. She was keen to go further this year. As 68 is an auspicious number in that faith, she wanted to fast for that many days. It was entirely voluntary. The family merely supported her wish.

According to both, the completion of the fast was marked by huge celebrations attended by 600 people. So was her funeral procession. She was anointed as a ‘divine soul’.

According to the hospital, she was brought dead from home. The family’s defense is that she was slowly recovering after breaking the fast gently with fluids and semi-solids but then she suffered a heart attack.

They certainly didn’t know of a condition called ‘Refeeding Syndrome’. When undernourished patients are re-fed there is an increased requirement for phosphate as the body switches back to carbohydrate metabolism, which can be made worse by a background of relative phosphate shortage in starvation. Phosphate levels in the blood begin to fall and mainly affect the heart and brain. So, it is more than likely that her ‘heart attack’ was because of prolonged fasting followed by unmonitored and inappropriate refeeding. (http://www.gosh.nhs.uk/health-professionals/clinical-guidelines/re-feeding)

Was this a suicide? A murder? Pure ignorance? Superstition? Religious blindness? Lack of common sense? Huge violation of children’s rights?The journey of her soul? Karma? All of the above? What values over-ride the basic instinct of parents to feed their off-springs?

It seems so wrong!

Day 726

Posted by kidsaregifts20

Sarah Fitchett is a neonatal nurse and a lecturer. She is also a mother bereaved through suicide. Like me, she is affiliated with PAPYRUS Prevention of Young Suicide Charity by way of fundraising and awareness raising. This is an e-mail from her:

“I delivered an awareness session to GPs in Birmingham last week and they were desperate for more training. They were literally asking me,
“What should I say?”
“What if the answer is yes?”
“What am I looking for?
“There are no services available to signpost young people to – CAMHS is so stretched”
“How will I know?”
“How do I cope with losing a patient to suicide?”
I really hope they will come on ASIST. Such a lot of work is needed. One of our young volunteers, a mental health nurse from Bristol self-funded a place on ASIST because she had no idea how to help someone at risk of suicide, neither did any of her colleagues. Her training hadn’t covered it and there was no training available to her. A WM police officer self-funded a place on ASIST and used her annual leave to attend because so very much of her role is attending people in crisis.”

This is an article she’s written about the absence of suicide prevention training on the nurse’s curriculum and the stigma associated with suicide within the medical community: http://theconversation.com/even-nurses-arent-immune-to-the-stigma-of-suicide-66008

11th October 2014 was a saturday. I had tickets for the Omid Djalili show for us. Saagar loved stand-up comedy and I thought it might help him. He sat on my right. I watched his responses. He appeared to be under a cloud. He did laugh but his laughter was subdued. At break time I bought him a drink and for some strange reason it felt like a significant happening, like an unforgettable scene in an iconic film. It was the last time I bought him a drink. It was the last time we went for a show together.

Let us do everything we can to save young lives.

omid-djalili-300x199

Thank you Omid for bringing him some happiness. Even if it was short-lived.

But then, everything is temporary, short lived!

Day 723

Posted by kidsaregifts20

“Random thoughts”, he said, looking perplexed. “I keep getting these random thoughts.”
“Thoughts of what exactly?” I would ask.
“Just random….”
I didn’t know how to explore any further.

He confided in at least 3 men he trusted about his suicidal thoughts and none of them knew what to do.
Not surprising.
He specifically told them not to tell me about it. He even shared his plan with one of them. But he did not know what to do.
Not his fault.
No one is taught what to do in a situation like that.

How would you feel if some one came up to you and said they were seriously considering ending it all?
Overwhelmed? Panicked?
Calm and confident knowing exactly what to do as if you were being asked to do CPR?
What would you do?
Break into a sweat?
Think they are kidding?
‘Fix it’ for them?
Call 999?
Take them to A&E?
Ask them to see their GP?
Connect them to the Samaritans?
Tell them to get over it because life is beautiful?

Yesterday I watched a video of a skilful conversation between a suicidal person and a person in a position to help. It was a caring and respectful exchange designed to model an evidence based framework which has been developed over 30 years by LivingWorks whose mission is to create a life-affirming suicide-safer world (https://www.livingworks.net/programs/asist/). It made me cry floods of tears as I was reminded why the poor bugger didn’t have a hope in hell. Even his doctor didn’t know CPR or what would be CPR for him. The video was a part of the ASIST Course (Applied Suicide Intervention Skills Training). Regardless of prior experience LivingWorks enable ordinary people to provide suicide first aid. They have training programmes lasting from 90 minutes to 2 days. Shown by major studies to significantly reduce suicidality, LivingWorks courses teach effective intervention skills while helping to reduce stigma and raise awareness.

While speaking with the trainers of ASIST it emerged that the most difficult group to train is GPs as they can never make time. The last General Practice who contacted them wanted them to come at lunch time for half an hour and provide training and lunch for all staff members in that time.

Top priority. Eh?

Day 686

Posted by kidsaregifts20

“If your daughter is clever enough to get into this school and keep up with the curriculum, then she will be happy.” – this is what the parent of a 4 year old was told at an open day of a particular pre-school. They had 14 subjects on the curriculum for 4 year olds. On seeing the surprise on her face, the mum was reminded by one of the teachers that this was a school and not a nursery.

For those terribly serious about education, it is important to know that the reverse of the above is true. So, if she is happy enough, she will be able to keep up with the curriculum. A relaxed and light environment enhances the quality of learning for all age groups.

In New Zealand, a few key studies compared children who started formal literacy lessons at age 5 with those who started age 7. They showed that early formal learning doesn’t improve reading development, and may even be damaging. By the age of 11, there was no difference in reading ability level between the two groups. However, those who started aged 5 developed less positive attitudes to reading and showed poorer text comprehension than those who had started later.

Over the past half century, in many developed nations, children’s free play with other children has declined sharply. Over the same period, anxiety, depression, suicide, feelings of helplessness, and narcissism have increased sharply in children, adolescents, and young adults. The decline in play has contributed to the rise in the psychopathology of young people. Play functions as the major means by which children

(1) develop intrinsic interests and competencies
(2) learn how to make decisions, solve problems, exert self-control, and follow rules
(3) learn to regulate their emotions
(4) make friends and learn to get along with others as equals
(5) experience joy.

Through all of these effects, play promotes mental health.

It is no surprise that in Finland, Denmark and Sweden the age when formal education begins is 7.

(Ref: https://www.newscientist.com/article/mg22029435-000-too-much-too-young-should-schooling-start-at-age-7/)