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Issue:- Saturday, 10 October 2015

Headlines and reports on this page = 2 news items.    Page - 5.

Edge Hill project tackles stigma of mental illness and suicide in India

AN Edge Hill project to improve mental health interventions in India for people who have attempted suicide or at a vulnerable stage in their life is already having a lifesaving impact.

The partnership between Edge Hill University and two hospitals in Mysore, India is delivering crucial mental health interventions in the country, with the first round of training for nursing staff completed in June and more planned for January 2016.

A team from the University's Faculty of Health and Social Care and colleagues from the CSI Holdsworth Memorial Hospital and Mysore Medical Collage and Research Institute, are supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme.

To date the project has trained 120 staff champions who can now undertake mental health assessments directly on patients in hospital settings. In addition, 40 trainers were selected and trained to disseminate the training throughout both hospitals. The team has also established ongoing systems to collate learning evaluations, audits of patient assessments and the number of people who have been referred for psychiatry. The aim is to ensure that the interventions benefit patient and families directly and are driven by local needs in India.

The training focuses on improving mental health interventions for those who have attempted suicide and/or are at a vulnerable stage in their life, in one of the worst-affected regions of the country with the world's highest suicide rate (World Health Organisation report, 2012). There is an acute shortage of mental health trained professionals in Mysore and with 2000-2500 people being referred to just 2 doctors each year after suicide attempts which is a major public health concern.

Steve Jones, Senior Lecturer at Edge Hill University said:- "This is a heavily stigmatised subject in India. The preferred method of attempted and successful suicide in India is by deliberately consuming pesticides, with thousands upon thousands dying each year. When we 1st visited India in 2012, we were struck by the numbers of people in Accident and Emergency and on ventilators in intensive care who had attempted to kill themselves. In Holdsworth hospital there were 23 ventilators operating, and the majority of patients were ventilated after attempting suicide. However, health care is not free in India except for the most poor, and if poverty led to the attempt then a hospital bill if you survive compounds debts and may lead to further attempts. We knew that we had to start somewhere, and we hope our joint training with Indian colleagues provides a starting point. The next stages for future grant applications will be to explore what leads to suicide attempts, and also how community support after the attempt can be started.  We have to consider the sensitivity and stigma associated with suicide in India, and the shame felt by patients and their families. There are of course many reasons for attempting suicide irrespective of which country and this is a global problem, but India unfortunately has the highest rate in the world."

The team plan to evaluate the project in January 2016, to assess how effective the training was, the quality of assessments undertaken by nurses we trained in Mysore, review patients referred to psychiatry and also evaluate staff attitudes to mental health problems and attempted suicide.

The Edge Hill team, which includes Steve Jones, Paul Keenan, Kathryn Lowe and Professor Clare Austin, work jointly with Dr Murali Krishna, who is a consultant Psychiatrist at Holdsworth Memorial Hospital and honorary senior lecturer at the University and Professor Rajagopal Rajendra from the Mysore Medical College and Research Institute.

For more information about projects under the Health Partnership Scheme visit:- Thet.Org/Health-Partnership-Scheme.

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Deceased estates notice - Lilian May Jackam

Pursuant to the Trustee Act 1925, any persons having a claim against or an interest in the Estate of Lilian May Jackam (also known as Lillian May) Jackam (Deceased), late of Birch Abbey Rest Home, 55 Alexandra Road, Southport, Merseyside, PR9 9HD, UK, who died on 04/10/2018, are required to send particulars thereof in writing, to the undersigned Solicitors, on or before 24/05/2019, after which date the Estate will be distributed having regard only to claims and interests of which they have had notice. Churches Solicitors, 12 High Street, Fareham, Hampshire, PO16 7BL, UK. Ref:- 'T553015.'

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