Articles on suicide

Suicide – a Cry for Help! What Are the Warning Signs & Solution?

Dr. Riddhish K. Maru, Psychiatrist
Introduction:The act of killing or trying to harm oneself is called suicide. It is an action against the basic instinct to survive &procreate which makes this subject interesting.Suicide is exclusively almost seen only in the human species and it’s known since immemorial time.Suicide is the outcome of neurobiological breakdown. The process begins in severe stress and Pain generated by a serious life crisis. Suicide occurs when the stress induces unbearable pain that feelings of self control and self-esteem are weakened & death is seen as the only relief. Suicidality entails changes in brain chemistry and physiology and imbalance in serotonin levels. Parasuicidal behaviour is seen when there are attempts to deliberately harm self to gain attention.Incidence:Suicide is on the rise in this century, 258,075 people committed suicide in India in 2012. India's suicide rate was 21.1 per 100,000 people, according to WHO. Psychology of Suicide:Menninger believed that suicide is inverted homicide. Generally aggression is directed outward, at a person or an object. But when directed inward, it becomes suicide. Freud believed on similar lines but with the parameters of life force- Eros & death force- Thanatos.Suicide Warning Signs: F.A.C.T. F for Feelings:Hopelessness “It will never get any better.”“There’s nothing anyone can do.” Fear of losing control, fear of going crazy, fear of harming oneself or others. Helplessness, a feeling that “no one cares,”“everyone would be better off without me.” Overwhelming guilt, shame,self-hatred. Pervasive sadness A for Actions or Events Drug or alcohol abuse Themes of death or destruction in talk or written materials (letters, notes) Nightmares Recent loss through death, divorce, end of relationship, separation, loss of job, money, status, pride, self-esteem. Loss of religious faith or spirituality Agitation, restlessness Aggression, recklessness C for Change . In personality - more withdrawn, tired,apathetic, indecisive or more boisterous, talkative, outgoing. Different temperament than usual. In thoughts - can’t concentrate on schoolwork,routine tasks, etc.  In sleep patterns - oversleeping, excessive sleeping, insomnia In eating habits - loss of appetite, weight gain/loss, overeating, change in eating rituals In activities - loss of interest in friends,hobbies, personal grooming, or other activities Sudden improvement after a period of being down or withdrawn, “too euphoric” T for Threats Statements, e.g., “How long does it take to bleed to death?” Threats, e.g., “I won’t be around much longer.” Plans, e.g., putting affairs in order, giving away favorite things, obtaining a weapon. Gestures, or attempts, e.g., overdose, wrist cutting.In India,suicide was illegal and survivor would face jail term of up to one year and fine under Section 309 of the Indian Penal Code but Government of India decided to repeal the law in 2014.Solution:If you have ever had suicidal thoughts or you know someone who has, the first thing you need to do is accept that it is possible to feel that way. Denial can only lead to more repression & a further bigger outburst of events. Secondly, talk to someone about it. It could be your family, friends, colleague or a psychiatrist. And always when you feel things are going out of your control, don’t be ashamed to ask for help. These are few ways that suicidal ideas can be identified early & can be addressed. Electro convulsive therapy is the gold standard treatment of suicide. Supportive psychotherapy is required in each case. Reducing social isolation,Preventing social disintegration,  Treating mental disorders by PsychiatristBanning of pesticides & ropesAdditionally, a set of state led policies are being enforced to decrease the high suicide rate among farmers of Karnataka and Maharashtra.

Talking About ‘Reasons’ For Suicide

Debasmita Phukan
Recently, many leading newspapers and channels reported that according to the National Crime Records Bureau (NCRB) report, in 2014, Kota witnessed a 61 per cent rise in suicide cases. They also stated that NCRB has classified 18 ‘reasons’ for the suicides. Corroborating common perception, the top reasons were cited as academic failures, disappointments in romantic relationships and spats with family members. While I have no reasonto doubt the accuracy of the mathematical computations in the report, I do have some serious misgivings about the conclusions drawn by the Bureau about the causes of individual suicide cases. Firstly, no serious finding can be validated without a clear statement as to how it was reached. Newsreports need to address this issue and readers need to ask this question. So how did NCRB ascertain that X committed suicide because of a, b or c reason? Did all the victims leave clear reasons for their drastic step in suicide notes? If not, was there a thorough investigation of each one of those 100 cases? What sources did the Bureau use? What questions did they ask the victims ’families and friends? Were the reports completely reliable? I ask these questions because rarely can anyone know the exact reason that causes a person to end his, or her, life. Suicide is an extreme step and the motivation that drives one to it is complex, to say the least. Most times, the victims themselves probably don’t understand their relentless desire to let go of life. Even if they do, it would be extremely difficult (if not impossible) to accurately describe the array of factors that go into that fatal decision in a suicide note. Unfortunately, much like the mystery of the taste of cyanide, the causal factors behind an individual suicide case is buried with the deceased.Mental health professionals and researchers have studied suicide for years. Based on detailed case histories put together from information provided by those who had attempted suicide, family members and friends left behind by suicide victims, mental health practitioners who the deceased may have been seeing, and suicide notes, they have been able to deduce a number of factors contributing to suicide. What needs to be emphasized here is that there are factors that make one vulnerable to suicidal thoughts and behaviour. These factors are not isolated events that occur right before suicide but may be rooted in an individual’s psychological make-up since years before the incident, or even from birth (genetics has a role in suicide too). They may range from childhood abuse and neglect to loneliness in adulthood. Mental illness is the most prominent factor in suicide. To summarize, it is clear from mental health research that no one decides to end their life because of one solitary event. A stressful event may push an already disturbed person “over the edge”, but in no way can it be called the ‘reason for suicide’. To say that it is, is not only misleading but wrong. The only information that that provides is the long suffering person’s ‘last straw’. To reduce his/her suffering to that one event in this way only serves to belittle the victim and push blame that is often unwarranted to the people left behind. We as lay people too need to be more sensitive about the way we inquire after suicide survivors and how we talk about the victims. Saying that a boy slit his wrist ‘because his girlfriend left him’, that a student jumped off the top-most floor ‘because she failed her exams’, or that a woman killed herself ‘because she was fed up of her husband’ causes other people to make sweeping judgments about the deceased and those close to them. Statements such as these are what contribute to the stigma behind suicide. It makes people who attempt suicide appear weak and petty. If we don’t change the way we talk about suicide, people struggling with thoughts of suicide will always hesitate to seek help. And the suicide rate will continue to escalate.

Risk Factors for Suicide in Teens and It's Prevention

Dr. Indranil Saha, Psychiatrist
Screening teens for suicide risk is among the recommendations in a new clinical report from the American Academy of Pediatrics Committee on Adolescence. Suicide is now the second-leading cause of death for teens aged 15-19 years, having surpassed homicide since 2007. RISK FACTORS FOR SUICIDE IN TEENSFIXED RISK FACTORS Family history of suicide or suicide attempts.• History of adoption.• Male gender.• Parental mental health problems.• Lesbian, gay, bisexual, or questioning sexual orientation.• A history of physical or sexual abuse.• Previous suicide attempt.SOCIAL/ENVIRONMENTAL RISK FACTORSBullying.• Impaired parent-child relationship.• Living outside of the home (homeless or in a corrections facility or group home).• Difficulties in school.• Not attending school.• Social isolation.• Presence of stressful life events, such as legal or romantic difficulties or an argument with a parent. PERSONAL MENTAL HEALTH PROBLEMSSleep disturbances. • Depression. • Bipolar disorder. • Substance intoxication and substance use disorders. • Psychosis.• Posttraumatic stress disorder.• Panic attacks. • A history of aggression.• Impulsivity. • Severe anger. • Pathologic Internet use.Self-report scales may be helpful, but they do not substitute for clinicians/family members asking teens directly (and sensitively) about mood disorders, substance use, suicidal and self-harmful thoughts, behaviors, stress, and distress.A significant risk factor for suicide is involvement in bullying, whether the teen is the victim, the bully, or both, with the latter – bully victims – at the highest risk. The increased risk for suicidal thoughts or attempts extends to involvement with cyberbullying, in addition to physical, social, and verbal bullying.Girls who are victims or perpetrators of bullying are at higher risk for suicidal thoughts or attempts regardless of how common or rare the bullying is, whereas boys had an increased risk only when the bullying was frequent. Bullying as early as age 8 years was associated with attempted and completed suicides in adolescence.In a 2013 survey of U.S. high school students, 24% of girls and 16% of boys reported being bullied on school property in the past year. Cyberbullying occurred among 21% of the girls and 9% of the boys.Teens reporting video game or Internet use for at least 5 hours a day were at higher risk for suicidal thoughts, suicide attempts, and depression. An additional wrinkle of Internet use is that teens may read about others’ suicides, which increases their own risk, or they may seek out pro-suicide websites.Despite the negatives, there is evidence that the Internet and electronic media, in general, provide a large amount of support, including keeping teens connected to their friends, family, teachers, and others, and also providing entertainment and valuable or interesting information. The Internet may be particularly useful for distressed teens.More than 90% of adolescent suicide victims met criteria for a psychiatric disorder before their death. Immediate risk factors include agitation, intoxication, and a recent stressful life event.TAKE ACTION TO HELP AT-RISK TEENSAsk questions about mood disorders, depression, agitation, use of drugs and alcohol, suicidal thoughts, bullying, sexual orientation, and other risk factors associated with suicide throughout adolescence.Keep in touch with emergency departments and colleagues in child and adolescent psychiatry, clinical psychology, and other mental health professions to optimally evaluate and manage the care of adolescents who are at risk for suicide.Advise parents to remove guns and ammunition from the house and secure supplies of prescription and over-the-counter medications.Educate the family regarding the following warning signs: new or more frequent thoughts of wanting to die; self-destructive behavior; signs of increased anxiety/panic, agitation, aggressiveness, impulsivity, insomnia or irritability; new or more involuntary restlessness, such as pacing or fidgeting; extreme degree of elation or energy; fast, driven speech; or new onset of unrealistic plans or goals.N.B: This article has been written to increase the awareness about 'adolescent suicide' on the "WORLD SUICIDE PREVENTION DAY-10 Th SEPTEMBER"

Myths and Facts About Suicide

Dr. Riddhish K. Maru, Psychiatrist
MYTH 1: A person who talks about committing Suicide, won’t actually do it.FACT 1: About 80% of persons who commit suicide express their intentions to one and often more than one person.MYTH 2: Suicide usually occurs without warning. FACT 2:  A person planning suicide usually gives clues although in some cases, suicidal intent is carefully concealed.MYTH 3: A suicidal person fully intends to die. FACT 3: Most suicidal people feel ambivalent toward death and arrange an attempted suicide in the hope that someone will intervene.MYTH 4: If a person attempts suicide once, he or she remains at constant risk for suicide throughout life. FACT 4:  Suicidal intentions are often limited to a specific period of time, especially if help is sought and received. Person is at highest risk to repeat suicide in the 1st year following the act. Help can be effective. MYTH 5: If a person shows improvement after a suicidal crisis, the risk has passed. FACT 5:  Most suicides occur within three months or so after the onset of improvement, when the person has the energy to act on intentions.MYTH 6: Suicide occurs most often among the very rich and the very poor. FACT 6:  Suicide occurs in equal proportions among persons of all socioeconomic levels. MYTH 7:  Families can pass on a predisposition to suicidal behavior.FACT 7:  Suicide is not an inherited trait, but an individual characteristic resulting from a combination of variables. One of which is positive family history.MYTH 8: All suicidal persons are mentally ill, and only a psychotic person will commit suicide.FACT 8:  Studies indicate that 95% suicidal persons have mental illness.

Memories and Suicide: There Is a Solution

Dr. Sachin Deshmukh, Psychologist
Every act by a living being is done with the primary object of saving the self. Then how can one act against the body of self?For every situation the mind finds a decision to escape from physical discomfort. It is rather factual that mind finds a way to lesser physical discomfort. For example, when air conditioner is not available, cooler will be the choice. If not, simple fan or even a newspaper will be the option. In any case the option will be physically less comfortable than the hot atmosphere.The decision taken by the mind contains very complex and lightening, but logical sequence of events. Every mind has great collection of memories about the decisions taken in earlier life. These actions have been taken with full knowledge of liking, capacity and limitations of the self.If father is angry and comparing man with lots of expectations, the mind of child will automatically take a decision to avoid the father. This way the physical discomfort of exposure to father is reduced to discomfort of avoiding him. This kind of action will occur automatically in future on the basis of the available memories.If the scooter is not braked in time, the physical discomfort will be more than if scooter is braked in time. Hence, decision of braking in time is taken by mind.Once the decision is made, appropriate sensations are produced on the body by the mind. The sensations direct the body to take actions to reduce the sensations.Interestingly, mind gets the actions done by body by producing discomfort on body. For example, thirst or hunger discomfort is produced to make the body drink or eat.Many discomforts like intestinal pain, headache, full bladder, colic, fever, exhaustion, injury, etc are understood properly by the body. That way body takes proper actions.But fabricated fears in the mind have no clear cut answer known. For example, fear of failure in examinations or loss of crop shave no clear cut answers in mind. Now mind will produce discomfort on body, but body will not get any direction for action. Whatever action body does will not reduce the discomfort, because the insecure situation has not been solved.Mind is now confused more. More and more discomfort is produced. Still body can’t take any action to resolve the situation, the way it drank water to reduce the thirst discomfort.This way the vague discomfort goes on increasing. This is called stress, anxiety, panic and depression in clinical language.Now the poor chap gets trapped in the vicious cycle of spirituality or psychiatry. The drugs or ECT induced biochemical changes create still more unknown discomfort on body.Now mind is coming to a conclusion that the easier way to reduce this discomfort is to destroy the uncomfortable body. This is a slow process of training the mind. Ultimately, death appears to be less uncomfortable than the depression discomfort. Then action of suicide happens automatically, just like accepting injection discomfort over injury discomfort.There is definite solution to this tragedy if we catch these subjects while they are in depressed state. The vague discomfort of depression comes on body because mind does not have the rational answers to the situations in its memory. Providing rational solutions to the situations by proper counselling is the key to this menace.

8 Reasons to Stop Self-Medication (Slow Suicide)

Dr. Nikhil Dhande, General Physician
During self-diagnosis, many a time you may not be fully aware of the kind of illness you are suffering from. In such cases, self-medication can lead to complex problems and you may have to pay the price through both loss of health and money.Wrong dosages during self-medication may lead to complications and can also prolong the recovery process. Infact, it can also lead to, a recurrence of the disease, resistance to  certain medicines, and may also be life-threatening in some cases.Improper usage of antibiotics over a long period of time may lead to the body's resistance to the same antibiotics, as well as combinations of other antibiotics,  thus impeding the process of cure.You stand the risk of suffering from a stroke, allergic, and anaphylactic reaction.The medicines may react with other medicines you are already consuming. You may not know how the new medicines react with your body and the other drugs. Drug interactions affect the body and mind adversely.For people who are diabetic and hypertensive, self and irregular medication may cause uncontrollable reactions.Don't think vitamin tablets are always healthy, as they may lead to toxicity.Over the counter medicines from medical stores on the advice of a pharmacist, and self-medication may save your money, but will not always cure your health-related problems. On the contrary, self-medication may aggravate them.Take Medications As Directed By Doctors Only!

6 Important Thoughts About Life

Dr. Swapna Patker, Psychologist
Depression is becoming common these days. People have many reasons to feel sad depressed and suicidal. More the advancement, more the expectations from life and more the disappointments. Less marks in exams, love break up, death of loved ones, professional disturbances, joblessness, loneliness, insults and helplessness are a few highlighted reasons that lead to severe depressions and suicides. Younger generation is less tolerant and gives up on the intimidation of every thing that's not as per their thinking. Of course, the pressure on the generation now is too high, to perform well, to live well, to look good and to be accepted. In the bargain, the mental health goes for a toss. Suicide is not an option at all. Meeting a psychologist and taking help is more easy, ethical and intelligent than leaving this world for some reason that could be sorted. 6 Important Thoughts that you need to know about life are: 1. Depression is a choice. If you allow too much negativity to seep in your thought process, you are bound to feel low. Positive attitude of people keeps depression away from their minds. Practice positivity for a depression free life. 2. Don't depend your life on people's judgements about you. Believe and respect yourself. Don't fall for over appreciation or hurting comments and insults of people. Don't give up your mood or  life because someone said something wrong to you. Be aware of yourself and don't let anyone tell you your worth. Take control of your self image and self worth. 3. Be comfortable with yourself. The way you look, the way you are and the way life is treating you is your life. Accept it. There are sarcastic and condescending people in this world, learn to mute them in real life. Don't let that affect your peace. Your life is precious; it's not worth giving it up for people who do not accept you the way you are. Learn to accept facts about yourself and plan to make the most out of whatever you already possess. 4. Mental wellness is more important than physical beauty and worldly pleasures. Skin colour, disability or illnesses should not be issues of depression in life. Love yourself. Some people intend to corner you and make things difficult for you. Don't fall for their trap. Safeguard yourself from people who are not concerned about your well being. 5. Each one feels low or lonely at some point time in life. Some succumb to the pressures of emotional turbulences and some get swayed away into the limbo called hopelessness. Take charge of your feelings and elevate yourself every time such negative thoughts touch your mind. 6. Help is available. If you ever feel that your mental pressures are beyond your control, take help of a psychologist or a counselor. Don't hesitate. It's better to take help and sort things than spoil or give up a precious life . Life is beautiful, if you can see it that way. Life will treat you the way you see it. Practice positivity and love yourself.

Attempt to Suicide to Even Out With Enemies Punishes Whom?

Neelam Nath
Attempt to Suicide & law to Punish the Perpetrators of this crime was made by British , when everyone or anyone would threaten their Government about Fast Unto death.Issue is related to Mental Health of Person resorting to gimmicks like licking a pesticide, knowing about the Antidote as Atropine injections & whispering in the ears to every family member to start collecting Injection atropines so that the Person & Reputation of family is saved, specially if there are daughters of marriageable age , going to respective jobs with a mother who has a job and is answerable to the poky neighbors . Such women are adept at creating a scare in every family member  or they want to threaten every family member to garner more sympathies by ruining the reputation of entire family.The suicidal person is admitted as life is precious.Who should be punished-the family members or the person who has licked a bit of pesticide , is wide awake, is talking about antidotes & other family matters Or The Person Who Has Threatened with Attempt to Suicide ?Before Police books the 'Perpetrators' as Family Members , Should There be No Counselling done to the Person who has licked Pesticide?Case of Jia Khan was Different & My Sympathies to her & to her family of Mother & other sisters.I wish that She Had a Will to Live Despite...whatever happened.I wish that she was educated and strong enough to take up a job or a vocation.Matter is Subjudice & I do not want to comment more. Why it bothers me is the Stigma of taking a person to a Mental Doctor ,so that Timely treatments can be given and Every Drama , Every Stigma can be avoided. Stigma of Attempt to Suicide is as Bad as a Visit to a Doctor for Mental Illnesses. Sometimes to prove others as Mental , the sharp women resorts to such gimmicks.  She does not know about side effects of Antidotes like Atropine, some doctors give them at random for every case of Pesticide intake by mistake or licking it through Deliberation.Side effects are Hallucinations, Fast heart beats , Being prone to Heart & Thyroid disease and the Worst of All is Addiction and Erratic Behaviour.The Moment any of us comes across a woman ( males generally do not resort to such gimmicks, they just do it with success , feel sad for them ) Do Consult a Counsellor or a Specialist or a Senior family Member who can Infuse some sense about Value of Life.There is No Shame in it but Shaming the Entire family by Suicide attempts carry more shame for the Victim & for entire family. Do Spread the word , take the person to nearest hospital to introduce about Real Sufferings and Real Diseases.

Cancer - what is the deal with homeopathy?

Dr. Mahesh M, Homeopath
There is one problem that evolution has not solved - the problem of death. Every person must die. We cannot live for ever! How frustrating that can be?  I hope you get the sarcasm intended in the above statement. 'Every person born must die' is the norm. But HOW we live and die is what concerns us, doesn't it? We are not really afraid of death per se but the fact that we have to go through the whole pain and burden before getting there. Well, it can happen with any disease but the ones diagnosed of cancer seem to consider it more than the others. Ok, so you may or may not die from cancer immediately - accepted. What next? What of the treatment modalities available and what can one hope for with homeopathy?First, let me explain to you a little about cancer cells. Every one of us has cancer cells in our bodies... what do i mean? Simply that every person has some mutations occurring all the time in some cells that can cause a change in the cellular function and division. But not all of us suffer from cancer. This is because the all knowing immune system is vigilant enough to identify these rogue cells and kill them (by inducing a self destructing process) before they cause any mischief. But, when the power of the rowdy cells is greater than that of immune system or the immune mechanism is weak so it cannot control the malfunctioning and invasion by these cells, cancer results. The reason for this ranges from genetics, to what you eat to what treatments have been taken and how your relationships are.Cancer cells cause terrible damage in various tissues and ultimately cause the death of the person. So, on high alert, the medical system has devised various methods to KILL these cells. The problem is, most of the methods adopted to kill cancer cells also cause harm to normal cells, as a result, along with getting rid of the cancer, the person must suffer collateral damage. The body is never the same.Now, if we were to strengthen the immune system instead and not bother with killing the cells? Sounds ideal right? Well, that is exactly what homeopathy does. Whatever may be the disease, homeopathy does not directly affect the tissue alone. Instead, it aims to strengthen the immune system whose job it is to take care of any problem arising in the body. The same is done in cancer cases as well. So, when the people become empowered and live in harmony, terrorising elements will automatically die down without requirement of enforcement of law. So, am I saying we can cure every cancer case with homeopathy? Nope, leave alone cancer, if anybody promises to cure ANY 'disease' at all, doubt that doctor. Because, curability is a very individual possibility. Every person's body is different from the next. So are the health and cure possibilities. It is only after studying every person's full history - the genetic make up, the circumstantial stresses, the treatments, the emotional and physical status etc, that any such claim or otherwise may be made. But in whatever limit that genetics and other influences pose in a person's health, homeopathy can achieve the best possible for that particular individual. The worst case scenario is that the person shall live just a little longer, with the cancer spreading - but live on his terms, happily, not bedridden, with minimal or no pains and then, one day, leave his earthly body like the shedding of a leaf - naturally. No machines to keep him breathing, devoid of movement, in immense pain and with no life whatsoever. This itself is a great achievement, even if homeopathy aims for nothing further. and yet there is much more that can be enjoyed through homeopathic treatment - as long as the treatment is based on the tenets of CLASSICAL HOMEOPATHY.As the famous dialogue in the movie, Anand goes "Zindagi lambi nahi badi honi chahiye dost" - let homeopathy be your aid to live that large life to the fullest while it lasts:)CHEERS!!Dr Seema Mahesh

“It's okay to fail”- tell your child

Priyanka
Healthy parenting “It's okay to fail”- tell your child (Hard work is important to succeed but failure can also be taken as a learning)Pressure of scoring maximum possible marks, pressure of standing first in the class, pressure of getting admission in the top ranking college, pressure of becoming a role model for the siblings, pressure of performing well in extracurricular activities,  pressure of making reputation among the family members and society, pressure of the futuristic achievements, Pressure of maintaining modern lifestyle, Pressure…pressure…pressure… How much pressure our kids can handle, how much pressure we will give them and how long they will survive with this much of pressure.For teenagers committing suicide has become easier than facing failure.Rate of teenager suicide is increasing drastically and situation is becoming scary day by day. According to the latest World Health Organization (WHO) Mortality Database, Global suicide rates among adolescents in the 15-19 age group is increasing severely. In the 90 countries (areas) studied, suicide was the fourth leading cause of death among young males and the third for young females. Out of the total death of the youth worldwide, suicide accounted for 9.1%, and this happens due to one or the other unmanaged pressure. Due to so much of pressure, the tolerance of our kids is reducing day and their ego is becoming so fragile that they cannot handle small failure or rejection. What kind of future they will have, is a matter a worry? The anxiety attached with the thought of getting fail is already reducing their efficiency. The fear of rejection has gone to a very high level and it is becoming reason for many types of psychological disturbances.What is making their self efficacy so weak? Who is damaging their self respect? How have their self image become so fragile?Ask few questions to yourself:How their personality is developing?What as a parent we are teaching them?What we are doing with our own kids and what we want to make out of them?How we are effecting there sensitivity?Are they actually growing well?Tips to manage your teen effectively:Stop comparing (First and for most): Every child is a special creation of the god and all have their respective qualities. No one can be like anyone else. If you are comparing your child then you are doing the worst possible to him/her. Let them experience their uniqueness and be the best in it.Boost your teen's self-confidence: Encourage your child to face his/her fears, not run away from them: Winning and losing is part of life and also the state of mind, if there is any fear it is needed to win over it. Encourage your child to face it and deal with it, avoidance and running will not work in the long run.Respect your teen’s decisions: Nobody takes wrong decisions willingly, we always decide according to our mental capacity. If you find their decisions wrong then provide the right suggestion instead of nagging or rejections. Remember, rejection will promote a rebellion behaviour and suggestion can encourage a positive brain storming. Be a friend to your teen: Your teen is grown up enough to learn the real life aspects. Now he needs friends and supporter more than guides. You also have to provide them the comfort like friends so that your teen can open up with you.Encourage your child to express his/her anxiety: Ventilation is the best treatment technique for stress and anxiety. Make your teen so comfortable with you that they feel free to share their tensions and worries with you. Always try to keep them in your confidence, and a non-judgmental way is the best way of dealing with emotions.Tell your child that it is okay to be imperfect: there is nothing like perfect or imperfect, it is all about understanding. No one is superman and can be good in every aspect. Degree of excellence varies and that is the beauty of life. Focus on the positives: Rather than counting the weaknesses better highlight the positives and always encourage your teen to stay positive. Your teen must be good in many activities, boost him/her according to their choices. Reward your child's brave behaviours: Reinforcement is the best way of behaviour modification and a healthy living.  Always make your teen feel good about his achievements by suitable rewards but make sure that rewards should not convert in to bribe.Help your child to problem solve: Do not jump into their problems to solve them, instead encourage your child to think for the possible solutions and support them by being by their side.Be vigilant about his/her surrounding: Bullying may be another reason for teens to think the child about committing suicide. Try keeping eye on such activities and train your child about bullying, its side effects and the ways of dealing with it. Stay calm: Anxiety and stress can never help in solving a problem. Children imitate their parents in their way of dealing with situations. Your relaxed dealing will inculcate the same behavior in them. Don’t forget-Calm decisions are much wiser. Practice relaxation exercises with your child:  A healthy mind stays in a healthy body. So to keep your teen’s mental health intact, you have to motivate him/her to stay physical healthy.  Encourage good sleep hygiene:  Physical health leads to psychological well-being, so it is your responsibility to sensitize your teen about it and play as a role model to them.Never give up: Teach your child to never lose heart because ever problem comes with its solution in one way or the other.Children are most precious to the parents, don’t lose them“ Problems grow weaker, when the love is deeper”