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Sunday, 16 September 2012

Findings of a survey on Teens ...

TEENS ‘LONELY’ DESPITE SOCIAL NETWORKING
Violent outbursts and stroppiness mask underlying loneliness and despair among the young and connected, shows a Fortis Healthcare Survey

NEW DELHI: Teen angst is far more real than perceived, with one in five students aged 13 to 19 saying life is not worth living, found Fortis Healthcare’s Teen Suicide Survey of 2,364 school-goers. One in four said their families would be better off without them.
      “Our survey underscored the loneliness and isolation in the Facebook and smartphone era, where teens are connected yet isolated because of the superficiality of the status update,” said Dr Samir Parikh, director of the department of mental health and behavioural sciences at Fortis Healthcare. Social media, in fact, help mask isolation and depression. “They cannot replace empathy and attachment behaviour,” said Dr Parikh. I hate you all and I want to die.” Emotional outbursts and raging tantrums accompanied by much door-slamming are pretty much a part of the life of every teenager and, by extension, their friends and family. That’s perhaps why most of us shrug off these rants as melodramatic overreaction to anything and everything and complacently assume that when the hormonal spike peters out, so would the angst.
In most cases, the trauma does vapourise almost instantly and the everything is right with the world in a day or two. Friends and family, however, need to watch out darker signs of underlying hopelessness that could point to an emerging emotional breakdown leading to self-harm and, in some cases, suicide.
     One in three 13 to 19 year olds find life too hard to cope with and one in four think — albeit once in a while — that their families are better off without them, found Fortis Healthcare’s Teen Suicide Survey. For the survey, a representative sample of 2,364 school-going teens were questioned online and interviewed by the department of mental health and behavioural sciences, Fortis Healthcare, which also collated the data.
“The findings highlight the loneliness and social alienation of teenagers even in the era of social networking and instant connectivity,” says Dr Samir Parikh, director, department of department of mental health and behavioural sciences, Fortis Healthcare.
“While Facebook and other social media are an excellent for sharing, it has also led to emotions being reduced to a status update. “Like-dislike’, “I’m low-I’m in a party mood,’’ “friends-frenemy”… The easy labelling has led to the lowering of emotional bonding and empathy that comes with sharing time together, leading to physical isolation and despair even among young people who seem to have more friends than they can keep track of,” says Dr Parikh.
     So intense is the loneliness that one in three — 31% — teens feel that no one can help them with their problems and almost two in three — 62% — not having spoken to anyone about their thoughts and feelings, showed the Fortis Survey. Interestingly, among those who had vented, more than half (55%) turned to their friends for help.
Though dark and dreary moods rarely convert into self harm, there is no taking away from the fact that even with the wide under-reporting — largely because attempt to suicide is punishable with imprisonment under Section 309 of the Indian Penal Code — India has among the highest in the world, with to about 1.87 lakh people killing themselves in 2010. Recognising that attempt at selfharm is driven by despair and helplessness and not criminal intent, the Law Commission of India has recommended that attempt it be decriminalised.
      Most people who hurt themselves are likely to do it before the age of 30. The Registrar General of India’s data shows 3% of causes of death surveyed (2,684 of 95,335) in people 15 years or older were suicide, of which 40% of all suicides in men and 56% in women occurred at ages 15-29 years, reported Vikram Patel from The London School of Hygiene and Tropical Medicine in the Lancet.
      “Emotions are intensified in adolescents by a complex interplay between genetic, biological, psychiatric and psychosocial factors, which take a trigger to push a child over the edge,” says Parikh. These factors hold true across the world, reports another Lancet study on self harm and suicides in teens.
      “You have to watch out for the red flags — looking dejected for a couple of weeks, persistent irritability, social withdrawal etc — and engage with teenagers to ensure they do not get trapped into a vortex of despair,” says Dr Rajesh Sagar, additional professor, department of psychiatry, All India Institute of Medical Sciences, New Delhi.

  
         A representative sample of 2,364 school-going teen-agers was selected randomly. A structured survey, comprising 20 questions, was used to understand the different variables associated with depression and suicide. A gender and age comparison was done, with the age ranging between 13 and 15 years (teenagers in early adolescence) and between 16 and 19 years (teenagers in late adolescence). The results were tabulated using appropriate statistical measures.


Sanchita Sharma, Health Editor,   Hindustan Times (Mumbai)          16 Sep 2012


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Dealing with a teen’s dark despair

                                 Teenage is the most stressful days of our lives,” my son, 15, announced when I mentioned the ‘what-I-thought-were-shocking but-psychiatrists-said-were-humdrum’ findings of the Fortis Healthcare’s Teen Suicide Survey over dinner last night.
“Not quite, adults have as many stresses,” I defended. “Well, if you have your job, house and car in place, you have nothing to worry about. We have exams and relationships,” he said with a Zen-like finality.
     “We have relationships too,” I mumbled. “Yeah, but you all have dumped people and been dumped, you are used to it. There’s nothing like your first relationship breaking down. Kids go nuts with grief, this ‘seventhy ’— a class 7 student, to those unfamiliar with school slang — I know went to pieces,” he said.
     Though the image of an 11-year-old weeping over lost true love may make some of you snicker, my son’s words pretty much put teen angst in perspective. Every emotion and experience teens undergo is heightened as they struggle to adjust to the hormonal and physical changes in their bodies.
     My first encounter with suicide was when a class 8 student in my brother’s upscale public school in Delhi jumped off the roof because he had done badly academically and an insensitive teacher had told him he could not let his parents down this way, more so because he was adopted. Instead of going home to his very caring parents, the despair of being not good enough made him to jump off the roof.
     My visibly shocked brother said he was a great kid with really understanding parents who did not pressurise him to excel at school. They were obviously shattered and could not understand why a careless — I still think it was insanely criminal — remark by a teacher their son did not care about could make him take his own life. She didn’t like him, he’d always said, and he’d appeared to shrug off her rants in the past. No one knows what thoughts went through his head as he climbed the three flights of steps to the roof to take his own life.
      Several factors come together to make teens more vulnerable to emotional meltdowns, show more than one international studies. The Lancet series on suicides puts it down to biological changes (such as imbalances in serotonin, the ‘happy’ hormone that regulates mood), personality traits such as being impulsive or over-achieving, and poor social problem-solving skills, which combine with real-life crises (getting dumped, parents separating, etc) and psychiatric disorders (depression). Permutations and combinations of these factors make teens feel defeated and trapped more easily than adults.
      Girls are twice as likely as boys to fall into a downward mood spiral as they undergo far more hormonal changes during their teens. Depression in young people often coexists with other mental disorders such as anxiety and disruptive behaviour, or illnesses such as diabetes, reports the American Journal of Psychiatry.
       The problem, as always, is spotting the red flags in time and helping them get out of the funk without being intrusive. It’s tough to tell someone — especially an explosive teen — that they are overreacting and they need to take things easier. The way to do it is to invite them to talk — “You look low. Things okay?” — or simply telling them you’re around 24x7 for crisis calls. It works. Sometimes I get calls at really odd hours from strangers I’ve met for an article just because they need to vent.


For many, talking to dispassionate stranger than friends or family works better, so do consider counselling for teens if the dark despair doesn’t show signs of clearing up in a week or two.


Sanchita Sharma, Health Editor,   Hindustan Times (Mumbai)          16 Sep 2012
Courtesy (visited 16.9.12)


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