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Lifestyle increasing cancer

Pratigya Waiju

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KATHMANDU—Smoking, chewing tobacco, poor diet and lack of exercise are the leading risk factor for increasing cancer cases.

Nepal’s two biggest cancer centers, BP Koirala Memorial Cancer Hospital (BPKMCH) in Bharatpur, Chitwan and Bhaktapur cancer Hospital (BCH) in Kathmandu Valley, recorded a total of 19,433 new cases in 2017.

BPKMCH, which started with 100 beds in 2000, recently added 34 new beds, bringing the total number of beds to 228; following a rise in the number of cancer patients.

Lung cancer is the most prevalent cancer among Nepalis, followed by cervix and uteri, breast, stomach, gallbladder, ovary, oesophagus, urinary bladder and thyroid.

Among men, smoking and drinking from early age and chewing tobacco and betel nuts are attributed as the major contributors of Ear, Nose and throat (ENT) cancer.

Both indoor and outdoor pollution are also significant factors affecting people who work in those conditions the most.

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Suicide can’t be predicted by asking about suicidal thoughts : Study

Gorkha Post

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Most people who died of suicide deny they experience suicidal thoughts when asked by doctors in the weeks and months leading up to their death, a major Australian study has found.

The findings, co-authored by clinical psychiatrist and Professor Matthew Large from UNSW’s School of Psychiatry, Sydney that published in the journal BJPsych Open The meta-analysis challenge the widely-held assumption that psychiatrists can predict who will suicide by asking if they are preoccupied with thoughts of killing themselves.

The study showed that 80% of patients who were not undergoing psychiatric treatment and who died of suicide reported not to have suicidal thoughts when asked by their psychiatrist or GP.

“If you meet someone who has suicidal ideation there is a 98 per cent chance that they are not going to suicide,” said Professor Large, an international expert on suicide risk assessment who also works in the emergency department of a major Sydney hospital.

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“But what we didn’t know was how frequently people who go on to suicide have denied having suicidal thoughts when asked directly,” he added.

“This study proves we can no longer ration psychiatric care based on the presence of suicidal thoughts alone. We need to provide high-quality, patient-centred care for everyone experiencing mental illness, whether or not they reveal they are experiencing suicidal thoughts,” Professor Large said.

About one in 10 people will have suicidal ideation in their lifetime. But the study showed suicidal ideation alone was not rational grounds for deciding who gets treatment and who does not, Professor Large said.

“We know that suicide feeling is pretty common and that suicide is actually a rare event, even among people with severe mental illness,” Professor Large added.

Suicidal ideation tells us an awful lot about how a person is feeling, their psychological distress, sometimes their diagnosis and their need for treatment but it’s not a meaningful test of future behaviour.

Suicidal feelings can fluctuate rapidly and people may suicide very impulsively after only a short period of suicidal thoughts.

But, people had good reasons not to disclose thoughts of suicide, fearing stigma, triggering over-reactions or upsetting family and friends, and being involuntarily admitted for psychiatric treatment, Professor Large said.

Professor Large emphasized that clinicians should not assume that patients experiencing mental distress without reporting suicidal ideas were not at elevated risk of suicide.

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