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Reproductive health issues common among rural women in Sindhupalchok

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CHAUTARA— A large number of women from rural areas in Sindhupalchok are found suffering from various sorts of reproductive health issues including cervical cancer infection.

Generally, rural women in Sindhupalchok do not visit health facilities or health professionals till they become bed-ridden.

Bearing this bitter reality in mind, Chautara Sangachokgadhi Municipality on Monday organised a free health camp at Sangachok, Sangachokgadhi -12, targeting such section of women.

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A seven member medical team led by cancer prevention specialist Dr Kishor Pradhananga from the BP Koirala Cancer Hospital, Bharatpur in Chitwan arrived here to conduct a free health camp where 300 women underwent health checkups.

Out of 180 women tested for the cervical cancer, 150 were found contracting infection for the fatal disease and three were diagnosed of living in a window period.

The camp organised by the local government was coordinated by the Thaha Foundation.

Likewise, a total of 202 women underwent checkup for breast cancer and three suspected cases were detected and three had lumps on their breasts.

A total of 2,500 individuals were given health counseling and 200 were provided medicines at free of cost, according to municipality deputy mayor Januka Parajuli.

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

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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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