http://www.hindu.com/2005/05/03/stories/2005050303451300.htm

Suicides by HIV positive patients in Mumbai 

Meena Menon 

People feel there is a feeling of neglect  


MUMBAI: : At around 7 a.m. on April 19, 28-year-old Sanjay (name 
changed) jumped off the fifth floor of the government-run J. J. 
hospital in South Mumbai. Sanjay had tested HIV positive two days 
earlier. Sources point out that no one noticed that he was missing 
from the ward where he had been admitted and added that he was lying 
unnoticed where he had fallen, for two hours. 

Sanjay's was not the only suicide in J. J. hospital in April. The 
day after this incident, another HIV positive patient, who was 
admitted in the same ward with a respiratory infection, jumped off 
the fifth floor, injuring himself. He died soon after. 

The day before Sanjay died, an unemployed sweeper who was HIV 
positive, had committed suicide in Mulund, a northeastern suburb of 
Mumbai. With three suicides that are HIV related in April, the focus 
is once again on the kind of services that are being provided to HIV 
positive people and the efforts that are being made to ensure they 
have the capacity to cope with their situation. 

Apex institution 


The National AIDS Control Organisation (NACO) identifies J. J. 
Hospital as an apex institution for AIDS management. It is funding a 
range of services there, including an anti-retroviral (ARV) unit 
that treats people free. The hospital has experts in the field and 
also houses an autonomous AIDS Research and Control Centre (ARCON), 
specialising in counselling services. J. J. Hospital has been 
treating HIV positive cases since 1989. There are no exclusive wards 
for HIV positive people. 

Dean of J. J. Hospital Pravin Shingare told The Hindu that Sanjay 
lay unnoticed for only 15 to 20 minutes. He clarified that his 
absence had been noticed in the ward and the staff had informed the 
police that the patient was absconding. He says there are two 
reasons for these suicides. People feel they will not be cured and 
there is a feeling of neglect. "There is a psychological breakdown; 
the brain is affected and they get suicidal," he says. 

In this context, care and support services become crucial. The NACO 
supported anti-retroviral (ARV) unit at the J. J. hospital, treats 
people free of cost. There are about 1,600 people on ARV at the 
hospital already. It treats about 100 HIV positive people a day, of 
the total 1,300 out-patients. 

Proposal 


Manisha Sen, project director of ARCON, says that after the 
suicides, the centre was looking at a proposal to collate services 
with the hospital. "There is an acute lack of good counselling 
services. You need proper clinical psychologists, a unified approach 
and a team of people including a social worker, and a clinician as 
well," she said.

http://ww1.mid-day.com/news/city/2005/april/107906.htm

 JJ gets counsellors for HIV patients
   By: Resha Desai 
   April 22, 2005 
---------------------------------------------------------------------
-----------
"Out of the 16 HIV positive patients in JJ Hospital's ward 7, two 
have had thoughts of suicide. 

Six patients are showing signs of depression," said Dr V Kale, 
associate professor, department of psychiatry, Grant Medical 
College, who has been asked by Dr P S Shingare, dean, JJ Hospital, 
to start a new counselling programme for HIV positive patients at 
the hospital. 

These figures have rattled JJ Hospital authorities especially in 
light of the three recent suicides by HIV patients.

Dr Kale added that, "Half the HIV+ patients are not mentally 
disturbed at having AIDS. 

A four-member team conducted intensive counselling sessions for the 
patients of ward 7 yesterday and prescribed anti-depressant drugs 
for some patients. These cases will be reviewed in eight days." 

Dr Shingare says there will be counselling sessions at least twice a 
week. "We want to encourage peer group counselling by inviting HIV 
positive counsellors from various NGOs — which should help our 
patients."

The counselling is not restricted to the patients. The hospital is 
also holding special training programmes for doctors, nurses and 
ward boys so that they are able to deal with HIV+ patients better.

"Grills and shutters will also be put up on open windows. We may 
also relocate ward 7 from the fifth floor to the second," adds Dr 
Shingare. He hopes this will foil any suicide plans. 

Heavy security will also be posted outside the ward for at least two 
to three weeks. "After that we will review the situation and see how 
effective this measure has been," says Dr Shingare. 

Meanwhile, S Shetty, state minister for medical education, technical 
education, higher education and tourism, visited the hospital 
yesterday to review the situation and inspect the premises
 
 










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