Mental health Check
The public health concern is increasing with the recent rise in the number of COVID-19 cases in Nepal. To curb this pandemic, Nepal is facing some forms of lockdown, encouraging people to implement social distancing so as to reduce interactions between people which could eventually reduce the possibilities of new infection; however, it has affected the overall physical, mental, social, and spiritual health of the people.

The COVID-19 pandemic has brought serious psychological impact among health workers, students and the general public around the globe.
The pandemic-related restraints, such as spatial distancing, isolation and home quarantine, are impacting on economic sustainability and wellbeing, which may induce psychological mediators such as sadness, worry, fear, anger, annoyance, frustration, guilt, helplessness, loneliness and nervousness.

In the first nationwide lockdown, a total of 487 people committed suicide, which is 20% more compared with mid-February to mid-March, when the number stood at 410 (My Republica, 2020b). The data compiled by Nepal Police shows that, from the onset of lockdown, 23 March till 6 June, a total of 1,227 suicide (16.5 a day) cases were filed, which is seriously high compared with the total of 5,785 people (15.8 a day) in the previous year (The Kathmandu Post, 2020e). The deceased had used burning, stabbing, drowning, jumping from heights as major ways of attempting suicides; while the exact cause of death remains unknown, psychiatrists have linked it with the mental health of people who have been forced to stay indoors during lockdown. The sudden economic recession, unemployment, poverty, social isolation and economic distress might lead individuals to contemplate suicide. While Nepal faces a total of 23 deaths (until 21 June) due to COVID-19, the suicidal rate is higher by several folds, alarming the mental health status of people and the sudden need to address them. As self-harm is predominantly found among adolescents, an upsurge of self-injurious and suicidal behavior in the youth requires urgent attention (Fegert et al., 2020). The government and nongovernment agencies are running several helplines to provide mental health counseling over the phone; however, as the risks to mental health rise, there is urgent need to increase investment in mental health services. The WHO has already predicted the rise in the number of mental health problems due to the global pandemic; during this time, the government should focus on addressing the mental health wellbeing of the Nepalese people.

The economic downturn caused by COVID-19 can increase the economic instability, health inequalities and social disparities in Nepal, which can have a huge impact on the poverty levels. While the lockdown has affected traders, especially people with small shops and those with limited sources of income, the poor, marginalized people and daily wagers are more vulnerable. Research has shown that a pandemic like COVID-19 can result in increased mental burden to marginalized or low-income people via socioeconomic disadvantage such as job insecurity, housing instability, discrimination and food insecurity.

The lockdown curfews, self-isolation, social distancing and quarantine have affected the overall physical, mental, spiritual and social wellbeing of the Nepalese.

Please take a few minutes to fill out this survey on the overall status of your mental health. We value your feedback and your responses will be kept confidential. Thank you for your input.
Mobile Number (मोबाइल नम्बर)
Email (ईमेल)
Your age (तपाईँको उमेर)
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Gender: *
Which age category do you currently fall into? (तपाई कुन उमेर कोटीमा पर्नुहुन्छ? ) *
During the past weeks, have you had any problems with your work or daily life due to your physical health?(पछिल्ला हप्ताहरूमा, तपाईको शारीरिक स्वास्थ्यको कारण तपाईको काम वा दैनिक जीवनमा कुनै समस्या आएको छ?)
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Overall how would you rate your mental health?(समग्रमा तपाई कसरी आफ्नो मानसिक स्वास्थ्य लाई दर्जा दिनुहुन्छ?)
Have you felt particularly low or down for more than 2 weeks in a row?(के तपाईंले विशेष रूपमा कम वा तल लगातार २ हप्तासम्म महसुस गर्नुभयो?)
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Are you employed at the moment? (तपाईं यस समयमा कार्यरत हुनुहुन्छ?)
You live alone ? (तपाईं एक्लै बस्नुहुन्छ?)
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If yes how many people currently live (with you) in your home? (यदि हो भने हाल तपाईंको घरमा कति जना मानिसहरू बस्छन् (तपाईंसँग)?)
How many hours per day did you typically (on average) spend outside of your home/residence before the lockdown began? (प्रति दिन कति घण्टा तपाईं सामान्यतया (औसतमा) तपाईंको घर / निवास बाहिर लकडाउन सुरु हुनु अघि खर्च गर्नुभयो?)
How many hours per day did you typically (on average) spend on social media? (तपाईले प्रति दिन कति घण्टा सामाजिक मिडियामा खर्च गर्नुभयो?)
How many hours per day are you able to spend outside (in the garden, on your property, outside your dwelling) on average during the lockdown? (दिनको कति घण्टा तपाईं लकआउन्डको समयमा औसतमा (बगैंचामा, तपाईंको सम्पत्तीमा, तपाईंको बासस्थानमा) बाहिर खर्च गर्न सक्षम हुनुहुन्छ?)
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Do you think that the lockdown is a good idea? (के तपाईंलाई लाग्छ कि लकडाउन एक राम्रो विचार हो?)
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How stressed did you feel BEFORE the lockdown started? (लकडाउन सुरु हुनुभन्दा पहिले तपाईले कत्ति तनाव महसुस गर्नुभयो?)
How stressed do you feel AT THE MOMENT? (यस क्षणमा तपाई कतिको तनावग्रस्त हुनुहुन्छ?)
Have you faced any specific challenges during the lockdown period? Please select as many as apply from the list below: (के तपाईंले लकडाउन अवधिको अवधिमा कुनै खास चुनौतीहरूको सामना गर्नुभयो? कृपया तल सूचीबाट धेरैलाई लागू गर्नुहोस्:)
During the lockdown, I have communicated with others by doing one or more of the following (select as many as apply to you): (लकडाउनको क्रममा, मैले अरूसँग निम्नमध्ये एक वा बढी गरेर कुराकानी गरेको छु (धेरै जसो तपाइँलाई आवेदन दिन चयन गर्नुहोस्):)
During the lockdown, I get my Covid-19 updates and information from the following sources (select as many as apply):(लकडाउनको क्रममा, म मेरो कोविड १ updates अद्यावधिक र निम्न स्रोतहरूबाट जानकारी प्राप्त गर्दछु (लागू हुने जति चयन गर्नुहोस्):)
During the lockdown, I feel better after I have: (select as many as apply) (लकडाउनको बखत, मसँग भए पछि मलाई राम्रो लाग्छ: (धेरै जसरी लागू गर्नुहोस् चयन गर्नुहोस्))
Little interest or pleasure in doing things ? (थोरै चासो वा कुरा गर्नमा खुशी?)
Feeling down, depressed, or hopeless ? (निराश, निराश वा निराश महसुस?)
Trouble falling or staying asleep, or sleeping too much ?(समस्या झर्नु वा निदाउन, वा धेरै निदाउन?)
Feeling tired or having little energy?(थकित महसुस भएको छ वा थोरै ऊर्जा भएको छ?)
Poor appetite or overeating ? (खराब भोक वा बढि खुवाई?)
Feeling bad about yourself - or that you are a failure or have let yourself or your family down?(तपाईको बारेमा नराम्रो लागी - वा कि तपाई असफल हुनुहुन्छ वा आफैले वा तपाईको परिवारलाई निराश पार्नुभएको छ?)
Trouble concentrating on things, such as reading the newspaper or watching television ? (कुनै चीजमा ध्यान केन्द्रित गर्न समस्या, जस्तै अखबार पढ्ने वा टेलिभिजन हेर्ने?)
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.? (यति बिस्तारै सार्दै वा बोल्दा अन्य मानिसहरूले याद गर्न सक्दछन्। वा विपरित - यति दर्दनाक वा अस्वस्थ छ कि तपाईं सामान्य भन्दा धेरै बढ्दै हुनुहुन्छ।?)
Thoughts that you would be better off dead, or of hurting yourself.? (तपाईं मरेकाहरूबाट स्वतन्त्र हुनुहुनेछ, वा आफैलाई चोट पुर्‍याउने विचारहरू।?)
This test is for doing yourself or for others (यो परिक्षण तपाईको लागि वा अरुको लागि हो?
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Thank you for taking the time to complete your Personal Assessment. I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. (तपाइँको व्यक्तिगत आकलन पूरा गर्न समय लिनुभएकोमा धन्यवाद। म यहाँ घोषणा गर्दछु कि यस अनुप्रयोगमा दिइएको जानकारी सही र मेरो ज्ञान र विश्वासको उत्तममा सही छ।) *
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