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Attendees are routinely invited to complete questionnaires assessing their emotional wellbeing and are informed about the free counselling services offered. It's part of a proactive approach to tackle depression, anxiety and low self-esteem, and remove stigma by teaching people such feelings "are as common as diabetes", says counsellor Haimraj เสื้อครอบครัว 4 คน Hamandeo. Image caption Haimraj Hamandeo says art therapy can help reduce suicidal tendencies Participants are predominantly aged 25 to 45, and 75% are female. "Females are more open to assistance," Mr Hamandeo continues. "They're also more likely to attempt suicide; men are more likely to be successful at it." Opinion on just why Guyana tops the global suicide list is divided. A panel discussion organised by the University of Guyana to mark World Suicide Prevention Day in September cited relationship issues, political upheavals, poverty and high crime as contributory factors. Indo-Guyanese account for 80% of suicides, despite making up just 40% of the population in the six-race nation. Most are aged 15 to 34, with almost four men to each female. Poisoning by agricultural pesticides accounts เสื้อคู่แขนยาว for 65% of cases while one in five is by hanging. Image caption Suicide is particularly prevalent in Guyana's rural agricultural communities like Zorg-En-Vlygt For each successful suicide, there's up to 25 more attempted cases, says Dr Bhiro Harry, head of psychiatry at Georgetown Public Hospital. "Many Indo-Guyanese are farmers so they have easy access to lethal pesticides," he explains.