Preliminary experience with the transoral endoscopic thyroidectomy vestibular approach in selected complex cases: a case series and literature review.

“Why suicide?”, cries of friends and loved ones of the deceaseds dead by suicide. Filled with feelings of frustration, guilt and self blame thinking there is something they should have or could have done to prevent their loved one from ending their own life [, ]. Suicide is a major public health issue, with long‐lasting and severe effects on families, friends, and communities []. The World Health Organization's Gap Action Program of 2008 recognized suicide as a priority for targeted attention and action []. Globally, suicide leads to more than 800,000 deaths per year, with a considerable number occurring among young individuals aged 15–29 years [, , ] an increasingly active subgroup of this young population being university students []. The issue of suicide among young people, particularly university students, is a concerning public health problem [], with a lifetime prevalence of suicide ideation reported at 46.4% []. Suicide ideations are defined as thoughts, thinking about, considering, or planning to take one's own life. Suicide ideations and attempts are strong predictors of suicidal deaths []. These ideations encompasses both passive (desire to die without a plan) and active (desire to die with a plan) forms, with both strongly predicting suicidal deaths []. Suicide ideations are important and occur far more frequently prior to any suicide attempt, with death by suicide being the tip of the iceberg [, ]. A study conducted among students in Sub‐Saharan Africa, reported Zambia to have the highest prevalence of suicide ideations at 31.9% []. The transition into university life can be overwhelming for many individuals, as this period marks a significant psychological, social, and environmental change. Transitioning into university life frequently involves moving away from ones parental home, and a change in daily routines. These adjustments can make it difficult for students to adapt to academic life, increasing the likelihood of experiencing depressive emotions such as loneliness and despair [, , , , , ]. The overwhelming cognitive and social change characterized by negative beliefs about the future and perceived inability to cope has the ability to make students experience hopelessness, which is a pessimistic outlook on the future and is associated with suicide ideations [].