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Suicides in Hong Kong
Opinion

It’s time to talk openly with Hong Kong’s youth about suicide and stress

Anisha Abraham says it’s vital to understand the related problems of stress and depression among Hong Kong’s young people, and how to deal with them. Equally important, our youth must be encouraged to open up about their feelings and learn to handle adversity

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Many students in Hong Kong report being regularly stressed. Studies have shown chronic stress during childhood can have lifelong negative effects on the developing brain. Photo: EPA
Anisha Abraham

There has been a startling number of suicides among young people in Hong Kong in the past few weeks. The spate has helped spur discussion about stress and depression and the need for change. As a paediatrician and teen health expert, I have spent the past two weeks speaking to young people in the city’s secondary schools about stress, identifying strengths and cultivating resilience. From my discussions, it’s clear some of our students are struggling with issues and need a way forward.

While the actual suicide rate among those aged between 15 and 24 in Hong Kong has increased only slightly over the past five years, the number of teens who report being depressed is of concern. A citywide survey found that nearly half of secondary school students showed signs of depression. From our pilot study of incoming students at Chinese University, nearly a third reported having depressive symptoms in the past five years and 7 per cent had been suicidal, but very few have ever been screened or counselled for mental health concerns.

Speaking out on teen suicide: ‘success’ in Hong Kong doesn’t have to be do or die

Why are kids in Hong Kong reporting high levels of depression, attempted suicide, cutting and other behaviour? Having lived in Hong Kong for years and recently moved to the Netherlands, a few key factors stand out. One is the pressure to perform well academically. When speaking to students, they uniformly agreed that academic pressure is one of the top reasons for stress. One told me that parents often set unrealistic expectations. She cited a friend whose mother would severely chastise her for any grade lower than an A. Another teen told me that he sometimes receives text messages from friends who are thinking about hurting themselves because of the pressure to fit in and to do well.

Poignant suicide notes show how teens in Hong Kong are crumbling under the burden of expectations

A second factor is the lack of downtime. Students are often required to go from one tutorial or activity to another, with a rare break for relaxation.

We’re not adequately preparing young people to face failure or rejection and to be resilient

A third issue is the difficulty for young people to openly communicate their feelings of worthlessness and frustration to others, and the stigma that exists about having an issue and receiving counselling. One student disclosed she had been cutting herself for a year, but was afraid to tell her parents.

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Another factor is the significant use of social media and the internet. Quite a few of the students I spoke to knew someone who was often on social media or video game sites. The heavy use of “screen time” may lead to disengagement from regular interactions and contribute to feelings of poor self-worth and addiction.

Yet another concern is that we’re not adequately preparing young people to face failure or rejection and to be resilient. I’ve seen students fall apart once they joined university or started a job because they didn’t know how to handle having poor grades, conflict or face other challenges.

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Members of a suicide prevention committee call for a high-level government task force to tackle the issue, at a gathering outside the Central Government Offices last month. Photo: Dickson Lee
Members of a suicide prevention committee call for a high-level government task force to tackle the issue, at a gathering outside the Central Government Offices last month. Photo: Dickson Lee
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