Suicide in Hong Kong

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In 2017, the suicide rate in Hong Kong was around 12 deaths per 100,000 people and ranked 32 in the world standing, which was its lowest rate in four years. The suicide rate for males was nearly double that for females, as it was 16.2 deaths per 100,000 males, and 8.8 deaths per 100,000 females. Although it has decreased slightly compared to previous years, for those aged 19 or younger it has risen by 50%. [1] The Samaritans Hong Kong charity has described the issues as worthy of attention.[ citation needed ]

Contents

Factors in suicide include the Hong Kong education system and pressure from families. [2] [3] The Hok Yau Club (a Hong Kong public charity and a member of the Hong Kong Council of Social Service) mainly serves young students and provides counselling services. It also organises various extracurricular activities. Deputy director-general Wu Baocheng believes that current social values are the main source of student pressure: "This competition starts from kindergartens, the first things students learn in school was to score full marks in all tasks, instead of building up their own personality." He also mentioned that the reasons for success in the Hong Kong education system was due to the competitive learning environment.

Flag of Hong Kong Flag of Hong Kong.svg
Flag of Hong Kong

The suicide rate among students is relatively high. According to research from City University, almost one-third of teenagers (age 10–14) in Hong Kong have been identified as potentially suicidal. [4]

Hong Kong Hong Kong Night Skyline.jpg
Hong Kong

Statistics

Age

The percentages for suicide rate by age group in Hong Kong remained similar from 2012 to 2016, as they were to suicide rates by age group in the world. [5] Teenage suicide has been an increasing situation, from 52 people committing suicide in 2014, to 75 people in 2015. There have been 6 cases in which suicide notes indicate the death to be academically related. The remaining causes of death include emotional problems, family problems, an unsatisfactory life (peer pressure and disputes with relatives and friends, etc.), health problems. At a rough estimate, every 9.3 days a teenager in Hong Kong (under the age of 24) will end their life. [6]

Number of Suicides by Age Group in Hong Kong (2012–2016)
Age20122013201420152016
Less than 1533627
15–247366526875
25–34137143110109126
35–44156142161158126
45–54163172169155143
55–64132171149169154
65 and above251241266263283

Gender

Since 2000, men have a suicide rate that is roughly twice as high as women. [7] According to a study, this is due to men feeling more responsibility and pressure in Hong Kong’s society than females (in the working culture of Hong Kong). Some studies and research show that females treat suicide as a protest or declaration of sovereignty, while males commit suicide with a firm will.

Number of Suicides by Gender in Hong Kong (2000–2016)
Gender20002001200220032004200520062007200820092010201120122013201420152016
Male546647741831665614576587577616605535566584567588595
Female356382369433388382359322400367364332351355347336324
Overall9021029111012641053996935909977983969867917939914924919

Compared to the world’s suicide rate by gender, these percentages are similar to other countries, especially when compared with other Asian countries. [8]

Method

There are four common suicide method in Hong Kong; jumping, poisoning, hanging, and charcoal burning, for which most of the materials required are easily accessible. The percentages for method of suicide are similar for the years 2000 to 2016, and jumping from a height accounts for 50% of suicides. As Hong Kong's buildings are typically built with multiple floors, jumping is a relatively 'easy' method. [8]

Suicide methods in Hong Kong (2000–2016)
Method20002001200220032004200520062007200820092010201120122013201420152016
Others5.95.654.94.44.25.34.45.28.45.45.57.25.17.95.27.5
Poisoning5.43.73.942.933.23.44.213.13.34.42.72.74.13.5
Charcoal Burning19.524.925.125.421.721.417.615.717.118.214.114.513.215.414.71411.8
Hanging25.721.423.119.520.921.621.722.721.420.721.922.424.625.623.223.722.4
Jumping43.544.54346.250.149.852.153.852.151.755.554.250.651.251.55354.8

Student suicides

The Chinese University of Hong Kong Chinese University of Hong Kong Xiang Gang Zhong Wen Da Xue .JPG
The Chinese University of Hong Kong

Since March 2016, the death toll has started to climb. Statistics show that in 2017, the number of suicides among young people under the age of 19 was 36, 50% more than 24 in 2016. Paul Yip, founding director of the Centre for Suicide Research and Prevention at Hong Kong University, discussing the education environment and the traditional Asian family expectation to their kids are the major factor to the student's suicide. [9]

Tide of Student Suicides in 2016

The "Tide of Student Suicide" began in the 2015/16 school year. Student suicide cases have become more frequent than before, and have since drawn the attention of the media. In the first 9 days of March, there were 7 cases, 3 of which were from The Chinese University of Hong Kong. As of the beginning of the school year in September 2015, the number of suicides and attempted suicides were as high as 20 cases.

On March 21, 2016, the Legislative Council Education Affairs Committee held a special meeting regarding student suicide. The Secretary for Education, Mr. Eddie Ng Hak-Kim said that in consideration of the urgency of the incident, he decided to allocate $5 million to the special services and provide a $5,000 "Special Allowance for the "Family and School Co-operation Scheme" to all primary and secondary schools in Hong Kong. The Parent-Teacher Association organised "Parent-teacher and Parent-child" activities to support students' mental health.

Some government members criticised the existing education system for the suicides and asked Mr.Ng to review the education policy in order to reduce the pressure on school children. Michael Tien, from The New People's Party, said, "Students nowadays have to stay in school for around 10 hours. Students have to do 7 to 10 hours of homework on average, and 23 homework assignments have been issued during the holidays." Mr.Ng responded that he had discussed the problem to the school and thought that the amount of homework was too much. Mr.Ng claimed, "If there were 23 (assignments) set, please show (evidence)."

Teacher suicide cases

In 2019 March, A 48-year-old primary school teacher jumped from the sixth-floor corridor of the school she worked in, in the morning at 7:30 am. [10] Her younger brother said that she was suspected to be affected by work pressure before her death and that the principal had many unreasonable demands. She was not able to take sick leave and had no time to visit the clinic. Moreover, the principal did not propose a suicide treatment plan or condolences for the teacher’s family. The principal was later sent to a mental hospital as she could not withstand the pressure of public opinion. McCarthy shows that the education system in Hong Kong carries a high pressure on students, also to the teachers. [11]

Government response

The Hong Kong Special Administrative Region Government provided five major measures to help students in September 2016. The five major measures are as follows: Firstly, Set up a task force to comprehensively understand the causes of suicide analysis and propose prevention methods. Secondly, hold five regional seminars to arrange educational psychologists and student counselling professionals to introduce methods for preventing suicide and discriminating students with problems; Thirdly, Organizing teacher lectures to teach methods and related support for identifying problematic students; Fourthly. Establishing a dedicated team within the bureau to invite educational psychologists and counselors to provide support to schools with special needs; Finally, Schools, parents With the students as the object, make a small knowledge kit. [12]

The Education Bureau has allocated additional resources to support schools to provide quality education funds of up to HK$200,000. Organize the "Good Mood @ School" program to promote mental health and raise students' awareness and awareness of mental health in schools. Increase more resources in order to implement other work. [13]

The Secretary for Education, Mr. Eddie Ng Hak-Kim, cited the report of the Suicide Prevention Committee on October 14, 2016, saying that the suicide of college students stemmed from the lack of career planning, and students nowadays are not able to handle their pressure and give up their life easily.

Helplines

The Samaritans Hong Kong

The Samaritan Hong Kong is a non-profit and non-religious group which providing confidential emotional support to people who are suicidal or are in general distress. This services available for everyone regardless of age, creed, ethnicity, gender or sexual orientation. The Samaritans is providing 24-hour multilingual hotline service which is operated by unpaid and trained volunteers. Since 1974, they have received more than 570,000 phone calls from callers ranging in age from 8 to 80.

The purpose of the Samaritan Society is to provide emotional support to those who are desperate or suicidal. Samaritan believe that everyone has the right to control their own destiny – including ending their lives. Samaritan will not suggest what you should do also will not evaluate who you are. Providing emotional support for whoever unconditionally.

History of The Samaritan Hong Kong

The Hong Kong Samaritan Suicide Prevention Society was established in July 1960. The founder 杜學魁, formerly known as The Suicide Prevention Society, launched with a telephone counselling service at Shanlin Road. In October 1963, it became one of the member of the society and changed the name to The Hong Kong Samaritans. [14]

In 1965, due to the demolition of the venue, the government allocated the rent at Tiger Rock District.

In 1975, the second office was opened at Wan Chai in Hong Kong Island.

In 1976, it changed to the current name "The Samaritan Befrienders Hong Kong".

In 1977, it became a member of the Community Chest.

In 1978, the Marino Herdsmen Centre rented a place at the Princess Margaret Road Herdsman's Centre at a nominal rent of 10 yuan. The Ho Man Tin Club was officially opened until 1980, due to the lack of human resources.

In 1982, the English Department was closed due to the lack of human resources.

In 1985, it moved to Shuncheng Village in Kowloon. It was converted to a registered company in 1994 and was successfully exempted from the donation tax. In the same year, with the assistance of the Social Welfare Department, the Housing Department has allocated the new clubhouse, staff office, and hotline service at the ground floor of the Lam Kam Estate, and the Shun Lee Estate Club will continue to serve as hotline service and training.

Services provided

The service Samaritan provide is called Befriending. Befriending allows every callers to express their fears, worries, hopeless and feelings, in complete confidence, to a Samaritan volunteer who listens supportively, unconditionally and non-judgmentally. Callers can confide in their service in their personal way and in their own time. The listening service is supported entirely by a group of unpaid, well trained volunteers, who donate on average 11,400 hours a year to the listening service.

Suicide Prevention Services

The Suicide Prevention Services is a volunteer service agency in Hong Kong that provides counselling services for people who are suicidal, desperate and having emotional problems. The venue is located at Yidong Building and Dongtou Village in Kowloon. On January 10, 2011, it moved to the new site in Pingshi Village. The goal for Suicide prevention Services is raising general awareness towards suicide and identifying ways in which suicide can be effectively addressed. [15]

History of Suicide Prevention Services

The predecessor of the Suicide Prevention Services, The Samaritans (Providing cantonese speaking service only), was established in 1995 under the Societies Ordinance. It provides a 12-hour daily hotline counselling service.

In 1997, the hotline service was extended to 18 Hours.

In 1998, it provide a 24-hour operational service.

In 1999, the first SPS Charity Walk was organised.

In 2000, the English name was officially changed to the current "Suicide Prevention Services".

In 2002, launch of Suicide Prevention Service for Youths – "SHKP Operation Sunshine".

In 2004, the first SPS Flag Day was held.

In 2011, applied for registration to become Suicide Prevention Services Limited.

Services provided

  • 24-hour Suicide Prevention Hotline Service
  • Suicide Prevention Services for the Elderly
  • Services for Survivors of Suicide Loss
  • Community & Life Education
  • Volunteer Training & Support

See also

Related Research Articles

Samaritans is a registered charity aimed at providing emotional support to anyone in emotional distress, struggling to cope or at risk of suicide throughout the United Kingdom and the Republic of Ireland, often through its telephone helpline. Its name derives from the biblical Parable of the Good Samaritan although the organisation itself is not religious.

A crisis hotline is a phone number people can call to get immediate emergency telephone counseling, usually by trained volunteers. The first such service was founded in England in 1951 and such hotlines have existed in most major cities of the English speaking world at least since the mid-1970s. Initially set up to help those contemplating suicide, many have expanded their mandate to deal more generally with emotional crises. Similar hotlines operate to help people in other circumstances, including rape, bullying, self-harm, runaway children, human trafficking, and people who identify as LGBT or intersex. Despite crisis hotlines being common, their effectiveness in reducing suicides is unclear.

<span class="mw-page-title-main">Suicide by jumping from height</span> Suicide method

Jumping from a dangerous location, such as from a high window, balcony, or roof, or from a cliff, dam, or bridge, is an often used suicide method in some countries. Many countries have noted suicide bridges such as the Nanjing Yangtze River Bridge and the Golden Gate Bridge. Other well known suicide sites for jumping include the Eiffel Tower and Niagara Falls. Nonfatal attempts in these situations can have severe consequences including paralysis, organ damage, and broken bones.

<span class="mw-page-title-main">Suicide prevention</span> Collective efforts to reduce the incidence of suicide

Suicide prevention is a collection of efforts to reduce the risk of suicide. Suicide is often preventable, and the efforts to prevent it may occur at the individual, relationship, community, and society level. Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. Preventing suicide requires strategies at all levels of society. This includes prevention and protective strategies for individuals, families, and communities. Suicide can be prevented by learning the warning signs, promoting prevention and resilience, and committing to social change.

Telephone counseling refers to any type of psychological service performed over the telephone. Telephone counseling ranges from individual, couple or group psychotherapy with a professional therapist to psychological first aid provided by para-professional counselors. In-person therapists often advise clients to make use of telephone crisis counseling to provide the client with an avenue to obtain support outside of therapy if they cannot be reached in an emergency or at the conclusion of a therapeutic relationship.

<span class="mw-page-title-main">The Samaritan Befrienders Hong Kong</span>

The Samaritan Befrienders Hong Kong (SBHK) is a non-government organisation. It is a local voluntary agency which provides counselling services to people with suicidal tendencies or behaviour. This organisation was the first of its kind in Asia.

<span class="mw-page-title-main">988 Suicide & Crisis Lifeline</span> United States suicide prevention hotline

The 988 Suicide & Crisis Lifeline is a United States-based suicide prevention network of over 200+ crisis centers that provides 24/7 service via a toll-free hotline with the number 9-8-8. It is available to anyone in suicidal crisis or emotional distress. The caller is routed to their nearest crisis center to receive immediate counseling and local mental health referrals. The Lifeline supports people who call for themselves or someone they care about.

Youth suicide is when a young person, generally categorized as someone below the legal age of majority, deliberately ends their own life. Rates of youth suicide and attempted youth suicide in Western societies and other countries are high. Youth suicide attempts are more common among girls, but adolescent males are the ones who usually carry out suicide. Suicide rates in youths have nearly tripled between the 1960s and 1980s. For example, in Australia suicide is second only to motor vehicle accidents as its leading cause of death for people aged 15–25.

<span class="mw-page-title-main">Suicide in South Korea</span> Statistics and causes of suicide in South Korea

Suicide in South Korea occurs at the 12th highest rate in the world. South Korea has the highest recorded suicide rate in the OECD. However, differences in recording practices across the world make accurate comparisons impossible. In South Korea, it is estimated to affect 0.02 percent of the population by the WHO. In 2012, suicide was the fourth-highest cause of death. The suicide rate has consistently declined between 2012 and 2019, the year when the latest data is available.

Research has found that attempted suicide rates and suicidal ideation among lesbian, gay, bisexual, transgender (LGBT) youth are significantly higher than among the general population.

<span class="mw-page-title-main">Suicide in the United States</span> Statistics and causes of suicide in the U.S.

Suicide is a major national public health issue in the United States. The country has one of the highest suicide rates among wealthy nations. Since the beginning of 2023, there have been an average of about 67 suicide deaths per day in the United States. In 2020, there were 45,799 recorded suicides, up from 42,773 in 2014, according to the CDC's National Center for Health Statistics (NCHS). On average, adjusted for age, the annual U.S. suicide rate increased 30% between 2000 and 2020, from 10.4 to 13.5 suicides per 100,000 people. In 2018, 14.2 people per 100,000 died by suicide, the highest rate recorded in more than 30 years. Due to the stigma surrounding suicide, it is suspected that suicide is generally underreported. In April 2016, the CDC released data showing that the suicide rate in the United States had hit a 30-year high, and later in June 2018, released further data showing that the rate has continued to increase and has increased in every U.S. state except Nevada since 1999. From 2000 to 2020, more than 800,000 people died by suicide in the United States, with males representing 78.7% of all suicides that happened between 2000 and 2020. Surging death rates from suicide, drug overdoses and alcoholism, what researchers refer to as "deaths of despair", are largely responsible for a consecutive three year decline of life expectancy in the U.S. This constitutes the first three-year drop in life expectancy in the U.S. since the years 1915–1918.

The Samaritans Hong Kong operates a free 24-hour multilingual suicide prevention hotline in Hong Kong. [It] is a non-religious charity that provides confidential emotional support to all people, irrespective of race, creed, age or status, who are despairing or suicidal." The organisation is registered as a charity in Hong Kong, and governed by its unpaid volunteers.

<span class="mw-page-title-main">Suicide in the United Kingdom</span> Statistics and causes of suicide in the UK (England and Wales figures only)

Suicide is a significant national social issue in the United Kingdom. In 2019 there were 5,691 registered deaths by suicide in England and Wales, equating to an average of 18 suicides per day in the country. Suicide is the single biggest killer of men under the age of 45 in the country.

<span class="mw-page-title-main">Shenzhen–Hong Kong cross-boundary students</span>

Shenzhen–Hong Kong cross-boundary students are people who are born and study in Hong Kong but live in mainland China. In a daily student migration, every school day they arrive in and exit from Hong Kong primarily through 5 land boundary control points: Lo Wu, Sha Tau Kok, Lok Ma Chau, Man Kam To, and Shenzhen Bay. They mainly study in Yuen Long, Tuen Mun, Tai Po while the majority in the North district.

<span class="mw-page-title-main">United States military veteran suicide</span> Suicide among veterans of the United States armed forces

United States military veteran suicide is an ongoing phenomenon regarding the high rate of suicide among U.S. military veterans in comparison to the general civilian public. A focus on preventing veteran suicide began in 1958 with the opening of the first suicide prevention center in the United States. During the mid-1990s, a paradigm shift in addressing veteran suicide occurred with the development of a national strategy which included several Congressional Resolutions. More advancements were made in 2007, when the Joshua Omvig Veterans Suicide Prevention Act created a comprehensive program including outreach at each Veterans Affairs Office (VA) and the implementation of a 24-hour crisis hotline. PTSD, depression, and combat-related guilt in veterans are often related to suicide as it can be difficult for veterans to transition to civilian life.

In Hong Kong, the suicide rate of primary, secondary, and post-secondary students is relatively high, particularly beginning in the 2014–2015 academic year. The suicide cases are not connected, but the frequency of suicides aroused public's attention to the mental health and academic pressure of Hong Kong students.

Suicide is considered a serious issue in Singapore. The cases have been rising in recent years, with the rate of suicide increasing for all demographics. It is the leading cause of death for those aged between 10 and 29 years old. Males account for the most suicides at over 66.6% of all suicides.

<span class="mw-page-title-main">LGBT health in South Korea</span>

The health access and health vulnerabilities experienced by the lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual (LGBTQIA) community in South Korea are influenced by the state's continuous failure to pass anti-discrimination laws that prohibit discrimination based on sexual orientation and gender identity. The construction and reinforcement of the South Korean national subject, "kungmin," and the basis of Confucianism and Christianity perpetuates heteronormativity, homophobia, discrimination, and harassment towards the LGBTQI community. The minority stress model can be used to explain the consequences of daily social stressors, like prejudice and discrimination, that sexual minorities face that result in a hostile social environment. Exposure to a hostile environment can lead to health disparities within the LGBTQI community, like higher rates of depression, suicide, suicide ideation, and health risk behavior. Korean public opinion and acceptance of the LGBTQI community have improved over the past two decades, but change has been slow, considering the increased opposition from Christian activist groups. In South Korea, obstacles to LGBTQI healthcare are characterized by discrimination, a lack of medical professionals and medical facilities trained to care for LGBTQI individuals, a lack of legal protection and regulation from governmental entities, and the lack of medical care coverage to provide for the health care needs of LGBTQI individuals. The presence of Korean LGBTQI organizations is a response to the lack of access to healthcare and human rights protection in South Korea. It is also important to note that research that focuses on Korean LGBTQI health access and vulnerabilities is limited in quantity and quality as pushback from the public and government continues.

Suicide in Ireland has the 17th highest rate in Europe and the 4th highest for the males aged 15–24 years old which was a main contributing factor to the improvement of suicides in Ireland.

References

  1. "Third of Hong Kong pupils aged 10 to 14 at risk of suicide". South China Morning Post. 2019-03-26. Retrieved 2023-06-23.
  2. Paul, Y 2016, ‘Committee on Prevention of Student Suicides final report 2016’, Committee on Prevention of Student Suicides, pp. 1–126.
  3. Liu, Marian (2018-04-29). "The secret burden of mental illness in Hong Kong". CNN. Retrieved 2023-06-23.
  4. "One in three young Hongkongers suffering from mental health issues". South China Morning Post. 2018-06-06. Retrieved 2023-06-23.
  5. 2017, ‘Take a Minute, Change a Life World Suicide Prevention 2017’, 2017 Centre for Suicide Research and Prevention. https://csrp.hku.hk/wp-content/uploads/2017/09/2017WSPD_slide.pdf.pdf.
  6. "Statistics - CSRP". 2022-06-22. Retrieved 2023-06-23.
  7. Jade, Au, Paul, Y, Cecilia, C, and Law, Y.W, L 2004, ‘Newspaper Reporting of Suicide Cases in Hong Kong’, Hong Kong Jockey Club Center for Suicide Research and Prevention, 25(4):161–8.
  8. 1 2 "Statistics - CSRP". 2022-06-22. Retrieved 2023-06-23.
  9. McCarthy, S 2018, ‘Is anyone listening? Hong Kong educators and counsellors call for more attention to rising student suicide rates’, South China Morning Post, 29 December. https://www.scmp.com/news/hong-kong/health-environment/article/2179694/anyone-listening-hong-kong-educators-and.
  10. "Teacher found dead after falling from school building". South China Morning Post. 2019-03-06. Retrieved 2023-06-23.
  11. "Student suicide rates on the rise, but is anyone listening?". South China Morning Post. 2018-12-29. Retrieved 2023-06-23.
  12. Liu, Marian (2018-04-29). "The secret burden of mental illness in Hong Kong". CNN. Retrieved 2023-06-23.
  13. Paul, Y 2016, "Committee on Prevention of Student Suicides final report 2016", Committee on Prevention of Student Suicides, pp. 1–126.
  14. "Samaritans Hong Kong" (in Traditional Chinese). Retrieved 2023-06-23.
  15. "生命熱線". www.sps.org.hk (in Traditional Chinese). Retrieved 2023-06-23.