Listen to #Hashtag Hong Kong every Sunday morning at 8.15
Focussing on issues affecting civil society, we'll hear from representatives of NGOs, associations, statutory bodies, and non-profit groups.
(Sundays 8.15am - 8.25am)
The landscape of substance use amongst young people in Hong Kong presents a significant public health challenge that demands comprehensive attention. KELY Support Group is committed to youth drug and alcohol prevention, recognising the complex factors contributing to substance misuse amongst adolescents and young adults. We need to come to a consensus that addressing this issue requires collaborative effort across our community.
Recent data from the Narcotics Division reveals a complex trend in youth substance use. While the total number of reported drug users has decreased in 2024 compared to the previous year, the number of young drug users has increased instead, by 15%. This highlights the need for targeted intervention strategies. We must also be aware that these statistics may not reflect the real situation as there are more hidden drug cases, and alarms should also be raised for them.
Of particular concern is the emergence of "space oil", a substance gaining rapid popularity amongst young people. Typically packaged as e-cigarette capsules, it contains etomidate, a medical anaesthetic that requires a doctor's prescription. This drug has become increasingly accessible through digital platforms, emerging as the third most prevalent substance amongst youth in the first half of 2024. Specifically, 75 out of 452 young drug users reported using space oil, with cannabis and cocaine remaining the top two substances.
Over KELY's three decades of prevention work amongst youth, we noticed a significant shift in young people's attitude towards substance use. The changing global landscape, with several countries legalising marijuana and adopting more open discussions about substance use, has piqued young people's interest and curiosity about different substances. This is particularly noticeable amongst those planning to travel or study overseas.
Social media has fundamentally transformed how young people access information about substances. While these platforms provide unprecedented access to knowledge, they also present significant challenges. Young people often struggle to distinguish between credible facts and misinformation, leaving them vulnerable to potential risks.
At KELY, we believe that prevention and education is crucial, especially before young people encounter illegal or harmful substances. Our approach focuses on imparting facts, especially potential risks and harm relating to substance use for youth, enabling them to make informed decisions. We work closely with schools to provide prevention education, creating safe spaces where young people can openly discuss drug issues and ask questions, with access to credible knowledge.
We recognise that drug use is often linked to mental health, with many young people turning to substances as a coping mechanism for stress, relationship challenges, and other life pressures. Therefore, our work extends beyond prevention to support the development of healthy coping strategies and robust support networks. We aim to equip young people with tools such as peer support skills to navigate the complex challenges of their teenage years effectively.
Schools, educators, parents, and the community must play a comprehensive and collaborative role in drug prevention and youth education. This approach requires a multi-dimensional strategy that goes beyond traditional information delivery. Schools should include evidence-based, age-appropriate curriculum that integrates interactive workshops and mental health support. Creating early warning systems is critical to this approach, where staff are trained to recognise signs of substance vulnerability and provide confidential counselling without judgement.
Parents need robust support to effectively engage with their children. Workshops that teach communication strategies can help parents understand adolescent psychology, and guide them in creating open, non-confrontational dialogues about substance use. Community involvement is equally crucial, requiring coordinated efforts between local health services, youth organisations, and support infrastructure that offers accessible counselling, mental health resources, and mentorship programmes.
In the digital age, prevention strategies must also adapt to technological landscapes. This means developing verified online resources, interactive educational platforms, and social media awareness campaigns that teach digital literacy and critical information evaluation. Young people need tools to understand online risks, practise responsible digital citizenship, and learn to distinguish credible information from misinformation.
The underlying principle of KELY Support Group's interventions is prevention, empathy, and peer support. Our organisation recognises that addressing youth substance use requires a fundamentally different approach from traditional punitive measures. Instead, KELY focuses on building individual resilience, promoting healthy lifestyle choices, and creating supportive environments that address the root causes driving young people towards substance experimentation. At KELY, we believe that by developing a comprehensive and unified ecosystem of support, education, and understanding, we can more effectively prevent substance misuse and empower young people to make informed, healthy decisions that positively shape their future.
Mental Health is a profoundly important global issue. Today, I want to shine a light on its critical impact in Hong Kong.
Recent local studies conducted by the Health Bureau from 2019 to 2023 have revealed that nearly 25% of over 6,000 youth have experienced various levels of mental distress and neurodiversity. The latest figures also showed a significant rise in suicidal rate among young individuals aged 10 to 29 since 2016. Alarmingly, the suicidal rate for female teenagers under 15-year-old reached an unprecedented level in 2023. Over aged 60 accounts for 40% of the overall suicide.
But I want you to know there is hope. Although we have faced the heartbreaking loss of some of our precious students since the start of this new academic year, it is important to remember that we can make a difference.
The risk factors contributing to this crisis are multifaceted and interrelated: the social isolation during the pandemic, global instability due to warfare and economic challenges. Natural disasters and global warming are also areas of deep concern for our youngsters, reinforcing their sense of hopelessness and helplessness.
However, international research over the decades had clearly shown that over 90% of those who died by suicide had underlying psychiatric disorders, two-thirds of which were related to anxiety and depression. Tragically, among the 30 students who passed away due to suicide in the first semester of 2023, only 30% had been receiving psychiatric services. This means that many were unfortunately not recognized by themselves, their families, friends or teachers and did not have the opportunity to receive appropriate and timely treatment.
But here’s the encouraging part: the vast majority of psychiatric disorders at any ages, if detected, if detected and intervened early, can lead to very good outcomes. Suicide is preventable.
Prevention strategies are vital and that’s where we all come in. Schools play a pivotal role in this effort. By raising awareness of the signs of stress among students and enhancing teachers’ and school social workers’ skills in risk detection, we can create a healthier school community and by extension a healthier wider community.
The government can also contribute by investing in preventive strategies within a Universal, Selective and Treatment framework, such as the 4Rs Mental Health Charter (Rest, Relaxation, Relationship, and Resilience) implemented by the Education Bureau as a universal prevention measure.
At the selective prevention level, further professional training using evidence-based approaches can be organized to empower schools as gatekeepers. By identifying students at risk, we enhance risk detection and enable early intervention.
At treatment level, we need to further enhance the accessibility of psychiatric services using a public-private partnership framework. Working collaboratively with community partners, including social welfare organizations and community psychiatrists, can make mental health services more accessible and available.
The Hong Kong Mental Wellness Association (HKMWA) has launched several programmes using treatment, selective and universal prevention framework to address the urgent mental health needs.
Firstly, at the treatment level, WeCare SOS Support Our Students programme was launched in December 2023 in collaboration with the Hong Kong Social Workers Association supported by various foundations, to address the escalating trend of students’ suicide. This initiative aims to facilitate early identification, appropriate and timely treatment of students showing signs of stress and suicidal risk. These students are cared for by community psychiatrists providing four sessions of free consultation and medication. Phase I has successfully run since December 2023 with over 200 students being identified and treated. Phase II supported by the Hong Kong Tuberculosis, Chest and Heart Diseases Association (HKTCHDA) will be launched in the fourth quarter of 2024, extending the age limit and increasing the number of free sessions, to address community needs identified in Phase I.
Secondly, at the selective prevention level, we provide professional training for school teaching and counselling staff, in collaboration with Hong Kong Heng Seng University and the Greater Bay Area Medical Professional Development Association, we will organize a free evidence-based training foundation course for teachers on October 29th 2024. The training aims to equip participants with essential skills for early risk detection and evidence-based intervention in handling students with mental health issues. Also, a scientific symposium on mental wellness will be held in collaboration with the Greater Bay Area Medical Professional Development Association and Hong Kong psychological professional bodies on October 18, 2024.
Thirdly, as for universal prevention level, we have been running a school wellness programme “De-stress Express (DSE)” since early 2023. This programme includes mental health talks and stress management workshops for high school students, teaching staff and students. The goal is to increase understanding of the importance of mental wellness and to equip participants with stress management skills for better physical and mental wellness. Up until now, over 36 schools have been covered with over 60,000 participants involved.
We will also collaborate with community partner, to conduct a free Mental Health First Aid course for students on November 2, 2024. The three-hour course aims to empower students to become mental wellness ambassadors who can detect their own signs of distress, and help their fellow classmates and friends, encouraging them to reach out to adults for help.
As we celebrate the World Mental Health Day on October 10, let’s remember that promoting mental well-being is a community effort. It involves parents, schools and mental health professionals, all working together.
Young people are our future. By raising awareness and equipping ourselves with self-help skills and the ability to help others, we can all face the challenges ahead and foster an inclusive, supportive environment for everyone in our community.
I’d like to dedicate a song by Carole King “You’ve got a friend”, because “it’s ok to be not okay”, and it is important to “always reach out when you’re troubled”. Just remember, “you’re not alone”. Let’s work together for a better mental health for all.