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)
Hello to the RTHK audience, I am Shirley Yeung Sui-lng. I have schizophrenia, which I have been living with for almost 25 years. I want to share the difficulties that patients face when thinking about recovery. Will I ever get completely better? Does continuing with medication mean I have not recovered? Is relapse a possibility? Is my mind different from others? Can I understand mental illness purely from a psychological perspective? My answers to these questions are positive. Recovery means achieving certain goals at various points in your life. In my childhood, I had a wonderful time living with my parents, brothers, and sister. We shared a close family relationship. Fortunately, I had the opportunity to attend school until I graduated from university. My mental illness began around the age of 24, in 1998. I experienced headaches and felt a lot of stress. I didn’t have many friends to share my feelings with. I became confused, believing that the advertisements on TV had special meanings. I felt as though secret police were monitoring me, and I was scared whenever I saw red lights or the color red, like on taxis. During that time, I felt deflated, had low self-esteem, and was sad, even refusing to take my medication. I was diagnosed with schizophrenia and eventually needed to be hospitalised at Kwai Chung Hospital. However, throughout my 25 years on the recovery journey, doctors, nurses, cross-professional caregivers, clinical psychologists, social workers, and peers have helped and encouraged me to grow. First, finding the right medications requires time and careful attention from clinical professionals. Some people worry about weight gain and stigma from the side effects of medications, which can lead them to quit taking them. From my experience, it is important to communicate your concerns and problems to the clinical teams. Trust and communication between professionals and patients are crucial. I regret that my insight into my illness was poor during its onset; I wasted valuable time in my youth. Fortunately, with the support of my family, medical team, and social workers, I learned how to cope with the illness and move toward recovery. I take my medications on time every day and continue to learn by attending educational classes, conferences, and reading to strengthen my coping skills. I have gained the self-confidence to face this serious mental illness, building my life like a puzzle that forms a clear picture with the help of various sources. What does recovery mean? Recovery means hope, building strength, advocacy, and peer support. You can be a unique individual and lead a meaningful life. Now, I actively share my story, knowledge, and lived experiences to contribute to society. I participate in self-help groups such as the Concord Mutual-Aid Club Alliance, where I share and listen to peers to overcome illness together . The theme of the Concord Mutual-Aid Club Alliance is 1.To promote and develop mutual help among the Alliance members. 2. To enhance the rehabilitation, rights and quality of life of its members3 To actively participate in events and issues concerning the rights of the mentally ill person. From my experience of taking anti Psychiatric drugs, we suggest Hospital Authority to increase more choices of new and efficiency medicines for patients. We also share our recovery story to reduce stigma and promote mental health to the public. I engage in advocacy work to voice our difficulties and rights to the government, legislative council, Hospital Authority, and the public. I would like to say that you are not alone to facing mental health. You can ask for help from our peers, professional support and family care. Last but not least, I hope you take care of your mental health. If you have any concerns, please don’t hesitate to ask for help from us, ICCMW, doctors, or others. I choose the song "Imagine" by John Lennon. We are all the same and without boundaries. Thank you.
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.