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The Head of the University of Hong Kong’s Centre for Suicide Research and Prevention, Professor Paul Yip, recently discussed the effectiveness of the government-led three-tier school-based emergency system aimed at preventing youth suicide. While the system has successfully identified around 200 vulnerable students and referred approximately a dozen high-risk individuals for psychiatric assistance, Professor Yip believes there is room for improvement. He mentioned that ongoing discussions with school principals and staff are essential to enhancing the overall effectiveness of the system.

Understanding the Three-Tier System

The three-tier system operates on the premise of early intervention and support for students at different levels of mental health risk. In the first tier, schools receive assistance in identifying students with mental health needs or those at high suicide risk. This initial step is crucial in addressing issues before they escalate. The second tier involves the formation of an off-campus support network to provide additional resources and assistance to schools. This external support network plays a crucial role in ensuring that students receive the necessary help beyond the school environment. Finally, in the third tier, school principals have the authority to refer students with severe mental health needs to the Hospital Authority’s psychiatric specialist services. This tier ensures that students with the most critical needs receive specialized care from mental health professionals.

During a recent interview, Professor Yip highlighted the importance of continuous improvement in the system to better serve students’ mental health needs. By engaging in ongoing discussions with school personnel, the aim is to identify gaps and implement enhancements to ensure the system remains effective in identifying and supporting vulnerable students. The ultimate goal is to provide a safe and supportive environment for all students, where they can receive the necessary assistance to address their mental health challenges.

Call for Comprehensive Review

Esther Ho, a secondary school principal and chairwoman of the Hong Kong Association of Careers Masters and Guidance Masters, has called on the Education Bureau to conduct a comprehensive review of the school curriculum framework. This call to action comes in response to a recent HKU annual study that revealed an increase in the suicide rate among teenagers under 15. Ho emphasized the need for a holistic approach to address students’ well-being and mental health issues, especially in light of the challenges presented by the COVID-19 pandemic.

Ho’s school has implemented various initiatives to promote students’ well-being and mental health. From daily well-being music sessions to engaging students in activities and forming student teams focused on mental health promotion, the school is committed to creating a supportive environment for its students. Ho stressed the importance of empowering students to take ownership of their mental health by involving them in the planning and implementation of activities aimed at improving their well-being.

Embracing Change and Innovation

In light of the evolving landscape of education and the challenges posed by the pandemic, Ho emphasized the need for innovation and adaptation in the school curriculum framework. As technology continues to transform the way we learn and interact, it is essential to update the curriculum to reflect these changes and ensure that students are equipped with the necessary skills to thrive in a rapidly changing world. Ho highlighted the importance of promoting holistic development in students, emphasizing the need for a comprehensive approach that addresses their physical, emotional, and social well-being.

As schools navigate the complexities of addressing mental health issues among students, it is essential to adopt a proactive and collaborative approach. By working together with educators, students, and mental health professionals, schools can create a supportive environment that prioritizes students’ mental health and well-being. Through ongoing discussions and continuous improvement, the three-tier school-based emergency system can evolve to meet the changing needs of students and ensure that they receive the support they need to thrive.