© 2018 centre for suicide research and prevention. all ... ·...

Agenda

1. An update on the suicide situation in Hong Kong

2. Our experience of engaging YouTubers for suicide prevention

Number of Suicides and Suicide Rates in Hong Kong, 1997-2017^

784 867 868 902 1029 1110 1264 1053 996 935 909 977 983 969 867 917 939 914 924 919 915

12.1

13.2 13.1 13.5

15.3

16.5

18.8

15.5 14.6

13.6 13.1 14.0 14.1 13.8

12.3 12.8 13.1

12.6 12.7 12.5

10.2

11.210.8 11.0

12.4

13.4

14.7

12.0

11.110.3

9.910.6 10.3 10.0

8.99.4 9.4 9.3 9.4 9.4

12.4

9.5

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

400

600

800

1000

1200

1400

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017^

Suic

ide

rate

(per

100

,000

)

Num

ber o

f sui

cide

dea

th

Year

Number of suicide deaths

Suicide rate

Age-standardized suicide rate (WHO as standard population weight)

Estimated suicide rate in 2017

Estimated age-standardized rate in 2017 (WHO as standardpopulation weight)

^ Estimated numbers. According to data from Coroner's Court, with registered death date up to 31 July 2018.

2016 annual global age-standardized suicide rate: 10.5 per 100 000 population (WHO, 2018).


Suicide rates by gender in Hong Kong, 1997-2016

8.9 9.9 9.5

10.5 11.1 10.7

12.5 11.0 10.8

10.0 8.9

10.9 10.0 9.8

8.8 9.2 9.2 8.9 8.6 8.2

15.3 16.7 16.8 16.7

19.7

22.6

25.5

20.4 18.8

17.6 17.9 17.5 18.8 18.4

16.2 17.0 17.5 17.0 17.5 17.6

12.1 13.2 13.1 13.5

15.3 16.5

18.8

15.5 14.6

13.6 13.1 14.0 14.1 13.8

12.3 12.8 13.1 12.6 12.7 12.5

5.0

10.0

15.0

20.0

25.0

30.0

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Suic

ide

rate

per

100

,000

Year

Female Male Both sexes


0

10

20

30

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Suic

ide

rate

per

100

,000

Year

Below 15 15 - 24 25 - 39

40 - 59 60 or above All ages

Suicide rates by age group in Hong Kong, 2007-2016


Male suicide rates by age group in Hong Kong, 2007-2016

0

10

20

30

40

50

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Suic

ide

rate

per

100

,000

Year

Below 15 15 - 24 25 - 39



0

5

10

15

20

25

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Suic

ide

rate

per

100

,000

Year

Below 15 15 - 24 25 - 39


Female suicide rates by age group in Hong Kong, 2007-2016


Distribution of method of suicide by age group in Hong Kong, 2016


69.3%60.3%

50.8% 49.7%54.5% 52.3% 54.9%

1.3%

5.6%

3.2% 1.4%

1.9% 5.3% 3.5%

20.0%

15.1%

18.3% 21.0%

23.4%28.6%

22.3%

4.0%14.3%

20.6% 18.9%

15.6% 3.5% 11.8%

5.3% 4.8% 7.1% 9.1%4.5%

10.2% 7.4%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

15-24 25-34 35-44 45-54 55-64 65 and above All ages

Jumping Poisoning Hanging Charcoal burning Others

Age groups

Perc

enta

ge

Year Number of suicides Population size in HK Suicide rate (per 100,000)

All youths

2012 73 877 500 8.3

2013 66 863 200 7.62014 52 837 300 6.22015 68 811 100 8.42016 75 786 000 9.5

Youth full-time students

2012 19 408 615 4.6

2013 19 393 853 4.8

2014 17 374 596 4.5

2015 23 365 610 6.3

2016 29# 356 139 8.1

All other youths

2012 54 468 885 11.5

2013 47 469 347 10.0

2014 35 462 704 7.6

2015 45 445 490 10.1

2016 46# 429 861 10.7

# Provisional figures (as at 31 July 2018) as the latest case files are not yet available from Coroner's Court.

Youth suicide (aged 15-24), 2012-2016

↑52.6% ↑76.1%


4.6 4.8 4.5

6.3

8.1

11.5

10.0

7.6

10.110.7

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2012 2013 2014 2015 2016

Suic

ide

rate

Youth full-time students All other youths

6.9

2.6

Year

Suicide rate difference of full-time students and all other youths in Hong Kong, 2012-2016

Summary總結

• The estimated suicide rate in Hong Kong was 12.4 in 2017, which was slightly lower than 12.5 in 2016. 估測2017年香港的自殺率為12.4，較2016年的12.5稍低。

• The age-standardized suicide rate in Hong Kong was estimated at 9.5 in 2017, which was lower than the global rate of 10.5 (WHO, 2018).香港2017年的年齡標準化自殺率估測為9.5，低於國際水平的10.5（世界衛生組織，2018）。

• Compared to 2015, the suicide rate of male in 2016 has slightly increased, while the suicide rate of female has decreased.對比2015年，2016年的男性自殺率輕微上升，而女性自殺率則下降。

• There is a continuous improvement in elderly suicide.高齡人士自殺情況持續改善。

• The suicide rate of children aged 0 to 14 maintained at a low level of 0.3 and 0.8 in the past ten years.0-14歲兒童的自殺率於這十年間一直徘徊在0.3-0.8之間，維持低水平。

• The estimated suicide rate of the age group 15 to 24 increased from 8.3 in 2012 to 9.5 in 2016 (overall suicide rate: 12.8 in 2012; 12.5 in 2016). 2016年，15-24歲青少年的自殺率為9.5，比2012年的8.3多(整體自殺率: 2012為12.8; 2016為12.5)。

• Compared with the suicide rate of full-time students, the suicide rate among all other youths aged 15 to 24 have always been higher throughout the years (11.5 in 2012; 10.7 in 2016), yet the difference between the two rates is slowly narrowing (the difference was 6.9 in 2012; 2.6 in 2016).對比全日制學生的自殺率，其他15-24歲青少年的自殺率一直較高（2012年為11.5；2016年為10.7），但兩者差距正在收窄（2012年差距為6.9；2016年為2.6）。

• Schools appear to be attenuating in timely identifying and supporting vulnerable students.從前學校或會是一個預防自殺的屏障，可及時識別並支援有情緒困擾的學生，但數據意味着此屏障的能力可能逐漸失去。

• CSRP finds that in 2016, the proportion of the deceased full-time students with academic problem and psychiatric history were higher as compared to 2015. CSRP發現在2016年所有全日制學生的自殺個案中，帶有學業問題和精神病歷記錄的個案比率都較2015年高。

• Detailed examination of death investigation documents showed that the full-time students had been facing various problems mainly related to family, romantic relationships, study and finance. Previous studies and CSRP’s review of the death reports have shownthat suicide is a complex phenomenon caused by interlocking factors. Oversimplification of the causes of student suicides should thus be avoided.詳細檢閱了全日制學生自殺個案的死亡調查文件後，了解到各個學生面對的問題通常綜合多個範疇，當中主要包括家庭、感情關係、學業及財政狀況。過往研究及對死亡調查文件的檢閱結果皆指出，自殺是一個複雜現象，由不同因素環環相扣而造成。因此不宜過度簡化學生自殺的成因。

• Internet penetration rate among Hong Kong youth is nearly 100%.• 73 % of people ages 16-64 in Hong Kong are YouTube users.

‘Digital in 2018 in Eastern Asia’ (We are Social, 2018)


Number of views on the videos uploaded by different groups of stakeholders

Note: Circle indicates grouped median, Upper bar of the I-beam indicates the maximum valueLower bar indicates the minimum value*on an exponential scale

Num

ber o

f vie

ws*

Top YouTubers

Popular YouTubers

Regular YouTubers

Politicians Traditional media

Government Bodies

Uploaders

Online Organisations


Number of comments to the videos uploaded by different groups of stakeholders

Num

ber o

f com

men

ts*

Top YouTubers

Popular YouTubers

Regular YouTubers Politicians Traditional

mediaGovernment

Bodies

Uploaders

Online Organisations

Note: Circle indicates grouped median, Upper bar of the I-beam indicates the maximum valueLower bar indicates the minimum value*on an exponential scale © 2018 Centre for Suicide Research and Prevention. All Rights Reserved.

Number of comments disclosing suicide risk to the relevant videos uploaded by different groups of stakeholders

Num

ber o

f com

men

ts d

isclo

sing

suic

ide

risk*

Top YouTubers

Popular YouTubers


mediaGovernment

BodiesOnline

Organisations

UploadersNote: Circle indicates grouped median, Upper bar of the I-beam indicates the maximum valueLower bar indicates the minimum value*on an exponential scale © 2018 Centre for Suicide Research and Prevention. All Rights Reserved.

Number of comments supporting help seeking to the relevant videos uploaded by different groups of stakeholders

Num

ber o

f com

men

ts su

ppor

ting

help

seek

ing*

Top YouTubers

Popular YouTubers


mediaGovernment

BodiesOnline

Organisations

UploadersNote: Circle indicates grouped median, Upper bar of the I-beam indicates the maximum valueLower bar indicates the minimum value*on an exponential scale © 2018 Centre for Suicide Research and Prevention. All Rights Reserved.

© 2018 centre for suicide research and prevention. all ... ·...

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