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Security and Psychiatry

82% of the 1,515 people who were accused of criminal offences and underwent psychiatric evaluation at a Beijing hospital from 1988 to 1996 suffered from mental illnesses (China Daily, 2nd June).  Mental health has been a long ignored issue in China. A law that was expected to tackle the issue of mental illness was drafted in 1980 but never published. Legal protection is required for patients because currently police officers randomly send people they deem to be mentally ill to psychiatric hospitals for compulsory treatment. The recent spate of killings outside schools across China has prompted important research into the issue. More than 16 million Chinese people suffer from serious mental disorders and a majority of them have not received any medical aid. The Ministry of Health and the Ministry of Public Security have vowed to expand treatment for severe mental patients. A mental health screening program will be launched in China’s Hubei province, to improve service for 800,000 patients. (more…)

Foxconn Suicide Factory

An employee of high-tech firm, Foxconn died on 21 May after jumping from a building in the Southern manufacturing hub of Shenzhen, the tenth such suicide since the start of this year.  The dead worker was identified as Nan Gang, a 21 year old from Hubei Province.  All the suicide victims at this electronics component factory are migrant workers from outside the city aged between 18 and 24 years old.  Stress and lack of social life seem to be the root cause of the suicides.  Public outrage has been incurred by a report on Beijing television showing security guards in black uniforms beating workers in Foxconn’s Beijing plant in August last year.  The Mayor of Tianjin arrived at the Foxconn factory to investigate on the day Nan Gang died.  The factory owners have invited monks to the factory to try and ‘relieve the bad atmosphere’. (more…)

17.5% Mental Health problems

Nine children have been killed and forty eight injured by stab wounds in a spate of attacks in schools across China by depressed forty-something year old men.  On April 29, 2010, a 47 year old unemployed man attacked twenty-eight students in a kindergarten in Jiangsu.  On April 28, 2010, fifteen students were stabbed in a school in Leizhou.  On April 12, 2010, a man hacked to death a second grader and an elderly woman in Guangxi the day before the man’s relatives were going to send him away for psychological treatment.  On March 23, 2010,  a man killed eight children in Fujian and on March 2, 2009 a man hacked two pre-schoolers to death with a knife in Guangdong.

Mental disorders are becoming a major public health problem in China.  A national survey suggests 17.5% of Chinese adults suffer from different forms of disorders (China Daily).  The contributing factors are growing work pressure as the economy grows at 8%.  There is very little time for work/life balance. Loneliness is also a major factor;  millions of people migrate to the cities and often husband and wife will live in separate cities with their child living at home in the countryside with the grandparents.  There is no free health service in China and very few trained mental health specialists.  Therefore patients are hesitant to go to a mental health clinic because they are afraid of losing face or their freedom.  Disappointment due to work or family life can remain untreated and there is really no-one to care for them.  There is a vacuum of NGO’s or Government Departments willing to tackle this apparently low priority issue. It is not a  problem confined to migrant workers.  Every month, one or two students in Beijing commit suicide and white collar workers also feel the pressure in an incredibly competitive working atmosphere. The spate of killings in schools recently by ‘depressed’ adults has sparked debate over this growing concern.

School killings reveal mental health woes

A man alleged to be mentally ill stabbed eight children to death and injured five others on March 23 in Nanping, Fujian.  He was a doctor who had lost his job and was experiencing difficulty finding a girlfriend.  He shouted at the children as he killed them saying ‘you won’t let me live’.  He has since been given the death sentence.  The case is causing great concern in China as it highlights the gap in provision of mental health services.  Currently only a few prosperous provinces such as Beijing, Shanghai and Guangdong have drafted regional regulations on mental health.  Patients largely depend on families for help financially and psychologically.  At a time of rapid change (8% GDP growth), huge urbanisation (by 2025 China’s urban population is expected to rise to 926 million from 572 million in 2005) and extreme capitalism (men are judged by their net worth by women) this case highlights a difficult situation. (more…)

Mental health in China was not something you talked about in polite company until after the Sichuan earthquake.  The collective outpouring of grief at this time raised the need for a professional approach to countering bipolar disorders, depression and suicide. Today most people I know living in China admit to ‘losing it’ now and again; long working hours including weekends, leaving the support network of friends, family and familiar surroundings, cultural misunderstandings and the rapid pace of change makes many people fairly fraught in Beijing.

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