Recently, Malaysia was shaken by multiple grim incidents in school environments, including the fatal stabbing of a 16-year-old female student by a 14-year-old schoolmate in Petaling Jaya, Selangor, and the arrest of four teenage boys in Kedah for the alleged gang rape of a fellow student and the circulation of nude images.

These events expose not only failures in security and supervision, but also deeper, quieter crises we are facing, particularly caused by fear, trauma, isolation, shame, and, for many adolescents, the risk of spiralling into depression and self-harm.

As a clinical psychologist, I believe it is imperative that our response goes beyond tightening security measures. We must approach these issues with compassion, a thorough understanding of the underlying causes, and a strong focus on prevention. Most importantly, we need to provide proactive and accessible mental health support, especially for our youth.

The hidden crisis: Depression among teenagers in Malaysia

The mental health burden among Malaysian adolescents has long been under-recognised. Recent studies paint a troubling picture: approximately one in four Malaysian adolescents experience depression or depressive symptoms, with higher rates among girls.

A 2025 study published in Archives of Public Health reported that 25 per cent of Malaysian adolescents experience depressive symptoms (ArchPublicHealth, 2025, archpublichealth.biomedcentral.com). Similarly, a nationwide study on dietary behaviour and depression found a 26.9 per cent prevalence of adolescent depression (JHPN, 2023, jhpn.biomedcentral.com).

Meanwhile, a Selangor-based study among 13/14-year-olds found that 19 per cent of students experienced depressive symptoms, with girls (26.3 per cent) more affected than boys (11.7 per cent) (ResearchGate, 2023, researchgate.net).

Depression in teens is not just “sadness”. It can manifest as persistent low mood, irritability, withdrawal from family, friends and society, too much sleeping or not sleeping at all, loss of interest, or even self-harm.

To add, if a child grows up feeling unsafe, whether it’s from violence, betrayal, or emotional neglect, or when a child goes through trauma without having their feelings truly seen, heard, or held, especially in places that are supposed to be safe like schools, that pain doesn’t just disappear.

It transforms. Without genuine emotional connection and support, the weight of that pain can grow heavier, increasing the risk of trauma and depression. And when no one notices or steps in early, that quiet suffering can deepen into despair, shaping how they see themselves and the world around them.

The role of parents, guardians and the community

Teenagers are in a period of rapid physical, emotional, and psychosocial change. Parents and guardians should not be merely passive observers. Below are key strategies and red flags that parents, caregivers and educators should be alert to:

1. Know the warning signs – sudden withdrawal, drop in grades, sleep disturbances, appetite changes, or talk of self-harm.
2. Cultivate trust and open communication – listen without judgment and create safe spaces for sharing.
3. Monitor social media and peer circles – know the platforms they use and talk about consent and boundaries.
4. Encourage healthy routines – sleep, nutrition, exercise, and structure can buffer stress.
5. Build a safety net – family time, mentors, and professional help are crucial supports.
6. Seek professional help early – if symptoms persist or intensify, consult a psychologist or psychiatrist immediately

Practical recommendations from Clinical Psychologist Ummu Nazra Nadzam

In addressing both prevention and response to such tragic incidents, these are crucial actions for parents, teachers, and the wider community:

1. Believing is single-handedly the most important thing.

2. Gather evidence for better fact checking.

3. Collaborate with teachers to create a safe and transparent environment.

4. Introduce sex education to build awareness, respect, and healthy boundaries.

5. Recognise internal and external symptoms: children who do not feel safe will show it internally (sadness, excessive sleeping, loss of appetite, lack of motivation) or externally (aggression, school refusal, bullying).

6. Help parents, children, and teachers to understand the legal components of cases involving sexual or violent conduct.

7. Screen or remain vigilant over high-risk students who may be victims or perpetrators.

8. Observe warning signs for both perpetrators and victims (e.g., emotional withdrawal, changes in behaviour, or increased aggression)

9. Ask questions; never assume, and avoid giving out unverified statements.

10. Show support to victims, creating an environment that empowers them to report their cases safely and without fear.

Beyond prevention: Healing and restoring trust

After traumatic events like rape or stabbing, the ripple effects in the school community are profound. Survivors, witnesses, and even teachers may struggle with fear, guilt, or anxiety.

• Trauma-focused therapy and counselling can help victims process pain.
• Group and peer sessions reduce isolation and promote resilience.
• Schools should provide psychosocial support and improve safety policies.
• Education on consent, empathy, and boundaries must be integrated early.

Concluding call: We cannot wait

These heart-breaking incidents are red flags not only for policing and security, but for a national reckoning: Are our children safe – physically, emotionally, and psychologically?

As a Clinical Psychologist at Ampang Puteri Specialist Hospital, I urge:

* Schools and education authorities to strengthen mental health services and safe reporting mechanisms.

* Parents and guardians to stay vigilant, compassionate, and engaged.

* Policy makers to ensure sufficient funding for adolescent mental health programmes.

* Youths to know they are not alone; help is available, and healing is possible.

If we act with urgency, empathy, and coordination, we can transform silence and fear into safety and healing, and prevent further tragedies.

-- BERNAMA

Ummu Nazra Nadzam is a clinical psychologist at Ampang Puteri Specialist Hospital, where she works closely with children, adolescents, adults and families. Her clinical focus includes trauma recovery, neurodevelopmental disorders, mood disorders, and parenting support. She is passionate about building awareness on mental health literacy and promoting resilience in Malaysian youth through compassion, education, and early intervention.