 Welcome, everyone, to this session on protecting youth mental health. My name is Fatem Saral Azuzi and I'm a global shaper from the Kazablanca Hub in Morocco. So we are here to talk about mental health for a special population, which is youth. 2019 was time to act for youth mental health and there were a lot of youth-related mental health activities and initiatives that we will talk about during our discussion. 2020 is time to invest in mental health and scale those initiatives for even more impact and that's what we want to focus this conversation on in line with the theme of this annual meeting which is stakeholders for a sustainable and cohesive world. And specifically here we want to talk about an emotionally cohesive world and a mentally cohesive world. So I would like to introduce our panelists here with us today. So I'd like to start with my fellow shaper from the Bangkok Hub in Thailand, Amorentep Sanchabwiniwong Sanju. So Sanju has a lived experience with mental health, which led him to co-found Sati App, which he's going to talk to us about in a moment. We have with us a professor Jeremy Farr, Executive Director of the Welcome Trust, who announced at the last Davos a big investment of 200 million pounds in mental health. So we're going to talk about that as well. We also have with us Director Henrietta Foro from the UNICEF and UNICEF has mental health as one of its two priorities this year. So he wants to hear more about that. And we have with us Professor Pasma Gori from Origin Australia. So he has been working on youth mental health specifically for more than 30 years since the late 80s. So it would be interesting to know about his perspective. I would also like to acknowledge one of the panelists who could not make it because she was not able to get her visa. And that is Grace Katera from a mental health advocate from Rwanda with a lived experience specifically around trauma related to genocide. So I will read to you the message that she would like to send. Listen to us. Invest in us. Fund us. Fund our youth-led initiatives. Invest in early intervention mental health programs, especially on a national level. Please listen. So that was Grace's message. And actually before we start the discussion I would like to I would like us in the middle of this busy Davos week to just take one minute to recenter since we're talking about mental health and it's good to walk the talk. That's what we do as shapers. We like to have action. So instead of just talking let's start with just taking one minute to recenter. So if you're comfortable you can go ahead and close your eyes with me. If you're not you can keep them open. So we will just take three deep breaths. So deep inhale. Slow exhale. Deep inhale. Slow exhale. Deep inhale. Slow exhale. And check in yourself with yourself and see how you feel right now. And when you're ready you can open your eyes. So Sanju you're the representative of youth on this panel so I would like to start with you and your story with lived experience. So tell us about that and how it led you to be a mental health advocate and what you did in this space especially during the past year. So hello everyone. I've lived with major depressive disorder and schizophrenia for the past four years and started in 2015 and then it went to the point where I was severely self-harming and having suicidal thoughts and hallucinating and so by 2016 I was having up to 16 pills of anti-psychotic anti-depressant Xanax and sleeping pills but that wasn't enough for me to get better so I had to go to the extreme of getting electroconvulsive therapy 36 times. It was getting better but with all the meds that I was on my weight gained by about 50 plus kgs from what it used to be so we had to stop the ECT and start with the therapy again. A lot of us so I live in a place where people don't really understand what mental health really is so in 2017 because I was in a place where I couldn't talk to anyone I couldn't express myself very much I attempted suicide. I came out of the hospital this time and then I flew away for a while and then when I came back I was again in the same place where people didn't understand what was going on so 2018 before attempting suicide I called the suicide hotline in Bangkok and no one picked up my call. So I was put into hospital came out and then I was very to put it mildly I was very pissed off that no one picked up my call and thought that my call wasn't being answered then how many people out there calls are not being answered so I decided to take action into my own hand if the system is not working then I just decided to create my own application that provides on-demand listening services. Yeah so thank you so much for vulnerability sharing that I've heard that story many times but it's always inspiring so what did you do after that experience? So I started doing a lot of research into mental health especially in Thailand we have shortages of psychiatrists we have a very not affordable and not accessible mental health care in the country we have a system where people are calling into the suicide hotline 800,000 people called in 2018 and about just 20% were answered in 2018 and it wasn't being fixed and it has been like that for so long so I've started a campaign last year that was picked up as a national campaign called Heart with Ease to promote empathy and deep listening and active listening and that is also what we as shapers are doing with friendship bench and Inuka where we're going to train 10,000 shapers globally to become empathetic listeners and work in our own community as active listeners and pass on the knowledge to other people. Yeah thank you for sharing so this is an example of a community-based youth-led initiative to deal with youth mental health I forgot to mention that this session is live stream so if you are following us online and using social media you can share using hashtag web 20 and also using hashtag time to invest for mental health so I'm going to go to you director and so UNICEF has been has set mental health as one of two priorities the other one being climate change so that's a bold move so we'd love us to tell you why you think that is important now and you've also recently organized the first conference on child and adolescent mental health so you just heard the experience of Sanju as an individual experience but UNICEF has maybe the farthest reach to to youth under 18 and children so how do you envision leveraging that access that you have for mental health and what kind of solutions you are thinking to bring well these are wonderful questions and and they come out of these experiences so what Grace said invest in us and what you're saying it is invest in us and in our ideas and ways that we can reach out so for UNICEF that's what we're hearing from lots of young people and as you know we work in every country in the world so some of them are in real humanitarian disasters so that is one group of countries there is another group that are in development so they are at every stage low middle and high income and what strikes you is the children and young people are in need in all of these countries it is not something that is one particular part of the world it is not just that it's in low income countries or just in high income countries it's ubiquitous so we must address it and so as we look at the world around us what we are seeing is that about half of most of the mental health issues that come up are there but by the time you're 14 years old and maybe 75% by the time you're 10 years later you're in your mid 20s so if that's happening then then we've got to catch it early so what we do with children is very important when we're in humanitarian situations let's say it's south Sudan we have lots of children who have been displaced by conflict some have become child soldiers and many have been displaced from their homes they need places of security of being able to be centered to have a chance to just think would they love to have somebody listen to them they would that is everywhere but they just need that when we go to other places we are seeing that there are different kinds of needs and there are young people who have cell phones so we have one system called you report another one that is online e-mental health and this means that you can phone in you can get someone to listen to you and you can talk about whatever problems you see suicide is one of the top five reasons for death in the world is very high among adolescents and young people so the need is immense we are seeing that the future is going to have to be composed of around several themes so that's what we're working on one is that it's multi-dimensional there's nutrition there's obesity is on the rise among adolescents so we started programs for adolescents but your body image drugs what what then happens when you are in these processes another one is breaking the silence stopping the stigma and the discrimination many of the problems start in the in the schoolyards in bullying in violence and violence online now big issues we've started something that Jeremy can also talk about in which we want to try to help national governments in tracking who in their population has mental health issues so that they can see what sorts of services that become public health services should be offered to various populations in various parts of their countries so we'll be hoping to roll that out this year it'll be part of the national health surveys but i think it will be a very important part and then lastly the initiative the shapers have for the ten thousand peer support is going to be very important for the future young people want to help other young people it's on a wide variety of subjects but whether you um have just come back from being a child soldier whether you are being reintegrated and you've been in Syria you're now going back to a home that you may never have visited in in Kazakhstan or kyrgyzstan or another place you want to talk to someone and this is the time and the place that young people can help other young people thank you so much for sharing those examples so um we have the youth to youth support we have the multi the dimensional aspect so most of the time mental health is discussed in isolation we feel like okay we have this topic for mental health and there's a population of people who have mental illness but it's really about every one of us it's just it's not about whether you have mental health or not it's just you know it's going to happen sometime it just depends when that on when that happens so so i think this is a good a good point for you professor far too to speak about that multidimensionality and you know the welcome trust announced that 200 million pounds investment so what is the approach you plan to to take um compared to this um states we have right now today yeah thanks very much and uh it's great to have had the words from Ruanda i'm sorry she couldn't come and personal experience because because if we don't put those voices at the heart of this then we won't we won't make the progress and and and henryetta said it and and we would all say it that the we're not starting from scratch we'll hear in a minute there has been progress but there has not been as much progress in this space as there has been in others um you know i come from an infectious disease background but but there has not been as much progress in the area of mental health over the last 20 30 40 40 years and that's that's a scientific problem it's a societal problem it's an innovation problem it's a funding problem but it's also a problem within all of us because i doubt if there's anybody in this room i doubt if there's many people here at davos this week who don't have some sort of personal experience of this whether it's them themselves bravely sharing their stories with us or brothers cousins nephews nieces whatever it is it will affect all of us i think that's our great opportunity because this is not about something happening to people far away this is something happening to all of us and if in if we could go forward by building a movement and we're going to focus on young people's mental health as you know by building a movement that actually isn't about a research funding agency or an esoteric piece of research but which actually is owned by the community who are driving it and are affected by it mostly then i think we would learn lessons from the movements of the last 20 30 years that have really progressed and of course we all think of of what happened in hiv and the progress that was made very quickly there so i think our role um and welcome is um absolutely committed to this it's not just a five-year play this will be our focus area along with climate change and infections over the next 10 20 years so yeah we've put 200 million to it we announced that last year but that is nowhere near enough and and again learning lessons and there's some colleagues here have been very involved in this um what we need to try and do is say we will do that but that is a drop in the ocean unless we're able to bring lots of other people with us to magnify that to leverage it to access new capital that we've not previously accessed whether from industry or whether in in ways of innovative fun uh financing victor's house there is leading a a charge on bringing innovative financing into this and lastly i'd say that we absolutely need to break down the silos that the research community has built up over the last 20 or 30 years um i trained as originally as a neurologist you have neurologists you have psychiatrists you have people working on neuroscience and basic mechanisms that communities got to be bought together at the moment i'm not saying they fight each other but at the moment they're fragmented in silos and this is an area that's been uh not had enough funding and generally when that happens people go more into their silos not not less um the analogy somebody gave to me is if you work on basic science if you work on terminal care if you work in a hospital or a hospice or you're giving advice to people in cancer you all are proud to say i work in cancer we don't have that in the mental health arena um the psychiatrists talk off in one language the people with lived experience talk another people in neuroscience talk another biologist talk another we've got to try and bring these together and say there is an opportunity for all of you here and you'd be better if we work together than if we worked apart yeah yeah thank you so that's the multi-dimensionality that we were talking about at a different level among professionals actually in the field and thank you for sharing that i am proud to work in mental health which would be would be something that we would love to hear so you touched upon also the importance of having a movement and just in line with that i would like to share that there is currently a global mental health campaign called speak your mind so this is the first locally started and globally united mental health campaign so if you want to contribute you can go to go speakyourmind.org and one way that you can help share the message is as you may know every 40 seconds someone in the world dies by suicide so you can share a 40 second video talking about the importance of of this message so professor migore um you know as i said you know since the the end of the 80s you've been working on youth mental health so you probably have some i've learned something that you want to share with us so we'd love to know what is it that you learned what do you think are the the messages we need to stick to the approaches and so on um and you know talk to us about um you know origin and what it's been doing recently and that's basically i think we've you've heard some of the messages already yeah mental health used to be in us and them issue as jeremy just said it's an us issue it's all of us and uh that's that's a big breakthrough i think and we're feeling it in the room today aren't we so that's one of the big things and because we're focusing on young people um early intervention as henryetta said is absolutely the key and you could you could almost say that mental mental illness is the number one uh health issue facing the world you know in in in a health sense and i think the economic forum world economic forum helped to put it there because their report from 2011 showed a massive impact on society of of um mental illness and and and we're realizing now why that is because it strikes early in the lifespan as henryetta said 75 percent by 25 and and the adult the disorders that impact on adult life and and sap sap the futures of people and and uh it it's uh premature death it's um but it's lost potential as well undermining the the i don't know the energy of society um that's something that you know if we tackle that and make that the number one priority which welcomes as i actually put it front and center which is great as jeremy just said that's very very important i started off working in the old mental hospital systems in in the 1980s when um these terrified young people would be coming into hospital with their first psychotic episode and they'd often be would have been ill for a couple of years they'd be treated as if they they were in their 15th episode of schizophrenia no hope you know it was the only specialty in medicine which would extract hope from the patient at the first presentation you're not going to get better you know you won't have a normal life all of those messages were given by psychiatry traditional psychiatry to the patients it's nonsense you know i mean it's and we we've been able to show first of all with psychosis we could change the early course of these illnesses even by deploying existing treatments much more carefully in a holistic way looking at the whole person not just the medication and and the custodial aspects that that has was the first wave of reform from my perspective which swept around the world with early intervention for psychosis and that is a very you know major step forward which still is not available to most people with with psychotic disorders around the world even in high income countries but we could see a bigger picture issue then that that the epidemiology of mental illness was such that if you wanted to change the course and and and affect the long-term outcome you had to look at the transdiagnostically as Jeremy was alluding to these these disorders do not fit neatly into into categories in a dsm or an icd they evolve and we've seen this with headspace now in australia we've developed a primary care system in the last 15 years which has spanned the whole country we have 105 integrated youth health platforms across the country federal government successive federal governments have supported this very very strongly it's been designed by local communities coming back to send you's point and by young people co-designed by them so it feels like a safe trusted space and brand for young people and about 15 other countries have embraced this model too now so this is a very very hopeful sign it's not just about the treatments it's about the culture of care and delivering a health system that delivers what is already known not just new discoveries but actually you know the it's only a very small minority of people that get access to what we can already do in terms of helping them and if you do that you see recoveries every single day you know I see that's why I'm still optimistic very optimistic and I think we're on the cusp actually the fact that we're here today discussing it really indicates that and that's so very very inspired so great to be yeah thank you for sharing that message of hope because I think we all need this there might be people watching us who are dealing with mental illness or mental health issues so we want to say that it is possible to solve this now how do we do this nobody can do that alone so we need a multi-stakeholder approach and I'd like to invite all of you anyone who wants to share who do we need who are the stakeholders we need to be part of that discussion because today there might be some stakeholders who are already involved but maybe some are not are missing so who are those people so that we make a call to action to them today so Andrew you want to share? So I think we of course we need to have the youth at the table because they're right now the one who is going through mental health the most globally I think we there's also a need for the government for private sector to come in because the report came out from SAP in the United States that 50 percent of millennia and 75 percent of GNC living the workspace because of burnout and we need to fix that and one stakeholder that I don't really think people talk about is the media because media can be the the force to create weather effect weather effect which is copycat suicide so for example in in Thailand there's no proper media literacy on how to talk about suicide or mental health and sometimes they share too much through the news where the next four suicide that happened happened the same way that happened with that so I think one very important group that we need to bring in is is the media yeah to talk about mental health in the right way okay so so youth as a stakeholder very important to have a seat at the table and be part of the conversation and design it any systems yes go ahead and it's also the way media uses languages right because languages for mental health is very different in every part of the world so for example the word psychosis in Thai language is Rokjit but media try to use tends to use the word Rokjit as to mean pervert you know and and then there was also another mental activist who also took anti-depressant and she also gained a lot of weight and the media wrote that this person took so much weight that she now looks like a bullfrog but she is still pushing on mental health so these are the sort of like stigma that that should really be eradicated from from the media and it should be put in a more light that empower youth living with mental health to to just speak out about about what issues that they're having yeah yeah so media as a stakeholder and definitely being culturally aware yeah because there is no one size fits all in this discussion and nobody I think has it figured out today how to solve this so it's important to you know to have global solutions but make sure that they are tailored to the environment especially you know if we talk about for example conflict zones you know there are populations that have specific needs so I'd like to take it to inclusion so specific populations as I said you know in conflict zones maybe gender-based violence people with disabilities refugees so you know I'm not sure if you if you want to share anything around the specific needs of those populations and how when designing global mental health systems we don't forget about those and make sure that we tailor to their needs would you like to share something like that yes you're absolutely right they are harrowing stories and they are the sort that make you realize that as a world we must do better about being humane that our humanity makes a difference so when I was in Cox's Bazaar many of the Rohingyas that have fled there have witnessed violence to a level that they had never witnessed it before so whether it was children or whether it was women and it was that they would see their mother being killed or their sister or that they would be defiled in public uh so these images these images of horror were were carried with them we began putting them into safe spaces um to place them in a place where they could talk to other children and that they could draw pictures it's a way to bring out some of these feelings but there is a need in any of these times for just a person to feel safe and for children it's extremely important and when you are in many of these refugee situations sometimes you lose your family it is frightening if you are six years old and you have lost your family and when you are the humanitarian workers it is just as much of a mental health problem that you can't find their family and you I mean they're just crying their heart out so it is both what children see what they experience it's that time of quiet it is what you then do to bring them back the socialization in a school can make a big difference so there can be a social cohesion and a healing in the school so one of the groups that you mentioned who's missing sometimes we forget about best friends but if you have a friend who actually says how are you and they care about you and they know when you're not talking up when they look anxious depressed that's the beginning of getting help and that's what these children need in some of the worst situations yeah I love that best friends as a stakeholder if to add to that I actually had two friends if I call them at 2 a.m. or something having a panic attack in the car they would actually come out and and help take care of me and everything so I totally echo that that you know best friends are someone who is really important for you as well yes perfect yeah and also I think in relation also to the education system or schools as a stakeholder the emotional literacy because many of us I hear most of the time I have a friend who's struggling but I don't know how to help so I think this needs to be part of the discussion emotional literacy realized then when we're dealing with depression or burnout or anxiety and knowing what tools to use would you like to talk about the the empathic listening and yes so we we believe that you know everyone have the power to be empathetic I think it's in us to be empathetic it's just that we have forgotten how to be one and a lot of time we sort of confuse sympathy with empathy and so what us shapers are trying to do is basically the first line of defense was someone who's about to go into a crisis of mental health breakdown or burnout breakdown is basically to have someone listen to them and listen to them without judgment and listen to them without telling them what they need to do and just listen because like you said art pieces and whatnot is very important it's just a way for us to express you know either through art to through cooking through talking you know and just to have that is very important and that's why us shapers are working with the friendship bench by Dr. Dixon and Inuka to train right now we're doing pilot project with 15 shapers from 15 cities around the world and then we hope to slowly like expand it to all of our shapers community and because for us shapers as you know we are we consider we are considered as high achievers because we are not just doing our main job but at the same time we are volunteering our time to make the world a better place and there's a lot of tasking things that goes on with us and sometimes for us just to have a shape of friend who understand the the immense pressure that we are going on is also very important so this is going to create that a strong bond and peer to peer sort of helping one another out. Yeah activism burnout is very important especially in this culture of young people of you know I'm not in the Forbes 30 under 30 list so I haven't done anything in my life so I think it's important to to address that yes professor fire you had a comment yeah I think rather than asking who should be in the tent I think sort of it's better to ask there's no reason why anybody should be outside the tent I mean if you're going to create a movement this can't be about us and them as you said earlier it's got to come from those people with lived experience and it's got to bring mind everybody and if you know if there's one thing that we've done many things but if one thing does weft does it brings together the whole community you can't deal with this unless we also talk about the workplace you can't deal with this unless companies engage on it and not just the pharma companies who may produce products but everybody is including us as an employer because that workplace mental health is an issue it's an issue of health of course and well-being but it's also critically an issue of economic productivity so this is something that has to bind everybody together and we all agree that there's no single magic bullet here it's a holistic approach and it has to be intricate absolutely we're all brought into that but that's not the same as saying there isn't accountability and again the thing at weft is you come you have the debates you have the discussion and there are people who can make decisions here and there are people who have great influence but you when you've gone you've got to go away and commit to a cheat delivering what you promised when you were here because otherwise there's no point coming and so that's something that's gone through last year we did this with sepi many years ago and we we come here we debate we discuss we all agree in the main we've got to go away and those of us who are in positions of authority and leadership have then got to make it happen and if we don't do that the thing that Richard Edelman who's sitting over there talks about about trust and accountability is lost so that's the pressure I think that comes back to everybody that's here saying the right things to make it happen when we leave here yeah so those stakeholders that we need to bring in to make them accountable I know that welcome trust is not working in isolation on on the five-year program so I suppose you already have some stakeholders that you're working with do you think there are any missing that maybe for some reason you couldn't reach or who are not part of the discussion and you'd like to yeah and and you honestly you don't miss people because you don't want them right and one of the reasons for having this session is to actually reach out and say now with the connectivity we have please reach out to us and it doesn't have to be to us it could be to Henrietta it could be to the shapers it could be anybody in this room but but if you don't bind everybody and keep everybody on the tent in the tent or on the bus whichever acronym you want then we will only address a little part of it and that is not that won't move the feel forward could I just jump in there of course yes because I've struggled with this in the last 10 years in Australia as well because we have had a lot of awareness we've had massive awareness actually of mental health and mental illness in Australia so every every Australian would would be able to talk more freely now than they could have 10 or 15 years ago but it's been it's actually caused a stagnation of action in in some ways because people think by talking about it something's being done and actually what Jeremy just said very very important there's a real call to action here not just from the private sector from world economic forum world which is fantastic the corporate world is getting engaged with this finally I'd say it's been very late in the piece I must say but world economic forum played a good role here but government government is off the hook yes in many ways and even when we have sympathetic ministers and prime ministers we've had about five very sympathetic prime ministers for mental health in Australia we have had this progress especially in youth mental health that's been great progress but the fact is we don't have parity you know we do not have parity if you have a mental health problem you do not the same you do not get the same access or quality of care even in rich countries and that's a fact all around the world and we have the high income countries have got as you know a lot of neglect so how is that going to change it has to be driven by the public by by the voters actually the voters and so campaigns are developing united of a global mental health in based in the UK in Australia we have Australians for mental health this is a new grassroots movement giving a voice to every single member of the public that's the goal because every single member of the public is affected but if they don't actually indicate that they care about it to their political world we're not going to see government investment that that's the missing ingredient I think yeah so the grand public and voters specifically as as a stakeholder I guess if we if we can call it that way so would you like to start shop on the why do you think it was a successful experience in Australia to have the political support of federal governments but you know how can we replicate this in other countries well it's very interesting because I tried for a long time the first part of my career to get governments to invest in schizophrenia and psychosis and serious mental illness which is obviously still pretty neglected but what really worked was a focus on young people because everybody can relate to their kids you know and we're talking mainly about 12 to 25 teenagers young adults on the threshold of adult life and that's where parents really start to get concerned and they see the reality of mental ill health they're sure there are a little there are mental health problems and little kids and you mentioned all the risk factors that are operating in the younger children but the real rubber hits the road in once you hit puberty and into that sort of transition to adulthood and and the public care about that everyone we all in the room we care about that politicians care about it they know it's a reality so that was successful in mobilizing you know so in a way youth mental health was the vanguard for investment it's happening in other countries too I mentioned 12 or 15 other countries are starting to get this and Wellcome Trust has actually embraced that very very strongly great leadership so so I think this is really starting to be a success story and hopefully the rest of mental health care can can follow you create some optimism and success and and you get a belief that you can make a difference to people's lives that's what they do in cancer even though it's it's not not as successful as you might think but the hope and and that prospect of success is a very important message for us it's really important I mean a lot of people the analogy to cancer I think are important and and you know I've witnessed going through and people have had moonshots in cancer even even Richard Nixon had a moonshot in cancer and people derived that and say but actually I would argue the opposite it gives a sense of hope and it gives a sense of energy that actually you can make a difference and one of the problems that I think is bedevilus is we've all been frightened of it we don't know how to react when our relative brother friend whatever it is and and that makes us fearful and when we're fearful we step back away from it unless you've got very good friends at 2am like that like you have so we have to offer realistic honest hope that you can actually change something and I don't think we've had that in this field until recently yeah agree could I add to that of course yes so when we're talking to young people around the world one of the areas for their anxiety is that they don't feel they're getting an education that's modern and that they're not going to get a job so it's creating a lot of stress and a lot of depression because they just feel they're going to be locked out so the world economic forum has taken this on about jobs very important another one is on climate they worry about the world that we are going to be leaving that they are now in so if we can solve some of these issues it will help with mental health so Jeremy's point about standing up a movement is absolutely right we have to realize that we're all in it but we have to be willing to say proudly that we're in it for a movement for mental health that this is important to all of us and there are lots of feeders into it we can get to some of the root causes together but we have to solve this yes definitely so again the idea of a holistic approach mental health does not stand in isolation but in relation to education and climate change among other topics so we need to start wrapping up here and I would like to ask each one of you a question to make this tangible for for the audience so today what what can anyone do to progress youth mental health and maybe you can talk to just the public about anyone if you want to talk to government specifically so industry we didn't talk too much about the private sector and what they can contribute if you know each one of you can have an actionable item what can i do today to progress i think what we all actually can do in this room is to just ask us of am i a am i a good listener you know once we ask us out am i a good listener and if you think you are not then maybe reach out to someone or some foundation that can educate you on deep listening and active listening to just make yourself become an empathetic listener and i think that's just the basic question to ask yourself going back to this issue of accountability it is all of us it's not going to get done by somebody else so if you're sitting in this room now email me in the next few days and join that engagement we would love to have people engaged with this email is available somewhere email isn't getting involved because you'll make a difference okay if i might touch upon as i give my own call to action i wasn't planning to do that but it links to your idea next month the word economic form will be launched in uplink which is the digital platform for collaboration among different stakeholders so anyone can join and contribute so this could be an easy way to bring together the public the governments the private sector all the stakeholders who need to be part of the conversation and doctor for you want to share well break the silence is one of the most important things we could do for this generation now and end the stigma and invest yourself do something about it roll up our sleeves let's get to work thank you well i i like i learned something from listening to Jeremy and Henrietta about the need for confidence you know i mean in psychiatry when i when i trained in psychiatry i did general medicine first and then i moved to psychiatry had people queuing up trying to talk me out of that career move you know don't waste your life on quote unquote those people now that is a disgrace you know and and that attitude and that lack of confidence you know you said let's let's be proud of of this mission that we are we're all hoping hoping to be committed to so more confidence more um ambition and uh it's got to be a community wide effort as Jeremy and Henrietta and and you have been saying so i think i think we can do it you know it's it's not a moonshot it's achievable yeah so you know to wrap up and then on this positive message of hope so we know we can achieve this there has been some progress made but definitely there's a lot more to be done keep in mind this holistic approach that mental health does not send in isolation again everybody needs to be part of the conversation because nobody needs to be outside this circle of stakeholders and holding those stakeholders accountable in order to reach actual impacts and loss keepers just at the at the talking stage remembering the message of inclusion as well so caring for those vulnerable and underrepresented populations and stigma of course this effort needs to continue you know in parallel with investing in mental health and um i would like actually to invite you all to watch a video on that how to break the stigma and it's for the Speak Your Mind campaign hi hi i'm from Melbourne Hong Kong Columbia Canada South Africa England every 40 seconds someone dies by suicide every time someone dies by suicide you lose all the brilliance they could have brought into the world i personally have struggled and i eat my whole life we need mental health to be taken seriously as physical health i'm calling on my leaders to act on mental health because people in Pakistan and all over the world deserve better for too long these things stigma attached to talking about mental health and well-being mental health has been neglected for too long it concerns us all and greater action is urgent we have the blueprint of what works it's time to invest in mental health it is indeed time to invest and we hope that you all will contribute to 2020 be in the year for investments in mental health and you have a clear call to action here so you can contribute by participating in the campaign i would like to thank all the panelists that was a delightful discussion that we've had and this message of hope again that we're given to anyone who might be struggling thank you