Why Are So Many Young Chinese Depressed?

The rise of youth depression has been decades in the making and owes much to China’s rigid education system, past fertility policies, and tight migration restrictions. Chinese youth are burned out from spending their childhood and adolescence engaged in ceaseless, intense study. Attending a good university is seen as necessary for securing a good job, and for rural children, a university degree is the only path to legal residence in cities under the hukou registration system. In a city, average household annual disposable income is $6,446, which enables a middle-class lifestyle. By contrast, in rural areas, an income averaging only $2,533 means living in relative poverty.

As if the pressure to get into a university wasn’t bad enough, the rigid structure of the school system makes matters worse. After nine years of compulsory schooling, children must pass an exam to enter an academic high school, and only 50 percent of them are allowed to pass. Teenagers who don’t make the cut attend vocational high school and are destined for low-paying jobs.

Chinese children therefore begin studying in earnest very early in life. They not only go to school but also receive expensive outside tutoring and pursue extracurriculars like music or chess—which are rewarded in an opaque manner. In an attempt to alleviate some of these pressures, the government banned for-profit tutoring and barred public-school teachers from offering such services on the side. But this only added more pressure, because the price of tutors increased as their supply declined.

Wealthy households in Shanghai and Beijing now pay $120 to $400 per hour for in-person tutoring, while the children of the non-wealthy must study even harder to make up for the tutoring that their parents can no longer afford. In the 1980s and 1990s, Chinese village and city streets were full of children. Today, one rarely sees any unless it is a holiday. Even on weekend afternoons, playgrounds are empty. The kids are all inside studying.

Another cause of youth depression is loneliness. Owing to the one-child policy, which lasted from 1979 to 2016, children in urban areas lack siblings. And unlike the first generation of single children after the policy was introduced, later generations do not even have cousins with whom to play (since their parents have no siblings either). One survey of Chinese college students finds that the typical only child is much more likely to experience anxiety and depression than her classmates with siblings. Suicide rates for children between the ages of five and 14 have increased more than fivefold since 2010.

Parents are also under tremendous stress. In addition to taking care of their children, most middle-age urban couples also must care for four elderly parents. By contrast, in rural areas, where around 491 million Chinese live, the one-child policy was enforced less strictly, which means that adults often have siblings with whom to share the burden. But they face more stress when they have children. Many must seek higher-paid work in cities, but the hukou restrictions prevent them from bringing their offspring with them. Around 11 percent of Chinese today are rural–urban migrants, which translates into some 69 million children being left behind in rural areas.

Rural parents who might have been able to remain with their children have begun to face a different problem. Following the closure of around 300,000 rural schools between 2000 and 2015, 12 percent of primary-school-age children and 50 percent of secondary schoolers must attend often faraway boarding schools. Many rural adults thus work long hours to educate children with whom they must part after the first few years of life. Ironically, their chances of being reunited are even lower if their child ultimately succeeds, because most university graduates settle permanently in cities.

In 2018, 35 percent of Chinese adults reported being depressed on average. The rate was 50 percent higher in rural areas and among women. For obvious reasons, widespread depression is dangerous for any society, auguring future economic stagnation, low fertility, and other problems reminiscent of Japan starting in the 1990s.

The good news for China is that straightforward policy solutions are available. The first is to get rid of rigid, centrally planned schooling. Local governments ought to be able to decide how many schools to build and how many students to take, and each high school and university should decide who it wants to admit, including late bloomers who may have not been good test takers as kids. The government can still regulate schools, but it should delegate and decentralize most of the decision-making to increase the system’s flexibility. This alone would take a lot of pressure off young children and their parents.

A second step is to lift the rural–urban migration restrictions that are dividing families and condemning rural households to relative poverty. This solution has become especially important as aggregate growth has slowed. Rural areas cannot just wait their turn for the next run of growth. They need access to the same opportunities as urban households. Moreover, rural labor can boost productivity by filling low-skilled factory jobs. While college graduates struggle to find high-paying jobs, there are 30 million unfilled vacancies in manufacturing and assembly.

These policies are not without costs. Efforts to change the school system would trigger resistance from current stakeholders, and allowing free migration would increase urban congestion. But such measures would also yield clear benefits by boosting economic growth and improving the mental health of China’s young people and their parents.

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This article originally appeared in Project Syndicate.