Malaysia is one of three Southeast Asian countries that still criminalizes suicide. To fight stigmas, mental health advocates have been pushing for reform and a more efficient health care system.

On Sept. 10, World Suicide Prevention Day, Malaysian Princess Tengku Puteri Iman Afzan was appointed as the country’s international patron for World Mental Health Day 2020. This nomination was an encouraging sign for Malaysian mental health advocates for many reasons.

As a former British colony, Malaysia has codified an antiquated law criminalizing suicide. In Section 309 of Malaysia’s Penal Code, those who attempt and survive suicide must serve one year in prison, pay a fine, or both. Almost 60% of Malaysia’s population practices Islam, and suicide goes against the religion’s belief in the sanctity of life. Despite the stigma of suicide as a “sin,” a national study estimates that every day 10 people take their own lives. Subsequently, many human rights groups like the National Human Rights Society (HAKAM) and Minda are dedicated to raising mental health awareness and literacy. Activists hope that proper education will dispel the negative stereotypes that are preventing many from seeking the help they need.

In an interview with The Guardian, chairman Justin Victor of emotional support hotline group Befrienders Kuala Lumpur, said that criminalization “is a deterrent to being able to speak about [suicide] openly.” Many individuals who survive are reluctant to seek help, fearing they could be charged again.

In the wake of the COVID-19 lockdown, the need for mental health care reform was made more apparent. Shahfirul Hakim Shahidan, 28, attempted suicide after facing unemployment. He was charged with “inconveniencing” others and fined 3,000 ringgit ($720). If Shahidan failed to pay, he would be jailed. The sentence was met with public outcry. Minds First, a youth group advocating for mental health awareness, organized a Change.org petition demanding the decriminalization of suicide. In its statement, the group argued that the “criminalization of suicide punishes those who need help and prevents them from getting the support they need.”

As of Oct. 11, the petition had gained nearly 19,000 signatures.

Quarantine isolation has exacerbated existing mental health challenges. Befrienders Kuala Lumpur reported an increase in calls when the government first enforced social distancing measures. Publicity director Ardy Ayadali explained, “Being in isolation increases the fear and helplessness that someone feels … when someone is isolated in crowded families or spaces, the environment can get toxic.”

During the pandemic, however, Malaysia also launched its first mental health helpline for children. Buddy Bear is a hotline that lets children discuss whatever social and emotional issues they have, and gives advice on how they can deal with them. With professionally trained volunteers, children learn how to articulate and understand their feelings with a healthy approach.

Accordingly, many felt that Iman’s appointment would aid Malaysia’s advocacy work in mental health care. The princess has also struggled with anxiety and shared that although she is no longer ashamed of her troubles, she also knows “what it’s like to feel disempowered.” Iman noted that stigma was one of the biggest hurdles and applauded Malaysians’ struggle to attain mental health rights. During her acceptance speech, the princess publicly called for the decriminalization of suicide.