Core Viewpoint - The emergence of "suspension institutions" reflects the increasing mental health issues among adolescents and the growing trend of school suspension in China, driven by parents seeking alternative solutions for their children who struggle with traditional education systems [3][4][28]. Group 1: Overview of Suspension Institutions - There are at least 25 suspension institutions across China, with a concentration in cities like Dali, Beijing, Hangzhou, and Chengdu [2]. - These institutions offer diverse approaches, from complete acceptance and "lying flat" culture to nature therapy and a mix of psychological counseling and engaging activities [2][3]. - Common characteristics include a lack of fixed schedules, no mandatory classes, and blurred lines between teachers and students [2][3]. Group 2: Mental Health Statistics - Over 28 million individuals under 18 in China suffer from depression, accounting for 30.28% of the total depression patients [3]. - Among families with children experiencing mental health issues, 53.85% reported having a history of school suspension, with an average of 1.71 suspensions per child [3]. Group 3: Parental Perspectives and Experiences - Many parents have tried various treatments, including psychological counseling and medication, before turning to suspension institutions [2][4]. - Parents express a strong desire for their children to find a supportive environment that addresses their emotional needs and helps them regain a sense of purpose [4][11]. Group 4: The Role of Gaming - Gaming is often viewed as a coping mechanism for children, with some parents recognizing its potential benefits when integrated into therapeutic settings [8][10]. - Institutions are increasingly adopting a more lenient approach towards gaming, allowing children to engage in it as a form of social interaction and emotional relief [8][10]. Group 5: Challenges and Adjustments - Transitioning to a suspension institution can be difficult for children, often requiring time to adjust and recover from previous academic pressures [11][12]. - Many children experience feelings of guilt and anxiety about their situation, complicating their adjustment to a new environment [13][14]. Group 6: Financial Considerations - The cost of attending suspension institutions can be prohibitive for many families, with fees ranging from 4,000 to 18,000 yuan per month [44][45]. - Economic barriers prevent a significant number of families from accessing these services, highlighting the need for more affordable options [45]. Group 7: Societal and Cultural Influences - The pressure of performance culture in society contributes to the mental health struggles of adolescents, as parents often project their own success onto their children [46]. - The global trend of school refusal and mental health issues among youth has been exacerbated by the COVID-19 pandemic, with significant increases in absenteeism reported in countries like the U.S. and the U.K. [46][47]. Group 8: Future Directions - There is a growing expectation for more support from government and community organizations to assist families dealing with school refusal and mental health challenges [47]. - Parents express a desire for community spaces where their children can socialize and engage in activities outside of traditional educational settings [47].