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了解澳大利亚农民的自杀问题。

Understanding suicide in Australian farmers.

作者信息

Judd Fiona, Jackson Henry, Fraser Caitlin, Murray Greg, Robins Garry, Komiti Angela

机构信息

Centre for Rural Mental Health, Psychiatry and Psychological Medicine and Bendigo Health Care Group, Monash University School of Psychology, PO Box 126, Bendigo, VIC, 3552, Australia.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2006 Jan;41(1):1-10. doi: 10.1007/s00127-005-0007-1. Epub 2006 Jan 1.

Abstract

OBJECTIVE

Male farmers in Australia have an elevated risk of suicide. The aims of this study were to investigate the rate of mental health problems amongst farmers compared with non-farmer rural residents and to investigate what additional factors might contribute to an increased risk of suicide amongst farmers.

METHOD

This study used a combination of quantitative and qualitative approaches. First, using self-report questionnaire data, we compared rates of mental health problems (a common correlate of suicide) and a number of personality measures between farmers (n=371) and non-farming rural residents (n=380). In addition, semi-structured interviews with farmers (n=32) were used to gain a richer understanding of how the context of farming and mental health interact.

RESULTS

Five key findings emerged from the study. First, in the quantitative study, we found no support for the proposition that farmers experience higher rates of mental health problems than do non-farmer rural residents, but we identified potentially important personality differences between farmers and non-farmers, with levels of conscientiousness being significantly higher amongst farmers and levels of neuroticism being significantly lower. A strong association between maleness and farming was also found. In the qualitative study, participants indicated that farming is an environment in which individuals experienced a range of stressors but have limited capacity to acknowledge or express these. In addition, there appeared to be significant attitudinal barriers to seeking help for those who may have mental health problems, particularly male farmers.

CONCLUSION

The elevated rate of suicide amongst farmers does not seem to be simply explained by an elevated rate of mental health problems. Individual personality, gender and community attitudes that limit a person's ability to acknowledge or express mental health problems and seek help for these may be significant risk factors for suicide in farmers.

摘要

目的

澳大利亚男性农民的自杀风险较高。本研究的目的是调查农民与非农民农村居民相比的心理健康问题发生率,并调查哪些其他因素可能导致农民自杀风险增加。

方法

本研究采用定量和定性相结合的方法。首先,利用自我报告问卷数据,我们比较了农民(n = 371)和非农民农村居民(n = 380)之间的心理健康问题发生率(自杀的常见相关因素)和一些人格测量指标。此外,对农民(n = 32)进行了半结构化访谈,以更深入地了解农业环境与心理健康之间的相互作用。

结果

该研究得出了五个关键发现。首先,在定量研究中,我们没有找到证据支持农民比非农民农村居民经历更高心理健康问题发生率这一观点,但我们发现了农民与非农民之间潜在的重要人格差异,农民的尽责性水平显著更高,神经质水平显著更低。还发现男性与农业之间存在强烈关联。在定性研究中,参与者表示农业环境中个体经历了一系列压力源,但承认或表达这些压力源的能力有限。此外,对于可能有心理健康问题的人,尤其是男性农民,寻求帮助似乎存在重大的态度障碍。

结论

农民自杀率升高似乎不能简单地用心理健康问题发生率升高来解释。个体人格、性别和社区态度限制了一个人承认或表达心理健康问题并寻求帮助的能力,这些可能是农民自杀的重要风险因素。

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