The University of British Columbia, Canada.
Queen's University Belfast, Ireland.
Health (London). 2017 Nov;21(6):616-632. doi: 10.1177/1363459316638542. Epub 2016 Mar 15.
In Canada, it is young, rural-based men who are at the greatest risk of suicide. While there is no consensus on the reasons for this, evidence points to contextual social factors including isolation, lack of confidential services, and pressure to uphold restrictive norms of rural masculinity. In this article, we share findings drawn from an instrumental photovoice case study to distil factors contributing to the suicide of a young, Canadian, rural-based man. Integrating photovoice methods and in-depth qualitative, we conducted interviews with seven family members and close friends of the deceased. The interviews and image data were analyzed using constant comparative methods to discern themes related to participants' reflections on and perceptions about rural male suicide. Three inductively derived themes, "Missing the signs," "Living up to his public image," and "Down in Rural Canada," reflect the challenges that survivors and young rural men can experience in attempting to be comply with restrictive dominant ideals of masculinity. We conclude that community-based suicide prevention efforts would benefit from gender-sensitive and place-specific approaches to advancing men's mental health by making tangibly available and affirming an array of masculinities to foster the well-being of young, rural-based men.
在加拿大，自杀风险最高的是年轻的农村男性。尽管对于造成这种情况的原因尚未达成共识，但有证据表明，一些与环境相关的社会因素，如孤立、缺乏保密服务以及坚持农村男子气概的限制性规范，都会导致这一现象的发生。在本文中，我们分享了一项工具性摄影图片研究的结果，以提炼导致一名年轻的加拿大农村男性自杀的因素。我们综合运用摄影图片方法和深入的定性方法，对死者的七位家属和密友进行了访谈。我们采用恒定性比较方法对访谈和图像数据进行了分析，以识别出与参与者对农村男性自杀的反思和看法相关的主题。三个归纳得出的主题，“错过的迹象”、“维持他的公众形象”和“在加拿大农村衰落”，反映了幸存者和年轻的农村男性在试图遵守男性气质的限制性主导观念时所面临的挑战。我们的结论是，社区为基础的预防自杀工作将受益于对性别敏感和特定地点的方法，通过提供有形的和肯定的各种男性气质来促进年轻的农村男性的心理健康，从而促进他们的幸福感。
