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澳大利亚农村农业社区的自杀污名、素养和影响的在线评估。

Online assessment of suicide stigma, literacy and effect in Australia's rural farming community.

机构信息

Deakin University, National Centre for Farmer Health, 75 Pigdons Road, Geelong, VIC, 3216, Australia.

Deakin University, Deakin Rural Health, 75 Pigdons Road, Geelong, VIC, 3216, Australia.

出版信息

BMC Public Health. 2018 Jul 6;18(1):846. doi: 10.1186/s12889-018-5750-9.

Abstract

BACKGROUND

In Australia, farming populations have been identified as having higher rates of suicide, in comparison to metropolitan, rural and regional communities. The reasons for this are unclear although stigma is considered a risk factor. This study was designed to understand the role of suicide stigma and suicide literacy and the relationship between these.

METHODS

A mixed-methods online intervention was developed. This paper reports on baseline quantitative data (suicide stigma, suicide literacy and suicide effect) collected from male and female rural Australian participants (N = 536) with an experience of suicide.

RESULTS

When compared with previous Australian community samples, our sample demonstrated higher levels of stigma and higher levels of suicide literacy. Males were more likely to have considered suicide than females. Females were more likely than males to report a devastating and ongoing effect of suicide bereavement, but less likely than a previous Australian community sample.

CONCLUSION

Results of this study reiterate the need for improved understanding of the risk factors and experience of suicide within the context of life and work in rural Australian farming communities and how 'best practice' can be adapted to improve stigma reduction and suicide prevention efforts.

TRIAL REGISTRATION

This research project was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR) ( ACTRN12616000289415 ) on 7th March, 2016.

摘要

背景

在澳大利亚,与大都市、农村和地区社区相比,农民群体的自杀率更高。其原因尚不清楚,尽管耻辱感被认为是一个风险因素。本研究旨在了解自杀耻辱感和自杀素养的作用以及它们之间的关系。

方法

开发了一种混合方法的在线干预措施。本文报告了从有自杀经历的澳大利亚农村男性和女性参与者(N=536)中收集的基线定量数据(自杀耻辱感、自杀素养和自杀影响)。

结果

与之前的澳大利亚社区样本相比,我们的样本表现出更高的耻辱感和更高的自杀素养水平。男性比女性更有可能考虑自杀。女性比男性更有可能报告自杀丧亲的毁灭性和持续影响,但比之前的澳大利亚社区样本则较少。

结论

本研究的结果再次强调了需要更好地了解澳大利亚农村农业社区生活和工作背景下的自杀风险因素和经历,以及如何调整“最佳实践”以减少耻辱感和预防自杀。

试验注册

本研究项目于 2016 年 3 月 7 日在澳大利亚和新西兰临床试验注册中心(ANZCTR)(ACTRN12616000289415)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/027d/6035410/1d0291c8e639/12889_2018_5750_Fig1_HTML.jpg

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