Institute for Resilient Regions, University of Southern Queensland, Springfield Central, Queensland, Australia.
School of Psychology and Counselling, University of Southern Queensland, Springfield Central, Queensland, Australia.
J Rural Health. 2023 Mar;39(2):374-382. doi: 10.1111/jrh.12705. Epub 2022 Sep 7.
It is crucial to understand the micro-level personal factors that impact farmer mental health help-seeking, given that farmers are at increased risk of suicide yet show reduced mental health help-seeking behaviors.
Ten farmers, 10 farmers' partners, and 8 general practitioners (ie, family physicians) from Australia completed qualitative semi-structured interviews. Braun and Clarke's method of thematic analysis was used to analyze the data.
The analysis resulted in 4 themes: "mental health literacy," "stigma of mental illness and help-seeking," "support, the partners' role in help-seeking," and "the intersectionality between being a farmer, age, and gender." Farmers' knowledge and understanding of mental health and treatments was varied. Stigma was reported to be reducing, but still present toward both mental illness and mental health help-seeking. Support from a partner was reported to facilitate help-seeking if delivered tactfully. Lastly, being older and male were reported to negatively impact farmer mental health help-seeking.
The findings contribute to understanding farmer mental health help-seeking and could inform quantitative research and the development and implementation of interventions to promote mental health help-seeking in this group.
鉴于农民自杀风险增加，但心理健康求助行为却减少，了解影响农民心理健康求助的微观个人因素至关重要。
来自澳大利亚的 10 名农民、10 名农民的伴侣和 8 名全科医生（即家庭医生）完成了定性半结构化访谈。采用 Braun 和 Clarke 的主题分析方法对数据进行分析。
分析结果产生了 4 个主题：“心理健康素养”、“精神疾病和求助的耻辱感”、“支持，伴侣在求助中的作用”和“作为农民、年龄和性别的交叉性”。农民对心理健康和治疗的知识和理解各不相同。据报道，耻辱感虽有所减少，但对精神疾病和心理健康求助仍存在。如果伴侣提供的支持巧妙，则有助于寻求帮助。最后，年龄较大和男性被报告对农民心理健康求助产生负面影响。
这些发现有助于了解农民的心理健康求助情况，并为定量研究以及促进该群体心理健康求助的干预措施的制定和实施提供信息。
