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有过自杀意念但过去一年未与精神卫生服务机构接触的男性寻求帮助和使用服务的障碍。

Help-Seeking and Barriers to Service Use amongst Men with Past-Year Suicidal Ideation and not in Contact with Mental Health Services.

出版信息

Arch Suicide Res. 2024 Apr-Jun;28(2):482-498. doi: 10.1080/13811118.2023.2190781. Epub 2023 Mar 29.

DOI:10.1080/13811118.2023.2190781
PMID:36987997
Abstract

OBJECTIVE

Men are less likely than women to engage with formal mental health services for suicidality. We describe the sources of support, barriers to service use, and coping strategies of men with past-year suicidal ideation who are not receiving formal mental health services.

METHOD

Australian men experiencing past-year suicidal ideation who also did not receive formal mental health services within the past year ( = 176) completed a survey that assessed help-seeking behaviors, coping strategies and styles, use of general services, barriers to service use, and individual-level characteristics. Analyses included descriptive statistics and bivariate analyses.

RESULTS

The most common type of support was self-help resources, and self-reliance was the most common barrier to formal mental health service use. Most participants had seen a GP for non-mental-health-related reasons in the past year. Men who did not seek any help for their suicidality experienced lower instrumental barriers and perceived need for support, and lower levels of certain coping styles. Limitations included a cross-sectional design and small sample size.

CONCLUSION

The current study provides insight into the help-seeking experiences of men with past-year suicidality and not receiving formal mental health services. The findings suggest it may be helpful to improve the linkage between online and informal sources of support and evidence-based interventions.

摘要

目的

男性寻求正式心理健康服务以解决自杀问题的可能性低于女性。我们描述了过去一年有自杀意念但未接受正式心理健康服务的男性的支持来源、服务使用障碍和应对策略。

方法

在过去一年中经历过过去一年自杀意念且未接受正式心理健康服务的澳大利亚男性( = 176)完成了一项调查,该调查评估了寻求帮助的行为、应对策略和风格、一般服务的使用、服务使用障碍以及个体特征。分析包括描述性统计和双变量分析。

结果

最常见的支持类型是自助资源,而自力更生是寻求正式心理健康服务的最常见障碍。大多数参与者在过去一年中因非心理健康相关原因看过全科医生。过去一年中没有寻求任何帮助来解决自杀问题的男性经历的工具性障碍和对支持的需求较低,某些应对方式的水平也较低。局限性包括横断面设计和样本量小。

结论

本研究深入了解了过去一年有自杀意念但未接受正式心理健康服务的男性的寻求帮助的经验。研究结果表明,可能有助于改善在线和非正式支持来源与基于证据的干预措施之间的联系。

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