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采用交叉方法探索在爱尔兰受自杀影响的旅行者男性的心理健康体验。

Using an Intersectional Approach to Explore the Lived Mental Health Experiences of Traveller Men Affected by Suicide in Ireland.

机构信息

South East Technological University, Carlow, Ireland.

出版信息

Am J Mens Health. 2023 Sep-Oct;17(5):15579883231189063. doi: 10.1177/15579883231189063.

Abstract

Rates of suicide are seven times higher among Traveller men, an Indigenous ethnic minority group in Ireland, compared with non-Traveller men. Several factors are implicated, including racism, social exclusion, discrimination, inadequate accommodation, unemployment, and lower educational attainment. Systemic and cultural barriers inhibit Traveller men from seeking support. This study addresses a gap in the literature by exploring the lived mental health experiences of Traveller men affected by suicide. Semi-structured interviews ( = 13; aged 19-50) were conducted with Traveller men affected by suicide. Interviews were recorded and transcribed verbatim. Thematic content analysis was used to analyze the data, which yielded three broad themes. Theme 1, "key determinants of Traveller men's mental health," describes the impact on Traveller men of issues relating to accommodation/homelessness, education, and unemployment, as well as frequent exposure to prejudice, discrimination, and racism. Theme 2, "contemporary Traveller masculinities," considers how Traveller masculinities were shaped by a patrilineal tradition and by historical/ongoing tensions related to their ethnicity. Theme 3, "navigating support seeking and coping with distress," encapsulates both resistant and proactive approaches used by participants to manage their mental health. The intersection of structural inequalities, internalized racism, Traveller masculinities, and strong historical associations between stigma and mental health/suicide within the Traveller community lies at the heart of the heavy burden of suicide carried by Traveller men. Findings provide a deeper understanding of the sources of distress and pathways to resilience/recovery among Traveller men affected by suicide and can inform the development of more gender- and culturally appropriate suicide prevention interventions.

摘要

爱尔兰游民男性自杀率比非游民男性高出七倍。多种因素与之相关,包括种族主义、社会排斥、歧视、住宿条件不足、失业和教育程度较低。体制和文化障碍阻碍了游民男性寻求支持。本研究通过探索受自杀影响的游民男性的心理健康体验,填补了文献中的空白。对 19 至 50 岁受自杀影响的游民男性进行了半结构式访谈(n=13)。访谈进行了录音并逐字记录。使用主题内容分析对数据进行分析,得出了三个广泛的主题。主题 1“影响游民男性心理健康的关键因素”描述了与住宿/无家可归、教育和失业有关的问题以及频繁遭受偏见、歧视和种族主义对待对游民男性的影响。主题 2“当代游民男性气质”考虑了游民男性气质如何受到父系传统和与他们的族裔有关的历史/持续紧张局势的影响。主题 3“寻求支持和应对困境”概括了参与者用来管理心理健康的抵制和主动方法。结构不平等、内化的种族主义、游民男性气质以及游民社区中耻辱感和心理健康/自杀之间的强烈历史联系的交叉点是游民男性自杀负担沉重的核心。研究结果更深入地了解了受自杀影响的游民男性的痛苦来源和应对韧性/恢复的途径,并为制定更具性别和文化适宜性的自杀预防干预措施提供了信息。

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本文引用的文献

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The integrated motivational-volitional model of suicidal behaviour.自杀行为的综合动机-意志模型。
Philos Trans R Soc Lond B Biol Sci. 2018 Sep 5;373(1754). doi: 10.1098/rstb.2017.0268.

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