Prazak Michael, Bacigalupi Rachel, Hamilton Stephen C
Department of Counseling Psychology and Community Services, University of North Dakota, 231 Centennial Drive Stop 8255, Grand Forks, ND, USA.
Community Ment Health J. 2025 Jan;61(1):66-75. doi: 10.1007/s10597-024-01327-x. Epub 2024 Aug 5.
Suicide rates in rural areas are higher than urban areas and growing, with current treatment developments only exacerbating this discrepancy. Within individual factors, both age and gender relate to and intersect with personal values related to self-reliance and attitudes toward mental health difficulties and treatment to increase suicide risk. The lethality ubiquitous in rural environments and occupations is a leading factor in rural suicide rates, with other factors such as race alternately noted to be a key factor but with more mixed findings. The cultural values of rural communities as typically negative toward mental health disclosure and treatment contribute to the disengagement of rural communities from treatment that may otherwise prevent suicides, exacerbating the physical lack of treatment access many rural communities experience. Working within the primary care system alongside increased telehealth utilization are suggested to reduce rural suicide rates.
农村地区的自杀率高于城市地区，且呈上升趋势，当前的治疗进展只会加剧这种差异。在个体因素中，年龄和性别都与与自力更生相关的个人价值观以及对心理健康问题和治疗的态度相关联并相互交叉，从而增加自杀风险。农村环境和职业中普遍存在的致命性是农村自杀率居高不下的一个主要因素，其他因素如种族也被交替指出是一个关键因素，但研究结果更为复杂。农村社区对心理健康披露和治疗通常持消极态度的文化价值观，导致农村社区与可能预防自杀的治疗脱节，加剧了许多农村社区在实际中缺乏治疗途径的问题。建议在初级保健系统内开展工作，并增加远程医疗的使用，以降低农村地区的自杀率。
