Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street Geelong Victoria 3220Australia.
School of Population and Global Health, University of Melbourne, University of Melbourne, Victoria 3010Australia.
Health Promot Int. 2024 Oct 1;39(5). doi: 10.1093/heapro/daae140.
Each year, more than 700 000 people die by suicide globally, the majority of whom are men. The United Nations and World Health Organization have set targets to reduce suicide rates by one-third by 2030. While large-scale suicide prevention programmes are required to meet these targets, diffusion of these types of initiatives is difficult-particularly with male populations. This qualitative study investigated the MATES in Construction suicide prevention programme in Australia. Guided by Social Identity Theory and the Social Identity Model for Collective Action, the study aimed to understand why construction workers chose to volunteer and advocate for industry-based suicide prevention programmes, and how their worker identity, solidarity and relationships impacted their volunteering and advocacy. Semi-structured interviews were conducted with 28 participants who had chosen to engage with MATES as volunteers. Data were interpreted using a reflexive approach to thematic analysis, and four themes were constructed from the data relating to feelings of belonging, connection and solidarity between workers and their industry; how specific context and roles impacted identity while existing within an overall sense of identity and solidarity; how industry mateship supported engagement in suicide prevention; and how the role of lived experience, mateship and responsibility provided hope for change. Providing intervention skills to workers, particularly workers with a lived experience of mental ill-health, empowered them to believe that they could make a difference by acting collectively. The MATES engagement model described in this study may have applications for other health promotion prevention programmes targeting male cultures.
每年，全球有超过 70 万人自杀，其中大多数是男性。联合国和世界卫生组织设定了目标，到 2030 年将自杀率降低三分之一。虽然需要大规模的自杀预防计划来实现这些目标，但这些类型的倡议很难传播，尤其是针对男性人群。本定性研究调查了澳大利亚的建筑工人预防自杀计划 MATES。该研究以社会认同理论和集体行动的社会认同模型为指导，旨在了解建筑工人为何选择自愿参与和倡导基于行业的自杀预防计划，以及他们的工人身份、团结和关系如何影响他们的志愿服务和倡导。对 28 名选择作为志愿者参与 MATES 的参与者进行了半结构化访谈。使用反思性方法对主题分析进行了数据解释，并从数据中构建了四个主题，涉及工人之间的归属感、联系和团结感；特定背景和角色如何在整体身份和团结意识的影响下影响身份；行业情谊如何支持参与预防自杀；以及生活经历、情谊和责任的角色如何为变革提供希望。向工人提供干预技能，特别是那些有心理健康问题生活经历的工人，使他们相信他们可以通过集体行动产生影响。本研究中描述的 MATES 参与模式可能适用于针对男性文化的其他健康促进预防计划。
