Mohn Christine, Haga Egil, Nilsson Hanne Sofie Wernoe, Pirkis Jane, Mehlum Lars
Institute of Clinical Medicine, National Centre for Suicide Research and Prevention (NSSF), University of Oslo, Kirkeveien 166, Oslo, 0450, Norway.
Diakonhjemmet Hospital, Oslo, Norway.
BMC Psychiatry. 2025 May 26;25(1):534. doi: 10.1186/s12888-025-06985-z.
Approximately half of all individuals who die by suicide in Norway do not seek contact with specialist mental health services during the year before death. Here we aim to report the demographic characteristics and attitudes to suicide, mental ill health, and help-seeking in people who do not wish to seek help or information for suicide thoughts. Moreover, we identify the strongest predictors of non-help-seeking intentions.
A population sample (N = 3251) from the Mid- and West- Norway regions participated in an online survey of attitudes to suicide and help-seeking for mental ill health. The sample was recruited from the regional population that later was exposed to a media suicide prevention campaign. Of these, 167 individuals stated that they would not seek help or information if they were to get suicide thoughts.
The group of people who would not seek help or information for suicide thoughts, were more likely to be male, aged between 40 and 49 years, not being retired, or having experienced suicide or suicide attempts among family or friends, compared to the group that stated their help-seeking intentions. Moreover, they were more likely to report more negative attitudes to suicide (e.g., believing it can't be prevented, or that it should not be talked about), mental illness (e.g., wanting to hide depression, or wanting to sort out problems on their own), and help-seeking (e.g., feeling inferior if seeking professional help, or not being confident in getting help) as well as lower levels of support from family or friends. Stepwise logistic regression analyses identified male sex, not being confident in getting professional help for suicide thoughts, not being able to talk to family or friends about problems, and not wanting to disclose having depression, as the statistically significant predictors of not wanting to seek help or information, explaining 28% of the variance.
We conclude that these factors should be targeted in future suicide prevention efforts in Norway. In particular, the strongest predictor (Not being confident in getting professional care for suicide thoughts), should be addressed.
Not applicable.
在挪威，约有一半自杀身亡的人在死前一年未与专业心理健康服务机构取得联系。在此，我们旨在报告那些不想为自杀念头寻求帮助或信息的人群的人口统计学特征，以及他们对自杀、心理健康问题和寻求帮助的态度。此外，我们还确定了不寻求帮助意图的最强预测因素。
来自挪威中西部地区的一个人口样本（N = 3251）参与了一项关于自杀态度和心理健康问题寻求帮助的在线调查。该样本是从后来接触到媒体自杀预防活动的地区人口中招募的。其中，167人表示如果产生自杀念头，他们不会寻求帮助或信息。
与表示有寻求帮助意图的人群相比，那些不会为自杀念头寻求帮助或信息的人群更可能为男性，年龄在40至49岁之间，未退休，或在家人或朋友中经历过自杀或自杀未遂事件。此外，他们更可能报告对自杀（例如，认为无法预防自杀，或认为不应谈论自杀）、精神疾病（例如，想隐瞒抑郁症，或想自己解决问题）和寻求帮助（例如，如果寻求专业帮助会感到自卑，或对获得帮助缺乏信心）持更消极的态度，以及来自家人或朋友的支持水平较低。逐步逻辑回归分析确定，男性、对为自杀念头获得专业帮助缺乏信心、无法与家人或朋友谈论问题以及不想透露患有抑郁症，是不想寻求帮助或信息的统计学显著预测因素，解释了28%的方差。
我们得出结论，在挪威未来的自杀预防工作中应针对这些因素。特别是，应解决最强的预测因素（对为自杀念头获得专业护理缺乏信心）。
不适用。
