1
|
Sharp P, Zhu P, Ogrodniczuk JS, McKenzie SK, Seidler ZE, Rice SM, Oliffe JL. Men's peer support for mental health challenges: future directions for research and practice. Health Promot Int 2024; 39:daae046. [PMID: 38770901 DOI: 10.1093/heapro/daae046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024] Open
Abstract
Peer support has a long history of helping people navigate mental health challenges and is increasingly utilized within men's mental health promotion initiatives. Despite considerable research conceptualizing and evaluating peer support in various contexts, little is known about the gendered dimensions of men's peer support and mutual help for mental health. This article provides an empirically informed commentary on men's peer support and informal help-seeking preferences to make recommendations for future directions for research and practice. Research examining men's peer support is emergent and the available evidence suggests that there is potential to conceptually align with many men's values and preferences for mental health help-seeking. Peer support offers a non-clinical, strength-based adjunct to professional support that may aid men in navigating a range of mental health challenges. Consideration must be given to the influence of gender socialization and men's diverse experiences with developing and maintaining peer relationships. It should not be assumed that authentic and supportive relationships will naturally form when men congregate together. As a growing number of interventions and programs emerge targeted at boys and men, there are important opportunities to leverage these health promotion efforts to encourage and coach men to engage in mutual help. Opportunities for research and practice are discussed to better understand and harness the health-promoting potential of peer support for men's mental health.
Collapse
Affiliation(s)
- Paul Sharp
- School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Wallance Wurth Building (C27), Sydney, NSW 2052, Australia
- School of Nursing, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
- Department of Psychiatry, The University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada
| | - Patricia Zhu
- School of Nursing, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
| | - John S Ogrodniczuk
- Department of Psychiatry, The University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada
| | - Sarah K McKenzie
- Department of Psychological Medicine, University of Otago, 23 Mein Street, Wellington 6021, New Zealand
| | - Zac E Seidler
- Movember, 4/21-31 Goodwood St, Richmond, Melbourne, VIC 3121, Australia
- Orygen, 35 Poplar Rd, Parkville, Melbourne,VIC 3052, Australia
- Centre for Youth Mental Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
| | - Simon M Rice
- Movember, 4/21-31 Goodwood St, Richmond, Melbourne, VIC 3121, Australia
- Orygen, 35 Poplar Rd, Parkville, Melbourne,VIC 3052, Australia
- Centre for Youth Mental Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
| | - John L Oliffe
- School of Nursing, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada
- Department of Nursing, Faculty of Medicine, Densitry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
| |
Collapse
|
2
|
Sutton TE. Hostile Masculinity, Male Peer Support for Violence, and Problematic Anger: Linking Childhood Abuse to Men's Partner Violence Perpetration. Violence Against Women 2024:10778012241252013. [PMID: 38710508 DOI: 10.1177/10778012241252013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
Child abuse and masculinity have been linked to intimate partner violence (IPV) perpetration. However, there is a lack of work examining multiple aspects of masculinity as links between early abuse experiences and men's IPV perpetration. Grounded in notions of gendered power and patriarchy, this study aimed to examine hostile masculinity, male peer support for violence against women, and problematic anger as aspects of masculinity connecting childhood victimization and men's violence against women. Structural equation modeling results demonstrated that childhood adversity was indirectly related to IPV perpetration via the proposed factors. However, various patterns emerged based on the type of childhood abuse experienced. Practice-based implications are offered.
Collapse
Affiliation(s)
- Tara E Sutton
- Department of Sociology, Mississippi State University, Mississippi State, MS, USA
| |
Collapse
|
3
|
Knipe D, Vallis E, Kendall L, Snow M, Kirkpatrick K, Jarvis R, Metcalfe C, Eisenstadt N, Bickham V. Suicide Rates in High-Risk High-Harm Perpetrators of Domestic Abuse in England and Wales. CRISIS 2024; 45:242-245. [PMID: 37606346 DOI: 10.1027/0227-5910/a000925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
Background A limited amount of research indicates a high prevalence of mental illness in perpetrators of domestic abuse (DA). Aims Estimate the suicide rate in high-risk high-harm perpetrators of DA. Method We utilized data collected as part of Drive, which supports and challenges perpetrators of DA to reduce their harmful behaviors. Using routine anonymized data, we established a cohort of clients (n = 3,475) who were referred via Multi-Agency Risk Assessment Conferences to the service and were followed up during service engagement. Results Most clients were male (92%) and White British (76%) with a median age of 32 years (IQI 27-39). There were 10 male suicide deaths recorded with an estimated male suicide rate of 461 per 100,000 person years (95% CI 248, 856). Limitations Analysis was restricted to those referred to the service and a specific group of perpetrators, limiting the generalizability to all perpetrators of DA. Conclusion The suicide rate in this high-risk high-harm DA perpetrator group is significantly higher than many other high-risk groups. Improving their mental health and outcomes is imperative to reduce the suicide deaths in this group and therefore reduce the impact such deaths would have on the victims of abuse.
Collapse
Affiliation(s)
- Duleeka Knipe
- Population Health Sciences, Bristol Medical School, University of Bristol, UK
| | | | | | | | | | | | - Chris Metcalfe
- Population Health Sciences, Bristol Medical School, University of Bristol, UK
| | - Nathan Eisenstadt
- Population Health Sciences, Bristol Medical School, University of Bristol, UK
| | | |
Collapse
|
4
|
Macdonald D, Nicolopoulos A, Habak S, Christensen H, Boydell K. Suicidal Emotions, Motivations and Rationales in Australian Men: A Qualitative Exploration. Glob Qual Nurs Res 2024; 11:23333936241242915. [PMID: 38572389 PMCID: PMC10989048 DOI: 10.1177/23333936241242915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 03/10/2024] [Accepted: 03/13/2024] [Indexed: 04/05/2024] Open
Abstract
Suicide has a devasting and far-reaching effect on our communities. In developed countries, most people who die by suicide are male. Understanding men's mental health and what they experience in a suicidal state is key to preventing future attempts. Our paper explores how a group of 37 men in Australia describe the leadup to their suicidality. Underpinned by interpretive phenomenological analysis, interview transcripts were examined for phrases that the investigative team subjectively identified as profound. Our approach considered language and expression that evoke reactions to the sometimes contradictory nature of suicide. The process enabled our team to identify the emotions, rationales, and motivations for and against suicide that give rise to and arise during suicidal states. One man's source of strength may be another's cause of anguish, so any single, one-size-fits-all pathway to suicide prevention is unlikely to succeed, signaling the need for a tailored approach to suicide prevention.
Collapse
Affiliation(s)
- Diane Macdonald
- Black Dog Institute and School of Medicine & Health, UNSW Sydney, Randwick, NSW, Australia
| | | | - Stephanie Habak
- Black Dog Institute and School of Medicine & Health, UNSW Sydney, Randwick, NSW, Australia
| | - Helen Christensen
- Black Dog Institute and School of Medicine & Health, UNSW Sydney, Randwick, NSW, Australia
| | - Katherine Boydell
- Black Dog Institute and School of Medicine & Health, UNSW Sydney, Randwick, NSW, Australia
| |
Collapse
|
5
|
Park S, Kim J. The death of an adult child and trajectories of parental depressive symptoms: A gender-based longitudinal analysis. Soc Sci Med 2024; 341:116544. [PMID: 38169181 DOI: 10.1016/j.socscimed.2023.116544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 11/28/2023] [Accepted: 12/20/2023] [Indexed: 01/05/2024]
Abstract
RATIONALE Despite the existing body of research on the impact of child bereavement, little is known about whether time to the death of an adult child is longitudinally associated with changes in depressive symptoms among older parents. OBJECTIVE This study examines (a) trajectories of depressive symptoms before and after the loss of an adult child and (b) whether these trajectories differ across parent-child gender dyads (father-son, father-daughter, mother-son, and mother-daughter). METHODS Using eight waves of the Korean Longitudinal Study of Ageing (KLoSA), this study employs fixed effects models to mitigate potential bias due to unobserved individual-level heterogeneity. Gender-stratified fixed effects models were estimated to investigate potential heterogeneity in the trajectories of depressive symptoms by parent-child gender dyads. RESULTS The result of this study revealed that depressive symptoms increased within the first year following the loss of an adult child among bereaved parents. Within a year of the loss of a child, both mothers and fathers experienced an increase in depressive symptoms. However, only fathers experienced lasting effects for up to two years. Different patterns in psychological adjustment to bereavement were observed across different parent-child gender dyads. Among daughter-bereaved fathers, depressive symptoms surged within the first year and persisted even beyond the fourth year of loss. In contrast, for other dyads, only an immediate rise in depressive symptoms within the first year of loss was observed. CONCLUSIONS The loss of an adult child increases the depressive symptoms of parents. This study highlights the importance of considering the different trajectories of psychological adjustment to bereavement, particularly based on parent-child gender dyads, when formulating policies for providing psychological support to older parents who have experienced the loss of their child.
Collapse
Affiliation(s)
- Sujeong Park
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.
| |
Collapse
|
6
|
Ventura-León J, Lino-Cruz C, Caycho-Rodríguez T, Córdova-Robles C. Maintenance in relationships, satisfaction, jealousy, and violence in young couples: a network analysis. BMC Psychol 2023; 11:385. [PMID: 37946264 PMCID: PMC10634140 DOI: 10.1186/s40359-023-01411-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 10/25/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND The study explores the associations among Relationship Maintenance, Satisfaction, Jealousy, and Violence in young Peruvian couples, particularly in a post-pandemic context, using a network analysis. METHODS Eight hundred thirty-two participants aged 18-30 (M = 20.94, SD = 2.29), with 645 females (77.50%) and 187 males (22.50%), were involved. The study aimed to discern relationships among network nodes, emphasizing the link between Relationship Maintenance dimensions and Jealousy and Violence. The research also sought the central node in the network and examined gender-specific node connections, using the SMOTE algorithm for gender data balance. RESULTS Findings revealed a direct connection between Complementarity and Jealousy, implying intense shared interests can lead to unhealthy dependence. An inverse relationship was seen between Companionship and Violence. Satisfaction was pivotal, showcasing its importance in romantic relationship success. Additionally, the study shows men prioritize Companionship and Sharing, possibly due to cultural norms, while women focus on the Companionship-Complementarity bond, indicating mutual support. CONCLUSIONS The research emphasizes the critical role of maintenance variables in determining Satisfaction, Jealousy, and Violence in relationships. The pandemic's influence on romantic dynamics is evident, emphasizing the importance of Satisfaction. Future studies should focus on gender equity and further explore these relationships.
Collapse
|
7
|
Seidler ZE, Benakovic R, Wilson MJ, Fletcher J, Oliffe JL, Owen J, Rice SM. Supporting Clinical Competencies in Men's Mental Health Using the Men in Mind Practitioner Training Program: User Experience Study. JMIR MEDICAL EDUCATION 2023; 9:e48804. [PMID: 37934579 PMCID: PMC10664012 DOI: 10.2196/48804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 09/08/2023] [Accepted: 09/20/2023] [Indexed: 11/08/2023]
Abstract
BACKGROUND Engaging men in psychotherapy is essential in male suicide prevention efforts, yet to date, efforts to upskill mental health practitioners in delivering gender-sensitized therapy for men have been lacking. To address this, we developed Men in Mind, an e-learning training program designed to upskill mental health practitioners in engaging men in therapy. OBJECTIVE This study involves an in-depth analysis of the user experience of the Men in Mind intervention, assessed as part of a randomized controlled trial of the efficacy of the intervention. METHODS Following completion of the intervention, participants provided qualitative (n=392) and quantitative (n=395) user experience feedback, focused on successes and suggested improvements to the intervention and improvements to their confidence in delivering therapy with specific subpopulations of male clients. We also assessed practitioner learning goals (n=242) and explored the extent to which participants had achieved these goals at follow-up. RESULTS Participants valued the inclusion of video demonstrations of skills in action alongside the range of evidence-based content dedicated to improving their insight into the engagement of men in therapy. Suggested improvements most commonly reflected the desire for more or more diverse content, alongside the necessary adaptations to improve the learning and user experience. Participants also commonly reported improved confidence in assisting men with difficulty articulating their emotions in therapy and suicidal men. CONCLUSIONS The evidence obtained from this study aids in plans to scale Men in Mind and informs the future development of practitioner training interventions in men's mental health. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.1186/s40359-022-00875-9.
Collapse
Affiliation(s)
- Zac E Seidler
- Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
- Movember, East Melbourne, Australia
| | - Ruben Benakovic
- Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Michael J Wilson
- Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Justine Fletcher
- Centre for Mental Health, School of Population and Global Health, The University of Melbourne, Melbourne, Australia
| | - John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Nursing, The University of Melbourne, Melbourne, Australia
| | - Jesse Owen
- Department of Counselling Psychology, University of Denver, Denver, CO, United States
| | - Simon M Rice
- Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| |
Collapse
|
8
|
Zheng Z, Zhao W, Zhou Q, Yang Y, Chen S, Hu J, Jiang W, Zhang W, Cai J, Qiu J. Sex differences in depression, anxiety and health-promoting lifestyles among community residents: A network approach. J Affect Disord 2023; 340:369-378. [PMID: 37499917 DOI: 10.1016/j.jad.2023.07.107] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 07/14/2023] [Accepted: 07/23/2023] [Indexed: 07/29/2023]
Abstract
BACKGROUND Researchers have studied sex differences in typical depressive and anxiety symptoms and their cooccurrence. The World Health Organization (WHO) proposed a mental health promotion objective that suggests considering protective health-promoting factors when developing strategies for preventing mental disorders between sexes. From a network perspective, psychopathology is viewed as a result of interacting symptoms and influential factors. This study adopted network approach to investigate sex differences in health-promoting lifestyles (HPL) and the cooccurrence symptoms of communities in Shanghai. The aim is to provide health-promoting suggestions on better enhancing the life quality for community members. METHODS Depression, anxiety symptoms, and HPL were assessed with PHQ-9, GAD-7 and HPLP-II scales in 2420 adults (1411 females). Networks were constructed by Gaussian Graphical Models and the networks of two sexes using the Network Comparison Test. RESULTS Females scored significantly higher on PHQ-9 (p < 0.001) and GAD-7 (p < 0.001), and no differences were found between the two sexes in HPL scores. Restlessness and low energy yielded the highest strength centrality in the female network, while suicide ideation and restlessness were central in male network. Regarding protective HPL, physical activity and stress management were identified as the central mental health-promoting behaviours in female and male network, respectively. However, stress management was positively related to suicide ideation in the male network. CONCLUSION Communities should be aware of suicide ideation in males because of its high relationships with other symptoms and also provide stress management courses, especially for males. As for women, chronic energy deficiency deserves more attention for its high probability of cooccurrence with other symptoms in the network. Also, advocating physical activities may be particularly beneficial for the overall mental health among women. Future study should collect time-series data and analyze intraindividual networks to specify personalized health promoting strategies for each individual.
Collapse
Affiliation(s)
- Ziwei Zheng
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
| | - Wenqing Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qing Zhou
- Shanghai Xuhui Mental Health Center, Shanghai, China
| | - Yang Yang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shuangyi Chen
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jun Hu
- Shanghai Xuhui Mental Health Center, Shanghai, China
| | - Wenhui Jiang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Weibo Zhang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jun Cai
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jianyin Qiu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
| |
Collapse
|
9
|
Hanlon CA, Chopra J, Boland J, McIlroy D, Poole H, Saini P. A mixed-methods evaluation of the acceptability and fidelity of the James' Place model for men experiencing suicidal crisis. Health Psychol Behav Med 2023; 11:2265142. [PMID: 37842012 PMCID: PMC10572045 DOI: 10.1080/21642850.2023.2265142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 09/25/2023] [Indexed: 10/17/2023] Open
Abstract
Background Research supports development of informal, community-based suicide prevention interventions that can be tailored to suit men's unmet needs. The James' Place model (JPM) is a community-based, clinical suicide prevention intervention for men experiencing suicidal crisis. Evidence supports the efficacy of the JPM and there are plans to expand to additional sites across the UK. This study evaluates therapists perceived acceptability of the JPM, and if fidelity to the planned delivery of the model is maintained within therapeutic practice. Method A mixed-methods design was used. Descriptive analyses of 30 completed intervention cases were examined to review fidelity of the model against the intervention delivery plan. Eight therapists took part in semi-structured interviews between November 2021 and March 2022 exploring the perceived acceptability, and barriers and facilitators to delivering the JPM. Results Descriptive analyses of James' Place audit notes revealed high levels of adherence to the JPM amongst therapists, but highlighted components of the model needed to be tailored according to individual men's needs. Thematic analysis led to the development of five themes. The first theme, therapeutic environment highlighted importance of the therapy setting. The second theme identified was specialised suicide prevention training in the JPM that facilitated therapists understanding and expertise. The third theme identified was therapy engagement which discusses men's engagement in therapy. The fourth theme, person-centred care related to adaptation of delivery of JPM components. The final theme, adapting the JPM to individual needs describes tailoring of the JPM by therapists to be responsive to individual men's needs. Conclusion The findings evidence therapist's acceptability and their moderate adherence to the JPM. Flexibility in delivery of the JPM enables adaptation of the model and co-production of therapy to meet men's needs. Implications for clinical practice are discussed.
Collapse
Affiliation(s)
- Claire Anne Hanlon
- Department of Psychology, Liverpool John Moores University, Liverpool, UK
| | - Jennifer Chopra
- Department of Psychology, Liverpool John Moores University, Liverpool, UK
| | - Jane Boland
- MSc Leadership in Healthcare, James’ Place, Liverpool, UK
| | - David McIlroy
- Department of Psychology, Liverpool John Moores University, Liverpool, UK
| | - Helen Poole
- Department of Psychology, Liverpool John Moores University, Liverpool, UK
| | - Pooja Saini
- Department of Psychology, Liverpool John Moores University, Liverpool, UK
| |
Collapse
|
10
|
Quintana-Orts C, Rey L, Mérida-López S, Extremera N. Suicide risk assessment and depressive symptoms among Spanish adolescent bully-victims: Evidence for the importance of emotional intelligence and sex. J Health Psychol 2023; 28:94-100. [PMID: 35929512 DOI: 10.1177/13591053221116021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The aim of this study is to explore a model examining how emotional intelligence (EI), sex, depressive symptoms and suicidal thoughts and behaviours (STB) may interact. The sample included 380 Spanish adolescent bully-victims (61.6% boys; mean age = 14.38 years). The results indicated that EI is a significant negative predictor of decreased STB and that this relation is fully mediated by depressive symptoms. This effect was moderated by sex, such that the mediation is stronger for girls compared to boys. The promotion of EI may be core in the development of prevention programmes for suicide, especially among female bully-victims.
Collapse
|
11
|
Yang X, Li R, Wang S. A Micro-Level Explanation for Suicidal Ideation Based on Marriage-Squeeze and Social Support Among Rural Men in China. Am J Mens Health 2022; 16:15579883221142188. [PMID: 36537013 PMCID: PMC9838567 DOI: 10.1177/15579883221142188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Higher sex ratio at birth often leads to sex imbalance and a severe squeeze on the marriage market. Up to now, no systematic studies have examined the relationship between marriage squeeze and suicidal ideation among rural men in a context of sex imbalance. Using surveys conducted in Chaohu (Anhui Province) and Ankang (Shaanxi Province) in China, this study analyzed the impact of marriage squeeze and social support on suicidal ideation among rural men. The perceived marriage squeeze significantly and positively affected suicidal ideation and the perceived social support negatively affected suicidal ideation among married and unmarried rural men. Objective social support did not significantly affect suicidal ideation among married men; however, it negatively affected suicidal ideation among unmarried men. Marriage squeeze increased the incidence of suicidal ideation among rural men, but perceived social support acted as a protective factor against suicidal ideation. These findings support the main effect hypothesis of social support. Objective social support is a double-edged sword, which may increase suicidal ideation incidence among rural men. The article ends with the conclusions and limitations of this study.
Collapse
Affiliation(s)
- Xueyan Yang
- Institute for Population and Development Studies, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China,Xueyan Yang, Professor and Director of Institute for Population and Development Studies, School of Public Policy and Administration, Xi’an Jiaotong University, 28 Xianning Xi Road, Xi’an 710049, Shaanxi, China.
| | - Rui Li
- Institute for Population and Development Studies, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Sasa Wang
- Department of Sociology, Shaanxi Normal University, Xi’an, China
| |
Collapse
|
12
|
Cleary A. Emotional constraint, father-son relationships, and men's wellbeing. FRONTIERS IN SOCIOLOGY 2022; 7:868005. [PMID: 36176325 PMCID: PMC9513388 DOI: 10.3389/fsoc.2022.868005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 08/04/2022] [Indexed: 06/16/2023]
Abstract
Male rates of suicide exceed female rates and research findings indicate an association between particular practices of masculinity, specifically emotional constraint, and male suicide. This paper examines gender and family influences on men's wellbeing, based on in-depth interviews with a sample of fifty-two men, aged 18-30 years, who made a clinically serious or near-fatal suicide attempt and were recruited following presentation to hospital. Themes derived from the analysis included learning about masculinity which relates to the gender culture within the home, the regulation and enforcement of behavior by peers and father-son relationships. Results demonstrated that the men were generally from families where hegemonic ideals of masculinity, emphasizing strength and emotional stoicism, were practiced. This gender environment, which was reinforced in the neighborhood, restricted behavior and the expression of feeling, shaped communication between fathers and sons and affected the father's ability to emotionally engage with his son. Fathers were significant figures in these men's lives and were role models for demonstrating masculinity practices but there was an absence of positive, nurturing, relationships between fathers and sons and this influenced the son's gender learning and his wellbeing. Fathers who were emotionally distant, and particularly those who were abusive, gave rise to feelings of rejection, sadness and anger in their sons but problematic father-son relationships were not addressed nor ill-treatment in childhood disclosed due to gender-related constraints on expression. Restrictions on expression and prohibitions on revealing weakness denied the men a space to explore as well as manage the issues of their lives and prevented them from revealing distress. They coped by sublimating problems and disguising vulnerability and by seeking emotional comfort within intimate partnerships but these men were susceptible to situations which threatened their psychological security. Overall, the study demonstrated challenges for males raised in settings of hegemonic masculinity and the importance of nurturing father-son relationships for male wellbeing. The results imply the need for a focus on the benefits of positive fathering and the inclusion of more nuanced messaging relating to men's emotions in Public Health messaging.
Collapse
Affiliation(s)
- Anne Cleary
- UCD Geary Institute for Public Policy, University College Dublin, Dublin, Ireland
| |
Collapse
|
13
|
Oliffe JL, Kelly MT, Gonzalez Montaner G, Seidler ZE, Kealy D, Ogrodniczuk JS, Rice SM. Mapping Men's Mental Health Help-Seeking After an Intimate Partner Relationship Break-Up. QUALITATIVE HEALTH RESEARCH 2022; 32:1464-1476. [PMID: 35758178 PMCID: PMC9411703 DOI: 10.1177/10497323221110974] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Deleterious effects of separation and divorce on men's mental health are well-documented; however, little is known about their help-seeking when adjusting to these all-too-common life transitions. Employing interpretive descriptive methods, interviews with 47 men exploring their mental health help-seeking after a relationship break-up were analyzed in deriving three themes: (1) Solitary work and tapping established connections, (2) Reaching out to make new connections, and (3) Engaging professional mental health care. Men relying on solitary work and established connections accessed relationship-focused self-help books, online resources, and confided in friends and/or family. Some participants supplemented solitary work by reaching out to make new connections including peer-based men's groups and education and social activities. Comprising first-time, returning, and continuing users, many men responded to relationship break-up crises by engaging professional mental health care. The findings challenge longstanding commentaries that men actively avoid mental health promotion by illuminating wide-ranging help resources.
Collapse
Affiliation(s)
- John L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Nursing, The University of Melbourne, Carlton, VIC, Australia
| | - Mary T. Kelly
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | | | - Zac E. Seidler
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- Movember Foundation, East Melbourne, VIC, Australia
| | - David Kealy
- Department of Psychiatry, The University of British Columbia, Vancouver, BC, Canada
| | - John S. Ogrodniczuk
- Department of Psychiatry, The University of British Columbia, Vancouver, BC, Canada
| | - Simon M. Rice
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| |
Collapse
|
14
|
Oliffe JL, Kelly MT, Montaner GG, Kealy D, Seidler ZE, Ogrodniczuk JS, Sharp P, Rice SM. Men, relationships and partner-initiated break-ups: A narrative analysis. Health Psychol Open 2022; 9:20551029221142465. [DOI: 10.1177/20551029221142465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
For men, significant risks associated with partner-initiated break-ups include domestic violence, mental health challenges and difficultly with life transition. This narrative analysis study shares three storylines drawn from interviews with 25 men who experienced a partner-initiated break-up. Ill equipped to stay or to initiate leaving narratives positioned participants as conflict averse, lacking agency and withdrawing emotionally from the partnership and its demise. Victims of circumstance narratives included men who engaged in cyclic arguments and ongoing power struggles with partners, a pattern that often amplified conflict after the break-up. Transitioning these two impasse narratives were some participants whose Accountability and growth storylines highlighted their introspective self-work, aided by resources including professional help to deconstruct, understand, and adjust their behaviours. Making connections to masculinities theory, these findings suggest that tailored interventions, including narrative therapy, might usefully interrupt impasse narratives to aid men’s development and healthful transitions through partner-initiated break-ups.
Collapse
Affiliation(s)
- John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Nursing, University of Melbourne, Vancouver, BC, Canada
| | - Mary T Kelly
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | | | - David Kealy
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Zac E Seidler
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - John S Ogrodniczuk
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Paul Sharp
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Simon M Rice
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| |
Collapse
|
15
|
Fitzpatrick SJ, Brew BK, Handley T, Perkins D. Men, suicide, and family and interpersonal violence: A mixed methods exploratory study. SOCIOLOGY OF HEALTH & ILLNESS 2022; 44:991-1008. [PMID: 35500037 PMCID: PMC9543582 DOI: 10.1111/1467-9566.13476] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 04/04/2022] [Indexed: 06/14/2023]
Abstract
Research has shown a link between gender, violence, and suicide. This relationship is complex, and few empirical studies have explored suicide and family and interpersonal violence perpetrated by men. Drawing on a coronial dataset of suicide cases and a mixed methods design, this study integrated a quantitative analysis of 155 suicide cases with a qualitative analysis of medico-legal reports from 32 cases. Findings showed different types and patterns of family and intimate partner violence for men who died by suicide. Men used violence in response to conflict, but also to dominate women. Cumulative, interwoven effects of violence, mental illness, alcohol and other drug use, socioeconomic, and psychosocial circumstances were observed in our study population. However, the use of violence and suicidal behaviour was also a deliberate and calculated response by which some men sought to maintain influence or control over women. Health and criminal justice interventions served as short-term responses to violence, mental illness, and suicidal behaviour, but were of limited assistance.
Collapse
Affiliation(s)
- Scott J. Fitzpatrick
- Centre for Mental Health ResearchThe Australian National UniversityCanberraAustralia
- Centre for Rural and Remote Mental HealthThe University of NewcastleOrangeAustralia
| | - Bronwyn K. Brew
- National Perinatal Epidemiology and Statistics UnitCentre for Big Data Research in Health and School of Women's and Children's HealthUniversity of New South WalesSydneyAustralia
| | - Tonelle Handley
- Centre for Rural and Remote Mental HealthThe University of NewcastleOrangeAustralia
| | - David Perkins
- Centre for Rural and Remote Mental HealthThe University of NewcastleOrangeAustralia
- Health Research InstituteUniversity of CanberraCanberraAustralia
| |
Collapse
|
16
|
Sharp P, Bottorff JL, Rice S, Oliffe JL, Schulenkorf N, Impellizzeri F, Caperchione CM. "People say men don't talk, well that's bullshit": A focus group study exploring challenges and opportunities for men's mental health promotion. PLoS One 2022; 17:e0261997. [PMID: 35061764 PMCID: PMC8782463 DOI: 10.1371/journal.pone.0261997] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Accepted: 12/15/2021] [Indexed: 01/26/2023] Open
Abstract
Men’s mental health promotion presents unique challenges including gender-related barriers and stigmas, which demand novel approaches to prevention, treatment, and management. The aim of this study was to explore men’s perceptions of mental health and preferences for mental health promotion. Seven focus groups (N = 59) were conducted in Sydney, Australia, including 5 groups of men (M = 50.65, SD = 13.75 years) and 2 groups of stakeholders who had frontline experience working with men (e.g., men’s groups, health clubs, mental health advocates). Data were analysed using thematic analysis and interpreted using a gender relations approach to explore connections between gender roles, relations and identities, and men’s mental health. Three overarching themes were identified; (1) Roles, identities, and the conceptualisation and concealment of mental health challenges, revealing challenges to mental health promotion related to perceptions of men’s restrictive emotionality and emotional awareness as well as difficulties with conceptualising the internalised experiences of mental health, (2) Constraining social contexts of stigma and gender relations, identifying how social context and the policing of gender roles often obscured opportunities for discussing mental health and help-seeking behaviour, (3) Anchoring mental health promotion to acceptable lifestyle practices, highlighting potential remedies included leveraging men’s social practices related to reciprocity, normalising mental health promotion relative to other behaviours, and embedding mental health promotion within acceptable masculine practices. Discussed are directions for men’s community-based mental health promotion and opportunities for how masculinities may be negotiated and expanded to embody mental health promoting values.
Collapse
Affiliation(s)
- Paul Sharp
- School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, New South Wales, Australia
- * E-mail:
| | - Joan L. Bottorff
- Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada
- School of Nursing, University of British Columbia, Kelowna, British Columbia, Canada
| | - Simon Rice
- Orygen, Parkville, Melbourne, Victoria, Australia
- Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia
| | - John L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Nursing, University of Melbourne, Melbourne, Victoria, Australia
| | - Nico Schulenkorf
- Business School, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Franco Impellizzeri
- School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Cristina M. Caperchione
- School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, New South Wales, Australia
| |
Collapse
|
17
|
Trail K, Oliffe JL, Patel D, Robinson J, King K, Armstrong G, Seidler Z, Walton CC, Wilson MJ, Rice SM. Promoting Healthier Masculinities as a Suicide Prevention Intervention in a Regional Australian Community: A Qualitative Study of Stakeholder Perspectives. FRONTIERS IN SOCIOLOGY 2021; 6:728170. [PMID: 34957291 PMCID: PMC8692245 DOI: 10.3389/fsoc.2021.728170] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 11/09/2021] [Indexed: 06/14/2023]
Abstract
Regionally-based Australian men have a higher risk of suicide than those in urban centers, with similar trends observed internationally. Adopting a place-based approach to understanding men's suicide and harm prevention provides contextual insights to guide localised opportunities for the development of tailored gender-specific interventions. Men in rural Australia are typically portrayed as embodying idealized masculinity-dominant and tough, upholding strength and stoicism in the face of hardship. Such values can increase suicide risk in men by reducing help-seeking. The Macedon Ranges Shire is an inner regional municipality with a population of approximately 50,000 people spanning across 10 regional towns and surrounding farming areas in Victoria, Australia. Understanding the influence of masculinities on men's wellbeing and help seeking behaviours in a regional context is vital in order to inform effective local suicide prevention efforts. The present research involved in-depth qualitative interviews with 19 community stakeholders (M = 49.89 years, SD = 11.82) predominantly working in healthcare and community services including emergency services and education. Using thematic analysis, interview transcripts were coded and themes inductively derived. Stakeholders identified three key areas for understanding suicide risk and wellbeing for local men; 1) localizing masculinities, 2) belonging in community, and 3) engaging men. Findings illustrate that addressing men's wellbeing in regional areas requires a multifaceted whole-of-community approach. While diverse, local expressions of masculinities were seen as contributors to men's challenges understanding their emotional worlds and reticence for help-seeking. Of vital need is to provide diverse opportunities for men to connect with others in the region, and offer inclusive spaces where men feel accepted, welcomed and able to meaningfully contribute to the community. Not only will this assist by bolstering men's sense of self, identity, and mental wellbeing, it may also provide valuable informal inroads to normalizing healthy communication around mental health and seeking mental health care. These findings offer important suggestions for the promotion of healthier masculinities in regionally-based Australian men, which may help to improve wellbeing of these men and their entire communities.
Collapse
Affiliation(s)
- Katherine Trail
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - John L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Nursing, The University of Melbourne, Parkville, VIC, Australia
| | - Deepa Patel
- Benetas Macedon Ranges Health Centre, Gisborne, VIC, Australia
| | - Jo Robinson
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Kylie King
- Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC, Australia
| | - Gregory Armstrong
- Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Zac Seidler
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Courtney C. Walton
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Michael J. Wilson
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Simon M. Rice
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| |
Collapse
|
18
|
Khan AR, Dery I, Helman R. Masculinity and Men’s Suicide Attempts in Bangladesh. JOURNAL OF LOSS & TRAUMA 2021. [DOI: 10.1080/15325024.2021.1987037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Isaac Dery
- Department of African and General Studies, SDD University of Business and Integrated Development Studies, Wa, Ghana
| | - Rebecca Helman
- Counselling, Psychotherapy and Applied Social Sciences, School of Health in Social Science, University of Edinburgh, Edinburgh, Scotland
| |
Collapse
|
19
|
Chandler A. Masculinities and suicide: unsettling ‘talk’ as a response to suicide in men. CRITICAL PUBLIC HEALTH 2021. [DOI: 10.1080/09581596.2021.1908959] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Amy Chandler
- School of Health in Social Sciences, University of Edinburgh, Edinburgh, UK
| |
Collapse
|