The Community's Role in Rural Youth Suicide Prevention: Perspectives From the Field

IF 1.9 4区 医学 Q2 NURSING
Laura Grattidge, Ha Hoang, Jonathan Mond, Denis Visentin, David Lees, Stuart Auckland
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引用次数: 0

Abstract

Objective

This study explored how rural communities can be involved in suicide prevention efforts for young people aged 12–25. It provides a focus on who is best placed to drive these efforts and what support these people need to implement initiatives in their communities.

Setting

The research was conducted across Australia, with a focus on rural areas, where suicide rates are higher due to unique challenges, including geographic isolation, stigma and limited access to health services. These areas require community-driven solutions tailored to local contexts.

Participants

Thirty-seven participants aged 29–72 contributed insights, with diverse professional roles and lived experiences in rural youth suicide prevention, including service providers, programme leaders, researchers and policymakers.

Design

A qualitative approach was used, with semi-structured interviews and focus groups conducted between January and September 2021. Data were thematically analysed using a reflective approach to identify key factors supporting rural youth suicide prevention.

Results

Two key themes emerged: (1) Program planning and implementation: highlighting the need for adaptable, stigma-sensitive and culturally responsive approaches, and (2) Breaking down silos: emphasising collaboration between schools, families, health services and community leaders. Trusted local figures such as teachers, sports coaches and peers were identified as crucial for fostering engagement and early intervention. Lived experience voices were recognised as integral to co-designing and sustaining community-led efforts.

Conclusion

Rural communities are central to youth suicide prevention. By leveraging local relationships, addressing stigma and fostering collaboration, communities can create supportive environments that save lives. Policy and practice must prioritise funding and resources for community-led, culturally sensitive approaches.

Abstract Image

社区在农村青少年自杀预防中的作用:来自实地的视角
目的探讨农村社区如何参与12-25岁青少年的自杀预防工作。它提供了一个重点,即谁最适合推动这些努力,以及这些人需要什么支持来在他们的社区实施倡议。这项研究是在澳大利亚各地进行的,重点是农村地区,由于地理隔离、耻辱和获得卫生服务的机会有限等独特挑战,那里的自杀率更高。这些领域需要根据当地情况定制社区驱动的解决方案。37名年龄在29-72岁之间的参与者,包括服务提供者、项目负责人、研究人员和政策制定者,在农村青少年自杀预防方面发挥了不同的专业作用和生活经验,贡献了自己的见解。设计采用定性方法,在2021年1月至9月期间进行了半结构化访谈和焦点小组。使用反思性方法对数据进行主题分析,以确定支持农村青少年自杀预防的关键因素。结果出现了两个关键主题:(1)方案规划和实施:强调需要采用适应性强、对歧视敏感和对文化敏感的方法;(2)打破孤岛:强调学校、家庭、卫生服务和社区领导人之间的合作。值得信赖的当地人物,如教师、体育教练和同龄人,被认为是促进参与和早期干预的关键。生活经验的声音被认为是共同设计和维持社区主导努力的组成部分。结论农村社区是青少年自杀预防的中心。通过利用地方关系、消除耻辱感和促进合作,社区可以创造挽救生命的支持性环境。政策和实践必须优先为社区主导的、对文化敏感的方法提供资金和资源。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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