The impact of a gender transformative school-based suicide prevention workshop in Australia: adolescent boys' perspectives.

IF 2.4 4区 医学 Q2 HEALTH POLICY & SERVICES
Dana Meads, Katherine A Lawrence, Glenn Melvin, Anna Clark, Patty Chondros, Kylie King
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Abstract

Elevated suicide rates among adolescent boys in Australia reflect a critical need to address restrictive masculine norms that hinder help-seeking. Tomorrow Man's 'Breaking the Man Code' workshop-a school-based gender transformative programme-aims to increase authentic self-expression and meaningful dialogue among adolescent boys. Evidence of the impacts of gender transformative programmes is limited. Within a cluster randomized trial, 183 boys (Years 10 upwards) from 11 Australian schools completed open-ended survey questions about their experiences of the 'Breaking the Man Code' workshop and its perceived impact on help-seeking with friends and family. Data were analysed using reflexive thematic analysis. Three themes were developed: (i) the workshop normalized struggle and strengthened connection, creating a safe space for self-expression and peer connection; (ii) defining the 'man code' postworkshop: many participants expressed desires for increased self-expression and to support others; and (iii) talking openly with friends and family postworkshop. Greater relational impacts were described with friends, including increased compassion, trust, connection, and use of active listening skills. Perspectives within themes varied: while many discussed positive attitudinal and behavioural change, others reported no changes. The lack of reported change was largely attributed to pre-existing open communication practices; others gave no explanation; some noted difficulties implementing changes. Future research should further explore varied impacts among diverse boys. Analysis suggests that many adolescent boys in this sample desired and perceived that they could shift towards a positive masculinity characterized by deeper social connections, providing examples of this change within their relationships with friends and family postworkshop.

性别转型学校自杀预防工作坊在澳大利亚的影响:青春期男孩的观点。
澳大利亚青春期男孩自杀率的上升反映出迫切需要解决阻碍寻求帮助的限制性男性规范。“明天男人”的“打破男人密码”研讨会是一个以学校为基础的性别变革项目,旨在增加青春期男孩真实的自我表达和有意义的对话。证明性别变革方案的影响的证据有限。在一项随机分组试验中,来自澳大利亚11所学校的183名男生(10年级以上)完成了开放式调查问题,内容涉及他们在“打破男性密码”研讨会上的经历,以及该研讨会对向朋友和家人求助的影响。数据分析采用反身性主题分析。制定了三个主题:(i)讲习班使斗争正常化并加强联系,为自我表达和同伴联系创造安全空间;(ii)定义工作坊后的“男人准则”:许多参与者表达了增加自我表达和支持他人的愿望;(三)课后与朋友和家人开诚布公地交谈。与朋友的关系影响更大,包括增加同情、信任、联系和积极倾听技巧的使用。主题内的观点各不相同:虽然许多人讨论了积极的态度和行为变化,但其他人报告没有变化。缺乏报告的变化主要归因于预先存在的公开沟通做法;其他人没有给出解释;一些人指出了实施变革的困难。未来的研究应进一步探索不同男孩的不同影响。分析表明,在这个样本中,许多青春期男孩希望并认为他们可以转变为积极的男子气概,其特征是更深层次的社会联系,并提供了这种变化在他们与朋友和家人的关系中的例子。
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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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