Does help-seeking mediate the relationship between the masculine norm of self-reliance and suicidal thoughts among men?

IF 3.6 2区医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-11-11 DOI:10.1007/s00127-024-02788-x

Simone Scotti Requena, Jane Pirkis, Vikas Arya, Angela Nicholas, Dianne Currier

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Abstract

Purpose: This study aimed to explore the relationship between the masculine norm of self-reliance and suicidal thoughts among Australian men, hypothesising that lack of help-seeking might mediate the relationship between high self-reliance and the emergence of suicidal thoughts.

Methods: This study used data from on the Australian Longitudinal Study on Male Health 'Ten to Men', a prospective longitudinal cohort study that began in 2013/2014 with boys and men aged 10-55 years (N = 16,021) at wave 1. The focus was on men who participated in waves 1 and 2 (2013/2014, 2015/2016) and had linked administrative data. A causal mediation analysis was conducted to quantify the total effect of self-reliance at wave 1 on suicidal thoughts at wave 2, and to investigate the extent of mediation by help-seeking between waves 1 and 2.

Results: High self-reliance was associated with an increased odds of suicidal thoughts (OR = 1.46, 95% CI 1.24-1.72). However, there was no significant mediating effect of a lack of help-seeking on the relationship between self-reliance and suicidal thoughts (OR = 1.00, 95% CI 0.99-1.01).

Conclusion: Findings suggest that highly self-reliant men are at an increased risk of experiencing suicidal thoughts; however, this relationship is not explained by lack of help-seeking. Future studies could explore other potential mechanisms to better understand why highly self-reliant men are more likely to experience suicidal thoughts.

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求助是否是男性自立规范与男性自杀想法之间关系的中介？

目的：本研究旨在探讨自立这一男性规范与澳大利亚男性自杀想法之间的关系，假设缺乏求助可能会调节高度自立与自杀想法出现之间的关系：本研究使用了澳大利亚男性健康纵向研究 "Ten to Men "中的数据，这是一项前瞻性纵向队列研究，始于2013/2014年，第一波研究对象为10-55岁的男孩和男性（N = 16,021）。研究的重点是参加了第 1 波和第 2 波（2013/2014 年、2015/2016 年）并拥有相关行政数据的男性。我们进行了一项因果中介分析，以量化第1波时自立对第2波时自杀想法的总体影响，并调查第1波和第2波之间求助的中介程度：高度自立与自杀想法发生几率增加有关（OR = 1.46，95% CI 1.24-1.72）。然而，缺乏求助对自立与自杀想法之间的关系没有明显的中介效应（OR = 1.00，95% CI 0.99-1.01）：研究结果表明，高度自立的男性出现自杀念头的风险较高；然而，缺乏求助并不能解释这种关系。未来的研究可以探索其他潜在机制，以更好地理解为什么高度自立的男性更容易产生自杀念头。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.