An empirical test of a mediation model of the impact of the traditional male gender role on suicidal behavior in men
An empirical test of a mediation model of the impact of the traditional male gender role on suicidal behavior in men
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DOI：
10.1016/j.jad.2007.07.016
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发表时间：
2008-04-01
影响因子：
6.6
通讯作者：
Chagnon, Francois
中科院分区：
文献类型：
--
作者：
Houle, Janie;Mishara, Brian L.;Chagnon, Francois
研究背景：在西方国家，男性自杀死亡率是女性的三到四倍。传统的男性性别角色的不利影响，以及男性不愿意寻求帮助可能解释这种性别差距，但这些假设还没有得到很好的实证。方法：本研究比较了两组男性谁经历了比较严重的压力生活事件在过去的12个月：40名男性在自杀未遂后入院急诊，40名男性没有自杀未遂史。结构化访谈进行测量坚持传统的男性性别角色，寻求帮助的行为，社会支持，自杀的可接受性和心理health.Results：方差分析表明，自杀者更有可能坚持传统的男性性别角色和回归分析显示，这种关系仍然存在，即使存在的精神障碍是统计控制。序贯回归分析支持中介模型，并显示传统男性性别角色对自杀行为的影响是通过自杀的保护因素和危险因素，即心理状态、求助和社会支持来中介的。传统的男性性别角色似乎通过破坏他们的精神状态和抑制寻求帮助和社会的保护因素来增加男性自杀行为的风险。支持.这项研究强调了鼓励男性寻求帮助的重要性。(C)2007 Elsevier B.V保留所有权利。
Background: Men die by suicide three to four times more often than women in Western countries. The adverse impact of the traditional male gender role as well as men's reluctance to seek help are possible explanations of this gender gap, but these hypotheses have not been well documented empirically.Methods: This study compares two groups of men who experienced comparable severely stressful life events during the preceding 12 months: 40 men admitted to hospital emergency following suicide attempts, and 40 men with no history of suicide attempts. Structured interviews were conducted to measure adherence to the traditional male gender role, help seeking behaviour, social support, suicide acceptability and mental health.Results: ANOVAS indicated that attempters are more likely to adhere to the traditional masculine gender role and regression analysis revealed that this relationship persists even when the presence of mental disorders is statistically controlled. Sequential regression analysis support the mediation model and show that the effects of the traditional male gender role on suicidal behavior are mediated through protective and risk factors for suicide, namely mental state, help seeking and social support.Conclusions: The traditional male gender role appears to increase the risk of suicidal behavior in men by undermining their mental state and by inhibiting the protective factors of help seeking and social support. This study underscores the importance of encouraging men to seek help. (C) 2007 Elsevier B.V All rights reserved.