A Community-Engaged Approach to Understanding Suicide in a Small Rural County in Georgia: A Two-Phase Content Analysis of Individual and Focus Group Interviews.
A Community-Engaged Approach to Understanding Suicide in a Small Rural County in Georgia: A Two-Phase Content Analysis of Individual and Focus Group Interviews.
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一种社区参与的方法，以理解佐治亚州一个乡村小县的自杀方法：对个人和焦点小组访谈的两阶段内容分析。
DOI：
10.3390/ijerph20247145
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发表时间：
2023-12-05
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自杀是一个重大的公共卫生问题，农村地区的自杀率不成比例。农村社区在预防自杀方面面临着巨大的结构和文化障碍。本研究旨在更深入地了解自杀预防的必要性，并通过利用现有的社区资源和知识来衡量格鲁吉亚农村县预防工作的适当性。二十个一对一，半结构化的访谈和两个焦点小组进行，通过有目的的雪球抽样招募参与者。数据分析包括从个人访谈和与社区利益攸关方的焦点小组中进行定性、演绎和归纳内容分析。研究结果强调了农村环境如何加剧自杀死亡的驱动因素，以及社区成员因自杀而大量死亡如何导致持续的危机并减少可用的支持。获得精神卫生保健往往取决于与学校、军事基地或退伍军人管理局等既定公共系统的联系。与会者认为危机和危机后服务方面存在差距，积极努力弥补这些差距，并通过建立联盟来争取社区支持。这项研究有助于知识的上下文驱动器自杀在农村地区超越个人层面的风险因素。农村地区社区参与的自杀预防研究是有希望的，但有必要制定干预措施，以最好地支持联盟建设和能力发展。
Suicide is a significant public health problem, with disproportionate rates in rural areas. Rural communities face substantial structural and cultural barriers to suicide prevention. This study aimed to gain a deeper understanding of the need for suicide prevention and gauge the appropriateness of prevention efforts in the context of a rural Georgia county by leveraging existing community resources and knowledge. Twenty one-on-one, semi-structured interviews and two focus groups were conducted, with participants recruited via purposive snowball sampling. Data analysis included qualitative deductive and inductive content analysis from individual interviews and focus groups with community stakeholders. The findings highlight how rural contexts exacerbate drivers of death by suicide and how the substantial loss of community members to suicide contributes to the ongoing crisis and reduces available support. Access to mental health care often depended on a connection to an established public system such as schools, a military base, or Veterans Administration. There were perceived gaps in crisis and post-crisis services, with participants actively trying to address these gaps and build community support through coalition building. This study contributes knowledge to contextual drivers of suicide in rural areas beyond individual-level risk factors. Community-engaged suicide prevention research in rural areas is promising, but there is a need to develop interventions to best support coalition building and capacity development.