Impact of position in family on suicide: A case-control psychological autopsy study among Chinese rural youths

Introduction. Suicide remains an important public health issue in China. Existing literature on the relationship between individual-familial variables and suicide risk mainly focused on family socioeconomic status, and few studies analyzed the effect of position in family on suicide. In this study, we aimed to explore the association between position in family and suicide among […]

Intersectional prevalence of suicide ideation, plan, and attempt based on gender, sexual orientation, race and ethnicity, and rurality

Importance: Suicidal thoughts and behaviors (STBs) are major public health problems, and some social groups experience disproportionate STB burden. Studies assessing STB inequities for single identities (eg, gender or sexual orientation) cannot evaluate intersectional differences and do not reflect that the causes of inequities are due to structural-level (vs individual-level) processes. Objective: To examine differences in STB […]

Rural mental health: Fourth report of session 2022-23

In this report, Chapter 2 first sets the terms of debate and then explores what the available data and other information can reveal about the incidence, prevalence and risks of poor mental health in England’s rural communities, including a focus on farming and  agriculture. Chapter 3 then examines the rates and risks of suicide in […]

Youth suicide bereavement and the continuum of risk

Background: There is limited research investigating the risks for young friends exposed to the suicide of peers. Aims: This study aimed to better understand the impact of suicide bereavement on rural young people. Method: Participants in this a mixed-method study were 18 young people who had been exposed to a friend’s suicide and who resided in rural Australia. Quantitative data […]

The relationship between rurality, travel time to care and death by suicide

Background We previously found an association between rurality and death by suicide, where those living in rural areas were more likely to die by suicide. One potential reason why this relationship exists might be travel time to care. This paper examines the relationship between travel time to both psychiatric and general hospitals and suicide, and […]

Rural perspectives on suicide prevention in Canada

Rural residence has been identified as a risk factor for suicide, especially for men. Little qualitative research exists on rural suicide, which might help deepen understandings of prevention strategies within rural places. Therefore, virtual focus groups  were held across six Canadian provinces to give voice to rural community members and service workers about suicide prevention. […]

Suicides in urban and rural counties in the United States, 2006-2008

Background: Suicide rates are higher in rural areas. It has been hypothesized that inadequate access to care may play a role, but studies examining individual decedent characteristics are lacking. Aims: We sought to characterize the demographic, socioeconomic, and mental health features of individual suicide decedents by urban-rural residence status. Method: We analyzed suicides in 16 states using 2006-2008 […]

Suicidality in rural communities: A scoping review of research in Canada

A scoping review of research about suicidality in rural and remote Canadian communities, published between 2009 and July 2020 was conducted by searching Embase, Medline, CINAHL, PsychInfo, SocIndex, Geobase, and PsycArticles databases. Included articles were reviewed and charted using data extraction. Thirty-nine Canadian, non-Indigenous articles met inclusion. Most publications were based on quantitative research (23). […]

Patterns of mental healthcare provision in rural areas: A demonstration study in Australia and Europe

Introduction: Mental healthcare systems are primarily designed to urban populations. However, the specific characteristics of rural areas require specific strategies, resource allocation, and indicators which fit their local conditions. This planning process requires comparison with other rural areas. This demonstration study aimed to describe and compare specialized rural adult mental health services in Australia, Norway, and […]

Patterns of mental health care in remote areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland)

Objective: Mental health (MH) care in remote areas is frequently scarce and fragmented and difficult to compare objectively with other areas even in the same country. This study aimed to analyze the adult MH service provision in 3 remote areas of Organization for Economic Cooperation and Development countries in the world. Methods: We used an […]

Youth perspectives on barriers and opportunities for the development of a peer support model to promote mental health and prevent suicide

Suicide prevention is a public health priority. The purpose of this study was to elicit and document the perspectives of youth (ages 15–24) on the development of a peer support model for mental health promotion and suicide prevention for youth in small communities in western Canada. A qualitative descriptive approach informed by a socioecological framework […]

The lived experience of family members of older people who have died by suicide in rural China

Aim The aim of the study is to provide insight and facilitate a deeper understanding of family members who have experienced their older family member’s suicide. Design Interpretative phenomenological analysis (IPA) study. Methods Semi-structured individual interviews with five family members of older people who died by suicide recruited from a rural area of Shanxi Province, […]

Geography, rurality, and community distress: deaths due to suicide, alcohol‑use, and drug‑use among Colorado Veterans

Background: In the USA, deaths due to suicide, alcohol, or drug-related causes (e.g., alcohol-related liver disease, overdose) have doubled since 2002. Veterans appear disproportionately impacted by growing trends. Limited research has been conducted regarding the relationship between community-level factors (e.g., rurality, community distress resulting from economic conditions) and the presence of spatial clustering of suicide, alcohol-related, […]

Rural and remote mental health in Canada: Evidence brief on best and promising practices

Rural and remote communities in Canada face unique challenges in providing access to quality mental health services. People in these communities must often travel great distances to get the help they need. Where services do exist, they are frequently stretched thin, with long wait lists, high turnover rates, and poor communications infrastructures (despite the increased […]

The impact of COVID-19 on rural and remote mental health and substance use

This policy brief provides an overview of the developing issues and unique mental health and substance use challenges that COVID-19 poses for rural and remote communities. It builds on a preliminary scan the Mental Health Commission of Canada (MHCC) completed at the outset of the pandemic and on an evidence brief on best and promising practices written just before […]

Health needs for suicide prevention and acceptance of e-mental health interventions in adolescents and young adults: Qualitative study

Background: Adolescence is a phase of higher vulnerability for suicidal behavior. In Germany, almost 500 adolescents and young adults aged 15-25 years commit suicide each year. Youths in rural areas are characterized by a higher likelihood of poorer mental health. In rural areas, appropriate support for adolescents and young adults in mental health crises is […]

Help-seeking behavior among adults who attempted or died by suicide in Ontario, Canada

Introduction This study aims to determine the relationship between rurality and help-seeking behavior prior to a suicide or suicide attempt. Methods Data from 2007 to 2017 were obtained from administrative databases held at ICES, which capture all hospital, emergency department (ED), and general practitioner (GP) visits across Ontario. Rurality was defined using the Rurality Index […]

A review of strategies and interventions for suicide prevention in the rural United States

Suicide is a leading cause of death in the United States, with people living in rural areas disproportionately impacted by higher suicide rates. Limited access to healthcare, poorer socioeconomic conditions, stigma surrounding mental health treatment, and greater access to firearms all contribute to increased rates of suicide in rural communities. In this article, the authors […]

Exploring community-based suicide prevention in the context of rural Australia: A qualitative study

Suicide rates in rural communities are higher than in urban areas, and communities play a crucial role in suicide prevention. This study explores community-based suicide prevention using a qualitative research design. Semi-structured interviews and focus groups asked participants to explore community-based suicide prevention in the context of rural Australia. Participants recruited ((n = 37; ages 29–72, Mean = […]

A community-led suicide prevention initiative for young people in regional and rural Australia: The Live4Life model

Young people living in regional and rural areas of Australia are at an increased risk of suicide and have unique barriers and facilitators to seeking mental health support. As such, specific mental health and suicide prevention programmes that are tailored to young people within their communities are required. Despite this, peer-reviewed literature on such interventions […]

Prevalence and associated factors of suicidal behaviors among Bangladeshi rural community people: Findings from the ‘BD ComMen Study’

Background Suicide is considered as one of the major public health concerns, which can be prevented with cost-effective and timely intervention. In Bangladesh, very few studies assessed the suicidal behavior of rural community people. Thus, this Bangladesh Community Mental Health Study (BD ComMen Study) attempted to understand the current situation of suicidality in Bangladeshi rural […]

Stakeholder insights into implementing a systems‑based suicide prevention program in regional and rural Tasmanian communities

Purpose With emerging evidence indicating that systems-based approaches help optimise suicide prevention efforts, the National Suicide Prevention Trial sought to gather evidence on the appropriateness of these approaches to prevent suicide among at-risk populations, in regional and rural communities throughout Australia. The Tasmanian component of the Trial implemented the LifeSpan systems framework across three distinct […]

Influence of contextual factors on death by suicide in rural and urban settings

Purpose To examine the association between contextual factors, represented by geographic and community health variables, and suicide among rural and urban Department of Veterans Affairs health care users (VA users). Methods We performed a retrospective cohort study of 12,700,847 VA users between 2003 and 2017. We assigned contextual factors based on individuals’ home address at […]