Strength in numbers: The promise of community-based participatory research in rural education

Montana is a state that is ravaged by a suicide epidemic and mental health crisis, particularly among its youth. In an area in which harsh climates, geographic challenges, and distance to rural healthcare providers are significant barriers to mental healthcare accessibility, educators are faced with the acute social and emotional challenges of their students on […]

The role of social work in confronting the farmer suicide crisis: Best practice recommendations and a call to action

Although estimates of prevalence vary, suicide rates among farmers are high and pose an important challenge for mental health policy and practice. The lack of mental health resources in many rural communities is a significant barrier to improving farmer mental health outcomes. The current paper will review (1) current findings related to the psychosocial functioning […]

Men, suicide, and family and interpersonal violence: A mixed methods exploratory study

Research has shown a link between gender, violence, and suicide. This relationship is complex, and few empirical studies have explored suicide and family and interpersonal violence perpetrated by men. Drawing on a coronial dataset of suicide cases and a mixed  methods design, this study integrated a quantitative analysis of 155 suicide cases with a qualitative […]

Mental health service use, suicide behavior, and emergency department visits among rural US veterans who received video-enabled tablets during the COVID-19 pandemic

Objective  To evaluate the association between the escalated distribution of the US Department of Veterans Affairs’ (VA’s) video-enabled tablets during the COVID-19 pandemic and rural veterans’ mental health service use and suicide-related outcomes. Design, Setting, and Participants  This retrospective cohort study included rural veterans who had at least 1 VA mental health care visit in calendar year […]

Relationship among social capital, employment uncertainty, anxiety, and suicidal behaviors: A chained multi-mediator mediation modeling analysis

Objective Social capital is a significant predictor of suicidal behaviors among Chinese rural migrants. However, the mechanism, including the impact of employment and mental health, has not been fully understood. This study aims to examine the complex relationships linking social capital to suicidal behaviors. Method Data were collected from a probability sample (n = 1,245) of rural […]

Beliefs about causal factors for suicide in rural Alaska Native communities and recommendations for prevention

Rural Indigenous communities in Alaska suffer staggeringly high rates of suicide. In close-knit Alaska Native villages, each suicide leaves a trail of affected family and community members in its wake. This research aimed to understand community perceptions of what causes suicide in rural Alaska Native villages and generate recommendations for prevention strategies. In-depth interviews were […]

The bounds of suicide talk: Implications for qualitative suicide research

Following the implementation of a provincial suicide prevention gatekeeper training initiative in western Canada between 2015 and 2018, we conducted a focused ethnography designed to capture the post-initiative context within one small community. Analyses of our field observations and interviews with community members suggest suicide prevention work is represented in multiple informal or coordinated actions […]

Assessment of rural-urban and geospatial differences in perceived handgun access and reported suicidality among youth in Colorado

Objectives  To understand the associations of rurality, school-level prevalence of easy handgun access, and suicidality measures in Colorado youth, to explore spatial distribution of school-level measures, and to identify communities with high prevalence of both easy handgun access and suicidality. Design, Setting, and Participants  This cross-sectional study used data from the 2019 Healthy Kids Colorado Survey, an […]

“A country boy can survive:” Rural culture and male-targeted suicide prevention messaging

The low rate of help-seeking and high rate of suicide completion among men has prompted public health officials to create suicide prevention campaigns that specifically target men. Drawing from data collected as part of a larger study of fire recovery in a rural county in Northern California, this paper utilizes 68 interviews with fire survivors […]

Analysis of suicide after cancer diagnosis by US county-level income and rural vs urban designation, 2000-2016

Objective  To examine whether the risks and patterns of suicide mortality among people with a cancer diagnosis differ by US county-level median income and rural or urban status. Design, Setting, and Participants  A retrospective, population-based cohort study following up individuals who were diagnosed with cancer between January 1, 2000, and December 31, 2016, was conducted. The Surveillance, […]

Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation

Background Suicide rates are higher in rural Australia than in major cities, although the factors contributing to this are not well understood. This study highlights trends in suicide and examines the prevalence of mental health problems and service utilisation of non-Indigenous Australians by geographic remoteness in rural Australia. Methods A retrospective study of National Coronial […]

Suicide trends and prevention in rural Pennsylvania counties and schools

Key Findings: • Suicide rates in Pennsylvania increased substantially from 1999 to 2018. • In 2018, the suicide rate in rural counties was 25 percent higher than the rate in urban counties. • Among rural and urban counties, there is substantial variation in suicide rates. • Higher numbers of handgun sales per 1,000 residents, lower […]

Universal suicide risk screening: Views of rural adults on acceptability and implementation in primary care

Objective This study gathered data from rural adult primary care patients regarding the acceptability of universal suicide risk screening and preferred methods of implementation. Method Patients from a rural primary care clinic in southern West Virginia participating in a pilot test of a suicide risk screening program were administered a Screening Opinions Survey and resulting […]

Beliefs about causal factors for suicide in rural Alaska Native communities and recommendations for prevention

Rural Indigenous communities in Alaska suffer staggeringly high rates of suicide. In close-knit Alaska Native villages, each suicide leaves a trail of affected family and community members in its wake. This research aimed to understand community perceptions of what causes suicide in rural Alaska Native villages and generate recommendations for prevention strategies. In-depth interviews were […]

Twelve-month follow-up to a fully automated internet-based cognitive behavior therapy intervention for rural adults with depression symptoms: Single-arm longitudinal study

Background: Internet-based cognitive behavior therapy (iCBT) interventions have the potential to help individuals with depression, regardless of time and location. Yet, limited information exists on the longer-term (>6 months) effects of iCBT and adherence to these interventions. Objective: The primary aim of this study was to evaluate the longitudinal (12 months) effectiveness of a fully automated, […]

Geography of suicide in Japan: Spatial patterning and rural-urban differences

Purpose There are notable geographic variations in incidence rates of suicide both in Japan and globally. Previous studies have found that rurality/urbanity shapes intra-regional differences in suicide mortality, and suicide risk associated with rurality can vary significantly by gender and age. This study aimed to examine spatial patterning of and rural–urban differences in suicide mortality […]

Intersections of firearm suicide, drug-related mortality, and economic dependency in rural America

Background Rural counties in the United States have higher firearm suicide rates and opioid overdoses than urban counties. We sought to determine whether rural counties can be grouped based on these “diseases of despair.” Methods Age-adjusted firearm suicide death rates per 100,000; drug-related death rates per 100,000; homicide rate per 100,000, opioid prescribing rate, %black, […]

Rural suicide prevention in response to COVID-19: Failing to prepare is preparing to fail

Against an historical backdrop wherein age-adjusted suicide rates in the United States are the highest they have been in 80 years (Drapeau & McIntosh, 2020) came a global pandemic. The scope of the coronavirus disease-19 (COVID-19) has led suicidologists to question whether the current crisis creates “a perfect storm” of conditions under which suicide mortality […]

Implementing a home-based suicide prevention program with rural veterans

Veterans living in rural areas are at elevated risk for suicide compared with the veteran population as a whole. The Home-Based Mental Health Evaluation (HOME) program is an evidence-based suicide prevention intervention for veteran patients being discharged from a psychiatric hospitalization. The initial program was developed and tested with patients returning to nonrural home environments. […]

Rural-urban differences in suicide attempts and mortality among young people in northern Sweden, 1998-2017: A registerl-based study

Aim: The aim of this study was to assess trends in suicide attempts and mortality between 1998 and 2017 by residential area and gender among northern Swedish youths. Methods: Events of suicide attempts and deaths for each municipality in the four counties of the northern Swedish region, stratified by gender, were retrieved for each year from 1998 to […]

Social support and its effects on attempted suicide among American Indian/Alaska Native youth in New Mexico

Objective: How social support (SS) affects the odds of suicide attempt among American Indian/Alaska Native (AI/AN) youth in New Mexico and is modified by school location and metropolitan status. Methods: Multiple logistic regression for complex design was used to produce the adjusted odds of suicide attempt by SS using the New Mexico Youth Risk and Resiliency Survey (NM-YRRS) […]

Loneliness, hopelessness and suicide in later life: A case-controlled psychological autopsy study in rural China

Aims: Loneliness is increasingly recognised as a serious public health issue worldwide. However, there is scarce research addressing the association between loneliness and suicide in older adults in rural China. We set out to examine loneliness and other psychosocial factors in elderly suicide cases and explore their interaction effects. Methods: Using a 1 : 1 matched case-control […]

Rural life and suicide: Does the effect of the community context vary by country of birth? A Swedish registry-based multilevel cohort study

Contextual factors varying by residence in rural or urban areas may have different effects on the suicide of residents by nativity, but evidence on the urban-rural gap in suicide according to nativity is lacking. This study aims to evaluate the effect of cross-level interaction between nativity and rurality of residence on suicide risk, at two […]