IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i16p2944-d258154.html
   My bibliography  Save this article

Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations

Author

Listed:
  • Scott J. Fitzpatrick

    (Centre for Rural and Remote Mental Health, The University of Newcastle, PO Box 8043, Orange East, NSW 2800, Australia)

  • Bronwyn K. Brew

    (Centre for Big Data Research in Health and National Perinatal Epidemiology and Statistics Unit, School of Women and Children’s Health, University of New South Wales, Level 4, Lowy Cancer Research Centre, Cnr High & Botany St, Kensington, NSW 2052, Australia)

  • Donna M. Y. Read

    (Centre for Rural and Remote Mental Health, The University of Newcastle, PO Box 8043, Orange East, NSW 2800, Australia)

  • Kerry J. Inder

    (School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW 2308, Australia)

  • Alan Hayes

    (Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia)

  • David Perkins

    (Centre for Rural and Remote Mental Health, The University of Newcastle, PO Box 8043, Orange East, NSW 2800, Australia)

Abstract

Disproportionate rates of suicide in rural Australia in comparison to metropolitan areas pose a significant public health challenge. The dynamic interrelationship between mental and physical health, social determinants, and suicide in rural Australia is widely acknowledged. Advancement of this knowledge, however, remains hampered by a lack of adequate theory and methods to understand how these factors interact, and the translation of this knowledge into constructive strategies and solutions. This paper presents a protocol for generating a comprehensive dataset of suicide deaths and factors related to suicide in rural Australia, and for building a program of research to improve suicide prevention policy and practice to better address the social determinants of suicide in non-indigenous populations. The two-phased study will use a mixed-methods design informed by intersectionality theory. Phase One will extract, code, and analyse quantitative and qualitative data on suicide in regional and remote Australia from the National Coronial Information System (NCIS). Phase Two will analyse suicide prevention at three interrelated domains: policy, practice, and research, to examine alignment with evidence generated in Phase One. Findings from Phase One and Two will then be integrated to identify key points in suicide prevention policy and practice where action can be initiated.

Suggested Citation

  • Scott J. Fitzpatrick & Bronwyn K. Brew & Donna M. Y. Read & Kerry J. Inder & Alan Hayes & David Perkins, 2019. "Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2944-:d:258154
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/16/2944/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/16/16/2944/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Bauer, Greta R., 2014. "Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity," Social Science & Medicine, Elsevier, vol. 110(C), pages 10-17.
    2. Knox, K.L. & Conwell, Y. & Caine, E.D., 2004. "If Suicide Is a Public Health Problem, What Are We Doing to Prevent It?," American Journal of Public Health, American Public Health Association, vol. 94(1), pages 37-45.
    3. Gruskin, S. & Daniels, N., 2008. "Process is the point - Justice and human rights: Priority setting and fair deliberative process," American Journal of Public Health, American Public Health Association, vol. 98(9), pages 1573-1577.
    4. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
    5. Embrett, Mark G. & Randall, G.E., 2014. "Social determinants of health and health equity policy research: Exploring the use, misuse, and nonuse of policy analysis theory," Social Science & Medicine, Elsevier, vol. 108(C), pages 147-155.
    6. Carey, Gemma & Crammond, Brad, 2015. "Action on the social determinants of health: Views from inside the policy process," Social Science & Medicine, Elsevier, vol. 128(C), pages 134-141.
    7. Raphael, Dennis & Curry-Stevens, Ann & Bryant, Toba, 2008. "Barriers to addressing the social determinants of health: Insights from the Canadian experience," Health Policy, Elsevier, vol. 88(2-3), pages 222-235, December.
    8. Bourke, Lisa, 2003. "Toward understanding youth suicide in an Australian rural community," Social Science & Medicine, Elsevier, vol. 57(12), pages 2355-2365, December.
    9. Coburn, D. & Denny, K. & Mykhalovskiy, E. & McDonough, P. & Robertson, A. & Love, R., 2003. "Population health in Canada: A brief critique," American Journal of Public Health, American Public Health Association, vol. 93(3), pages 392-396.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    2. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    3. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    4. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    5. Sangaramoorthy, Thurka & Benton, Adia, 2022. "Intersectionality and syndemics: A commentary," Social Science & Medicine, Elsevier, vol. 295(C).
    6. Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    7. Cassandra Carels & Maria Florence & Sabirah Adams & Deborah Louise Sinclair & Shazly Savahl, 2022. "Youths’ Perceptions Of The Relation Between Alcohol Consumption And Risky Sexual Behaviour in the Western Cape, South Africa: A Qualitative Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1269-1293, August.
    8. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    9. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.
    10. Tuyet-Mai H. Hoang & Ainslee Wong, 2022. "Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-25, December.
    11. Evans, Clare R., 2019. "Adding interactions to models of intersectional health inequalities: Comparing multilevel and conventional methods," Social Science & Medicine, Elsevier, vol. 221(C), pages 95-105.
    12. Bridget Gorman & Justin Denney & Hilary Dowdy & Rose Medeiros, 2015. "A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1357-1382, August.
    13. Park, In Young & Speer, Rachel & Whitfield, Darren L. & Kattari, Leo & Walls, Eugene N. & Christensen, Candace, 2022. "Predictors of bullying, depression, and suicide attempts among youth: The intersection of race/ethnicity by gender identity," Children and Youth Services Review, Elsevier, vol. 139(C).
    14. Tristen Hall & Ronica Rooks & Carol Kaufman, 2020. "Intersections of Adverse Childhood Experiences, Race and Ethnicity and Asthma Outcomes: Findings from the Behavioral Risk Factor Surveillance System," IJERPH, MDPI, vol. 17(21), pages 1-19, November.
    15. Duncan, Dustin T. & Cook, Stephanie H. & Wood, Erica P. & Regan, Seann D. & Chaix, Basile & Tian, Yijun & Chunara, Rumi, 2023. "Structural racism and homophobia evaluated through social media sentiment combined with activity spaces and associations with mental health among young sexual minority men," Social Science & Medicine, Elsevier, vol. 320(C).
    16. Daniel Holman & Alan Walker, 2021. "Understanding unequal ageing: towards a synthesis of intersectionality and life course analyses," European Journal of Ageing, Springer, vol. 18(2), pages 239-255, June.
    17. Ning Hsieh & Deirdre Shires & Hui Liu & Sam Safford & Kryssia J. Campos, 2024. "Unequal Access to Primary Care Providers at the Intersection of Race/Ethnicity, Sexual Orientation, and Gender," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 43(4), pages 1-12, August.
    18. Antoinette L. Spector & Emily Matsen & Leonard E. Egede, 2022. "Trends and Racial/Ethnic Differences in Health Care Spending Stratified by Gender among Adults with Arthritis in the United States 2011–2019," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    19. Philipp Jaehn & Emily Mena & Sibille Merz & Robert Hoffmann & Antje Gößwald & Alexander Rommel & Christine Holmberg & on behalf of the ADVANCE GENDER study group, 2020. "Non-response in a national health survey in Germany: An intersectionality-informed multilevel analysis of individual heterogeneity and discriminatory accuracy," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-17, August.
    20. Beccia, Ariel L. & Baek, Jonggyu & Austin, S. Bryn & Jesdale, William M. & Lapane, Kate L., 2021. "Eating-related pathology at the intersection of gender identity and expression, sexual orientation, and weight status: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminat," Social Science & Medicine, Elsevier, vol. 281(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2944-:d:258154. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.