Abstract
Objective
Male farmers in Australia have an elevated risk of suicide. The aims of this study were to investigate the rate of mental health problems amongst farmers compared with non-farmer rural residents and to investigate what additional factors might contribute to an increased risk of suicide amongst farmers.
Method
This study used a combination of quantitative and qualitative approaches. First, using self-report questionnaire data, we compared rates of mental health problems (a common correlate of suicide) and a number of personality measures between farmers (n=371) and non-farming rural residents (n=380). In addition, semi-structured interviews with farmers (n=32) were used to gain a richer understanding of how the context of farming and mental health interact.
Results
Five key findings emerged from the study. First, in the quantitative study, we found no support for the proposition that farmers experience higher rates of mental health problems than do non-farmer rural residents, but we identified potentially important personality differences between farmers and non-farmers, with levels of conscientiousness being significantly higher amongst farmers and levels of neuroticism being significantly lower. A strong association between maleness and farming was also found. In the qualitative study, participants indicated that farming is an environment in which individuals experienced a range of stressors but have limited capacity to acknowledge or express these. In addition, there appeared to be significant attitudinal barriers to seeking help for those who may have mental health problems, particularly male farmers.
Conclusion
The elevated rate of suicide amongst farmers does not seem to be simply explained by an elevated rate of mental health problems. Individual personality, gender and community attitudes that limit a person's ability to acknowledge or express mental health problems and seek help for these may be significant risk factors for suicide in farmers.
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Notes
All names used in the following descriptions are pseudonyms.
References
ABARE (2003) Australian farm survey's report 2003. Australian Bureau of Agricultural and Resource Economics, Canberra
Andrews G, Slade T (2001) Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health 25:497
Australian Bureau of Statistics (2003) Australian social trends. Family and community-living arrangements: farming families. Australian Bureau of Statistics, Canberra
Barraclough B, Bunch J, Nelson B, Sainsbury P (1974) A hundred cases of suicide: clinical aspects. Br J Psychiatry 125:373
Beautrais A (1999) Risk factors for suicide and attempted suicide among young people (a literature review). In: Commonwealth Department of Health and Aged Care (ed) National youth suicide prevention strategy—setting the evidence-based research agenda for Australia. Commonwealth of Australia, Canberra, pp 245–250
Booth N, Lloyd K (2000) Stress in farmers. Int J Soc Psychiatry 46:67–73
Booth N, Briscoe M, Powell R (2000) Suicide in the farming community: methods used and contact with health services. Occup Environ Med 57:642–644
Caldwell TM, Jorm AF (2000) Mental health nurses' beliefs about interventions for schizophrenia and depression: a comparison with psychiatrists and the public. Aust N Z J Psychiatry 34:602–611
Carruth A, Logan C (2002) Depressive symptoms in farm women: effects of health status and farming lifestyle characteristics, behaviours, and beliefs. J Commun Health 27:213–228
Charlton J, Kelly S, Dunnell K, Evans B, Jenkins R (1993) Suicide deaths in England and Wales: trends in factors associated with suicide deaths. Popul Trends 71:34–42
Cheng A, Chen T, Chen C, Jenkins R (2000) Psychological and psychiatric risk factors for suicide. Br J Psychiatry 177:360–365
Clark LA, Watson D, Mineka S (1994) Temperament, personality, and the mood and anxiety disorders. J Abnorm Psychology 103:103–116
Commonwealth Department of Health and Aged Care (2001) Measuring remoteness: Accessibility/Remoteness Index of Australia (ARIA), revised edition. Occasional Paper No. New Series Number 14. Author, Canberra
Diener E, Emmons R, Larsen R, Griffin S (1985) The satisfaction with life scale. J Pers Assess 49:71–75
Edwards MJ, Holden RR (2003) Coping, meaning in life, and suicidal manifestations: examining gender differences. J Clin Psychol 59:1133–1150
Eisner CS, Neal RD, Scaife B (1998) Depression and anxiety in farmers. Prim Care Psychiatry 4:101–105
Goldberg LR (1999) A broad-bandwith, public-domain, personality inventory measuring the lower-level facets of several five-factor models. In: Mervielde I, Deary IJ, De Fruyt F, Ostendorf F (eds) Personality psychology in Europe. Tilburg University Press, Tilburg, pp 7–28
Goldney R, Wilson D, Dal Grande E, Fisher L, MacFarlance A (2000) Suicidal ideation in a random community sample: attributable risk due to depression and psychosocial and traumatic events. Aust N Z J Psychiatry 34:98–106
Goldney R, Dal Grande E, Fisher L, Wilson D (2003) Population attributable risk of major depression for suicidal ideation in a random and representative community sample. J Affect Disord 74:272
Hawton K, Fagg J, Simkin S, Harriss L, Malmberg A, Smith D (1999) The geographical distribution of suicides in farmers in England and Wales. Soc Psychiatry Psychiatr Epidemiol 34:122–127
Inskip H, Coggin D, Winter P, Pannett B (1996) Mortality of farmers and farmers' wives in England and Wales 1979–1980, 1982–1990 Winter. Occup Environ Med 53:730–735
Inskip H, Harris E, Harris E, Barraclough B (1998) Lifetime risk of suicide for affective disorder, alcoholism, and schizophrenia. Br J Psychiatry 172:32–37
Johnson WB, Lall R, Bongar B, Nordlund MD (1999) The role of objective personality inventories in suicide risk assessment: an evaluation and proposal. Suicide Life Threat Behav 29:165–185
Kessler R, Mroczec D (1994) Final versions of our non-specific psychological distress scale. Institute for Social Research, University of Michigan, Ann Arbor, MI
Kirkwood K, Peck D (1997) How do you identify people with severe mental illness in rural communities? Ment Health Care 1:61–63
Kposawa AJ (1999) Suicide mortality in the United States: differentials by industrial and occupational groups. Am J Ind Med 36:645–652
Linehan MM (1973) Suicide and attempted suicide: study of perceived sex differences. Percept Mot Skills 37:34
Malmberg A, Simkin S, Hawton K (1999) Suicide in farmers. Br J Psychiatry 175:103–105
Marotz-Baden R, Mattheis C (1994) Daughters-in-law and stress in two generation farm families. Fam Relat 43:132
McCrae RR (1983) Extraversion is not a filter, neuroticism is not an outcome: a reply to Lawton. Exp Aging Res 9:73–76
McCrae RR, Costa PT (1991) Adding Liebe und Arbeit: the full five-factor model and well-being. Perspect Soc Psychol 17:227–232
McCrae RR, John OP (1992) An introduction to the five-factor model and its applications. J Pers 60:175–215
Miles M, Huberman A (1994) Qualitative Data Analysis: An expanded sourcebook. Sage Publications, Thousand oaks
Murray G, Judd F, Jackson H, Fraser C, Komiti A, Hodgins G, Pattison P, Humphreys J, Robins G (2004) Rurality and mental health: the role of accessibility. Aust N Z J Psychiatry 38:629–634
National Health and Medical Research Council (2001) Australian alcohol guidelines: health risks and benefits. NHMRC, Canberra
Neeleman J, de Graaf R, Vollebergh W (2004) The suicidal process: prospective comparison between early and later stages. J Affect Disord 82:43–52
Nishimura M, Terao T, Soeda S, Nakamura J, Iwata N, Sakamoto K (2004) Suicide and occupation: further supportive evidence for their relevance. Prog Neuropsychopharmacol Biol Psychiatry 28:83–87
Page A, Fragar L (2002) Suicide in Australian farming, 1988–1997. Aust N Z J Psychiatry 36:81–85
Parron T, Hernandez AF, Villanueva E (1996) Increased risk of suicide with exposure to pesticides in an intensive agricultural area. A 12-year retrospective study. Forensic Sci Int 79:53–63
Parslow RA, Jorm AF (2000) Who uses mental health services in Australia? An analysis of data from the National Survey of Mental Health and Well-being. Aust N Z J Psychiatry 34:997–1008
Pavot W, Diener E (1993) Review of the satisfaction with life scale. Psychol Assess 5:164–172
Peck D, Grant S, McArthur W, Godden D (2002) Psychological impact of foot-and-mouth disease on farmers. J Ment Health 11:523–531
Pentinnen J (1995) Back pain and the risk of suicide amongst Finnish farmers. Am J Public Health 85:1452–1453
Pickett W, King W, Lees R, Bienfeld M, Morrison H, Brison R (1998) Suicide mortality and pesticide use among Canadian farmers. Am J Ind Med 34:364–372
Pirkis J, Burgess P, Dunt D (2000) Suicidal ideation and suicide attempts among Australian adults. Crisis 21:25
Rich C, Runeson B (1992) Similarities in diagnostic comorbidity between suicide among young people in Sweden and the United States. Acta Psychiatr Scand 86:335–359
Roberts RE, Lee ES (1993) Occupation and the prevalence of major depression, alcohol, and drug abuse in the United States. Environ Res 61:266–278
Runeson B, Beskow J, Waern M (1996) The suicidal process in suicides among young people. Acta Psychiatr Scand 93:35–42
Sanne B, Mykletun A, Moen BE, Dahl AA, Tell GS (2004) Farmers are at risk for anxiety and depression: the Hordaland Health Study. Occup Med (Lond) 54:92–100
Stallones L, Beseler C (2002) Pesticide poisoning and depressive symptoms among farm residents. Ann Epidemiol 12:389–394
Thomas HV, Lewis G, Thomas DR, Salmon RL, Chalmers RM, Coleman TJ, Kench SM, Morgan-Capner P, Meadows D, Sillis M, Softley P (2003) Mental health of British farmers. Occup Environ Med 60:181–185
Ware J, Kosinski M, Keller S (1996) A 12-item Short-Form Health Survey. Construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive affect and negative affect: the PANAS scales. J Pers Soc Psychol 54:1063–1070
Weigel R, Weigel D, Blundall J (1987) Stress, coping, and satisfaction: generational differences in farm families. Fam Relat 36:45–48
Acknowledgement
This study was supported by a grant from beyondblue, The National Depression Initiative.
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Judd, F., Jackson, H., Fraser, C. et al. Understanding suicide in Australian farmers. Soc Psychiat Epidemiol 41, 1–10 (2006). https://doi.org/10.1007/s00127-005-0007-1
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DOI: https://doi.org/10.1007/s00127-005-0007-1