You feel like you can't live anymore : le suicide du point de vue des hommes canadiens qui souffrent de dépression.
"You feel like you can't live anymore": suicide from the perspectives of Canadian men who experience depression.
Oliffe JL, Ogrodniczuk JS, Bottorff JL, Johnson JL, Hoyak K. University of British Columbia, School of Nursing, 302-6190 Agronomy Road, Vancouver, British Columbia, V6T 1Z3, Canada. john.oliffe@nursing.ubc.ca
Soc Sci Med. 2012 Fév, vol. 74, n ° 4, pp.506-514
http://www.ncbi.nlm.nih.gov/pubmed/20541308
La dépression sévère est un facteur de risque connu pour le suicide, pourtant des taux de suicide dans le monde entier d'homme
continuent à dépasser les taux rapportés de dépression d'homme. Tout en reconnaissant que les voies d'accès au suicide sont variées, et en étant conscient des défis complexes inhérents à l'étude du suicide, l’étude
interroge les hommes ayant souffert de dépression dans le but de mieux comprendre les processus qu'ils utilisent pour contrer et tenter de se suicider.
Cohorte de 38 hommes au Canada, dont l'âge varie de 24 à 50 ans.
ABSTRACT
Severe depression is a known risk factor for
suicide, yet worldwide men's suicide rates continue to outnumber
reported rates of men's depression. While acknowledging that the
pathways to suicide are diverse, and being mindful of the complex
challenges inherent to studying suicide, we interviewed men who
experienced depression as a means to better understanding the processes
they used to counter and contemplate suicide. This novel qualitative
study provides insights on how masculine roles, identities and relations
mediate depression-related suicidal ideation in a cohort of 38 men in
Canada, ranging in age from 24 to 50 years-old. Constant comparative
analyses yielded the core category of reconciling despair in which men
responded to severe depression and suicidal ideation by following two
pathways. To counter suicide actions, connecting with family, peers and
health care professionals and/or drawing on religious and moral beliefs
were important interim steps for quelling thoughts about suicide and
eventually dislocating depression from self-harm. This pathway revealed
how connecting with family through masculine protector and father roles
enabled men to avoid suicide while positioning help-seeking as a wise,
rational action in re-establishing self-control. The other pathway,
contemplating escape, rendered men socially isolated and the overuse of
alcohol and other drugs were often employed to relieve emotional, mental
and physical pain. Rather than providing respite, these risky practices
were the gateway to men's heightened vulnerability for nonfatal
suicidal behaviour. Men on this pathway embodied solitary and/or risk
taker identities synonymous with masculine ideals but juxtaposed
nonfatal suicidal behaviours as feminine terrain.
