'Straight from the horse's mouth': rethinking and reconfiguring services in Northern Ireland in response to suicidal young men

Cutcliffe, John R.; McKenna, Hugh; Keeney, Sinead; Stevenson, Christine; Jordan, Joanne

doi:10.1111/jpm.12012

Cited by 17 publications

(33 citation statements)

References 27 publications

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“…Oliffe et al, 2011). A few studies have indicated that some men appreciate the emotional support offered by partners, family and peers (Ramirez & Badger, 2014), including fellow depression sufferers, who can help to normalise the situation (Cutcliffe et al, 2013).…”

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confidence: 99%

Men’s depression talk online: A qualitative analysis of accountability and authenticity in help-seeking and support formulations.

Gough¹

2016

Psychology of Men & Masculinity

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We know that twice as many women are diagnosed with depression as men, and that 'masculinity' issues can inhibit men from conceding psychological distress. However, research to date has been limited to studies of men diagnosed or assessed as depressed, and analyst-driven masculinity concepts have arguably structured the data analysis. One way around these issues is to study how men construct depression themselves-without the influence of a researcher-and how they support other men to manage their depression. This article reports on a qualitative constructionist thematic analysis of mens' talk on an online support forum, and focuses on how men work up a credible account of depression (first posts)-and how peers respond to different accounts of depression (response posts). Our analysis indicates that although medical discourse (e.g., diagnosis) is referenced as essential for validation of depression accounts, those men without a diagnosis may still receive support if their account is designed in particular ways (e.g., is detailed, cites extenuating circumstances, positions the individual as proactive). More generally, the analysis highlights the delicate and complex discursive work involved in depression accounts, and we reflect on how issues of accountability and authenticity may be mitigated in mental health service provision for men.

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confidence: 99%

Men’s depression talk online: A qualitative analysis of accountability and authenticity in help-seeking and support formulations.

Gough¹

2016

Psychology of Men & Masculinity

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“…17 A small body of research has, however, examined the preferences for care of people who are suicidal. Notable examples include studies published by Cutcliffe, McKenna, Keeney and others and Jordan and others who examined the service preferences of young suicidal men in Northern Ireland, 19,20 These authors highlighted the need for community-based, informal suicide-support centres that are sensitive, pragmatic, and congruent with the needs and values of young men. They argue that a mental health framework constrains service providers, who focus on mental health issues as opposed to considering the actual needs of young suicidal men.…”

Section: Moving the Discussion Forward: Non-medical Models Of Carementioning

confidence: 99%

“…32,38,39 Humanistic models emphasise the importance of establishing meaningful social relationships, experiences, and participation in life -a process that entails significantly more than simply ''treating'' the ''condition'' of suicidality. 20 A similar shift has also occurred in the field of psychiatry where there is growing recognition that the traditional medical model does not always meet the needs of persons who are suicidal. 14,40 To this end, recent work has begun to acknowledge the importance of understanding subjective experiences of suicidal distress and of fostering a deep empathic appreciation of the patient.…”

Section: Humanistic Medicine and The Support And Care Of Persons Who mentioning

confidence: 96%

“…Preference has been expressed for services that are informal, broader in focus, and sensitive to the needs and values of persons who are suicidal. 15,19,20 However, the power of medicine to structure services continues to be a major barrier to implementing such approaches. Thus, in what follows, we make a case for rethinking how suicide intervention services might be conceived.…”

Section: Introductionmentioning

confidence: 99%

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Beyond the Medical Model

Fitzpatrick

River

2017

Int J Health Serv

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The medical model continues to dominate research and shape policy and service responses to suicide. In this work we challenge the assumption that the medical model always provides the most effective and appropriate care for persons who are suicidal. In particular, we point to service user perspectives of health services which show that interventions are often experienced as discriminatory, culturally inappropriate, and incongruent with the needs and values of persons who are suicidal. We then examine "humanistic" approaches to care that have been proposed as a corrective to an overly medical model. We argue that the focus on improving interpersonal relations set out in humanistic approaches does not mitigate the prevailing risk management culture in contemporary suicide prevention and may impede the provision of more effective care. Finally, we draw attention to the tradition of non-medical approaches to supporting persons who are suicidal. Using Maytree (a U.K. crisis support service) as a case study, we outline some of the key features of alternative service models that we consider central to the design of more culturally appropriate and effective interventions. We conclude by making three key recommendations for improving services to persons who are suicidal.

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“…Sporting contexts also provide an opportunity to meet with other men and provide the platform to form new social networks (Bird et al, 2019). Previous research indicates that young men have a preference for more informal community-based interventions and services (Bird et al, 2019; Cutcliffe et al, 2013; Stevenson et al, 2013), and programs that “piggyback” mental health interventions onto pre-existing programs or activities are more appealing to young men (Bird et al, 2019; Grace et al, 2018).…”

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confidence: 99%

“All My Problems Go Away for 90 Minutes”: How Football and Psychotherapy Improves Young Men’s Mental Health

et al. 2020

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This qualitative research sought to establish the impact of an 8-week program combining football and one-to-one psychotherapy on young males’ mental health, determining the factors that predict help-seeking behaviors in this group of men. Pre- and post-participation focus groups were used as the method of data collection. Six males (19–35 years old; M = 25.5) completed both pre-intervention and follow-up focus groups. Help-seeking behaviors were influenced by the appeal of football and the perception of the counselor being accessible. Barriers included gender norms, socialization, financial difficulties, and challenging social landscapes. Post-participation focus groups revealed that positive social and counseling relationships facilitated improved mental health. Sport was deemed an acceptable medium to deliver a mental health intervention as it increased social connections and facilitated help-seeking. Findings support previous research indicating that combining sports and psychotherapy positively impacts young males’ mental health.

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'Straight from the horse's mouth': rethinking and reconfiguring services in Northern Ireland in response to suicidal young men

Cited by 17 publications

References 27 publications

Men’s depression talk online: A qualitative analysis of accountability and authenticity in help-seeking and support formulations.

Men’s depression talk online: A qualitative analysis of accountability and authenticity in help-seeking and support formulations.

Beyond the Medical Model

“All My Problems Go Away for 90 Minutes”: How Football and Psychotherapy Improves Young Men’s Mental Health

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