Suicide completion in the United States is a public health problem that claims over 30,000 lives annually. Most of these suicide victims are white males who die by firearm, and who typically are not taking antidepressant medication and are not involved in mental health treatment at the time of death. Depression is closely linked to suicide death, and treatment for depression is provided mainly within primary health care settings where most suicide decedents have been seen at some point in the year prior to their death. The rate of male depression is likely under-reported, partly due to gender-bias within primary care and also due to the lack of gender-specific assessment instruments and interventions.
This study was conducted to better understand primary care providers' experience of treating depressed males. A grounded theory approach explored the contradiction that males in the U.S. complete suicide four times as often as females, yet females are diagnosed with depression twice as often as males. This study is guided by the proposition that gender roles are socially constructed, and it is shown that common masculine gender-role stereotypes influence males' sense of self in ways that can limit their ability to engage with others in times of need, and consequently increase their risk for depression and suicide. The influence of shame and violence on suicide completion involving males is also reviewed.
Semi-structured interviews were conducted with 16 primary care providers to elucidate their subjective experience of treating patients who present with complaints of depression and suicidal risk. Participants described two alternative ways of treating depression, one that adhered to the medical model review of systems, and one that focused on the patient-provider relationship. There is also within this study an outline of an approach to the treatment of depression and suicidal risk that involves more collaboration between primary care and mental health providers. It is suggested that further integration of those two disciplines/professions can be enhanced by the efforts of social workers because of their mental health training and expertise: related implications for social work practice are discussed.
|School:||Portland State University|
|School Location:||United States -- Oregon|
|Source:||DAI-A 70/07, Dissertation Abstracts International|
|Subjects:||Social work, Public health, Clinical psychology, Gender studies|
|Keywords:||Depression, Help-seeking, Help-seeking behavior, Masculinity, Primary care, Risk assessment, Shame and violence, Suicide|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be