“They’re Lacking Purpose. It’s a Recipe for Suicide.”: Masculinity and Gender-Based Inequalities in Deaths of Despair in England

American Journal of Men s Health, Journal Year: 2025, Volume and Issue: 19(2)

Published: March 1, 2025

This qualitative study explores the factors contributing to gender-based inequalities in "deaths of despair" (DoD) - those deaths from suicide, drug overdoses, and alcohol-specific causes among men two deindustrialised towns North East England. Understanding disparities these death sheds important light on how social economic intersect with certain facets masculinity, such as stoicism self-reliance, drive vulnerability. Data were collected through semi-structured interviews one focus group 54 stakeholders people whose work is related DoD, mental health treatment public practice community members Middlesbrough South Tyneside, above average rates DoD. Participants included both women, predominantly middle-age or older, most participants unemployed retired. analysed using Iterative Categorisation, findings interpreted thematic analysis. The generated three key themes: industrial history masculinity class, a barrier help-seeking. demonstrate that decline following deindustrialisation resulted distress created unique risk for substance use self-harm men. These results suggest effective interventions reduce DoD post-industrial settings must avoid pathologising itself. Instead, strategies should broader structural forces undermine men's access stable, fulfilling employment offering forms support are compatible masculine identity. By addressing determinants, can more effectively close rate areas.

Language: Английский

“They pulled that funding away and we’re not recovering. it’s getting worse”: deaths of despair in post-austerity north east England

International Journal for Equity in Health, Journal Year: 2024, Volume and Issue: 23(1)

Published: Nov. 19, 2024

Abstract Background Deaths related to suicide, drug misuse, and alcohol-specific causes, known collectively as “deaths of despair” are growing interest researchers in England. Rates death from these causes highest deprived northern communities closely tied the social determinants health policy decisions that have shaped them. The aim this paper is explore how stakeholders community members living Middlesbrough South Tyneside, two Northern towns with above average rates deaths despair, understood relationship between austerity policies their areas. Methods I conducted interviews one focus group a total 54 Tyneside. Data were analysed using iterative categorisation technique findings interpreted through thematic analysis. Results highlight four primary ways which exacerbated despair Tyneside: reduced access mental services, diminished substance abuse treatment capacity, loss youth closure institutions. Participants linked cuts rising isolation, declining health, increased deepened geographic inequalities despair. Conclusions This study underscores urgent need for reinvestment local services reduce prevent further unnecessary due drug, causes. Prioritising restoration enhancement lost critical. Such will not only help alleviate some most immediate but also form foundation addressing wider structural perpetuate

Language: Английский

Longitudinal Study of Deaths of Despair in England from 2014 to 2022: Trends by Sex and Deprivation Before, During, and after the COVID-19 Pandemic

Published: Jan. 1, 2024

Language: Английский