Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis

Version 1 : Received: 25 May 2021 / Approved: 26 May 2021 / Online: 26 May 2021 (11:12:38 CEST)

A peer-reviewed article of this Preprint also exists.

Saini, P.; Chopra, J.; Hanlon, C.A.; Boland, J.E. A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis. Int. J. Environ. Res. Public Health 2021, 18, 7319. Saini, P.; Chopra, J.; Hanlon, C.A.; Boland, J.E. A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis. Int. J. Environ. Res. Public Health 2021, 18, 7319.

Journal reference: Int. J. Environ. Res. Public Health 2021, 18, 7319
DOI: 10.3390/ijerph18147319

Abstract

Due to the continuing high suicide rates among young men, there is a need to understand help-seeking behaviour and engagement with tailored suicide prevention interventions. The aim of this study was to compare help-seeking among younger and older men who attended a therapeutic centre for men in a suicidal crisis. In this case series study, data were collected from 546 men who were referred into a community-based therapeutic service in North West England. Of the 546 men, 337 (52%) received therapy; 161 (48%) were aged between 18 and 30 years (mean age 24 years, SD=3.4). Analyses included baseline differences, symptom trajectories for the CORE-34 Clinical Outcome Measure (CORE-OM) and engagement with the therapy. For the CORE-OM there was a clinically significant reduction in mean scores between assessment and discharge (p<0.001) for both younger and older men. At initial assessment, younger men were less affected by entrapment (46% v 62%; p=.02), defeat (33% v 52%; p=.01), not engaging in new goals (38% v 47%; p=.02), and positive attitudes towards suicide (14% v 18%; p=.001) than older men. At discharge assessment, older men were significantly more likely to have an absence of positive future thinking (15% v 8%; p=0.03), have less social support (45% v 33%; p=.02) and feelings of entrapment (17% v 14%; p=.02) than younger men. Future research needs to assess the long-term effects of help-seeking using a brief psychological intervention for young men in order to understand whether the effects of the therapy are sustainable over a period of time following discharge from the service.

Keywords

suicide; men; help-seeking; engagement; community-based intervention

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