Country Men Laud Stoicism and Suicide…

Alston M (2010). Rural male suicide in Australia. Social science & medicine (1982) PMID: 20541304

Men’s stoicism, commitment to self-reliance when it comes to managing problems, and belief that help-seeking is a sign of weakness were recently cited by Mensline Australia as reasons that men are reluctant to seek help when they need it. It has also been suggested that appreciating the role of hegemonic masculinity in the form of the ‘hypermasculine swagger of rural masculinity’ is a prerequisite for improving the health of rural Australian men’ (Saunders & Peerson, 2009).

At the end of 2009, I gave a presentation at the University of New England, Armidale, on men and their emotional behaviours, in which I referred to the above quote. Armidale, like many rural, regional, and remote towns in Australia, is beset with problems that stem from geographical, social, and cultural isolation. Most significantly, men are real men out there: strong, silent, and tough, in fact, tough as nails, as the old saying goes. The trouble is that many of those men are suffering intensely, internally, privately, a living hell in which suicide can become the only viable escape.

Whenever suicide prevention gets a mention here in Australia, it is usually tied to either young people or rural men. Few of us live in the bush but we idealise it and romanticise its people like some sort of John Steinbeck novel filtered through Lewis Carroll’s pen. Indeed, as Margaret Alston aptly describes it in this short but sweeping article, we laud the stoicism that comes in the ‘face of [their] adversity’ (2010, n.pag). Rural men can survive drought, storm, bushfire, and flood. In a genuine sense, we rely on the strength of their reality as much as their myth to drive us all through tough times.

Alston is of the view ‘that the way rural masculinities are constructed in Australia restricts men’s ability to ask for help’ (2010). Moreover, men in rural settings know to buckle up when under pressure rather than face the shame of being outed as a loser, someone less than manly (2010). I can, to a degree, see what she is getting at but would argue that similar forces apply to men in the city who, despite claims to the contrary, are equally prone to jumping off the twig as their rural counterparts (2010). Hegemonic masculinity, after all, compels universal ascription to its perverse ideals.

Like Moller-Leimkuhler (2003), amongst others, Alston (2010) posits that male suicide is linked to men, in this case rural men, losing certainty over their person and place. It is to imagine that long ago if not far away, men knew who they were and what they were doing and so blowing their brains out was a much less chosen option. However, Alston (2010) willingly concedes that what is wrong with rural men is largely a product of lifelong exposure to masculine ideals, a phenomenon that has remained relatively fixed over generations.

I absolutely agree with Alston’s (2010) conclusion that critically analysing and deconstructing those masculine ideals that keep rural men strong, silent and tough, is a pre-requisite for preventing suicide amongst this distinct cohort. There is also a pressing need for a massive paradigm shift, to use that horrible cliché, in service culture, such that health and community service workers in rural settings neither intentionally nor ignorantly shut the door on men in trouble. We must never forget that service utilisation or the lack thereof by men is a relational dynamic.

‘Missing’ from Alston’s (2010) article but something that I never stop rambling on about, of course, is that punishing boys into men with masculine ideals that delimit emotional expressivity and help-seeking behaviours from the year dot, causes attachment trauma that effectively sets many rural men up for an early grave…

Drinking too much

Driving too fast

Topping themselves…

  1. Lynch
    May 18, 2011 at 8:18 pm | #1

    Latest reports from the Australian Bureau of Statistics [ABS] (2010), show registered deaths in 2008 from suicide in Australia were 2,191 which is approximately 1.5% of all Australian deaths. Rates of suicide have fallen since 1997 which saw a peak of 2,720 suicide deaths (ABS 2010). Statistics on rural suicide were not reported but noted as a specific at-risk group (NSP 2011). Sankaranarayanan, Carter and Lewin (2010, p. 376) state, “Despite a wide variation of the concept of ‘rurality’, the risk of suicide in the general population has shown to be higher in those residing in rural versus urban locations…..”
    Judd et al. (2006, p. 2), supports this by reporting male farmers in Australia have an elevated risk of suicide compared to non-farming residents as one male farmer dies every four days from suicide. Male risk groups share determinants such as mental and physical health, social and geographical isolation, cultural and family background, socio-economic disadvantage, genetic makeup, poor support groups and the inability to cope with adversity (NSPS 2011). Rural men whom have ready access to lethal means are also at higher risk (Judd et.al 2006). Families affected by suicide suffer mentally and physically from grief and the continued running of farms or businesses in rural areas (Judd et al. 2006). Suicide is a preventable death, which has devastating consequences for families, friends and communities (Fragar et al. 2008). The overall decline in suicide suggests that evidence based prevention programs are beneficial (ABS 2010). The Government policies are well detailed and do acknowledge rural males as a high risk group (LIFE 2007). However, male suicides continue to account for the majority of suicides (NSPS 2011). Action and access are needed for stressed males in isolated and remote areas (Judd el at 2006). For strategies and interventions to work, there needs to be a strong and long commitment between government, communities, services and the public with increased focus on reducing health inequalities for rural males (LIFE 2007).

    • May 18, 2011 at 11:23 pm | #2

      Suicide prevention works best when one is engaged in promoting life from the year dot rather than trying to prevent death at a particular point in space and time. The former is realisable, the latter not. The biggest lie, among many, of the suicide prevention industry is that it claims that it is possible to identify, in advance, which man in what situation and exactly when he is going to top himself and through that, to muster whatever appropriate interventions are required to stop that finite act.

      Unfortunately, highly politicised as it is, suicide prevention is used by governments to garner ‘feel good’ points and retains from within, a religious crusade like zeal of saving lost souls. Further, those revisionist arseholes within the men’s rights movement have expunged from the policy mindset any objective and rational consideration of the contextual issues (both of men and of their milieu) that do indeed contribute to men’s exponentially higher, when compared to women, suicide rate in Australia.

      Thus, censored from the debate are such critical factors as the impact of masculine ideals not only on men themselves but on how they are raised from boys to men (you might be aware of Connell’s frustrated pleadings on this subject). At that most fundamental of levels, many boys are repeatedly denied that attachment, by their primary caregivers, that is so essential to healthy psychosocial development.

      Until we move past politically and mutually convenient denial and start to apply an evidence based, positive health promotion framework to suicide prevention, we will not effectively redress this seemingly perpetual social problem. Of course, without denial we would have to confront, analyse and deconstruct some rather unsettling realities like, for example, the aforementioned consequences of poor parenting, as well as the harm caused to men by child abuse, poverty, unemployment, homophobia, and so forth.

      Constructing policy within a constricted prism that debars divergent viewpoints in favour of a sycophantic collective wank is, as I begrudgingly concede, ‘the Australian way’. However, that does not make it right.

      Cheers,
      Stephen

      As a postscript, one divergent viewpoint about male suicide that I read recently, reflected on the extreme violence that lies at the heart of those men who choose to kill their partners and/or children and who then kill or attempt to kill themselves. If you encourage boys and men that they are entitled to be violent and thence the actuality of, or potential for violence is ever-present and if you shut down boys and men emotionally, thereby fucking with their heads considerably, how can any of us really be surprised that so many men later go on to complete what is a blatantly obvious outcome?

  2. Lynch
    May 19, 2011 at 12:56 pm | #3

    Australian Bureau of statistics 2010, 1370.0-Meassures of Australia’s progress, retrieved 17 April 2011, .

    Fragar, L, Kelly, B, Peter, M, Henderson, A, Tonna, A 2008, ‘Partnerships to promote mental health of NSW farmers: The New South Wales Farmers Blueprint for Mental Health’, Australian Journal of Rural Health, Vol. 16, no.3, pp. 170-175.

    Judd, F, Jackson, H, Fraser, C, Murray, G, Robins, G, Komiti, A 2006, ‘Understanding suicide in Australian farmers’, Social Psychiatry and Psychiatric Epidemiology, Vol. 41, no.1, pp 1-10.

    Living Is For Everyone, ‘LIFE’ 2007, Research and Evidence in Suicide Prevention, Australian Government Department of Health and Aging, retrieved 1 May 2011, .

    Mental health and wellbeing 2011, National Suicide Prevention Strategy, retrieved 17 April 2011, .

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