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SUICIDE in RURAL & REMOTE AREAS of AUSTRALIA - Living is for ...

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14<br />

Suicide <strong>in</strong> rural and remote areas <strong>of</strong> Australia<br />

with<strong>in</strong> culture <strong>in</strong> terms <strong>of</strong> ‘sorry cuts’ or ‘anger cuts’;<br />

here, there may be no <strong>in</strong>tention to die but desires<br />

to cope with seem<strong>in</strong>gly unbearable pa<strong>in</strong>, relieve<br />

stress, express rage or seek attention (Ollapallil et<br />

al, 2008).<br />

Migrants are another group that may prove<br />

vulnerable to self-harm and suicidal behaviours<br />

with<strong>in</strong> a rural environment, especially young men.<br />

While research has <strong>in</strong>dicated that suicide r<strong>is</strong>k tends<br />

to be lower among migrants <strong>in</strong> Australia overall, a<br />

study undertaken <strong>in</strong> New South Wales <strong>in</strong>dicated<br />

that migrants males had a higher suicide rate when<br />

they lived <strong>in</strong> ‘non-metropolitan’ areas (Morrell et al,<br />

1999). However, the suicide rates <strong>of</strong> female migrants<br />

did not change signifi cantly depend<strong>in</strong>g upon their<br />

geographical location. It can be argued that these<br />

higher suicide rates are connected to a lack <strong>of</strong> social<br />

connectedness and <strong>in</strong>creased social d<strong>is</strong>location<br />

felt by migrants <strong>in</strong> small communities, especially<br />

if they hail from non-Engl<strong>is</strong>h-speak<strong>in</strong>g countries.<br />

Mac<strong>in</strong>tyre et al (2002) refers to the challenges<br />

faced by migrants <strong>in</strong> these rural geographical areas<br />

as ‘<strong>in</strong>compatible status’.<br />

Much has been written about the high rates <strong>of</strong> suicidal<br />

behaviours among Australian youth, especially high<br />

among those youth liv<strong>in</strong>g <strong>in</strong> rural areas. Between<br />

1999 and 2003, research <strong>in</strong>dicated that the gap<br />

between the suicide rates <strong>of</strong> males aged 25-34 years<br />

liv<strong>in</strong>g <strong>in</strong> metropolitan and remote areas <strong>in</strong>creased<br />

signifi cantly (Page et al, 2007). A signifi cant <strong>in</strong>crease<br />

<strong>in</strong> rural female suicide was also demonstrated (Ibid.).<br />

Bourke (2003) has conducted <strong>in</strong>-depth <strong>in</strong>terviews<br />

with rural youth about suicide. She has found that<br />

youth are vulnerable when they are marg<strong>in</strong>al<strong>is</strong>ed<br />

from their community; th<strong>is</strong> may happen if they reject<br />

(either voluntarily or <strong>in</strong>voluntarily) the prevail<strong>in</strong>g<br />

community norms regard<strong>in</strong>g un/acceptable attitudes<br />

and behaviours (Barnes et al, 2004; Bourke, 2003,<br />

2001). These norms may be different <strong>for</strong> males and<br />

females but the negative consequences attached<br />

to non-con<strong>for</strong>mity rema<strong>in</strong>s the same. Further, when<br />

faced with life stressors, there may have been few<br />

adults capable, competent or will<strong>in</strong>g to provide<br />

ass<strong>is</strong>tance to a young person <strong>in</strong> cr<strong>is</strong><strong>is</strong>. Bourke found<br />

that: “For the most part, teachers did not want to be<br />

counsellors and <strong>in</strong>dicated that it was problematic to<br />

know about a student’s problems while also be<strong>in</strong>g<br />

a local resident and perhaps a friend <strong>of</strong> the young<br />

person’s parents” (2003, p. 2361). Nor did young<br />

people appear to always d<strong>is</strong>cuss their suicidal<br />

ideation with their peers. Responses from Bourke’s<br />

(2003) research appeared to <strong>in</strong>dicate that some<br />

young people saw suicidal ideation as a ‘one-<strong>of</strong>f’<br />

experience which occurred <strong>in</strong> state <strong>of</strong> irrationality;<br />

<strong>in</strong> th<strong>is</strong> way, they had no tools with which to more<br />

effectively combat any future ideation. Further, young<br />

men may be more prone to react<strong>in</strong>g aggressively<br />

to problems, <strong>in</strong>clud<strong>in</strong>g physical altercations with<br />

others, which “…was accepted as ‘the way it <strong>is</strong>’. Is<br />

it any wonder, then, that when the problem <strong>is</strong> the<br />

self, resolution <strong>is</strong> via self-harm” (Bourke, 2003, p.<br />

2361; see also Qu<strong>in</strong>e et al, 2003).<br />

GriffithBook FINAL 20/09.<strong>in</strong>dd 14<br />

15/11/12 4:28 PM

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