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Suicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention

Author

Listed:
  • Hagaman, Ashley K.
  • Wagenaar, Bradley H.
  • McLean, Kristen E.
  • Kaiser, Bonnie N.
  • Winskell, Kate
  • Kohrt, Brandon A.

Abstract

Suicide is a complex global public health problem, yet few studies have examined local socio-cultural explanatory models and other contextual factors surrounding suicide in low-and-middle-income countries. Such research is critical, as suicide frequency and etiology, as well as care-seeking in the case of distress, differ contextually and by sub-groups within a population. This is the first study of its kind to explore the dual perspectives of both healthcare workers and community members regarding suicide in Haiti. We conducted semi-structured, in-depth interviews between May and June 2011 with eight biomedical healthcare workers and 16 lay community members. Qualitative data analysis, drawing on interpretive phenomenological analysis, addressed themes including perceived suicide frequency, veracity of suicidal ideation claims, perceived causal factors, religious constructs related to suicide, and support resources for suicidality. Compared to community members, healthcare workers underestimated the frequency of suicide and were less likely to interpret suicide-related claims as representing true intent. Religious perspectives influenced attitudes toward suicide, albeit in different ways: Christian concern with the afterlife resulted in suicide being unacceptable and sinful, while Vodou explanatory frameworks displaced blame and stigma away from suicidal individuals. Healthcare workers' failure to recognize suicide as a serious problem suggests that the formal health system is currently ill-equipped to respond to suicide-related needs. Religious practice and community supports in rural Haiti may serve as essential resources for prevention programs.

Suggested Citation

  • Hagaman, Ashley K. & Wagenaar, Bradley H. & McLean, Kristen E. & Kaiser, Bonnie N. & Winskell, Kate & Kohrt, Brandon A., 2013. "Suicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention," Social Science & Medicine, Elsevier, vol. 83(C), pages 61-69.
    • Handle: RePEc:eee:socmed:v:83:y:2013:i:c:p:61-69
    DOI: 10.1016/j.socscimed.2013.01.032
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    References listed on IDEAS

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    1. Owen, Gareth & Belam, Judith & Lambert, Helen & Donovan, Jenny & Rapport, Frances & Owens, Christabel, 2012. "Suicide communication events: Lay interpretation of the communication of suicidal ideation and intent," Social Science & Medicine, Elsevier, vol. 75(2), pages 419-428.
    2. Parkar, Shubhangi R. & Nagarsekar, Balkrishna B. & Weiss, Mitchell G., 2012. "Explaining suicide: Identifying common themes and diverse perspectives in an urban Mumbai slum," Social Science & Medicine, Elsevier, vol. 75(11), pages 2037-2046.
    3. Wexler, Lisa Marin, 2006. "Inupiat youth suicide and culture loss: Changing community conversations for prevention," Social Science & Medicine, Elsevier, vol. 63(11), pages 2938-2948, December.
    4. Kirmayer, Laurence J., 1989. "Cultural variations in the response to psychiatric disorders and emotional distress," Social Science & Medicine, Elsevier, vol. 29(3), pages 327-339, January.
    5. Colin D Mathers & Dejan Loncar, 2006. "Projections of Global Mortality and Burden of Disease from 2002 to 2030," PLOS Medicine, Public Library of Science, vol. 3(11), pages 1-20, November.
    6. Adinkrah, Mensah, 2012. "Better dead than dishonored: Masculinity and male suicidal behavior in contemporary Ghana," Social Science & Medicine, Elsevier, vol. 74(4), pages 474-481.
    7. Keys, Hunter M. & Kaiser, Bonnie N. & Kohrt, Brandon A. & Khoury, Nayla M. & Brewster, Aimée-Rika T., 2012. "Idioms of distress, ethnopsychology, and the clinical encounter in Haiti's Central Plateau," Social Science & Medicine, Elsevier, vol. 75(3), pages 555-564.
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