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Suicide in Rural Areas (UK)
George Stewart
The facts of rural life belie town-dwellers? misconceptions
of an idyllic country existence. Evidence shows that 25 per cent of households
in rural areas are on or below the breadline, and more farm-workers have relied
on social security benefits than any other group.
A survey of over 500 farmers conducted by "Farmers Weekly"
in 1993 found that one in three farmers feel depressed, while nearly two thirds
said they feel more stressed than they did five years ago.
Long hours, BSE, the foot and mouth crisis, and the
collapse of beef, lamb and milk prices have sent rural incomes plummetting. In
1992 over 14,000 people left the agricultural industry. [47]
Farmers and farm managers are the occupational group with
the fourth highest risk of suicide in England and Wales. In the early 1980s
farmers were the occupational group with the second highest suicide rate,
however, in the period between 1982 and 1992 this dropped from 2.05 times the
average risk to 1.45 times. However, the actual figures are likely to be
substantially higher than this as the percentage of "open" or "undetermined"
deaths for farmers is very high, and there is substantial evidence that the
majority of these are suicides. [48]
Women married to farmers have a suicide rate more than 20
per cent higher than the average. [49] There is particular concern at the rise
in the number of suicides in rural areas of Wales.
The suicide rate generally in Wales is 14.6 per cent higher
than in England. Male suicides account for 84 per cent of the suicides in Wales
compared with 75 per cent generally.
It is clear that farmers who commit suicide tend to use
methods which are readily available to them because of their occupation.
Firearms are a common method of suicide amongst farmers, as is hanging.
While self-poisoning is less common than in the general
population, more than half the poisonings involve the use of agricultural and
horticultural chemicals. [50]
The Hawton study of "Methods Used for Suicide by Farmers in
England and Wales" concludes that the current extensive ownership of firearms by
farmers should be questioned. In addition, where a farmer is known to be
depressed, or otherwise at risk of suicide, families should be encouraged to
limit access to firearms and other dangerous means such as agricultural poisons.
[51] Hawton suggests that clinicians treating depressed
farmers could clearly have a role in encouraging this as he points out that
approximately half of all depressed farmers who killed themselves were receiving
treatment for depression.
Mind is to recommend to the Department of Health that
access to firearms by farmers is reduced in the hope of lowering the number of
suicides in the farming community.
It is claimed that the rate of suicide by firearms fell
after 1989 as a direct consequence of reduced access to firearms caused by the
1988 Firearms (amendment) Act [52] , therefore, further reducing access to
firearms amongst farmers will further reduce the rate of suicide by firearms.
The Department of Health has contributed towards the cost
of funding rural initiatives as part of their response to "The Health of the
Nation" suicide reduction targets.
The Samaritans have launched initiatives in Somerset,
Oxfordshire, Derbyshire and Gloucestershire to focus public concern on the
plight of rural communities and to alert the farming and rural communities to
the help that is available.
RuralMinds, a partnership between Mind and the Department
of Health has been set up to improve the mental health of people living in
isolated rural areas.
In the wake of the Foot and Mouth epidemic of 2001,
RuralMinds set up a "First Aid Kit" which was distributed in rural areas. The
First Aid Kit details resources of use to people in distress in rural areas.
http://www.mind.org.uk/Information/Factsheets/Suicide/


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