Perspectives of Suicide Bereaved Individuals on Military Suicide Decedents' Life Stressors and Male Gender Role Stress

Authors
Sterling, A. G. Bakalar, J. L. Perera, K. U. DeYoung, K. A. Harrington-LaMorie, J. Haigney, D. Ghahramanlou-Holloway, M.
Publication year
2017
Citation Title
Perspectives of suicide bereaved individuals on military suicide decedents' life stressors and male gender role stress.
Journal Name
Archives of Suicide Research
Journal Volume
21
Issue Number
1
Page Numbers
155–168
DOI
doi:10.1080/13811118.2016.1166087
Summary
Although men are more likely to commit suicide, few studies have explored the association between male gender role stressors and suicide within the military. This study utilized the perspectives of bereaved family members' to identify male gender role stressors (e.g. conflicts between work and family commitments, emotional in-expressiveness) that were associated with the suicide of male Service members. Findings from the pilot study showed the male gender role stressors adequately predicted male gender role stress in male Service members who committed suicide. In addition, the study showed that legal or trauma stressors predicted higher levels of male gender role stress at least one month prior to suicide .
Key Findings
Deceased male Service members were characterized as having a strong sense of honor, strength, and achievement while also showing high levels of stoicism and excessive need for control.
Divorce proceedings predicted high levels of male gender role stress at one month and one year prior to suicide.
Witnessing the death of a fellow Service member or violence against civilians while deployed for combat predicted high levels of male gender role stress at least one month prior to suicide.
Implications for Program Leaders
Develop support groups for Active Duty male Service members to attend during a divorce
Provide training to build emotional awareness, social attachment, and interpersonal relationship skills in Active Duty male Service members
Disseminate information on legal services and resources available to Active Duty male Service members who experience a divorce
Implications for Policy Makers
Recommend professional education on how to build and encourage emotional awareness for professionals working with Service members
Promote suicide awareness and awareness of stressors that may increase the risk of suicide in Active Duty male Service members
Support collaborations with community-based organizations to provide courses and training on suicide prevention and awareness for families of Service members
Methods
Participants were recruited at the second and third annual Tragedy Assistance Program for Survivors (TAPS) National Military Suicide Survivor Seminar.
Due to the sensitive nature of the study, participants were required to complete a detailed consent form which provided grief support resources.
Participants completed a survey that collected demographic information, information about the Service members' medical and mental health history, life stressors, and male gender role stressors.
Participants
Participants were bereaved family members of Active Duty male Service members who committed suicide.
Sixty-five bereaved family members completed the survey; a majority were women (86%), parents (45%), and White (92%).
Decedents represented multiple branches including Army (54%), Marine Corps (19%), Navy (14%), Air Force (6%) and Coast Guard (3%).
Majority of the decedents were enlisted personnel (45%) with at least one completed combat deployment (66%).
Limitations
The study design utilized self-reports for survey completion. Self-reports of past events may be biased as they require participants to remember and report past events accurately.
Accounts from the perspective of bereaved survivors were used to represent the beliefs held by the decedents. These accounts may not accurately reflect Service members' beliefs.
Majority of the participants in the study were women. This limits the ability of the findings to represent accounts of bereaved male family members.
Avenues for Future Research
Investigate the association between male gender role stressors and divorce
Expand study to Service members who have attempted suicide or are hospitalized due to a suicide attempt
Include the perspectives of siblings and other types of bereaved survivors
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
3 Stars - The definitions and measurement of variables is done thoroughly and without any bias and conclusions are drawn directly from the analyses performed.
Limitations Rating
1 Star - There are several factors that limit the ability to extend the results to a population and therefore the results can only be extended to a very specific subset of the population.
Focus
Multiple Branches
Target Population
Population Focus
Military Component
Abstract
The objective of this study was to pilot the newly developed Male Gender Role Stressor Inventory (MGRSI) in military suicide bereaved (i.e., decedents’ family members and significant others) and to determine the association between Male Gender Role Stress (MGRS) and other life stressors observed by survivors. Sixty-five survivors attending a national survivor seminar completed original surveys, reporting demographic information about themselves and the decedent and observations of the decedent’s life stressors during the 1-month and 1-year periods prior to death. The MGRSI obtained acceptable internal reliability (a¼.76) and indicated that factors including honor, strength, and achievement were the most commonly reported sources of MGRS. Correlational and regression analyses revealed that legal- and trauma-related stressors 1 month prior to suicide were significantly associated with MGRSI score. MGRS may contribute to a better understanding of military male suicide. The Department of Defense and the Veterans Administration may benefit from suicide prevention programs targeting rigid male gender role beliefs and male-specific stressors.
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