Tuesday, October 8, 2013

The lonely life of the farmer too often leads to suicide

Too proud to ask for help, patriarchs in agricultural areas across America's heartland lack mental health support
Topics:
Health
Agriculture
Mental illness
Farmer.
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Jim Short was ready when the sun came up each morning over his fields. He was a farmer who listened to his crops and knew precisely how to produce a good yield. He took pride in what he did for a living. He was the type who was the first in the fields in the morning and the last out at the end of the day.
In Craigmont, Idaho, a town of just 500 people where the state's panhandle starts to widen, Jim was a respected man. He owned his home outright. He had been married 30 years and raised three children, who all graduated from college. He loved to drive his Ford pickup around town. He often hosted friends for supper and loved showing out-of-towners the ways of farm life.
At the end of a long day, he liked to kick back a glass of water and rye — and sometimes he'd have one too many. With a little drink in him, sometimes he would tell his family that nothing made his heart swell like his children. Sometimes he would cry. Sometimes he would tell them that in every other part of his life, he had failed.
His daughter Jamie said that though her father was a deeply conflicted man, she remembers him as a man who personified the spirit of their town. He was always there to help those in need.
He was the first to arrive at the home of friends whose son had died by suicide. Jim felt so much pity for the family, he cleaned up the scene so they wouldn't have to.
Two weeks before his 50th birthday, just after 4 a.m. on July 19, 2005, Jim's wife found him sitting in the field behind their house, gasping for his last breaths after putting a pistol to his head.
Stunned, his family grasped for an answer.
Jim's story is one heard too often in the Gem State. Idaho consistently ranks as one of the states with the highest suicide rates from year to year. In 2010, it ranked sixth, with 18.5 suicides per 100,000 people (PDF), and in 2011, 285 people died by suicide there. Suicide is estimated to cost the state $36 million annually.
Every year, Idaho, New Mexico, Wyoming, Alaska, Montana and Nevada, among others, seem to leapfrog one another in the top 10 as the most suicidal. They're giant states — ones with more fields and long stretches of freeway than urban centers, places with populations of cows that rival those of people. Idaho is where Ernest Hemingway made his home and where he died by suicide in 1961.
And in a place like Idaho, one that relies heavily on rural people and a thriving agribusiness to contribute to its economy, the suicide rate of farmers remains a concern. In a report on suicide prevention in Idaho (PDF) from the state's Department of Health and Welfare, researchers said a lack of social and mental-health support — in addition to the unique stresses of farming — and access to lethal means puts people like farmers at a high risk for suicide.

Nowhere to turn

Rugged individualism is something you'll hear a lot about in Idaho. It's a phrase popularized by President Herbert Hoover and one Idahoans use like a creed to describe their self-reliance. But it's a mentality that doesn't lend itself to seeking help if someone is depressed or suicidal. (So strong is the stigma of depression, admission of vulnerabiliy and suicide, that Jim's daughter asked that his and her name be changed in this story to protect their identities).
Shortly before Jim's death, a hailstorm ripped through his fields and destroyed an entire crop of peas and lentils.
"Farmers have the hardest life where we come from," Jamie said. "The weather makes or breaks the crop, and there are very limited things a farmer can control."
The storm caused Jim to suffer an $80,000 loss.
"I think this sort of broke him a bit," Jamie said. "He worked so hard, and to have it gone in one storm, it was too much."
No matter how hard he worked, Jim wouldn't be able to make up that loss. And he was a humble man who would never ask for help.

Fearlessness is what's required. It's not the same thing, by the way, as bravery or courage.

Efforts by the state to keep its citizens from dying by suicide are unstable at best. The state's suicide hotline was shuttered because of a lack of funding in 2006, reopening just last November. And though the hotline has expanded its hours since then, it has secured only enough funding to keep the lines open for the next two years.
Even worse, Idaho's medical support system is bleak. Idaho has one of the lowest concentrations of doctors in the country (PDF). Plus its medical professionals are aging. NPR reports that 41.5 percent of the physicians in the state are 55 or older. And Idaho fares even worse for medical residents, with only 3.9 residents per 100,000 Idahoans.
That's all bad news, especially considering that Mental Health America has reported that nearly three quarters of those who die by suicide visited a doctor in the four months before their death. This revelation prompted legislation in neighboring Washington state to require all clinicians to undergo mandatory suicide-prevention training on the chance that they could spot warning signs in a potentially suicidal person.
But in a state with not enough doctors, how can people be helped?

Search for solutions

The mentality of rural America has to be understood first, said Dr. Thomas Joiner, the author of "Why People Die by Suicide" and a Florida State University professor of psychology. Farmers are acquainted with a hard life and regularly see death and pain in their work, he said.
"The lifestyle in a lot of rural settings is more rugged," he said. "People are more involved in things involving physicality. All of that kind of pushes people to be generally less afraid of physical, strenuous and harmful things."
That can be lethal when combined with the desire to die and with the more readily available means than most other people have.
"Fearlessness is what's required. It's not the same thing, by the way, as bravery or courage," Joiner says, "It's more that you've gotten used to bodily harm, injury, pain and the prospect of death."
Joiner said restricting the means of suicide has proved effective in preventing it. A barrier on a bridge, for instance, is effective in stopping people from jumping. But what barriers can be erected for farmers living fairly isolated lives?
Judy Gabert, a resource specialist with Suicide Prevention Action Network (SPAN) of Idaho, pointed to guns, which account for 60 percent of the suicides there. She said any talk of restrictions on guns doesn't go over well in Idaho, an extremely pro-gun state, so instead, her organization encourages gun safety and gun locks.
Gabert said that, given the prevalence of religion in Idaho — it's the 15th most religious state in the country and the only northwestern state to break the top 30 — SPAN has begun training clergy members in suicide-prevention strategies.
But Paul Quinnett, the founder of the QPR Institute, which offers a three-step question-persuade-and-refer suicide-prevention curriculum, said the issue needs to be attacked at the root. All states need to take measures to remove the taboos — stigmas that weighed down people like Jim Short — that are often associated with suicide, Quinnett said. He pointed to HIV and AIDS, saying that it wasn't until the "ick" factor was removed that the country recognized the threat of epidemic that the disease posed.
"Some of us in the suicide-prevention field think suicide has the same repulsion to it," he says.
He said opening mental-health clinics in rural areas won't solve the problem. Jamie Short agrees, saying that if there had been help in Craigmont, her dad wouldn't have sought it out.
"He would have never asked for help with anything," she said. "If help was available, sadly, I don't think it would have helped my dad. As much as I wish it would have."
But that's where Quinnett says technology can be an asset. Web-based therapy can be accessed in someone's home — or even from a smartphone — and could be extremely effective in rural communities. People can admit they're experiencing depression or suicidal thoughts and get the help they need, and no one else has to know. He says ManTherapy.org is a site that's good for men to start acknowledging potential issues. With males dominating agriculture and more men dying by suicide in Idaho, he said it's important to understand that mental-health solutions need to speak to that population.
Smaller communities also need to band together to look out for their own — almost like a barn raising, just with mental health, he added.
"You have a better chance, in some ways, of changing the culture in a smaller community than you do in a big city," he said. "You say, 'Our citizens don't die by suicide. We don't let anyone die alone.'"
After Jim's death, the Shorts were faced with harvesting their 3,000 acres of crops.
Craigmont came together and helped, as they knew Jim would have for anyone else.
"Every person reached out and helped in some way," Jamie said.
Trailers parked across their property. Farmers pitched tents in the fields. Soon the Shorts' property was buzzing with 30 combines and 80 grain trucks. Their entire property was harvested in just three days.
"Ironically, even with the $80,000 loss from the crop lost in the hailstorm, it was my dad's best year in about 20," Jamie said.
"There were over 600 people at the funeral in the city park. The town only had 513 people in it at the time. It was amazing. It was horrible in so many ways but beautiful in others."

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16 Comments

Esther Barmore2 days ago
As someone who was suicidal for 15 yrs in my youth, these articles are always of interest to me. When I worked in Human Resources t the University of Wyoming (June of 2002 to Oct 2011) I joined the 'Gatekeepers'. This is a group that helps educate staff and faculty how to be of help to students at risk College Campus like certain other populations are at very high risk just by their nature and sometimes the culture...as discussed in this article. In Wyoming there's a phrase--'Cowboy Up' not sure what it's original intent was but probably relates to 'rugged individualism' as discussed here. i'm told that among Black men there's similar attitudes about not asking for help, about it being a sign a of weakness...That makes them one of the high risk populations, like students (especially freshman year) and farmers.

People who are sincerely considering suicide often do not talk overtly about it. BUT anyone who interacts with them . needs to not be afraid to ask and indeed to be a little pushy---"Yoe don't seem like yourself lately, I know times are tough but is there anything I can do to help? Or maybe you need to talk to someone about it. In the case of people like this farmer...emphas­ize that they've done much for others and you just feel you'd like to 'give back' to them.

It's a catch 22---suicidal people are often very good at 'masking' their distress, that's why would be helpers have to be a little pushy---but often part of the problem is that they feel like they're invisible unless someone needs something FROM them---so just letting them know that someone cares enough to risk an angry response by talking about the mood & behavior changes they've noticed---well it it invalidates some of the 'self-talk' they're doing.

So instead of just talking about what causes it and how sad it is and what 'society' can do---resolve to be the sort of person who does something proactive...be sure support flows from you as well as to you---notice what's going on with the people in YOUR life. This includes cyber friends---I have kept people talking---given them my phone number even; I've also been one of a handful of folks on a very densely populated meant to be 'fun' site that contacted the admin after reading a blog that anybody with a modicum of sense could see was that of a suicidal person---we got the admin to check on the person---after leaving messages of support, understanding and pleas to feel free to pm or call us. At least 3 times I know cyber friends brought someone back from the brink, convinced them to seek help a fourth i'm pretty sure was a drama queen wanting the attention ---but you know what---even if the numbers were reversed and only 1 in 4 was legit...i'd do the same things...i'd rather be thought fool by the person and onlookers than risk they were sincere and I didn't reach out. i'd rather have the person angry at me for suggesting they're having emotional issues than risk they needed someone to notice and no-one did---or no-one had the courage and concern to broach the subject.
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Sung Hyun Lee5 days ago
The caption is a little misleading. I don't think it's pride necessarily, but a way of life that prevents these patriarchs from asking for help. It's hard when you are the one others ask for help too, I'm sure.

This story is very sad, and my heart goes out to the family. I'm glad that there are steps to train clergy in responding to these issues, and I hope and pray that healing and change happen.
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Rafe Husain7 days ago
Farmers need to be celebrated more especially american farmers. While the world's politicians strut and fight and the rest of us live without wondering where tonight's meal is coming from. 5% of the worlds population feeds the 95% and they really get no credit either financially nor emotionally nor from the banksters..

We all need to say thank you to the farmers of the world..
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N4110XPS87007 days ago
Most people with mental health issues, try to figure out a solution themselves, rather than seek professional help. Do not underestimate the perceived shame factor
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Jacob Crommett8 days ago
im sure the fact that people in this sort of enviroment are much less likely to ask for help, especially in mental health, has something to do with these figures.
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Donna Johnson8 days ago
"..Mental Health America has reported that nearly three quarters of those who die by suicide visited a doctor in the four months before their death"
There didn't seem to be any reference to medications/dru­gs in the article. If that many visited doctors, there could be extenuating circumstances, such as being told of a serious illness. Also, medications/dru­gs have both been beneficial and the cause of suicides, so it could be that Jim was given a prescription for an anti-depressant that did not set well with him. Farming/orchard­ing is a unique job and this is very sad.
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David Zaber8 days ago
This story is heartbreaking and my thoughts are with any person that feels the need to end their own life. That said, I noticed that this excellent story did not cover the potential impact that exposure to neurotoxic pesticides has on farmers. For far too long, farmers have been at the forefront of pesticide usage. Many of these chemicals have a variety of adverse effects on people who are exposed. Organophosphate­s and carbamates in particular, can have a multitude of impacts on those who are exposed to them. Even without overt symptoms, subtle changes in the function of the central nervous system can occur. For a farmer stressed by economic and social conditions, small changes in brain functions can be the straw that breaks the camel's back, so to speak. Hopefully, mental health professionals will inquire about a client's personal history of pesticide use as they work to help those who provide our nation (and others) with essential food supplies.
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Susan See9 days ago
It's kind of like being a soldier for your entire life. Having to "man up" from birth to death.
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Jarratt Moody10 days ago
3,000 acres for one family is an incredibly unnatural and environmentally devastating way to farm. Conventional agriculture is desertifying the US and the world. I imagine that despite the government subsidies that support horribly toxic and inefficient methods of growing produce, the toll that was taken on the diversity and natural abundance of the land was what weighed so heavily on Jim, whether he knew it or not. The plight of the farmers is the fault of America's failed food system perpetuated by corporations in the name of infinite growth at any cost.
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Fern Henley9 days ago
I feel silly replying but here goes. 3000 acres is not really that big of a farm raising lentils and diversifying to a lot of other crops. He loved his land rotating alfalfa and other soil enriching crops, managing water resources the best he could without enough federal assistance. I'm pretty sure he loved his land, his farm tools, things of technological beauty and worth, loved God, the last resort of not being able to control the weather; he prayed. Perhaps before he died living into retirement he would have raised a few animals in a humane way just for fun. OK, he lived facing the elements. We can give him mood altering therapy or we can give him a hand with the elements. I guess there are alternatives, I don't know. The farmer knows that the aquifers are not being refilled fast enough for 7 billion people to live. So water and weather are the most discouraging things about farming. Always has been. Now JFK recognized this and adopted the Parsons engineering design to help the agricultural and industrial producers by managing continental water resources. North America Water and Power Alliance (NAWAPA) they called the project. With the 6 million jobs and concomitant tax base this project will bring if the farmers still need mental health care then our nation can afford it. Would they need it or is the situation of high stress now found in our nation making it necessary? The land is not naturally abundant without water. Terraforming the planet for human species has taken millennia and looking at population density and other metrics of progress we are now ready to give Mother Nature a hand with water management surpassing Egyptian, Roman, Holland, Chinese efforts. Other continents experiencing desertification will be inspired by this project and address their water problems. Abundance of water and energy would obviate the need for immigration and wars. We could return to smaller farms but we've come too far in science to turn back. Law and order must prevail against the corporations today as it was set up to fight against the monopolist East India Tea Company. We still have a constitution to be used in the same spirit of the legal system set up by Hammarabi or Moses. Yes, I agree that not only the stress of weather but the toll of seeing corporate masters treating people as slaves to produce monetary remuneration for CEO's is unbearable to farmers. While our farmers do not immolate themselves in protest, suicide by any means is a message for the survivors to hear. The corporations do not hear; they are bean counters hiring more bean counters to go to D.C. It's up to citizens to twist the tails of the ol' cows in D.C. waking them up to their sworn duty to serve the people. There is no over population only there is underproduction of food, shelter and education. What a wonderful challenge the women have given us!
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Cris Morton9 days ago
There is not an under-productio­n of food, there is an uneven distribution of food. Have you ever seen a supermarket/res­taurant dumpster?
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Michael de Mare10 days ago
It seems to me that farmers have more social contact than people in cities.
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Bobo TheGorilla10 days ago
"patriarchs in agricultural areas across America's heartland lack mental health support"... and they can thank ronald raygun for that. he is the one who started the systematic destruction of america. one of the 'minor' things he did was to cut out all federal mental health support...
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Paul VanAmburgh Jr.10 days ago
An article about the suicides of farmers that almost completely misses the point. Its the economy stupid. If farmers were paid half of what they should be the stress would be halved. America's cheap food policy is a joke, someone pays the bill. Its the farmer, the farmers family, and small rural communities that pay the bill.

The answer is not higher yields, it is a higher pay price for yields. The "best year in about 20", exactly. If people only knew what it took to grow good crops and raise good quality livestock they would have a very different view of the farmer.
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windbyrne10 days ago
As a non-farmer and not even understanding much of the matter, what about the subsidies that befall the farmers? Don't they help? The farm bill seems to be full of the subsidies. Again, I am an ignoramus.
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Preston Alexander10 days ago
My heart aches for these valiant farmers who feel that their only recourse in life is to take their life. I wonder what part gender roles are playing in this drama; if a man feels that showing emotion or reaching out for help is not manly, he would rather die than look weak. This same attitude also explains the hatred gays feel in these parts as they epitomize all that is forbidden in these rural farmers' emotional spectrum.

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