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  1. AU="Sarah K McKenzie"
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  1. Article ; Online: Men's accounts of anxiety

    Sarah K. McKenzie / Mary T. Kelly / Emily Cooney / John L. Oliffe

    SSM: Qualitative Research in Health, Vol 4, Iss , Pp 100356- (2023)

    A photovoice study

    2023  

    Abstract: Anxiety disorders are one of the most commonly diagnosed mental illnesses amongst men. Despite this, research exploring men's lived experiences of anxiety is sparse. The current photovoice study offers key insights to the understandings of nineteen New ... ...

    Abstract Anxiety disorders are one of the most commonly diagnosed mental illnesses amongst men. Despite this, research exploring men's lived experiences of anxiety is sparse. The current photovoice study offers key insights to the understandings of nineteen New Zealand based men aged 24-62 who live with anxiety disorders. Using reflexive thematic analysis to analyse individual in-depth photo-elicitation interviews, two overarching themes were inductively derived: 1) Experiencing and embodying anxiety wherein men's internalized anxiety was characterised as an amorphous and unpredictable entity which could render them powerless, isolated and trapped; 2) Managing uncertainties in which men employed several strategies to control their anxiety amid an array of challenging circumstances. Discussed within a masculinities framework, the findings reveal complex lived experiences embedded in men's social worlds and gendered practices. Findings indicate the need to develop targeted interventions for men experiencing anxiety.
    Keywords Anxiety ; Masculinity ; Men's mental health ; Photovoice ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Men’s Experiences of Mental Illness Stigma Across the Lifespan

    Sarah K. McKenzie / John L. Oliffe / Alice Black / Sunny Collings

    American Journal of Men's Health, Vol

    A Scoping Review

    2022  Volume 16

    Abstract: The stigma of men’s mental illness has been described as having wide-reaching and profound consequences beyond the condition[s] itself. Stigma negatively impacts men’s mental health help-seeking and the use of services amid impeding disclosures, ... ...

    Abstract The stigma of men’s mental illness has been described as having wide-reaching and profound consequences beyond the condition[s] itself. Stigma negatively impacts men’s mental health help-seeking and the use of services amid impeding disclosures, diminishing social connection and amplifying economic hardship. Although men often face barriers to discussing their struggles with, and help-seeking for mental illness challenges, research focused on men’s lived experiences of mental illness stigma is, at best, emergent. This scoping review explores men’s mental illness related stigmas synthesizing and discussing the findings drawn from 21 published qualitative articles over the last 10 years. Four thematic findings were derived: (a) the weight of societal stigma, (b) stigma in male-dominated environments, (c) inequity driven stigmas, and (d) de-stigmatizing strategies. Despite evidence that stigma is a common experience for men experiencing diverse mental illness challenges, the field remains underdeveloped. Based on the scoping review findings, research gaps and opportunities for advancing the field are discussed.
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: ‘We have to band together’

    Amy Cooper / Gabrielle Jenkin / Elizabeth Morton / Debbie Peterson / Sarah K. McKenzie

    Kōtuitui, Pp 1-

    service user experiences of naturally occurring peer support on the acute mental health unit

    2022  Volume 17

    Abstract: Peer support has been proposed as a way to enhance the provision of mental health care; however, research has predominantly centred around formalised peer support programmes, with a dearth of studies exploring the anecdotally described phenomenon of ... ...

    Abstract Peer support has been proposed as a way to enhance the provision of mental health care; however, research has predominantly centred around formalised peer support programmes, with a dearth of studies exploring the anecdotally described phenomenon of naturally occurring peer support. This paper reports how naturally occurring peer support took place among service users in adult acute mental health unit settings, drawing on a thematic analysis of qualitative interviews gathered from four New Zealand facilities. Our analysis revealed three themes in relation to how peer support naturally occurred: (1) fulfilling a need to connect, (2) desire to improve the unit experience for others and (3) a sense of solidarity among service users. These interwoven but distinct themes provide a means for understanding naturally occurring peer support in the context of busy, under-resourced acute mental health settings and draw attention to its strengths, helping to fulfil service users’ need for support and connection in the absence of talking therapies or staff available to talk to. The findings highlight the potential for staff to recognise and facilitate these interactions in the acute care setting, and may help to dismantle stigmatising perspectives, demonstrating service users’ capacity for kindness despite being acutely unwell.
    Keywords Peer support ; mental health units ; qualitative ; service users ; acute settings ; Social Sciences ; H
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Suicide and self-harm content on Instagram

    Jacobo Picardo / Sarah K McKenzie / Sunny Collings / Gabrielle Jenkin

    PLoS ONE, Vol 15, Iss 9, p e

    A systematic scoping review.

    2020  Volume 0238603

    Abstract: Given concerns about suicide or self-harm content on Instagram, we conducted a systematic scoping review of peer-reviewed English language primary studies published between 2010-2019. Only ten studies had been published. Looking into purposive samples of ...

    Abstract Given concerns about suicide or self-harm content on Instagram, we conducted a systematic scoping review of peer-reviewed English language primary studies published between 2010-2019. Only ten studies had been published. Looking into purposive samples of Instagram posts tagged with self-harm related hashtags, studies report finding self-harm or suicide content in between 9-66% of their studied posts. Studies assessing Instagram's efforts to tackle such content found they had not been very effective. Despite heterogeneity in study aims, use of terminology, samples, methods of analysis, and study outcomes, we aggregated and distinguished 'content studies' and 'user studies'. Most studies showed concern for self-harm risk, but only one examined the relationship between self-harm posts and actual self-harm behaviours offline. It found such content had negative emotional effects on some users and reported preliminary evidence of potential harmful effects in relation to self-harm related behaviours offline, although causal effects cannot be claimed. At the same time, some benefits for those who engage with self-harm content online have been suggested. More research directly interviewing Instagram users to understand this phenomenon from their perspective is required. Finally, some ethical issues are discussed.
    Keywords Medicine ; R ; Science ; Q
    Subject code 150 ; 170
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Occupational exposure to suicide

    Renan Lopes de Lyra / Sarah K McKenzie / Susanna Every-Palmer / Gabrielle Jenkin

    PLoS ONE, Vol 16, Iss 4, p e

    A review of research on the experiences of mental health professionals and first responders.

    2021  Volume 0251038

    Abstract: Exposure to suicide is a major factor for suicidality. Mental health professionals and first responders are often exposed to suicide while on-duty. The objective of this scoping review is to describe the state of current research on exposure to suicide ... ...

    Abstract Exposure to suicide is a major factor for suicidality. Mental health professionals and first responders are often exposed to suicide while on-duty. The objective of this scoping review is to describe the state of current research on exposure to suicide among mental health professionals and first responders, focusing on the prevalence and impact of exposure to suicide, and to identify current gaps in the literature. We searched MEDLINE, Scopus, PsychNET, and Web of Science and identified 25 eligible papers. Between 31.5-95.0% of professionals had been exposed to suicide. Exposure to suicide had impacts on personal life, professional life, and mental health; and caused emotional distress. There was little research investigating exposure to suicide among police officers, firefighters, and paramedics. More research existed on mental health professionals, but none assessed exposure to suicide as a risk for suicide amongst this group. The review concludes that exposure to suicide is distressing for mental health professionals, and likely to be for first responder however, more research on these groups, especially paramedics, is required.
    Keywords Medicine ; R ; Science ; Q
    Subject code 306
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Masculinity, Social Connectedness, and Mental Health

    Sarah K. McKenzie PhD / Sunny Collings PhD / Gabrielle Jenkin PhD / Jo River PhD

    American Journal of Men's Health, Vol

    Men’s Diverse Patterns of Practice

    2018  Volume 12

    Abstract: Men’s mental health has remained undertheorized, particularly in terms of the gendered nature of men’s social relations. While the importance of social connections and strong supportive networks for improving mental health and well-being is well ... ...

    Abstract Men’s mental health has remained undertheorized, particularly in terms of the gendered nature of men’s social relations. While the importance of social connections and strong supportive networks for improving mental health and well-being is well documented, we know little about men’s social support networks or how men go about seeking or mobilizing social support. An in-depth understanding of the gendered nature of men’s social connections and the ways in which the interplay between masculinity and men’s social connections can impact men’s mental health is needed. Fifteen life history interviews were undertaken with men in the community. A theoretical framework of gender relations was used to analyze the men’s interviews. The findings provide rich insights into men’s diverse patterns of practice in regards to seeking or mobilizing social support. While some men differentiated between their social connections with men and women, others experienced difficulties in mobilizing support from existing connections. Some men maintained a desire to be independent, rejecting the need for social support, whereas others established support networks from which they could actively seek support. Overall, the findings suggest that patterns of social connectedness among men are diverse, challenging the social science literature that frames all men’s social relationships as being largely instrumental, and men as less able and less interested than women in building emotional and supportive relationships with others. The implications of these findings for promoting men’s social connectedness and mental health are discussed.
    Keywords Medicine ; R
    Subject code 360 ; 300
    Language English
    Publishing date 2018-09-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Differential loss of participants does not necessarily cause selection bias

    Kristie N. Carter / Fiona Imlach‐Gunasekara / Sarah K. McKenzie / Tony Blakely

    Australian and New Zealand Journal of Public Health, Vol 36, Iss 3, Pp 218-

    2012  Volume 222

    Abstract: Abstract Background: Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if ... ...

    Abstract Abstract Background: Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if the exposure‐outcome association differs for participants compared to non‐participants. We empirically demonstrate that selection bias does not necessarily occur when participation varies in a study. Methods: We used data from three waves of the longitudinal Survey of Family, Income and Employment (SoFIE). We examined baseline associations of labour market activity and education with self‐rated health using logistic regression in five participation samples: A) the original sample at year one (n=22,260); B) those remaining in the sample (n=18,360); C) those (at year 3) consenting to data linkage (n=14,350); D) drop outs over three years (n=3,895); and E) those who dropped out or did not consent (n=7,905). Results: Loss to follow‐up was more likely among lower socioeconomic groups and those with poorer health. However, for labour market activity and education, the odds of reporting fair/poor health were similar across all samples. Comparisons of the mutually exclusive samples (C and E) showed no difference in the odds ratios after adjustment for sociodemographic (participation) variables. Thus, there was little evidence of selection bias. Conclusions: Differential loss to follow‐up (drop out) need not lead to selection bias in the association between exposure (labour market activity and education) and outcome (self‐rated health).
    Keywords selection bias ; non‐response ; survey data ; Public aspects of medicine ; RA1-1270
    Subject code 331
    Language English
    Publishing date 2012-06-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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