Unveiling the rural dichotomy: the dual impact of rurality on youth mental health
Introduction: The geographic, cultural, social and economic milieu that impacts mental health in rural communities globally has been well documented. However, few studies have addressed how rural ecosystems impact specifically upon the mental health and wellbeing of young people. Furthermore, the...
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James Cook University
2025-01-01
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| Series: | Rural and Remote Health |
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| Online Access: | https://www.rrh.org.au/journal/article/8692/ |
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| author | Sarah Youngson Beatriz Cuesta-Briand Mathew Coleman |
| author_facet | Sarah Youngson Beatriz Cuesta-Briand Mathew Coleman |
| author_sort | Sarah Youngson |
| collection | DOAJ |
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Introduction: The geographic, cultural, social and economic milieu that impacts mental health in rural communities globally has been well documented. However, few studies have addressed how rural ecosystems impact specifically upon the mental health and wellbeing of young people. Furthermore, the limited explorations of factors contributing to poorer mental health outcomes in rural youth have primarily included adult voices. The study aimed to give a youth voice to the vexed problem of high rates of youth mental illness and suicide in rural and remote areas, exploring young people's experiences in a deeply contextual manner.
Methods: This study followed a phenomenological qualitative design underpinned by the principles of participatory action research. A youth-led reference group provided guidance on the study design and recruitment. A total of 29 young people aged 12-19 years were recruited from a small rural community in southern Western Australia. Individual and focus group semi-structured interviews were conducted. The interviews were transcribed and subjected to thematic analysis informed by ecological systems theory.
Results: The findings demonstrate the impact of a rural address on youth mental health through the influence of three overarching spheres of influence, as described by ecological systems theory: 'everyone knows everyone', 'small school and beyond' and 'the place'. Most themes included both positive and negative components, as well as ambivalence, demonstrating a double-edged sword.
Conclusion: The study findings support the view that mental health in rural young people is best viewed through an ecosystem lens, acknowledging the complex and dynamic interplay between interpersonal, community and environmental factors on young people. The paradoxes and contradictions present in almost every interview are informative, instructive and of great value in considering the needs and desires of rural young people. Rural communities should be supported to build upon their intrinsic strengths to ameliorate the impact of rurality on mental health risk factors for young people. Building on the assets inherent in rural communities, could rural young people have better outcomes than urban youth?
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| format | Article |
| id | doaj-art-2e4e0491b5df4970a844f4eba9b3251d |
| institution | Kabale University |
| issn | 1445-6354 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | James Cook University |
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| series | Rural and Remote Health |
| spelling | doaj-art-2e4e0491b5df4970a844f4eba9b3251d2025-01-07T01:48:14ZengJames Cook UniversityRural and Remote Health1445-63542025-01-012510.22605/RRH8692Unveiling the rural dichotomy: the dual impact of rurality on youth mental healthSarah Youngson0Beatriz Cuesta-Briand1Mathew Coleman2Rural Clinical School WARCSWA, UWAAlbany Health Campus Introduction: The geographic, cultural, social and economic milieu that impacts mental health in rural communities globally has been well documented. However, few studies have addressed how rural ecosystems impact specifically upon the mental health and wellbeing of young people. Furthermore, the limited explorations of factors contributing to poorer mental health outcomes in rural youth have primarily included adult voices. The study aimed to give a youth voice to the vexed problem of high rates of youth mental illness and suicide in rural and remote areas, exploring young people's experiences in a deeply contextual manner. Methods: This study followed a phenomenological qualitative design underpinned by the principles of participatory action research. A youth-led reference group provided guidance on the study design and recruitment. A total of 29 young people aged 12-19 years were recruited from a small rural community in southern Western Australia. Individual and focus group semi-structured interviews were conducted. The interviews were transcribed and subjected to thematic analysis informed by ecological systems theory. Results: The findings demonstrate the impact of a rural address on youth mental health through the influence of three overarching spheres of influence, as described by ecological systems theory: 'everyone knows everyone', 'small school and beyond' and 'the place'. Most themes included both positive and negative components, as well as ambivalence, demonstrating a double-edged sword. Conclusion: The study findings support the view that mental health in rural young people is best viewed through an ecosystem lens, acknowledging the complex and dynamic interplay between interpersonal, community and environmental factors on young people. The paradoxes and contradictions present in almost every interview are informative, instructive and of great value in considering the needs and desires of rural young people. Rural communities should be supported to build upon their intrinsic strengths to ameliorate the impact of rurality on mental health risk factors for young people. Building on the assets inherent in rural communities, could rural young people have better outcomes than urban youth? https://www.rrh.org.au/journal/article/8692/Australiaecological systemsmental healthrisk factorsthematic analysisyouth. |
| spellingShingle | Sarah Youngson Beatriz Cuesta-Briand Mathew Coleman Unveiling the rural dichotomy: the dual impact of rurality on youth mental health Rural and Remote Health Australia ecological systems mental health risk factors thematic analysis youth. |
| title | Unveiling the rural dichotomy: the dual impact of rurality on youth mental health |
| title_full | Unveiling the rural dichotomy: the dual impact of rurality on youth mental health |
| title_fullStr | Unveiling the rural dichotomy: the dual impact of rurality on youth mental health |
| title_full_unstemmed | Unveiling the rural dichotomy: the dual impact of rurality on youth mental health |
| title_short | Unveiling the rural dichotomy: the dual impact of rurality on youth mental health |
| title_sort | unveiling the rural dichotomy the dual impact of rurality on youth mental health |
| topic | Australia ecological systems mental health risk factors thematic analysis youth. |
| url | https://www.rrh.org.au/journal/article/8692/ |
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