{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T11:36:08Z","timestamp":1767008168584,"version":"build-2065373602"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Sociol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Suicide is a serious and complex global public health problem, affecting individuals from diverse social backgrounds, genders, and ages. Gunungkidul Regency in the Special Region of Yogyakarta, Indonesia, has the highest suicide rate in the region, making it a crucial location for understanding the contributing factors to suicide in a rural, agrarian cultural context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study employed a qualitative descriptive design with a naturalistic approach to understand the meaning of individuals\u2019 lived experiences in their natural context without researcher intervention. Data were collected through semi-structured interviews with 21 participants, consisting of 15 family members of individuals who died by suicide and six community stakeholders (community leaders, religious leaders, health workers, NGO representatives, local police officers, and village administrators). All interviews were audio-recorded, transcribed verbatim, and analyzed using an inductive thematic approach. Two researchers conducted coding independently, with validation through peer discussions, triangulation of interview data, field notes, and document review to ensure the credibility of the findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis revealed two main patterns of suicide: altruistic suicide, associated with strong social cohesion, found in Playen, Wonosari, and Karangmojo sub-districts; and egoistic suicide, reflecting weak social ties, found in Semin and Ngawen. Contributing micro-factors include depression, economic stress, and chronic illness, which mutually exacerbate an individual\u2019s psychological state. Seasonal stress, such as crop failure during a prolonged dry season, increases the risk. In local culture, suicide is sometimes interpreted as a form of \u201crebellion\u201d against religious and social norms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings demonstrate the importance of early detection of mental health disorders, community economic empowerment through cooperatives, and culturally based education to address myths and stigma surrounding suicide. Prevention efforts must consider agrarian communities\u2019 social and cultural context more deeply.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsoc.2025.1588593","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T05:29:50Z","timestamp":1760678990000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Suicide in rural agrarian culture: revealing the micro dimensions of suicidal behavior in Gunungkidul Regency, Indonesia"],"prefix":"10.3389","volume":"10","author":[{"given":"Sunit Agus Tri","family":"Cahyono","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eko","family":"Wahyono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikawati","family":"Ikawati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhmad","family":"Purnama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tateki Yoga","family":"Tursilarini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sri Yuni","family":"Murtiwidayanti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andayani","family":"Listyawati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trilaksmi","family":"Udiati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suryani","family":"Suryani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tri","family":"Gutomo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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Health Nurs."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1007\/978-3-030-69392-3_9\/COVER","article-title":"The life of others: Marx and Durkheim on suicide and social good(s)","volume":"22","author":"Aguilar","year":"2022","journal-title":"Suicide Modern Lit. Soc. Causes Exist. Reasons Prev. Strategies"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1177\/0253717620977000","article-title":"The inconvenient truth about convenience and purposive samples","volume":"43","author":"Andrade","year":"2020","journal-title":"Indian J. Psychol. Med."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1177\/02537176211033643","article-title":"Psychological autopsy studies of suicide in South East Asia","volume":"44","author":"Arafat","year":"2021","journal-title":"Indian J. Psychol. Med."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"72074","DOI":"10.1088\/1742-6596\/1529\/5\/052074","article-title":"How to create a system ecological theory of the environment in revolution 4.0 era?","volume":"1529","author":"Arifin","year":"2020","journal-title":"J. Phys. Conf. Ser."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2282","DOI":"10.1177\/2333393617742282","article-title":"Employing a qualitative description approach in health care research","volume":"4","author":"Bradshaw","year":"2017","journal-title":"Global Qualitative Nurs. Res."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1002\/WPS.20656","article-title":"Post-traumatic stress disorder: a state-of-the-art review of evidence and challenges","volume":"18","author":"Bryant","year":"2019","journal-title":"World Psychiatry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1177\/1744987120927206","article-title":"Purposive sampling: complex or simple? Research case examples","volume":"25","author":"Campbell","year":"2020","journal-title":"J. Res. Nurs."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"229216","DOI":"10.3389\/FPSYT.2017.00035\/BIBTEX","article-title":"The reciprocal relationship between suicidality and stigma. 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Disord."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/S00455-001-0113-5","article-title":"Social and psychological burden of dysphagia: its impact on diagnosis and treatment","volume":"17","author":"Ekberg","year":"2002","journal-title":"Dysphagia"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"3015","DOI":"10.5861\/IJRSP.2019.3015","article-title":"Role of self-efficacy, life frustration, quality of health, and meaning in life on suicidal ideation among adolescents: a Nigeria experience","volume":"8","author":"Fagbenro","year":"2019","journal-title":"Consortia Academia"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/S0212-6567(14)70072-1","article-title":"Suicide ideation in higher education students: influence of social support","volume":"46","author":"Gon\u00e7alves","year":"2014","journal-title":"Atenci\u00f3n Primaria"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1177\/00302228211026513","article-title":"Suicide loss survivors: navigating social stigma and threats to social bonds","volume":"87","author":"Goulah-Pabst","year":"2021","journal-title":"OMEGA J. Death Dying"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1108\/JAOC-11-2020-0186\/FULL\/PDF","article-title":"Sensemaking and financial management in the decision-making process of farmers","volume":"18","author":"Hayden","year":"2022","journal-title":"J. Account. Organ. Change"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12939-020-01173-9\/METRICS","article-title":"Why social justice matters: a context for suicide prevention efforts","volume":"19","author":"Hochhauser","year":"2020","journal-title":"Int. J. Equity Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"55","DOI":"10.5664\/JCSM.7570","article-title":"A longitudinal study of psychological factors as mediators of the relationship between insomnia symptoms and suicidal ideation among young adults","volume":"15","author":"Hom","year":"2019","journal-title":"J. Clin. Sleep Med."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1170","DOI":"10.1108\/AAAJ-MAY-2012-01024\/FULL\/XML","article-title":"Theoretical triangulation and pluralism in research methods in organizational and accounting research","volume":"26","author":"Hoque","year":"2013","journal-title":"Account. Audit. Account. J."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12889-019-6861-7\/TABLES\/4","article-title":"The role of social support and spiritual wellbeing in predicting suicidal ideation among marginalized adolescents in Malaysia","volume":"19","author":"Ibrahim","year":"2019","journal-title":"BMC Public Health"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"737","DOI":"10.24256\/IDEAS.V7I1.737","article-title":"Revealing motives and language behavior in a suicide note","volume":"7","author":"Ilzam","year":"2019","journal-title":"IDEAS J. Eng. Lang. Teach. Learn. Ling. Lit."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1080\/10911359.2022.2164543","article-title":"Male suicide cases in Bangladesh: lensing through Durkheim\u2019s sociological typology","volume":"33","author":"Khan","year":"2023","journal-title":"J. Hum. Behav. Soc. Environ."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"516","DOI":"10.3390\/JPM12040516","article-title":"The effectiveness of predicting suicidal ideation through depressive symptoms and social isolation using machine learning techniques","volume":"12","author":"Kim","year":"2022","journal-title":"J. Pers. Med."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"214","DOI":"10.5014\/AJOT.45.3.214","article-title":"Rigor in qualitative research: the assessment of trustworthiness","volume":"45","author":"Krefting","year":"1991","journal-title":"Am. J. Occup. Ther."},{"key":"ref29","author":"Kusumoningrum","year":"2025"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1626179","DOI":"10.1080\/17482631.2019.1626179","article-title":"A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases","volume":"14","author":"Lam","year":"2019","journal-title":"Int. J. Qual. Stud. Health Well Being"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1596682","DOI":"10.3389\/FPUBH.2025.1596682","article-title":"The correlation between economic development and suicide rate \u2014 based on the global WHO and WB database","volume":"13","author":"Lyu","year":"2025","journal-title":"Front. Public Health"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1108\/JHR-01-2021-0029\/FULL\/PDF","article-title":"Self-harm and suicidal ideation during the COVID-19 outbreak in Lebanon: a preliminary study","volume":"36","author":"Maatouk","year":"2022","journal-title":"J. Health Res."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"102295","DOI":"10.1016\/J.AJP.2020.102295","article-title":"Hospital suicide due to non-treatment by healthcare staff fearing COVID-19 infection in Bangladesh?","volume":"54","author":"Mamun","year":"2020","journal-title":"Asian J. Psychiatr."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/S10198-018-1018-7\/TABLES\/4","article-title":"Unemployment and suicide in Italy: evidence of a long-run association mitigated by public unemployment spending","volume":"20","author":"Mattei","year":"2019","journal-title":"Eur. J. Health Econ."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1016\/J.JAD.2022.03.013","article-title":"The association between unemployment and suicide among employed and unemployed people in Hong Kong: a time-series analysis","volume":"305","author":"Men","year":"2022","journal-title":"J. Affect. Disord."},{"key":"ref36","volume-title":"Qualitative Data Analysis: A Methods Sourcebook","author":"Miles","year":"2018"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/J.JPSYCHIRES.2021.02.053","article-title":"Estimating the risk of suicide associated with mental disorders: a systematic review and meta-regression analysis","volume":"137","author":"Moitra","year":"2021","journal-title":"J. Psychiatr. Res."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2306","DOI":"10.1007\/S12144-020-00757-6\/TABLES\/1","article-title":"Two pathways to suicidal intention in Ecuadorian adolescents: the role of parental and peer attachment, depression and impulsivity","volume":"41","author":"Moyano","year":"2022","journal-title":"Curr. Psychol."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"193","DOI":"10.31969\/ALQ.V27I1.921","article-title":"Traditional beliefs Seblang the behavior of the Osing society of Banyuwangi District East Java Province","volume":"27","author":"Mursidi","year":"2021","journal-title":"Al-Qalam"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"819","DOI":"10.5958\/2321-5828.2018.00137.7","article-title":"Agrarian crisis and farmer\u2019s suicide scenario in Tamil Nadu","volume":"9","author":"Murugan","year":"2018","journal-title":"Res. J. Humanit. Soc. Sci."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"30409","DOI":"10.7759\/CUREUS.30409","article-title":"The demographic profile of suicidal hanging deaths in North India","volume":"14","author":"Nagar","year":"2022","journal-title":"Cureus"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12889-024-20544-3\/TABLES\/4","article-title":"Financial insecurity and mental well-being: experiences of parents amid the lebanese economic crisis","volume":"24","author":"Nasr","year":"2024","journal-title":"BMC Public Health"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"69","DOI":"10.12928\/DPPHJ.V14I2.2027","article-title":"The characteristics of suicide in Gunungkidul Indonesia","volume":"14","author":"Nurdiyanto","year":"2020","journal-title":"Dis. Prev. Pub. Health J."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"699682","DOI":"10.3389\/FPSYT.2021.699682\/BIBTEX","article-title":"The role of perceived social support in the association between stressful life events and suicidal behavior","volume":"12","author":"Panesar","year":"2021","journal-title":"Front. Psych."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1207\/S15327752JPA5602_9","article-title":"Psychometric characteristics of the adult suicidal ideation questionnaire in college students","volume":"56","author":"Reynolds","year":"1991","journal-title":"J. Pers. Assess."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.35940\/IJITEE.K1855.0981119","article-title":"Agricultural crisis and farmers suicides in India","volume":"8","author":"Sai Sravanth","year":"2019","journal-title":"Int. J. Innov. Technol. Explor. Eng."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"281","DOI":"10.5614\/JPWK.2022.33.3.1","article-title":"Rural capitalization and agrarian transformation in the Ciwidey highlands, West Java, Indonesia","volume":"33","author":"Setiadi","year":"2022","journal-title":"J. Reg. City Plan."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12937-020-00650-9\/TABLES\/6","article-title":"Association between commensality with depression and suicidal ideation of Korean adults: the sixth and seventh Korean National Health and nutrition examination survey, 2013, 2015, 2017","volume":"19","author":"Son","year":"2020","journal-title":"Nutr. J."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"113799","DOI":"10.1016\/J.PSYCHRES.2021.113799","article-title":"Suicide in the context of COVID-19 diagnosis in India: insights and implications from online print media reports","volume":"298","author":"Sripad","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"106498","DOI":"10.1016\/J.YPMED.2021.106498","article-title":"Contributing factors to suicide: political, social, cultural and economic","volume":"152","author":"Stack","year":"2021","journal-title":"Prev. Med."},{"key":"ref51","year":"2023"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/J.ADOLESCENCE.2019.12.010","article-title":"Self-compassion and family cohesion moderate the association between suicide ideation and suicide attempts in Chinese adolescents","volume":"79","author":"Sun","year":"2020","journal-title":"J. Adolesc."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"102134","DOI":"10.1016\/J.AJP.2020.102134","article-title":"The effect of adverse childhood experiences on depression, psychological distress and suicidal thought in Vietnamese adolescents: findings from multiple cross-sectional studies","volume":"53","author":"Thai","year":"2020","journal-title":"Asian J. Psychiatr."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"707181","DOI":"10.3389\/FPSYT.2021.707181\/BIBTEX","article-title":"Emotion reactivity and suicide risk in patients with depression: the mediating role of non-suicidal self-injury and moderating role of childhood neglect","volume":"12","author":"Wang","year":"2021","journal-title":"Front. Psych."},{"key":"ref55","volume-title":"Suicide in the world: Global Health estimates","year":"2019"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"345","DOI":"10.47067\/RAMSS.V7I4.385","article-title":"Economic strain and recovery trajectories in mental health: the role of financial stability in mental health outcomes","volume":"7","author":"Zafar","year":"2024","journal-title":"Rev. Appl. Manage. Soc. Sci."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1017\/PRP.2019.19","article-title":"The strain theory of suicide","volume":"13","author":"Zhang","year":"2019","journal-title":"J. Pac. 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