Farmer Suicide in Wisconsin: A Qualitative Analysis
Abstract
Purpose: There is a need to address suicide among farmers in the United States and understand what contributes to suicide among American farmers. The purpose of this qualitative study is to analyze narrative data to uncover circumstances that were present in the lives of farmers who died by suicide. Methods: This study leverages data available in the National Violent Death Reporting System. For this study, we examined all suicides that occurred in Wisconsin between the years 2012 and 2016 and were extracted from the Wisconsin Violent Death Reporting System. Decedents were manually sorted by the “usual occupation” variable in order to identify farmers. Findings: During the study period, 73 farmers died, most of whom were White, non‐Hispanic males. Four themes were identified in the thematic analysis: stymied by physical health issues, grief from loss of relationships, ready access to firearms in rural Wisconsin, and the burden of farming and the farm. Conclusions: The findings from this study demonstrate how unique contextual factors lead to suicide among farmers. This study has implications for suicide prevention among farmers. Primarily, there is a need to address the accessibility of firearms, as their availability in a time of crisis has lethal consequences. However, suicide prevention programming that addresses access to lethal means must take the sociocultural context of rural America into consideration. These findings should also be considered as applied to health care providers that serve rural communities. Suicide risk assessment and management should consider stressors unique to farmers.
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Recent studies suggest benefits of multi-modal approaches tailored to the farming community, as the aetiology of problems in this community is diverse.
“These studies suggest the benefits of multi-modal approaches that are tailored to the farming community, as the aetiology of problems in this community is diverse.”
From Improving the mental health of farmers: what types of remote support are acceptable, feasible, and improve outcomes? A feasibility RCT (2024) · cites this paper as [29]
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784 · see citing works
Climate change and mental health: a causal pathways framework
Berry, H. L., Bowen, K., & Kjellstrom, T. (2010) · International Journal of Public Health · doi:10.1007/s00038-009-0112-0 · Cited by 1,035 · see citing works
Suicide mortality and coronavirus disease 2019—a perfect storm?
Reger, M. A., Stanley, I. H., & Joiner, T. E. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.1060 · Cited by 1,026 · see citing works
A Conceptual Model of Historical Trauma: Implications for Public Health Practice and ResearchPreprint
Sotero, M. (2006) · SSRN Electronic Journal · Cited by 464 · see citing works
Key Risk Factors Affecting Farmers’ Mental Health: A Systematic Review
Daghagh Yazd, S., Wheeler, S. A., & Zuo, A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16234849 · Cited by 393 · see citing works
Suicide by occupation: Systematic review and meta-analysis
Milner, A., Spittal, M. J., Pirkis, J., & LaMontagne, A. D. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.128405 · Cited by 387 · see citing works
Li, Y., Zhang, J., Gong, Z., Xu, W., & Mou, Z. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16010001 · Cited by 261 · see citing works
Li, R., Gao, X., Liu, B., Ge, H., Li, N., Zhao, J., & Liu, J. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14010001 · Cited by 247 · see citing works
Grégoire, A. (2002) · Occupational Medicine · doi:10.1093/occmed/52.8.471 · Cited by 241 · see citing works
Climate Change and Farmers’ Mental Health: Risks and Responses
Berry, H. L., Hogan, A., Owen, J., Rickwood, D., & Fragar, L. (2011) · Asia Pacific Journal of Public Health · doi:10.1177/1010539510392556 · Cited by 236 · see citing works
Suicide in rural areas: An updated review of the literature.
Hirsch, J. K., & Cukrowicz, K. C. (2014) · Rural Mental Health · doi:10.1037/rmh0000018 · Cited by 218 · see citing works
CDC’s National Violent Death Reporting System: background and methodology
Paulozzi, L. J., Mercy, J. A., Frazier, L., & Annest, J. L. (2004) · Injury Prevention · doi:10.1136/ip.2003.003434 · Cited by 181 · see citing works
Suicide Rates by Industry and Occupation — National Violent Death Reporting System, 32 States, 2016
Peterson, C., Sussell, A. L., Li, J., Schumacher, P. K., Yeoman, K., & Stone, D. M. (2020) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6903a1 · Cited by 175 · see citing works
(2016) · Cited by 156 · see citing works
Stroud, A. (2012) · Gender & Society · doi:10.1177/0891243211434612 · Cited by 129 · see citing works
Suicide by Occupation: Does Access to Means Increase the Risk?
Skegg, K., Firth, H., Gray, A., & Cox, B. (2010) · Australian and New Zealand journal of psychiatry (Print) · doi:10.3109/00048670903487191 · Cited by 112 · see citing works
Dongre, A. R., & Deshmukh, P. R. (2011) · Journal of Injury and Violence Research · doi:10.5249/jivr.v4i1.68 · Cited by 104 · see citing works
Layne, C. M., Kaplow, J. B., Oosterhoff, B. J., Hill, R. M., & Pynoos, R. S. (2018) · Adolescent Psychiatry · doi:10.2174/2210676608666180306162544 · Cited by 100 · see citing works
FAIRWEATHER, A. K., ANSTEY, K. J., RODGERS, B., & BUTTERWORTH, P. (2006) · Psychological Medicine · doi:10.1017/s0033291706007823 · Cited by 90 · see citing works
Collaborating to Prevent Suicide: A Clinical‐Research Perspective
Jobes, D. A. (2000) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2000.tb01061.x · Cited by 89 · see citing works
van Vliet, E., Dane, G. Z., Weijs-Perrée, M., Leeuwen, E. S. V., van Dinter, M., van den Berg, P., Borgers, A. W. J., & Chamilothori, K. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18010212 · Cited by 88 · see citing works
Pathways to Suicide in Australian Farmers: A Life Chart Analysis
Kunde, L., Kõlves, K., Kelly, B. J., Reddy, P., & Leo, D. D. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14040352 · Cited by 80 · see citing works
Suicide Among Farmers in France: Occupational Factors and Recent Trends
Bossard, C., Santin, G., & Canu, I. G. (2016) · Journal of Agromedicine · doi:10.1080/1059924x.2016.1211052 · Cited by 71 · see citing works
Environmental factors and suicide in Australian farmers: A qualitative study
Perceval, M., Kõlves, K., Ross, V. L., Reddy, P., & Leo, D. D. (2018) · Archives of Environmental & Occupational Health · doi:10.1080/19338244.2018.1453774 · Cited by 68 · see citing works
Mortality patterns among electrical workers employed in the U.S. Construction Industry, 1982-1987
Robinson, C. F., Petersen, M. R., & Palu, S. (1999) · American Journal of Industrial Medicine · doi:10.1002/(sici)1097-0274(199912)36:6 · Cited by 65 · see citing works
An Analysis of Suicide Risk Factors among Farmers in the Midwestern United States
Bjornestad, A. G., Cuthbertson, C. A., & Hendricks, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18073563 · Cited by 64 · see citing works
A Call for Action to Safely Deliver Oral Health Care during and Post COVID-19 Pandemic
Farronato, M., Tadakamadla, S. K., Quadri, M. F. A., Acharya, S., Tadakamadla, J., Love, R. M., Jamal, M., Mulder, R., Maspero, C. M. N., Farronato, D., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17186704 · Cited by 55 · see citing works
Suicide Mortality among Kentucky Farmers, 1979–1985
Stallones, L. F. (1990) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1990.tb00098.x · Cited by 53 · see citing works
National Violent Death Reporting System (NVDRS)
(2017) · Cited by 53 · see citing works
Fragar, L., Kelly, B. J., Peters, M., Henderson, A. J., & Tonna, A. (2008) · Australian Journal of Rural Health · doi:10.1111/j.1440-1584.2008.00968.x · Cited by 51 · see citing works
Agricultural Injuries among Farmers and Ranchers in the Central United States during 2011-2015
Johnson, A., Baccaglini, L., Haynatzki, G. R., Achutan, C., LOOMIS, D. P., & Rautiainen, R. H. (2020) · Journal of Agromedicine · doi:10.1080/1059924x.2020.1845268 · Cited by 37 · see citing works
Is occupation relevant in suicide?
Koskinen, O., Pukkila, K., Hakko, H. H., Tiihonen, J., Väisänen, E., Särkioja, T., & Räsänen, P. K. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00307-x · Cited by 35 · see citing works
Scheyett, A., Bayakly, R. A., & Whitaker, M. (2019) · Rural Mental Health · doi:10.1037/rmh0000114 · Cited by 32 · see citing works
Suicide in Rural Australia: Are Farming-Related Suicides Different?
Kennedy, A. J., Adams, J., Dwyer, J., Rahman, M. A., & Brumby, S. A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17062010 · Cited by 29 · see citing works
Serrano, J. A., Fernández-Rodríguez, M. J., Sanchis‐Moysi, J., Rodríguez-Pérez, M. D. C., Marcelino-Rodríguez, I., & de León, A. C. (2019) · PLoS ONE · doi:10.1371/journal.pone.0219798 · Cited by 28 · see citing works
Kennedy, A. J., Cerel, J., Kheibari, A., Leske, S., & Watts, J. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12725 · Cited by 28 · see citing works
Suicides among Canadian farm operators.
Pickett, W., King, W. D., & Faelker, T. (1999) · PubMed · Cited by 25 · see citing works
Lange, E. A., & Young, S. M. (2019) · International Journal of Lifelong Education · doi:10.1080/02601370.2019.1597932 · Cited by 24 · see citing works
Pain, Opioids, and Suicide Mortality in the United States
Ilgen, M. A. (2018) · Annals of Internal Medicine · doi:10.7326/m18-2330 · Cited by 23 · see citing works
Molloy, S., & Pierro, A. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105095 · Cited by 15 · see citing works
Brown, C., Besterman‐Dahan, K., Chavez, M., Njoh, E. N., & Smith, W. (2016) · Journal of Veterans Studies · doi:10.21061/jvs.42 · Cited by 12 · see citing works
Adams, J., Cotton, J., & Brumby, S. A. (2020) · Australian Journal of Rural Health · doi:10.1111/ajr.12637 · Cited by 11 · see citing works
Being a Man in the Countryside
Hiebert, B., Leipert, B. D., & Regan, S. (2019) · Routledge eBooks · doi:10.4324/9781315167428-9 · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 45 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Understanding the factors contributing to farmer suicide: a meta-synthesis of qualitative research
Purc-Stephenson, Doctor, & Keehn (2023) · Rural and Remote Health · doi:10.22605/rrh8189 · Cited by 32 · see citing works
Dang, L. N., Kahsay, E., James, L. N., Johns, L., Rios, I. E., & Mezuk, B. R. (2023) · Injury Epidemiology · doi:10.1186/s40621-023-00433-w · Cited by 16 · see citing works
Rural Suicide: Demographics, Causes, and Treatment Implications
Prazak, M. D., Bacigalupi, R., & Hamilton, S. C. (2024) · Community Mental Health Journal · doi:10.1007/s10597-024-01327-x · Cited by 13 · see citing works
A social ecological analysis of farmer stresses and supports in Wisconsin
Kohlbeck, S. A., Quinn, K. G., deRoon‐Cassini, T. A., Hargarten, S. W., Nelson, D., & Cassidy, L. D. (2023) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2023.100248 · Cited by 10 · see citing works
Self-citationNason, E. E., Blankenship, A. S., Benevides, E., & Stump, K. (2023) · Social Work in Public Health · doi:10.1080/19371918.2022.2093305 · Cited by 5 · see citing works
Male Farm and Agricultural Worker Suicides in Kansas, 2016-2020
Ringering, S., Gracy, L., & Sass, D. (2024) · Journal of Agromedicine · doi:10.1080/1059924x.2024.2305332 · Cited by 5 · see citing works
Lamont, K., van Woerden, H. C., King, E., Wendelboe-Nelson, C., Humphry, R. W., Stark, C., Williams, C., & Maxwell, M. (2024) · Discover Mental Health · doi:10.1007/s44192-023-00054-1 · Cited by 5 · see citing works
Priour, Delalande, Ricono, Chapron, & Fiquet (2024) · Rural and Remote Health · doi:10.22605/rrh8534 · Cited by 2 · see citing works
Suicide among farmers: a scoping review of trends across countries and cultures
Shoib, S., Saeed, F., Amanda, T. W., Gupta, A. K., Nahidi, M., Swed, S., Hasan, M. M., Khatri, G., & Chandradasa, M. (2025) · Current Psychology · doi:10.1007/s12144-025-08829-1 · Cited by 2 · see citing works
Jackson, R. D., & Gratton, C. (2026) · Frontiers in Sustainable Food Systems · doi:10.3389/fsufs.2025.1696429 · Cited by 2 · see citing works
Penzenik, M. E., Schneider, A. L., Hoffmire, C. A., Sells, J. R., Stearns‐Yoder, K. A., & Brenner, L. A. (2026) · The Journal of Rural Health · doi:10.1111/jrh.70103 · Cited by 2 · see citing works
Toward a Public Health Approach to Farmer Suicide Prevention: The Potential Power of Systems Change
Kohlbeck, S. A., Quinn, K. G., deRoon‐Cassini, T. A., Hargarten, S. W., Nelson, D., & Cassidy, L. D. (2024) · Journal of Agromedicine · doi:10.1080/1059924x.2024.2388253 · Cited by 2 · see citing works
Self-citationStrauser, J., Jordan, N. R., Gratton, C., Lloyd, S. E., Booth, E. G., Wellman, A. A., Steussy-Williams, A., Wepking, C., Martinez-Motta, G., Steele, A. B., et al. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5530647 · Cited by 1 · see citing works
Soupene, V. A., Jennissen, C. A., Stange, N. R., Hoogerwerf, P. J., Branch, C. A., & Doobay, M. F. (2025) · Journal of Community Health · doi:10.1007/s10900-025-01533-y
Soupene, V. A., Davis, J., Cavanaugh, J. E., Platt, J., Romitti, P. A., & Casteel, C. H. (2026) · American Journal of Industrial Medicine · doi:10.1002/ajim.70078
Ward, J. M., Perkins, M., & Blosnich, J. R. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23080983
Suicide and Place: how do area characteristics affect suicidality? A Meta-ethnography
Gregory, B., Ambler, F., Brennan, C. A., & Brennan, C. (2026) · Social Science & Medicine · doi:10.1016/j.socscimed.2026.119646
Manneville, F., Perrin, M., Balde, A., Coly, A., Ricci, L., & Omorou, A. Y. (2026) · Santé Publique · doi:10.3917/spub.hs1.2026.0043
- Authors
- Kohlbeck, S., Schramm, A., deRoon‐Cassini, T., Hargarten, S., & Quinn, K.
- Affiliations
- Medical College of Wisconsin (US)
- Corresponding author
- Kohlbeck, Sara
- Venue
- The Journal of Rural Health
- Publisher
- Wiley
- Published
- 2021-09-10
- Volume
- 38
- Issue
- 3
- Pages
- 546-553
- ISSN
- 0890-765X (ISSN-L)
- 1748-0361
- OpenAlex
- W3197379353
- Cited by
- 18
- References
- 45
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 1
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Agriculture and Farm Safety
- Life Sciences › Agricultural and Biological Sciences › General Agricultural and Biological Sciences › Rural development and sustainability
- Keywords
- farmer suicide, agricultural labor, suicide risk factors, firearm access, rural suicide, grief and loss, physical health, suicide prevention, Wisconsin, National Violent Death Reporting System, rural health care
- MeSH terms
- Farmers, Farms, Firearms, Humans, Male, Suicide, United States, Wisconsin
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