Concept Analysis: Challenge Coins as a Caring Support Tool to Prevent Farmer Suicide

Area of Science:

• Sociology
• Public Health
• Mental Health Research

Background:

• Challenge coins are historically military tokens symbolizing belonging and appreciation.
• Agricultural communities are exploring challenge coins as a mental health support tool.
• This study analyzes the challenge coin's potential as an upstream suicide prevention strategy.

Purpose of the Study:

• To clarify the meaning and application of challenge coins as a caring support tool.
• To explore the use of challenge coins for suicide prevention in agricultural settings.
• To understand how challenge coins can foster belongingness and appreciation in farming communities.

Main Methods:

• A systematic literature search was conducted across five major databases (Google Scholar, PsycInfo, Sociological Abstracts, Web of Science, PubMed).
• Literature published up to October 2023 was included, with 35 articles analyzed.
• Rodger's Evolutionary Method for Concept Analysis was employed for the analysis.

Main Results:

• Challenge coins are tangible symbols of recognition, achievement, and group belonging.
• Their use can enhance morale, pride, and foster a sense of connectedness and community.
• These positive outcomes suggest potential for coins to act as behavioral change cues.

Conclusions:

• Challenge coins offer a novel approach to mental health promotion and suicide prevention in agriculture.
• Expanding their use beyond military contexts to farming requires further community-based research.
• Future scientific efforts should focus on developing and testing challenge coins as a supportive tool for farmers' well-being.