Aboriginal and Torres Strait Islander Suicide in Context

Hunter, Ernest; Milroy, Helen

doi:10.1080/13811110600556889

Cited by 115 publications

(71 citation statements)

References 26 publications

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“…Narrative therapy has developed as an effective process, especially in South Australia. 50 It makes eminent sense to use metaphors and experiences that are known, are not threatening, give pleasure (albeit transiently), which do not involve what for many are the alien worlds of white coats, consulting rooms and heavy-duty pharmaceuticals. (Plato, in Book III of his Republic, written some 2391 years ago, told us that sport (gymnastics) was not just good for physical strength but for 'psychic harmony', and a way of avoiding physicians.…”

Section: Sport In Society 927mentioning

confidence: 99%

Aborigines, sport and suicide

Tatz

2012

Sport in Society

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Section: Sport In Society 927mentioning

confidence: 99%

Aborigines, sport and suicide

Tatz

2012

Sport in Society

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“…This assumption is consistent with general findings in suicidology that report an increased risk of suicidal behaviour among individuals from socially disadvantaged backgrounds characterized by features such as low socio-economic status and income, limited educational achievement and poverty (e.g., 13). When gaining an understanding of suicidal behaviour among Indigenous peoples, it is necessary to have knowledge of the historical and cultural context in which the problems take place (14).…”

Section: What Can Explain the Moderate Rates Of Suicidal Behaviour Ammentioning

confidence: 99%

Prevalence of suicidal behaviour among indigenous Sami in northern Norway

Silviken

2009

International Journal of Circumpolar Health

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Objectives. To summarize knowledge about suicidal behaviour among indigenous Sami living in northern Norway. Study design. This summary is based on data from a register-based follow-up study (Study I) and the North Norwegian Youth Study (Study II) -a longitudinal questionnaire study conducted in 1994-1995 and 1997-1998. Methods. The cohort from Study I included 19,801 persons with Sami ethnic ancestry, 10,573 (53.4%) men and 9,228 (46.6%) women. The cross-sectional sample analysed from Study II (1994/1995/T1) included 2,691 adolescents (1,402 females, 52%, and 1,289 males, 48%) aged 16-18 years. Results. Study I indicated that there was a significant moderate increased risk for suicide among indigenous Sami (SMR=1.27, 95% confidence interval (CI):1.02-1.56) compared to the reference population. In Study II, there were no significant ethnic differences in the prevalence of suicide attempts between Sami adolescents (10.5%) and their non-Sami peers (9.2%). Conclusions. Although the finding of a moderate significant increased risk of suicide among Sami is consistent with the general findings among Indigenous peoples, the suicide rates found among Sami is moderate compared to several others Indigenous peoples. When it comes to suicide attempts, no ethnic differences in prevalence of suicide attempts were found between Sami adolescents and their non-Sami peers.

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“…Similarly, the upstream risk factors for self-harm can include a multitude of cumulative personal or distal factors across diverse cultures such as histories of trauma or grief from discrimination, removal of children, premature deaths of community members and their impact on cultural identity, sexual or physical abuse or neglect, physical and mental illness, interpersonal violence, history of self-harm, substance abuse, juvenile detention, and/or police custody (Zubrick et al, 2010). The complex interaction of such factors in relation to Indigenous suicide has been termed risk amplification (Hunter and Milroy, 2006).…”

Section: Discussionmentioning

confidence: 99%

The Development of a Survey Instrument to Assess Aboriginal and Torres Strait Islander Students’ Resilience and Risk for Self-Harm

et al. 2017

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Background: Australian policies for Aboriginal and Torres Strait Islander well-being outline the importance of local community-based interventions; for adolescents, schoolbased programs have been identified as beneficial. However, there is a lack of localized data to determine levels of resilience and risk and thus whether programs are effective. This paper describes the challenges and opportunities in collaboratively designing and piloting a localized survey instrument to measure Indigenous students' resilience and upstream risk factors for self-harm and the resultant instrument.Methods: A participatory action research approach was used to engage education staff, health-care providers, students, and researchers to design and pilot the survey instrument. A six-phased process facilitated survey development: (1) defining the logic and exploring the evidence; (2) understanding and tailoring for context; (3) testing for feasibility and relevance; (4) testing for appropriateness and comprehension; (5) facilitating survey administration; and (6) refining the instrument. Processes in each phase were recorded and transcribed with thematic analysis used to identify key challenges and opportunities arising during development.results: Four key challenges and opportunities were identified: (1) the relevance of international survey instruments for Indigenous Australian students; (2) accounting for distinct environments; (3) the balance between assessing risk and protective factors; and (4) tailoring for literacy levels and school engagement. The final Student Survey instrument comprised 4 demographic and 56 resilience, risk, service use, and satisfaction questions. The T4S will be administered routinely on annual student intake. Discussion and conclusion: The six-phased participatory processes resulted in a tailored instrument that could identify the critical resilience and upstream risk factors facing a cohort of Indigenous students who attend boarding schools for secondary education. Challenges were resolved collaboratively and the pilot results were directly translated to education practice and its integration with health services. Our results suggest that both the phased process of developing the T4S and the instrument itself can be adapted for other Indigenous adolescent well-being and/or self-harm prevention programs.

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Aboriginal and Torres Strait Islander Suicide in Context

Cited by 115 publications

References 26 publications

Aborigines, sport and suicide

Aborigines, sport and suicide

Prevalence of suicidal behaviour among indigenous Sami in northern Norway

The Development of a Survey Instrument to Assess Aboriginal and Torres Strait Islander Students’ Resilience and Risk for Self-Harm

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