Hope, help, and healing: Culturally embedded approaches to suicide prevention, intervention and postvention services with native Hawaiian youth.

Goebert, Deborah; Alvarez, Antonia R. G.; Andrade, Naleen N.; Balberde-Kamali'i, JoAnne; Carlton, Barry; Chock, Shaylin; Chung‐Do, Jane J.; Eckert, Melanie; Hooper, Kealoha; Kaninau-Santos, Kaohuonapua; Kaulukukui, Gina; Kelly, Caitlin S.; Pike, Mara J; Rehuher, Davis; Sugimoto-Matsuda, Jeanelle

doi:10.1037/ser0000227

Cited by 21 publications

(20 citation statements)

References 23 publications

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“…Because the presence of many systems-level barriers (e.g., absence of interpreters) including a lack of NHPI-tailored outreach and engagement likely creates an unwelcoming atmosphere for NHPIs who wish to seek services-thereby contributing to limited NHPI help-seeking-we recommend public-sector settings develop and implement culturally grounded engagement approaches for NHPIs. [59][60][61] This may be accomplished by first establishing relationships with NHPI leaders/organizations to access community NHPIs, then training lay NHPIs as community health workers/peer navigators [62][63][64] to deliver mental health education and anti-stigma interventions in community settings.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders

Subica

Aitaoto

Link

et al. 2019

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Objective: This study examined the mental health status, need for services, and unmet need of community-dwelling Native Hawaiian and other Pacific Islander (NHPI) adults.Method: Survey data were collected from 223 NHPI adults of Samoan or Marshallese heritage. Surveys were translated into Samoan and Marshallese using back translation and cultural expert feedback. Participants' severity of depression, anxiety, and alcohol use, plus their perceived need for, and avoidance/delay of, mental health services were obtained. Logistic regressions calculated adjusted odds ratios for past-year: (1) perceived need for services, and (2) avoidance/delay of needed services, controlling for depression, anxiety, and alcohol use. Results:Participants' screened prevalence of major depression, generalized anxiety disorder, and alcohol use disorder was 21%, 12%, and 22% respectively. Over the past year, 35% and 26% of all participants reported needing services and avoiding/delaying needed services, respectively. Urban Samoan and rural Marshallese participants did not significantly vary in mean depression, anxiety, or alcohol use despite demonstrating significant demographic differences. Female gender and greater familiarity/contact with persons with mental illness significantly predicted greater odds for needing services, and avoiding/delaying services. Conclusion:Community-dwelling NHPI participants reported heavy burden of depression, anxiety, and alcohol use, and high perceived need for services yet low levels of help-seeking. The large unmet need found in the study sample suggests a gap may exist between service need and engagement in U.S. NHPI communities that could be targeted using culturally tailored approaches that promote engagement in care.

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Section: Discussionmentioning

confidence: 99%

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders

Subica

Aitaoto

Link

et al. 2019

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“…The multilevel impacts of historical trauma and colonization on Native Hawaiian suicide risk are important considerations (Goebert 2008;Goebert et al 2018;Lee et al 2002;Mayeda et al 2005;Trask 1996;Yuen et al 2000). With the first contact from European colonizers came a breakdown of Kānaka 'Ōiwi cultural, social, and healing systems (Andrade et al 2006;Paglinawan et al 2020).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Native Hawaiians have the highest mortality rates for numerous biomedical diseases, including substance abuse, diabetes, and even asthma, of any ethnic group in the state of Hawai'i (Andrade et al 2006;Liu and Alameda 2011). Suicide rates, in particular, have been rising since Hawai'i began collecting data in 1908 (Else and Andrade 2008), and suicidality continues to represent a major public health concern (Goebert et al 2018). Social workers need to understand the social, structural, and historical determinants of these health disparities in order to implement effective prevention and intervention programs in any socio-historical-cultural context, and particularly in Hawai'i.…”

Section: Introductionmentioning

confidence: 99%

“We Were Queens.” Listening to Kānaka Maoli Perspectives on Historical and On-Going Losses in Hawai’i

Alvarez

Kanuha

Anderson³

et al. 2020

Genealogy

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This study examines a historical trauma theory-informed framework to remember Kānaka Maoli (Native Hawaiian) and lesbian, gay, bisexual, transgender, queer, and/or māhū (LGBTQM) experiences of colonization in Hawai`i. Kānaka Maoli people and LGBTQM Kānaka Maoli face health issues disproportionately when compared with racial and ethnic minorities in Hawai’i, and to the United States as a whole. Applying learnings from historical trauma theorists, health risks are examined as social and community-level responses to colonial oppressions. Through the crossover implementation of the Historical Loss Scale (HLS), this study makes connections between historical losses survived by Kānaka Maoli and mental health. Specifically, this manuscript presents unique ways that Kānaka Maoli describe and define historical losses, and place-based themes that emerged. These themes were: the militarization of land; the adoption of christianity by Kānaka Maoli ali`i; the overthrow of the sovereign Hawaiian monarch; and the importance of māhū and LGBTQ perspectives. Each of these themes will be presented in detail. Written by a queer, mestiza Pinay-American scholar, her mentor, a lesbian Kanaka Maoli scholar/activist, with contributions from Community Advisory Board members, there will also be discussion about ethics of research with and for Kānaka Maoli.

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“…While the population is on the incline, Hawaiians experience significant health disparities and one of the lowest life expectancies in Hawai‘i (Wu et al., ). Native Hawaiians suffer from high rates of obesity‐related diseases, including diabetes, cardiovascular diseases, and cancer, and experience poor mental health outcomes, such as depression, anxiety, and suicidal behaviors (Balabis, Pobutsky, Baker, Tottori & Salvail, ; Goebert, Antonia, Andrade, Balberde‐Kamalii & Carlton, ; Mau, Sinclair, Saito, Baumhofer & Kaholokula, ). Their educational achievement rates are lower and poverty rates are higher than the state average with almost 20% living in poverty and 18% living below the poverty rate (Look et al., ).…”

Section: Introductionmentioning

confidence: 99%

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

Chung‐Do

Ho-Lastimosa

Keaulana

et al. 2019

American J of Comm Psychol

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Although Hawai‘i is often portrayed as an idyllic paradise and is recognized as one of the healthiest States in the United States, pervasive health disparities exist among Native Hawaiians. Similar to other indigenous populations across the globe, these disparities are linked to unjust social and economic policies rooted in colonization and historical trauma. Western‐centric efforts to address these disparities have yielded limited results. Consequently, indigenous frameworks to decolonize western‐centric research processes have emerged. The Waimānalo Pono Research Hui is an example of a community–academic partnership that uses indigenous methodologies and principles of community‐based participatory research as the foundation to engage Native Hawaiian community members in research. Monthly gatherings are held where community members and academic researchers share a meal and discuss community priorities with the goal of shaping research and programming that are rooted in Native Hawaiian values. A mission for the group has been created as well as protocols for community engagement to ensure all projects that work with the Waimānalo Pono Research Hui are ethically sound and grounded in the community's preferences, cultural knowledge, and lived experiences. Our community members continually report that the Waimānalo Pono Research Hui has positively transformed their perception of and willingness to engage in research. Similarly, university students and academic researchers express how much their knowledge about working with communities has grown and inspired them. Creating spaces for communities and researchers to build authentic relationships and engage in ongoing conversations can promote culturally grounded and community‐driven research and programming.

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Hope, help, and healing: Culturally embedded approaches to suicide prevention, intervention and postvention services with native Hawaiian youth.

Cited by 21 publications

References 23 publications

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders

“We Were Queens.” Listening to Kānaka Maoli Perspectives on Historical and On-Going Losses in Hawai’i

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

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