Increasing Indigenous self‐harm and suicide in the Kimberley: an audit of the 2005–2014 data

McHugh, Catherine; Campbell, Anita; Chapman, Murray; Balaratnasingam, Sivasankaran

doi:10.5694/mja15.01368

Cited by 15 publications

(16 citation statements)

References 52 publications

(55 reference statements)

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“…These areas reflect the particular challenges of MH care delivery and planning in remote areas of high-income Organization for Economic Cooperation and Development (OECD) countries in 3 different world areas. 12,17,[29][30][31][32][33][34] Moreover, these countries have recently been classified in different types of OECD health care systems. 35…”

Section: Introductionmentioning

confidence: 99%

Patterns of Mental Health Care in Remote Areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland): Modèles de soins de santé mentale dans les régions éloignées: Kimberley (Australie), Nunavik (Canada) et Laponie (Finlande)

et al. 2020

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Objective: Mental health (MH) care in remote areas is frequently scarce and fragmented and difficult to compare objectively with other areas even in the same country. This study aimed to analyze the adult MH service provision in 3 remote areas of Organization for Economic Cooperation and Development countries in the world. Methods: We used an internationally agreed set of systems indicators, terminology, and classification of services (Description and Evaluation of Services and DirectoriEs for Long Term Care). This instrument provided a standard description of MH care provision in the Kimberley region (Australia), Nunavik (Canada), and Lapland (Finland), areas characterized by an extremely low population density and high relative rates of Indigenous peoples. Results: All areas showed high rates of deprivation within their national contexts. MH services were mostly provided by the public sector supplemented by nonprofit organizations. This study found a higher provision per inhabitant of community residential care in Nunavik in relation to the other areas; higher provision of community outreach services in the Kimberley; and a lack of day services except in Lapland. Specific cultural-based services for the Indigenous population were identified only in the Kimberley. MH care in Lapland was self-sufficient, and its care pattern was similar to other Finnish areas, while the Kimberley and Nunavik differed from the standard pattern of care in their respective countries and relied partly on services located outside their boundaries for treating severe cases. Conclusion: We found common challenges in these remote areas but a huge diversity in the patterns of MH care. The implementation of care interventions should be locally tailored considering both the environmental characteristics and the existing pattern of service provision.

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Section: Introductionmentioning

confidence: 99%

Patterns of Mental Health Care in Remote Areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland): Modèles de soins de santé mentale dans les régions éloignées: Kimberley (Australie), Nunavik (Canada) et Laponie (Finlande)

et al. 2020

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“…In Australia, the national NSSI prevalence figures come from The Australian National Epidemiological Study of Self-Injury (ANESSI) survey, which found that the 12-month and lifetime prevalence of NSSI among a small sub-sample of Aboriginal and Torres Strait Islander people ( n = 156, 1.7% of total sample) was 4.8% and 17.2% respectively, compared to 2.6% and 8.1% for non-Indigenous Australians [ 1 ]. The difference in rates of deliberate self-harm between Aboriginal and Torres Islander people and non-Indigenous Australians has been observed to be particularly pronounced in some regional areas; for example, rates of hospitalisation for deliberate self-harm (including self-harm with and without suicidal intent) in the Kimberley have been observed to be up to ten times higher for Aboriginal and Torres Strait Islander people when compared to international figures of hospitalisation for deliberate self-harm [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Re-development of mental health first aid guidelines for supporting Aboriginal and Torres Strait Islanders who are engaging in non-suicidal self-injury

Armstrong

Ironfield

Kelly³

et al. 2017

BMC Psychiatry

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BackgroundNon-suicidal self-injury (NSSI) disproportionally affects Indigenous Australians. Friends, family and frontline workers (for example, teachers, youth workers) are often best positioned to provide initial assistance if someone is engaging in NSSI. Culturally appropriate expert consensus guidelines on how to provide mental health first aid to Australian Aboriginal and Torres Strait Islanders who are engaging in NSSI were developed in 2009. This study describes the re-development of these guidelines to ensure they contain the most current recommended helping actions.MethodsThe Delphi consensus method was used to elicit consensus on potential helping statements to be included in the guidelines. These statements describe helping actions that Indigenous community members and non-Indigenous frontline workers can take, and information they should have, to help someone who is engaging in NSSI. The statements were sourced from systematic searches of peer-reviewed literature, grey literature, books, websites and online materials, and existing NSSI courses. A panel was formed, comprising 26 Aboriginal and Torres Strait Islanders with expertise in NSSI. The panellists were presented with the helping statements via online questionnaires and were encouraged to suggest re-wording of statements and any additional helping statements that were not included in the original questionnaire. Statements were only accepted for inclusion in the guidelines if they were endorsed by ≥90% of panellists as essential or important.ResultsFrom a total of 185 statements shown to the expert panel, 115 were endorsed as helping statements to be included in the re-developed guidelines.ConclusionsA panel of Aboriginal and Torres Strait Islander people with expertise in NSSI were able to reach consensus on appropriate strategies for providing mental health first aid to an Aboriginal and Torres Strait Islander engaging in NSSI. The re-development of the guidelines has resulted in more comprehensive guidance than the earlier version. The re-developed guidelines will form the basis of an Aboriginal mental health first aid short course on NSSI for Indigenous community members and non-Indigenous frontline workers that will be evaluated in an upcoming trial.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1465-1) contains supplementary material, which is available to authorized users.

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“…Homeless Aboriginal and Torres Strait Islander young people are a highly vulnerable and over represented group amongst homeless young Australians, who are disproportionately exposed to risk factors for poor mental health, substance abuse, suicide, and injury (Azzopardi et al, 2013). Indigenous youth suicide rates in Australia are among the highest in the world (McHugh, Campbell, Chapman, & Balaratnasingam, 2016). Providing equitable access to effective support services should be prioritised.…”

Section: Homeless Aboriginal and Torres Strait Islander Young People mentioning

confidence: 99%

Responding to the needs of homeless Aboriginal and Torres Strait Islander young people with complex disability: The Guddi for Young People

McIntyre

Townsend

Cullen

2017

Journal of Social Inclusion

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Increasing Indigenous self‐harm and suicide in the Kimberley: an audit of the 2005–2014 data

Cited by 15 publications

References 52 publications

Patterns of Mental Health Care in Remote Areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland): Modèles de soins de santé mentale dans les régions éloignées: Kimberley (Australie), Nunavik (Canada) et Laponie (Finlande)

Patterns of Mental Health Care in Remote Areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland): Modèles de soins de santé mentale dans les régions éloignées: Kimberley (Australie), Nunavik (Canada) et Laponie (Finlande)

Re-development of mental health first aid guidelines for supporting Aboriginal and Torres Strait Islanders who are engaging in non-suicidal self-injury

Responding to the needs of homeless Aboriginal and Torres Strait Islander young people with complex disability: The Guddi for Young People

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