Self-harm & suicide: Examining the societal consequences of the COVID-19 pandemic

COVID-19 response measures have increased social isolation and stress and made it harder to get mental health care. These factors may exacerbate existing mental illness and contribute to heightened risk of self-harm and suicide. • Self-harm occurs most frequently among young females and non-binary individuals, while the suicide rate is highest among middle-aged males. Populations […]

Association between cannabis use disorder and self- and other-directed aggression

Cannabis is the most widely used drug worldwide. Data about the association of cannabis use with aggression is heterogeneous. The objective of the current study was to assess the nature of the association between cannabis use disorder (CUD) and self-directed, other-directed, and combined aggression. We used data from the National Survey on Drug Use and […]

Gender-diverse: A spotlight on the health of trans and non-binary young people in BC. Results of the 2018 BC Adolescent Health Survey

This report provides a profile of the health of gender-diverse youth in British Columbia (BC). The report uses data from the 2018 BC Adolescent Health Survey (BC AHS). The BC AHS is the most reliable, comprehensive health survey of adolescents ages 12–19 in public schools in BC. Repeated every five years since 1992, the survey […]

Creating suicide-safer communities in British Columbia: A focused ethnography

Suicide prevention gatekeeper training is designed in order to enhance participants’ recognition of persons in distress, enhance skills in responding, and referrals to help. In response to rising suicide rates in British Columbia, Canada, two standardized gatekeeper training programs were implemented by the Canadian Mental Health Association between 2015- 2018. In order to explore their […]

A pathway to hope: A roadmap for making mental health and addictions care better for people in British Columbia

This roadmap will build on recent work by the Ministry of Mental Health and Addictions to identify challenges in substance use service delivery and explore potential solutions for modernizing models of care, using evidence-based treatment and recovery guidelines. And while the opioid overdose crisis will continue to be an area of urgent public action, these […]

Hope, help, and healing: A planning toolkit for First Nations and Aboriginal communities to prevent and respond to suicide

1. The Hope, Help and Healing approach adopted in this toolkit is based on The Suicide Prevention, Intervention and Postvention Initiative for BC which combines published research findings, the experiences of other provinces, and plans developed in BC. 2. Prevention, Intervention and Postvention (PIP)1 has been adopted as a best practice for use in BC. 3. […]

Nges Siy (I love you): A community-based youth suicide intervention in northern British Columbia

This youth suicide prevention research project is an example of a partnership between Carrier Sekani Family Services (CSFS) and the University of Northern British Columbia (UNBC), funded by the Canadian Institutes of Health Research (CIHR), Institute of Aboriginal Peoples’ Health, that directly responds to goals of ethical research conducted in First Nations’ communities. Through the […]

Men on losing a male to suicide: A gender analysis.

Although male suicide has received research attention, the gendered experiences of men bereaved by male suicide are poorly understood. Addressing this knowledge gap, we share findings drawn from a photovoice study of Canadian-based men who had lost a male friend, partner, or family member to suicide. Two categories depicting the men’s overall account of the […]

BC Coroners Service Death Review Panel: Review of MCFD-Involved youth transitioning to independence January 1, 2011 – December 31, 2016.

For the period of January 1, 2011 to December 31, 2016, 1,546 youth and young adults aged 17-25 years died from causes classified as accidental, suicide, undetermined, natural or homicide. Of these deaths, 200 (13%) deaths were among youth and young adults who at age of death or at age of majority were in care, were […]

The Cedar Project: Mortality among young Indigenous people who use drugs in British Columbia.

BACKGROUND: Young Indigenous people, particularly those involved in the child welfare system, those entrenched in substance use and those living with HIV or hepatitis C, are dying prematurely. We report mortality rates among young Indigenous people who use drugs in British Columbia and explore predictors of mortality over time. METHODS: We analyzed data collected every 6 months […]

Impact on alcohol-related mortality of a rapid rise in the density of private liquor outlets in British Columbia: A local area multi-level analysis.

Aims To study relationships between rates of alcohol-related deaths and (i) the density of liquor outlets and (ii) the proportion of liquor stores owned privately in British Columbia (BC) during a period of rapid increase in private stores. Design Multi-level regression analyses assessed the relationship between population rates of private liquor stores and alcohol-related mortality […]

A guide to Aboriginal organizations and services in British Columbia: 2011/2012.


The globalization of addiction: A study in the poverty of the spirit.

The Globalization of Addiction presents a radical rethink about the nature of addiction. Scientific medicine has failed when it comes to addiction. There are no reliable methods to cure it, prevent it, or take the pain out of it. There is no durable consensus on what addiction is, what causes it, or what should be […]

BC Coroners Service child death review panel: a review of child and youth suicides 2008-2012: report to the Chief Coroner of British Columbia.

The BC Coroners Service has released the report and recommendations of a Death Review Panel into child and youth suicide in British Columbia. The panel, composed of experts from across the spectrum of child-serving agencies, made three recommendations, aimed at: maintaining and improving service co-ordination to children and youth; improving access to mental-health services for […]

A path forward: BC First Nations and Aboriginal people’s mental wellness and substance use – 10 year plan.


And I live it: from suicidal crisis to activism among members of the Kwakwaka’wakw and Coast Salish Nations.Excerpt.

It has been argued that suicide is a consequence of the colonization of Canadian Aboriginal peoples. This qualitative study examines resilience in previously suicidal Aboriginal people who are now fulfilling community roles directly and indirectly related to suicide prevention (i.e., enhancing resilience). The study begins by examining the notions of suicide, psychopathology, resilience, and social […]

Fraser Region aboriginal youth suicide prevention collaborative: Suicide prevention, intervention and postvention initiative.


Strengthening the Safety Net: A Summary on the Suicide Prevention, Intervention and Postvention Initiative for BC/A Report on the Suicide Prevention, Intervention and Postvention Initiative for BC/Appendices for the Report and Summary on the Suicide

These documents present the structure for the suicide prevention, intervention, & postvention initiative for the province of British Columbia. Content includes: an introduction to the initiative; towards the development of a framework & planning template; the evidence-informed practice review; the snapshot survey; stakeholder survey for suicide prevention, intervention & postvention; the Suicide PIP Framework & […]

Variation in the Risk of Suicide Attempts and Completed Suicides by Antidepressant Agent in Adults: a Propensity Score-Adjusted Analysis of 9 Years’ Data

The risk of suicide & suicide attempts associated with individual antidepressant drugs was assessed in British Columbia adults who had antidepressant therapy initiated & a recorded diagnosis of depression. In a population of 287,543 adults, outcome rates ranging from 4.41/1000 person-years to 9.09/1000 person-years were observed. Most events occurred in the first 6 months after […]

Even one is one too Many

Pages 18-23 includes references for this article & the next 2 articles.

Native Youth Suicide: Behind the Statistics

This article examines how community-level efforts to preserve their cultural past & secure future control of their civic lives is affecting youth suicide in Aboriginal communities in British Columbia.

Aboriginal Language Knowledge and Youth Suicide


Bayesian Spatial and Ecological Modeling of Suicide Rates

An ecological analysis was incorporated into a Bayesian disease mapping study in order to estimate suicide rates, explore regional risk factors, & discern spatial patterns in suicide risks. Using 10-year aggregated data for all age groups & both genders, this study conducted a comprehensive analysis of suicide hospitalization & mortality rates in 84 local health […]