Risk factors for suicidal behaviors in American Indian and Alaska Native peoples: A systematic review

American Indian/Alaska Natives (AI/ANs) experience disproportionate rates of suicide, but current strategies for suicide prevention have not reduced these health disparities. Therefore, to gain insight into factors that may affect risk trajectories for suicide attempts (SAs) among AI/ANs, we conducted a systematic review of the literature. Forty-five articles met inclusion criteria for the final corpus. […]

Stakeholder insights into implementing a systems‑based suicide prevention program in regional and rural Tasmanian communities

Purpose With emerging evidence indicating that systems-based approaches help optimise suicide prevention efforts, the National Suicide Prevention Trial sought to gather evidence on the appropriateness of these approaches to prevent suicide among at-risk populations, in regional and rural communities throughout Australia. The Tasmanian component of the Trial implemented the LifeSpan systems framework across three distinct […]

River of life: Aboriginal youth suicide workshop

The River of Life workshop is designed to provide information and interventions for caregivers working with youth at risk of suicide aged fifteen to twenty-four.

Namwayut: A pathway to reconciliation

Reconciliation belongs to everyone. In this profound book, Chief Robert Joseph, globally recognized peacebuilder and Hereditary Chief of the Gwawaenuk People, traces his journey from his childhood surviving residential school to his present-day role as a leader who inspires individual hope, collective change, and global transformation. Before we get to know where we are going, […]

Midnight storm moonless sky: Indigenous horror stories

Blackfoot storyteller Alexander Soop plunges us into a shocking well of imagination in his debut collection of short stories, Midnight Storm Moonless Sky. From hauntings on the Highway of Tears to fearful gatherings of ghosts and the sorrows of racism, Soop combines the social anxieties of Indigenous life with spellbinding flights and frights of speculative […]

Caring texts, a strength-based, suicide prevention trial in 5 Native communities: Research design and methods

Background Despite their intrinsic strengths and resilience, some American Indian and Alaska Native (AI/AN) communities experience among the highest rates of suicide of any racial and ethnic group. Caring Contacts is one of the only interventions shown to reduce suicide in clinical trials, but it has not been tested in AI/AN settings. Objective To compare […]

Community resilience: Models, metaphors and measures

In this paper, we discuss the importance of community resilience for Aboriginal health and  well-being. The concept of resilience has been used in developmental psychology and psychiatry to describe  individuals’ capacities to achieve well-being and thrive despite significant adversity. Resilience is also a useful concept in ecology where it draws attention to the ability of […]

The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based Native American adolescents and young adults

Adverse childhood experiences (ACEs) are associated with numerous risk behaviors and mental health outcomes among youth. This study examines the relationship between the number of types of exposures to ACEs and risk behaviors and mental health outcomes among reservation-based Native Americans. In 2011, data were collected from Native American (N = 288; 15-24 years of […]

Indigenous population continues to grow

Indigenous peoples, their communities, cultures and languages have existed since time immemorial in the land now known as Canada. The term “Indigenous peoples” refers to three groups—First Nations people, Métis and Inuit—who are recognized in the Constitution Act. However,  while these groups are representative of the Indigenous population as a whole, each is tremendously diverse. […]

Developing relationships on a shared path to reconciliation: The core of health transformation and safe care for Indigenous people

This article describes the experience of a pan-Canadian health organization that led a quality improvement collaborative focused on suicide prevention and life promotion with Indigenous communities in northern and remote regions of Canada. Working in partnership with a Guidance Group, it became clear that working in a relational way that is culturally safe and acknowledges […]

How the Vatican encouraged the colonization of Indigenous lands and enabled the Crown to keep them

An abridged trip through 500 years of papal and legal history to understand why Pope Francis faces calls to renounce the Doctrine of Discovery, which underpins Europe’s heist of the Americas and a mass dispossession of Indigenous peoples that remains foundational to Canadian sovereignty

Disconnect to reconnect: Breaking down barriers and enhancing social connections amongst the Indigenous communities & education institutions

Various studies have been conducted in recent years on the social isolation of the general population and marginalized Indigenous communities. Research done by CSCS (2021), indicates that Indigenous  people were just as likely as other populations to be at risk for loneliness, however, lower incomes and mental health disabilities caused greater scores in social isolation. […]

Reflecting back to move forward with suicide behavior estimation for First Nations in Canada

While many countries produce suicide rates, within country estimation practices may privilege the dominant society and fail to report suicide estimates for populations historically discriminated against. In Canada, national suicide mortality studies are rarely reported for Indigenous populations. Yet, this population is known for high suicide behavior. Administrative, census and survey data are available but […]

School-based interventions for preventing substance use in indigenous children ages 7–13: A scoping review protocol

Introduction Throughout the world, indigenous peoples share traumatic colonial experiences that have caused gross inequalities for them and continue to impact every aspect of their lives. The effect of intergenerational trauma and other health disparities have been remarkable for Indigenous children and adolescents, who are at a greater risk of adverse mental health and addiction outcomes […]

No Indians to spare: Depression and suicide in Indigenous American children and youth

This article summarizes current knowledge and consensus about depression and suicide among the indigenous young people of the United States. American Indians represent more than 500 tribes and also vary among settings-reservations, urban, suburban, and rural-but as a group, remain at high risk for suicide and possibly for depressive syndromes. Particular risk factors and correlates, […]

The Cedar Project: Relationship between child apprehension and attempted suicide among young Indigenous mothers impacted by substance use in two Canadian cities

Indigenous leaders are gravely concerned over disproportionate representation of Indigenous children in Canada’s child welfare systems. Forced separation from children is deeply traumatizing for mothers and detrimental to the wellbeing of Indigenous families, communities and Nations. This study examined relationships between child apprehension and suicide attempt within a cohort of young Indigenous women impacted by […]

National report of the First Nations Regional Health Survey: Phase3 Volume 1

This report is the culmination of five years of hard work by thousands of passionate, dedicated people working in a variety of capacities, including survey coordination, management, and development led by the  staff of FNIGC’s national offices, and survey deployment, coordination and data gathering led by our Regional Partners. Most importantly, we acknowledge the more […]

Attempted suicide in American Indian and Alaska Native populations: A systematic review of research on protective factors

American Indian and Alaska Native (AIAN) populations contend with disproportionately high rates of suicide. The study of protective factors is essential for highlighting resilience and formulating potential interventions for suicide. We systematically review factors that are posited to protect against suicide attempts for AIAN peoples. Seventeen (12 journal articles, five theses/dissertations) articles met inclusion criteria. […]

Systematic review and meta-analysis: First Nations, Inuit, and Metis youth mental health

Objective The ongoing effects of colonialism disproportionately place Indigenous youth at risk for mental health challenges. This meta-analysis examined lifetime and past-year prevalence estimates of mental health challenges among First Nations, Inuit, and Métis youth in Canada. Method Five electronic databases were searched from their inceptions until June 17, 2021. Studies were included if they […]

Centering Indigenous knowledge in suicide prevention: A critical scoping review

Background: Indigenous peoples of Canada, United States, Australia, and New Zealand experience disproportionately high rates of suicide as a result of the collective and shared trauma experienced with colonization and ongoing marginalization. Dominant, Western approaches to suicide prevention—typically involving individual-level efforts for behavioural change via mental health professional intervention—by themselves have largely failed at addressing […]

Culture forward: A strengths and culture based tool to protect our native youth from suicide

CULTURE FORWARD was developed through an iterative, collective effort to include as many Native voices as possible across Indian Country. We spent six months conducting listening sessionswith more than 60 Native stakeholders, including tribal leaders, Native youth leaders, grassroots leaders working to prevent suicide in their communities, two-spirit leaders, Elders, traditional healers, and Native veterans/military service members. […]

First Nations youth suicide prevention curriculum: Prevention through culture

Understanding that fostering protective factors and reducing risk factors will ultimately reduce youth suicide attempts and self-harm, the purpose of the First Nations Youth Suicide Prevention Curriculum is to promote resilience and instill hope amongst First Nations youth. The program is experiential and includes detailed guidelines for teachers as well as all required materials for […]

Educator perspectives on Indigenous child suicide in Canada

Indigenous children are disproportionately impacted by suicide in Canada. Despite the severity of the crisis, limited research has been conducted on the phenomenon. The purpose of this research was to: (1) initiate some of the first conversations related to the factors contributing to this crisis and (2) discuss support that is needed within the classroom […]