Exploring the potential roles of community-university partnerships in northern suicide prevention implementation research

Fraser, Sarah; Plourde-Léveillé, Léa; Kirmayer, Laurence J.

doi:10.1080/22423982.2020.1835271

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…The development, access, and delivery of mental health care to children, youth, families, and communities of Nunavik are challenged for a variety of reasons, including resources availabilities, lack of training, challenges in communication and interprofessional collaboration, and structural barriers that have been observed and reported by community members and services providers alike [ 32 , 42 ]. Authors have described the challenges of adapting services to the cultural, social and organisational realities of the Inuit population [ 39 , 43 , 44 ]. The low number of Inuit stakeholders, both in clinical milieux and in decision-making positions, and the limited knowledge regarding Inuit socio-cultural aspects among many non-Inuit caregivers tends to create uneven power relations and contribute to the predominance of Western models of care and management, at the expense of traditional Indigenous practices and approaches that are more culturally sensitive [ 29 , 45 , 46 ].…”

Section: The Atautsikut Projectmentioning

confidence: 99%

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

Nadeau

Gaulin

Johnson‐Lafleur

et al. 2022

International Journal of Circumpolar Health

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Historically, research involving Indigenous peoples has been the scene of power imbalances between Indigenous communities and researchers. Indigenous peoples have often been put in the position of passive subjects of research rather than participants or collaborators with agency, a situation that the current movement of decolonisation of research and practices in the field of Indigenous health aims to counteract. Participatory research seeks a better balance of input, decision-making and power between research participants and research teams and values participants’ knowledges. As such, it is a particularly relevant approach for researchers to involve community members and support self-determination of Indigenous people. Yet, if its explicit intentions are aiming at a decolonising approach, the socio-structural context of participatory research initiatives in Indigenous communities brings obstacles to the approach’s success. The development and implementation of the participatory project Atautsikut: A Community of Practice in Youth Mental Health and Wellness in Nunavik , has been an occasion to document certain barriers that take place in participatory research. This article describes Atautsikut as a starting point for a reflection on the challenges of decolonising participatory research. It discusses how, despite intentions, structural barriers, blind spots and unexpected contextual elements may challenge the journey towards decolonising research.

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Section: The Atautsikut Projectmentioning

confidence: 99%

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

Nadeau

Gaulin

Johnson‐Lafleur

et al. 2022

International Journal of Circumpolar Health

Self Cite

View full text Add to dashboard Cite

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Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

et al. 2022

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BackgroundThe National Inuit Strategy on Research focuses on advancing Inuit governance in research, increasing ownership over data and building capacity. Responding to this call for Inuit self-determination in research, academic researchers should consider cultural safety in research and ways to promote Inuit-led methods.MethodsThis scoping review collated academic literature on public health research in Inuit communities in Canada between 2010 and 2022. A critical assessment of methods used in public health research in Inuit communities examined cultural safety and the use of Inuit-attuned methods. Descriptive and analytical data were summarised in tables and figures. Knowledge user engagement in the research process was analysed with thematic analysis.Results356 articles met the inclusion criteria. Much of the published research was in nutrition and mental health, and few initiatives reported translation into promotion programmes. Almost all published research was disease or deficit focused and based on a biomedical paradigm, especially in toxicology, maternal health and chronic diseases. Recent years saw an increased number of participatory studies using a decolonial lens and focusing on resilience. While some qualitative research referred to Inuit methodologies and engaged communities in the research process, most quantitative research was not culturally safe. Overall, community engagement remained in early stages of co-designing research protocols and interventions. Discussion on governance and data ownership was limited. Recent years saw emerging discussions on these issues. Knowledge user capacity-building was limited to brief training on conventional data collection methods.ConclusionsThe last decade of published public health research has not responded to the National Inuit Strategy on Research. Participatory research is gaining ground, but has not reached its full potential. A shift from biomedical to decolonised methods is slowly taking place, and public health researchers who have not yet embraced this paradigm shift should do so.

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Centering Indigenous knowledge in suicide prevention: a critical scoping review

et al. 2022

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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 suicide in Indigenous populations, possibly due to cultural misalignment with Indigenous paradigms. Consequently, many Indigenous communities, organizations and governments have been undertaking more cultural and community-based approaches to suicide prevention. To provide a foundation for future research and inform prevention efforts in this context, this critical scoping review summarizes how Indigenous approaches have been integrated in suicide prevention initiatives targeting Indigenous populations. Methods A systematic search guided by a community-based participatory research (CBPR) approach was conducted in twelve electronic bibliographic databases for academic literature and six databases for grey literature to identify relevant articles. the reference lists of articles that were selected via the search strategy were hand-searched in order to include any further articles that may have been missed. Articles were screened and assessed for eligibility. From eligible articles, data including authors, year of publication, type of publication, objectives of the study, country, target population, type of suicide prevention strategy, description of suicide prevention strategy, and main outcomes of the study were extracted. A thematic analysis approach guided by Métis knowledge and practices was also applied to synthesize and summarize the findings. Results Fifty-six academic articles and 16 articles from the grey literature were examined. Four overarching and intersecting thematic areas emerged out of analysis of the academic and grey literature: (1) engaging culture and strengthening connectedness; (2) integrating Indigenous knowledge; (3) Indigenous self-determination; and (4) employing decolonial approaches. Conclusions Findings demonstrate how centering Indigenous knowledge and approaches within suicide prevention positively contribute to suicide-related outcomes. Initiatives built upon comprehensive community engagement processes and which incorporate Indigenous culture, knowledge, and decolonizing methods have been shown to have substantial impact on suicide-related outcomes at the individual- and community-level. Indigenous approaches to suicide prevention are diverse, drawing on local culture, knowledge, need and priorities.

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Exploring the potential roles of community-university partnerships in northern suicide prevention implementation research

Cited by 3 publications

References 25 publications

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

Centering Indigenous knowledge in suicide prevention: a critical scoping review

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