Factors Associated with Thoughts of Self-Harm or Suicide among Aboriginal and Torres Strait Islander People Presenting to Urban Primary Care: An Analysis of De-Identified Clinical Data

Pandeya, Neha; Schluter, Philip J.; Spurling, Geoffrey; Tyson, Claudette; Hayman, Noel; Askew, Deborah

doi:10.3390/ijerph19010153

Cited by 3 publications

(1 citation statement)

References 40 publications

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“…We investigated a range of potential correlates of suicidal experiences, based on existing evidence (Franklin et al, 2017; Kessler et al, 2015; Knipe et al, 2022; Leckning et al, 2022; Nock et al, 2008; Pandeya et al, 2022; Roy et al, 2021; Schechter et al, 2022a; Simon et al, 2001), on theory (Gerisch, 2020; Glaesmer et al, 2020; Schechter et al, 2022a) and on our clinical experience. We also considered the nature of the data (i.e., no self‐reports) and the number of reports available while selecting the variables for the analysis.…”

Section: Methodsmentioning

confidence: 99%

Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy

Schnittger

Sievers

Scholz

et al. 2022

Clin Psychology and Psychoth

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Suicide is an important cause of death in patients with mental health disorders, but little is known about the occurrence of suicidal ideation and attempts in outpatient psychotherapy patients. The aim of this study was to identify the proportion of patients with and correlates of suicidal ideation and attempts in community‐based psychotherapy practices. Using 983 applications for reimbursement of psychotherapy from individual patients, reports about suicidal thoughts and suicide attempts were extracted along with demographic, biographic and clinical data. Multivariate logistic regression analysis was used to identify correlates of suicidal ideation and attempts by calculating odds ratios (ORs). Among the patients, 19% presented with suicidal thoughts (11% currently and 8% in the past) and 6% with suicide attempts. Important correlates of suicidal thoughts were male gender (OR 1.7), lower education (OR 1.8), early retirement (OR 2.9), death of a parent when younger than 5 years old (OR 3.3), violence experienced from various people (OR 2.1), self‐harm behaviour (OR 7.9) and alcohol misuse (OR 1.7). Suicide attempts were associated with male gender (OR 5.6), lower education (OR 4.2), violence experienced from partner (OR 2.5) or from various people (OR 9.5) and self‐harm behaviour (OR 15.0). These results show that the proportion of suicidal patients seeking outpatient psychotherapy is high. It should therefore be a central topic in clinical training. Biographic data such as the loss of a parent at an early age or experiencing violence are associated with who is at increased risk and should be explored in detail.

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Section: Methodsmentioning

confidence: 99%

Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy

Schnittger

Sievers

Scholz

et al. 2022

Clin Psychology and Psychoth

View full text Add to dashboard Cite

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Music as a determinant of health among First Nations people in Australia: A scoping narrative review

Scarfe,

Apps,

Sunderland

et al. 2024

Health Prom J of Aust

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Issue AddressedWhile social determinants frameworks are still popular in research about First Nations health in Australia, a growing body of research prefers cultural determinants of health models. Cultural determinants models provide a holistic, strength‐based framework to explain connections between health and contextual factors, including the potential role of music and its impact on social and emotional well‐being. Given the growing international recognition of links between music, health, and wellbeing through bodies such as the World Health Organisation, this article examines whether and how music practices are acknowledged in First Nations determinants of health literature.MethodsWe conducted a scoping narrative review of literature from five databases: Scopus, PsycInfo, CINAHL, PubMed and ProQuest Central. The search returned 60 articles published since 2017, which we analysed in NVivo for common themes.ResultsMusic was only explicitly identified as a determinant of health in two studies. Yet, participants in five studies identified music and song as directly impacting their social and emotional well‐being. When we broadened our frame of analysis to include other forms of expressive cultural practice, one quarter of included studies empirically acknowledged the role of expressive cultural practice for social and emotional well‐being.ConclusionWhile many recent studies identify the impact of First Nations' expressive practices broadly, they miss important features of First Nations music as a potentially unique cultural, social, political and ecological determinant of health.So What?There is an opportunity for future research and health determinant modelling to explicitly examine the role of First Nations music and other creative practices for social and emotional well‐being.

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The Interplay of Perceived Mental Health and Suicidal Ideation among Aboriginal Peoples in Canada: A Secondary Analysis of Aboriginal Peoples Survey

Adebayo

2024

Preprint

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The disproportionately high suicide rates among Aboriginal populations in Canada, linked to historical trauma and systemic inequities, necessitate targeted mental health interventions. This study investigated the relationship between perceived mental health and suicidal ideation among the Aboriginal population in Canada, First Nations, Inuit, and Metis, using data from the 2012 Aboriginal Peoples Survey (APS) (n=4,725). The analysis employed chi-square tests and bivariate logistic regression to examine the association between self-perceived mental health, suicidal ideation, and socio-demographic factors. Results revealed significant associations between suicidal ideation, age group (p<.001), and sex (p<.001), with younger individuals (18-24 years) and females reporting a higher prevalence of suicidal thoughts. Also, bivariate logistic regression showed that being between the ages of 25 and 34 was a strong predictor of suicidal thoughts (OR = 1.954, p =.000), while being female (OR =.648, p =.000) and having a higher socioeconomic status (OR =.678, p =.000) were weaker predictors. Although Aboriginal identity was not significantly associated with suicidal ideation, self-perceived mental health was. These results made it clear that focused and targeted mental health interventions and culturally appropriate suicide prevention strategies are needed right away in Aboriginal communities in Canada. These strategies need to meet the needs of vulnerable groups, like younger people and women.

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Factors Associated with Thoughts of Self-Harm or Suicide among Aboriginal and Torres Strait Islander People Presenting to Urban Primary Care: An Analysis of De-Identified Clinical Data

Cited by 3 publications

References 40 publications

Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy

Suicidal ideation and attempts in adults seeking outpatient psychodynamic psychotherapy

Music as a determinant of health among First Nations people in Australia: A scoping narrative review

The Interplay of Perceived Mental Health and Suicidal Ideation among Aboriginal Peoples in Canada: A Secondary Analysis of Aboriginal Peoples Survey

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