Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention

Wexler, Lisa; Trout, Lucas; Rataj, Suzanne; Kirk, Tanya; Moto, Roberta; McEachern, Diane

doi:10.1080/22423982.2017.1345277

Cited by 17 publications

(24 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These principles are in direct conflict with the Indigenous perspective of wholistic healing. The Western method of focusing on the individual, and the risk factors associated with that person, leave aside what is known about the sociocultural, economic and historical experiences Indigenous communities may have endured as a whole and the effects these may have had on individual youth (Barker et al, 2017;Wexler et al, 2017).…”

Section: Differences Between Western and Indigenous Perspectives On Cmentioning

confidence: 99%

“…Of the contributing factors to Indigenous youth suicide identified in this literature review, colonization was among the most detrimental and the most commonly identified by scholars who considered Indigenous perspectives in their work. Indigenous scholars recognize historical and intergenerational impacts of colonization which are widely understood within Indigenous perspectives as a key contributing factor to suicide among Indigenous youth (Duran, 2019;Wexler et al, 2017). This was in contrast to dominant Western perspectives in the literature which tended to focus on psychological factors to explain and respond to Indigenous youth suicide (Burrage et al, 2016).…”

Section: Causes Of Indigenous Youth Suicidementioning

confidence: 99%

“…The journey to wholeness constitutes a process of healing that is not only experienced by the individual but also by the community. (Gone et al, 2019;Radu et al, 2014;Wexler et al, 2017Wexler et al, , 2017.…”

Section: Indigenous Informed Approachesmentioning

confidence: 99%

“…The reason these interventions are effective lies in the fact that the community as a whole needs to heal. Therefore, if the intervention is to be effective, it must be relevant to the individual and involve their community (Wexler, Trout, Rataj, Kirk, Moto, and McEachern, 2017).…”

Section: The Importance Of Communitymentioning

confidence: 99%

“…Participants in the learning circles are not professionals, but community members. Therefore, the information provided is local and culturally relevant to the community (Wexler et al, 2017). Community based research and intervention such as the PC CARES project, holds promise that the results of the research will be applied and maintained by the community.…”

Section: The Importance Of Communitymentioning

confidence: 99%

See 4 more Smart Citations

Indigenous Youth Suicide

Harder¹,

Rash²,

Holyk³

et al.

Routledge International Handbook of Clinical Suicide Research

View full text Add to dashboard Cite

Indigenous youth suicide is a grave concern among Indigenous communities in Canada. While suicide rates for non-Indigenous Canadians have decreased, the suicide rate for Indigenous youth remains three to four times higher than the national average (Young et al., 2016). The need for effective interventions to prevent Indigenous youth suicide is uncontested. Despite this need, the effectiveness of interventions for Indigenous youth suicide remain mixed. The most common approaches, informed by a Western lens, have demonstrated limited success. Practical alternatives are being developed, based on Indigenous worldview and recent interventions developed by Indigenous people for Indigenous youth, families, and communities. These culturally informed, culturally safe grassroots approaches described herein, highlight cultural and community-based interventions for Indigenous communities. Through a critical review and amalgamation of current, relevant empirical and theoretical literature, this paper examines intervention approaches typically used to respond to Indigenous youth suicide intervention strategies. This literature review draws on a Two-Eyed Seeing approach and post-colonial theory to examine dominant Western approaches with an emphasis on Indigenous approaches. This literature review makes an important contribution to social work practice and policy by identifying key strengths and limitations of current dominant Western approaches as well as explore culturally safe and Indigenous approaches that can be used to decolonize and better inform the Indigenous youth suicide prevention work of social work clinicians and policy makers.

show abstract

Section: Differences Between Western and Indigenous Perspectives On Cmentioning

confidence: 99%

Section: Causes Of Indigenous Youth Suicidementioning

confidence: 99%

Section: Indigenous Informed Approachesmentioning

confidence: 99%

Section: The Importance Of Communitymentioning

confidence: 99%

Section: The Importance Of Communitymentioning

confidence: 99%

See 3 more Smart Citations

Indigenous Youth Suicide

Harder¹,

Rash²,

Holyk³

et al.

Routledge International Handbook of Clinical Suicide Research

View full text Add to dashboard Cite

show abstract

Decoloniality as a Framework for Indigenous Youth Suicide Prevention Pedagogy: Promoting Community Conversations About Research to End Suicide

Trout

McEachern

Mullany

et al. 2018

American J of Comm Psychol

Self Cite

View full text Add to dashboard Cite

Indigenous youth suicide remains a substantial health disparity in circumpolar communities,despite prevention efforts through primary health care, public health campaigns, school systems, and social services. Innovations in prevention practice move away from expert-driven approaches to emphasize local control through processes that utilize research evidence, but privilege self- determined action based on local and personal contexts, meanings, and frameworks for action. ‘Promoting Community Conversations About Research to End Suicide’ is a community health intervention that draws on networks of Indigenous health educators in rural Alaska, who host learning circles in which research evidence is used to spark conversations and empower community members to consider individual and collective action to support vulnerable people and create health-promoting conditions that reduce suicide risk. The first of nine learning circles focuses on narratives of local people who link the contemporary youth suicide epidemic to 20th century American colonialism, and situates prevention within this context. We describe the theoretical framework and feasibility and acceptability outcomes for this learning circle, and elucidate how the educational model engages community members in decolonial approaches to suicide prevention education and practice, thus serving as a bridge between Western and Indigenous traditions to generate collective knowledge and catalyze community healing.

show abstract

Implementation beyond the clinic: Community‐driven utilization of research evidence from PC CARES, a suicide prevention program

White

Wexler

Weaver

et al. 2022

American J of Comm Psychol

Self Cite

View full text Add to dashboard Cite

While implementation and dissemination of research is a rapidly growing area, critical questions remain about how, why, and under what conditions everyday people integrate and utilize research evidence. This mixed‐methods study investigates how participants of Promoting Community Conversations About Research to End Suicide (PC CARES) make sense of and use research evidence about suicide prevention in their own lives. PC CARES is a health intervention addressing the need for culturally responsive suicide prevention practices in rural Alaska through a series of community Learning Circles. We analyzed PC CARES transcripts and surveys for 376 participants aged 15+ across 10 Northwest Alaska Native villages. Quantitative analysis showed significant correlations between five utilization of research evidence (URE) factors and participants' intent to use research evidence from PC CARES Learning Circles. Key qualitative themes from Learning Circle transcripts expanded upon these URE constructs and included navigating discordant information, centering relationships, and Indigenous worldviews as key to interpreting research evidence. We integrate and organize our findings to inform two domains from the Consolidated Framework for Research Implementation: (1) intervention characteristics and (2) characteristics of individuals, with emphasis on findings most relevant for community settings where self‐determined, evidence‐informed action is especially important for addressing health inequities.

show abstract

Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention

Cited by 17 publications

References 30 publications

Indigenous Youth Suicide

Indigenous Youth Suicide

Decoloniality as a Framework for Indigenous Youth Suicide Prevention Pedagogy: Promoting Community Conversations About Research to End Suicide

Implementation beyond the clinic: Community‐driven utilization of research evidence from PC CARES, a suicide prevention program

Contact Info

Product

Resources

About