“The Weight on Our Shoulders Is Too Much, and We Are Falling”

Kral, Michael J.

doi:10.1111/maq.12016

Cited by 39 publications

(29 citation statements)

References 82 publications

(76 reference statements)

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“…This is reflected in the shocking statistics related to suicide among indigenous communities. Kral (2012Kral ( , 2013 reports that First Nations communities have suicide rates ten times greater than the rest of Canada, while half of all deaths of young people in Inuit Nunangat were suicides, compared with approximately 10% in the rest of Canada (Oliver, Peters & Kohen, 2012).…”

Section: Isolation In the First Nations Of Canadamentioning

confidence: 99%

Social isolation and its relationship to multidimensional poverty

Samuel

Alkire

Zavaleta

et al. 2017

Oxford Development Studies

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While the multidimensionality of poverty is well-recognised, one dimension of poverty that has been often overlooked is social connectedness. This paper draws on conceptual and participatory and measurement literatures to observe that social connectedness seems to be an important missing ingredient of multidimensional poverty analyses, with social isolation being a feature that exacerbates the condition of poor persons. To provide contextual detail as to its particular impact on persons in marginalized communities and for the need for further studies on this frontier, we present qualitative primary data from South Africa and Mozambique, and review pertinent studies of the First Nations of Canada, and among persons with disability. A final challenge for social isolation is that it may not mobilize policy attention if it is seen to be a matter of personal skill, thus the closing section outlines particular areas for positive policy intervention.

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Section: Isolation In the First Nations Of Canadamentioning

confidence: 99%

Social isolation and its relationship to multidimensional poverty

Samuel

Alkire

Zavaleta

et al. 2017

Oxford Development Studies

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“…Romantic relationships have become even more challenging for many Inuit youth today. It is not uncommon for adolescent boys to be very possessive and jealous of their girlfriends (Kral, 2012(Kral, , 2013. Some Inuit male youth become angry with their girlfriends or parents and threaten suicide.…”

Section: Discussionmentioning

confidence: 99%

Unikkaartuit: Meanings and Experiences of Suicide Among Inuit in Nunavut, Canada

Kral¹,

Idlout²,

Minore³

et al. 2014

IJIH

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Inuit in Arctic Canada have one of the highest suicide rates in the world. Most of these suicides occur among youth, especially males, between the ages of 15 and 24. The goal of this study was to gain an understanding of Inuit experiences with suicide and what suicide means to Inuit, including suicide attempters and bereaved survivors. Fifty Inuit between the ages of 14 and 94 were interviewed about suicides in two communities in Nunavut. Sixty-three high school and college students were also surveyed with the same questions. It was found that suicide was most closely related to romantic relationship and family problems, and to experiences of loneliness and anger. These findings are interpreted in the context of massive social change, on-going colonization, and multigenerational trauma following the colonial government era of the 1950s and 1960s, when family and interpersonal relationships were significantly affected. The study stresses that suicide prevention strategies focus on youth and family, particularly on parenting, and ensure that Inuit communities take control of prevention programs. It recommends that family and community resources be further mobilized for suicide prevention.

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“…Future studies should aim to investigate trends for these Aboriginal children, as recent papers suggest self-harm is a significant problem. 38,39 Further, distinctions should be made between First Nations, Inuit, and Métis children, as they differ in cultural background, region of residence, and health care access. 40 Fourth, the provincial government has not actively captured information on First Nations status in the ACCS database since 2009/2010, when health care premiums were eliminated, and thus our results likely under-represent those children with First Nations status.…”

Section: Limitationsmentioning

confidence: 99%

Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta

Newton

Tsang

Rosychuk

2015

CJEM

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Objective: To examine sociodemographic variations among children <18 years in (1) rates of self-harm visits to emergency departments (EDs) and (2) physician follow-up after the selfharm visit in Alberta. Methods: A retrospective, population-based cohort (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011) of ED visits for self-harm by individuals <18 years was conducted using administrative databases from Alberta, Canada. Individuals were grouped by First Nations status or type of health care premium subsidy (family receipt of government subsidy, human services program subsidy, no subsidy received). Visits from 104 EDs were summarized by crude and directly standardized visit rates (DSVRs) per 100,000 individuals. Kaplan-Meier estimates for median estimated time to physician follow-up were calculated with 95% confidence intervals (CIs). Results: During the study period, visit rates decreased with the exception of children from families receiving government-sponsored program subsidy (DSVRs 163/ 100,000 to 250/100,000; p = 0.032). First Nations children had disproportionately fewer follow-up visits compared to other children. The median time to follow-up for First Nations children was 39 days (95% CI: 32, 48) compared to 16 days for children from families receiving no subsidy (95% CI: 14, 19), who had the shortest follow-up time after an ED visit. Conclusions: Sociodemographic differences were evident in ED visit rates as well as the number of and time to physician followup visit. The disparities experienced by First Nations children in the follow-up period highlight an opportunity for culturallygrounded risk and needs assessment in the ED to determine and facilitate timely and appropriate follow-up care.

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“The Weight on Our Shoulders Is Too Much, and We Are Falling”

Cited by 39 publications

References 82 publications

Social isolation and its relationship to multidimensional poverty

Social isolation and its relationship to multidimensional poverty

Unikkaartuit: Meanings and Experiences of Suicide Among Inuit in Nunavut, Canada

Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta

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