Understanding suicide among indigenous adolescents: a review using the PRECEDE model.

Abstract

specific problems. However, there has been little systematic attempt to provide an overview of the literature pertaining to suicide among indigenous adolescents. These people share the common characteristic of being young members of a minority culture which predated the arrival of the Anglo-Saxon population in their homeland. Although native to different continents, they are likely to share common concerns. An integrative analysis examining data from across different populations facilitates the identification of common themes.8The aim of this paper is to integrate the available literature, organizing it within a planning and evaluation framework. The use of this framework facilitates the identification of areas where there has been limited research. The primary focus of the paper is on native adolescents-the group that is most likely to commit suicide. The review aims to provide an overview of relevant issues and to identify those needing further attention, acknowledging limitations of generalizability. DefinitionsSuicide occurs when an individual takes his/her own life-it is literally self murder.9 Parasuicide involves a person giving the impression of attempting to take his/her own life. The term 'parasuicide' is used in preference to the term 'attempted suicide', as many researchers believe that the intention of a parasuicide is not always to take their life, but often to make a plea for help.'0 In some cases, identification of suicides among aboriginal populations may be problematic.The PRECEDE-PROCEED model PRECEDE-PROCEED" is a conceptual model for planning health education and health promotion programs and policies (see figure). The PRECEDE model provides a well tested means of articulating a program plan and rationale; and a means of documenting a systematic, step-by-step approach to planning, implementing, and evaluating suicide related programs and policies.The PRECEDE provides a framework within which to identify and address the factors underlying any health related problem. The PRECEDE part of the model is read from right to left, starting with the quality of life, while the PROCEED part of the model is read from left to right. PRECEDE deals with diagnosis of the problem and development of a program plan,

A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand

“…Consistent with previous reviews [25-28], few published evaluations of Indigenous-specific suicide interventions were identified in the peer review and grey literature, and the methodological quality of studies was less than optimal. Evaluating Indigenous health interventions is complex and challenging [44].…”

Risk indicators of suicide ideation among on-reserve First Nations youth

“…These results are consistent with Aboriginal youth and non-Aboriginal youth suicide ideation literature (35)(36)(37)(38). These risk behaviours commonly coexist with suicide ideation because they are likely a method of coping with emotional and environmental stress (39).…”

Indigenous Suicide in New Zealand

“…In all of these countries the indigenous populations are younger than the non-indigenous populations which have lower suicide rates (Clarke, Frankish, & Green, 1997). It has been suggested that a cohort effect might account for these observations, whereby young people in populations with a larger fraction of young people could be expected to have more problems than societies with a smaller proportion of young people (Offer & Schonert-Reichl, 1992).…”