Cited by 186Suicide and Self-Harm StudiesIndigenous Health, Education, and RightsHomicide, Infanticide, and Child Abuse

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

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Clifford, Anton C, Doran, Christopher M, Tsey, Komla·2013·BMC Public Health

DOI 10.1186/1471-2458-13-463PMC PMC3663804

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Abstract

BACKGROUND: Indigenous peoples of Australia, Canada, United States and New Zealand experience disproportionately high rates of suicide. As such, the methodological quality of evaluations of suicide prevention interventions targeting these Indigenous populations should be rigorously examined, in order to determine the extent to which they are effective for reducing rates of Indigenous suicide and suicidal behaviours. This systematic review aims to: 1) identify published evaluations of suicide prevention interventions targeting Indigenous peoples in Australia, Canada, United States and New Zealand; 2) critique their methodological quality; and 3) describe their main characteristics. METHODS: A systematic search of 17 electronic databases and 13 websites for the period 1981-2012 (inclusive) was undertaken. The reference lists of reviews of suicide prevention interventions were hand-searched for additional relevant studies not identified by the electronic and web search. The methodological quality of evaluations of suicide prevention interventions was assessed using a standardised assessment tool. RESULTS: Nine evaluations of suicide prevention interventions were identified: five targeting Native Americans; three targeting Aboriginal Australians; and one First Nation Canadians. The main intervention strategies employed included: Community Prevention, Gatekeeper Training, and Education. Only three of the nine evaluations measured changes in rates of suicide or suicidal behaviour, all of which reported significant improvements. The methodological quality of evaluations was variable. Particular problems included weak study designs, reliance on self-report measures, highly variable consent and follow-up rates, and the absence of economic or cost analyses. CONCLUSIONS: There is an urgent need for an increase in the number of evaluations of preventive interventions targeting reductions in Indigenous suicide using methodologically rigorous study designs across geographically and culturally diverse Indigenous populations. Combining and tailoring best evidence and culturally-specific individual strategies into one coherent suicide prevention program for delivery to whole Indigenous communities and/or population groups at high risk of suicide offers considerable promise.

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Authors: Clifford, A. C., Doran, C. M., & Tsey, K.
Affiliations: Institute for Urban Indigenous Health (AU)
Hunter Medical Research Institute (AU)
James Cook University (AU)
Corresponding author: Clifford, Anton C
ORCID: Clifford, Anton C
Doran, Christopher M
Tsey, Komla
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2013-05-13
Volume: 13
Issue: 1
Pages: 463-463
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/1471-2458-13-463
PMC: PMC3663804
OpenAlex: W2076166069
Cited by: 186
References: 52
Citations by year: 2026: 5 · 2025: 11 · 2024: 13 · 2023: 12 · 2022: 12 · 2021: 22 · 2020: 18 · 2019: 11 · 2018: 16 · 2017: 16 · 2016: 23 · 2015: 14 · 2014: 11 · 2013: 2
FWCI: 2.46
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: BMC Public Health (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
ResearchOnline - JCU (James Cook University) (submittedVersion)
Acquire (CQUniversity) (submittedVersion)
Figshare (submittedVersion, cc-by)
NOVA (University of Newcastle Australia) (submittedVersion)
Funders: NSW Ministry of Health
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Health › Indigenous Health, Education, and Rights
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords: suicide prevention, indigenous peoples, Indigenous suicide, gatekeeper training, community-based prevention, suicide education, Aboriginal Australians, Native Americans, First Nations, culturally tailored interventions, suicidal behavior
MeSH terms: Indigenous Peoples, Suicide Prevention, Adolescent, Adult, Australia, Canada, Child, Female, Health Education, Humans, Indians, North American, Male, Middle Aged, New Zealand, Preventive Health Services, Suicide, United States, Population Groups, Native Hawaiian or Other Pacific Islander, Young Adult

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

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