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A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand
Open accessAbstract
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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“Acceptance and commitment therapy has been found to be efficacious in a number of mental health domains, including depression [10], anxiety [11] and stress [12].”
From The effectiveness of a suicide prevention app for indigenous Australian youths: study protocol for a randomized controlled trial. (2013) · cites this paper as [11]
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Sjoblom, E., Ghidei, W., Leslie, M., James, A., Bartel, R., Campbell, S., & Montesanti, S. R. (2024) · Figshare · doi:10.6084/m9.figshare.26555642
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Additional file 2 of Centering Indigenous knowledge in suicide prevention: a critical scoping review
Sjoblom, E., Ghidei, W., Leslie, M., James, A., Bartel, R., Campbell, S., & Montesanti, S. R. (2024) · Figshare · doi:10.6084/m9.figshare.26555645
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Stoor, J. P., Eriksen, H. A., & Silviken, A. (2021) · Figshare · doi:10.6084/m9.figshare.16946296
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Metadata
- 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
- Venue
- BMC Public Health
- Published
- 2013-05-13
- Volume
- 13
- Issue
- 1
- Pages
- 463-463
- ISSN
- 1471-2458 (ISSN-L)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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