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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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Citations
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575
Methods for the Economic Evaluation of Health Care Programmes
Drummond, M. E., Sculpher, M. J., Torrance, G. W., O’Brien, B. J., & Stoddart, G. L. (2005) · doi:10.1093/oso/9780198529446.001.0001 · Cited by 13,648
Publication bias in clinical research
Easterbrook, P. J., Gopalan, R., Berlin, J. A., & Matthews, D. R. (1991) · The Lancet · doi:10.1016/0140-6736(91)90201-y · Cited by 3,109 · cited 1×
“evaluations with statistically significant findings are more likely to be published, it is possible that the published evaluations reviewed over-estimate the true effectiveness of suicide prevention intervention targeting Indigenous peoples [50].”
BackgroundSuicide Prevention Strategies: A Systematic Review
Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., Hegerl, U., Lonnqvist, J., Malone, K., Marusic, A., et al. (2005) · JAMA · doi:10.1001/jama.294.16.2064 · Cited by 2,852
Hawton, K., & van Heeringen, K. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60372-x · Cited by 1,671
Indigenous health part 2: the underlying causes of the health gap
King, M., Smith, A., & Gracey, M. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60827-8 · Cited by 1,469
Indigenous health part 1: Determinants and disease patterns
Gracey, M., & King, M. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60914-4 · Cited by 1,303
Purdie, N., Dudgeon, P., & Walker, R. (2014) · Murdoch University Research Portal · Cited by 1,009
Vos, T., Barker, B., Begg, S. J., Stanley, L., & López, A. D. (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn240 · Cited by 593
Gatekeeper training as a preventative intervention for suicide: A systematic review
Isaac, M., Elias, B., Katz, L. Y., Belik, S.-L., Deane, F. P., Enns, M. W., Sareen, J., & The Swampy Cree Suicide Prevention Team (12 members)8 (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400407 · Cited by 418 · cited 4×
“There is evidence from systematic reviews for the effectiveness of different suicide prevention interventions [14,24,25].”
BackgroundResultInfluentialCauses of death in Australia, 1971–1981
Pollard, J. H. (1986) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1986.tb112308.x · Cited by 381
Best Practice Elements of Multilevel Suicide Prevention Strategies
Feltz-Cornelis, C. M. V. D., Sarchiapone, M., Poštuvan, V., Volker, D., Roškar, S., Grum, A. T., Carli, V., McDaid, D., O’Connor, R. C., Maxwell, M., et al. (2011) · Crisis · doi:10.1027/0227-5910/a000109 · Cited by 304
Indigenous suicide in Australia, New Zealand, Canada and the United States
Hunter, E. M., & Harvey, D. (2002) · Emergency Medicine Australasia · doi:10.1046/j.1442-2026.2002.00281.x · Cited by 191
May, P. A., Serna, P., Hurt, L., & DeBruyn, L. M. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.040410 · Cited by 185
Cultural Continuity as a Moderator of Suicide Risk among Canada’s First Nations
Chandler, M. J., & Lalonde, C. E. (2009) · University of British Columbia Press eBooks · doi:10.59962/9780774815253-013 · Cited by 169
Indigenous health research: a critical review of outputs over time
Sanson‐Fisher, R., Campbell, E. M., Perkins, J. J., Blunden, S. V., & Davis, B. B. (2006) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2006.tb00343.x · Cited by 157
Aboriginal and Torres Strait Islander Suicide in Context
Hunter, E. M., & Milroy, H. (2006) · Archives of Suicide Research · doi:10.1080/13811110600556889 · Cited by 151
The Human Face of Mental Health and Mental Illness in Canada, 2006
(2006) · PsycEXTRA Dataset · doi:10.1037/e611102012-001 · Cited by 146
The Zuni Life Skills Development Program: A School/Community‐Based Suicide Prevention Intervention
LaFromboise, T. D., & Lewis, H. (2008) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2008.38.3.343 · Cited by 136
Suicide prevention in Aboriginal communities: application of community gatekeeper training
Capp, K., Deane, F. P., & Lambert, G. (2001) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.2001.tb00586.x · Cited by 135
Suicide Prevention in American Indian and Alaska Native Communities: A Critical Review of Programs
Middlebrook, D. L., LeMaster, P. L., Beals, J., Novins, D. K., & Manson, S. M. (2001) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.31.1.5.132.24225 · Cited by 122
Allen, J., Mohatt, G. V., Fok, C. C. T., Henry, D. B., & People Awakening Team (2009) · International Journal of Circumpolar Health · doi:10.3402/ijch.v68i3.18328 · Cited by 102
Evaluating Aboriginal empowerment programs: the case of Family WellBeing
Tsey, K., & Every, A. (2000) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.2000.tb00501.x · Cited by 97
Self-citationAustralian Aboriginal suicide: The need for an Aboriginal suicidology?
Farrelly, T. (2004) · Advances in Mental Health · doi:10.5172/jamh.3.3.138 · Cited by 96
Procter, N. G. (2005) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2005.00529.x · Cited by 67
Methods for the Economic Evaluation of Health Care Programmes
Tschaut, N. (2006) · Australian Health Review · Cited by 63
Berman, M., Hull, T., & May, P. A. (2000) · Journal of Studies on Alcohol · doi:10.15288/jsa.2000.61.311 · Cited by 62
A college suicide prevention model for American Indian students.
Muehlenkamp, J. J., Marrone, S., Gray, J. S., & Brown, D. L. (2009) · Professional Psychology Research and Practice · doi:10.1037/a0013253 · Cited by 56
Cluster Suicide in American Indian Adolescents
Bechtold (1988) · American Indian and Alaska Native Mental Health Research · doi:10.5820/aian.0103.1988.26 · Cited by 45
Clifford, A., Pulver, L. J., RICHMOND, R. L., Shakeshaft, A. P., & Ivers, R. G. (2010) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2010.00631.x · Cited by 44
Self-citation“Makes you proud to be black eh?”: Reflections on meaningful Indigenous research participation
Kelly, J., Saggers, S., Taylor, K. A., Pearce, G., Massey, P., Bull, J., Odo, T., Thomas, J. K., Billycan, R., Judd, J. A., et al. (2012) · International Journal for Equity in Health · doi:10.1186/1475-9276-11-40 · Cited by 42
Oxford Guide to Low Intensity CBT Interventions
(2015) · Oxford Clinical Psychology · doi:10.1093/med:psych/9780199590117.001.0001 · Cited by 40
McCalman, J., Tsey, K., Clifford, A., Earles, W., Shakeshaft, A. P., & Bainbridge, R. G. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-600 · Cited by 37
Self-citationUnderstanding suicide among indigenous adolescents: a review using the PRECEDE model.
Clarke, V. A., Frankish, C. J., & Green, L. W. (1997) · Injury Prevention · doi:10.1136/ip.3.2.126 · Cited by 36
Calabria, B., Clifford, A., Shakeshaft, A. P., & Doran, C. M. (2012) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2012.73.477 · Cited by 32
Self-citationSocial Correlates of American Indian Suicide and Homicide Rates
Lester (1995) · American Indian and Alaska Native Mental Health Research · doi:10.5820/aian.0603.1995.46 · Cited by 31
Two-Year Follow-Up of a Community Gatekeeper Suicide Prevention Program in an Aboriginal Community
Deane, F. P., Capp, K., Jones, C., de Ramirez, D., Lambert, G., Marlow, B., Rees, A., & Sullivan, E. (2006) · Australian Journal of Rehabilitation Counselling · doi:10.1375/jrc.12.1.33 · Cited by 28
Aboriginal suicidal behaviour research: from risk factors to culturally-sensitive interventions.
Katz, L. Y., Elias, B., O’Neil, J., Enns, M. W., Cox, B. J., Belik, S., & Sareen, J. (2006) · PubMed Central · Cited by 28
A systematic review of school‐based studies involving alcohol and the community
Wood, E., Shakeshaft, A. P., Gilmour, S., & Sanson‐Fisher, R. (2006) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.2006.tb00783.x · Cited by 23
Suicide among New Zealand Maori: is history repeating itself?
Skegg, K., Cox, B., & Broughton, J. R. (1995) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1995.tb09612.x · Cited by 23
Suicide Clusters: Introducing a Novel Type of Categorization
Rezaeian, M. (2012) · Violence and Victims · doi:10.1891/0886-6708.27.1.125 · Cited by 20
Hunter, E. M. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90020-d · Cited by 19
Preventing suicide among Indigenous Australians
Silburn, S., Glaskin, B., Henry, D., & Drew, N. M. (2010) · ResearchOnline@ND (The University of Notre Dame) · Cited by 17
Laliberté, A., Nagel, T. M., & Haswell, M. (2010) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199590117.003.0062 · Cited by 17
Suicide rates in New Zealand: Exploring associations with social and economic factors
Ferguson, S. G., Blakely, T., Allan, B., & Collings, S. C. (2004) · eCite Digital Repository (University of Tasmania) · Cited by 15
Hanssens, L. (2008) · Aboriginal health worker · Cited by 13
Maori suicide prevention in New Zealand.
Coupe, N. (2000) · PubMed · Cited by 11
A Study of Multi-media Suicide Education in Nunavut
Haggarty, J. M., Craven, J., Chaudhuri, B., Cernovsky, Z., & Kermeen, P. (2006) · Archives of Suicide Research · doi:10.1080/13811110600582661 · Cited by 10
Book Review: Aboriginal Suicide is Different: A Portrait of Life and Selfdestruction
Hunter, E. M. (2002) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2002.0987a.x · Cited by 3
Research works printed but not linked: 1
- Jackson N: Handbook: Systematic Reviews of Health Promotion and Public Health Interventions. 2007, Victoria: The Cochrane Collaboration, Victorian Health Promotion Foundation
Cited by
Sorted by citations
Suicide prevention strategies revisited: 10-year systematic review
Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., Sarchiapone, M., Carli, V., Höschl, C., Barzilay, R., Balazs, J., et al. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)30030-x · Cited by 1,765
Global trends in teenage suicide: 2003–2014
McLoughlin, A., Gould, M. S., & Malone, K. M. (2015) · QJM · doi:10.1093/qjmed/hcv026 · Cited by 360
Bainbridge, R. G., Tsey, K., McCalman, J., Kinchin, I., Saunders, V., Lui, F. W., Cadet‐James, Y., Miller, A., & Lawson, K. D. (2015) · BMC Public Health · doi:10.1186/s12889-015-2052-3 · Cited by 259
Self-citationWhat Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis
Robinson, J., Bailey, E., Witt, K., Stefanac, N., Milner, A., Currier, D., Pirkis, J., Condron, P., & Hetrick, S. (2018) · EClinicalMedicine · doi:10.1016/j.eclinm.2018.10.004 · Cited by 242
Tighe, J., Shand, F., Ridani, R., Mackinnon, A., De La Mata, N., & Christensen, H. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013518 · Cited by 227
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
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