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Suicide Ideation and Attempt in a Community Cohort of Urban Aboriginal Youth: A Cross-Sectional Study

Published Online:https://doi.org/10.1027/0227-5910/a000187

Background: There has been increasing attention over the last decade on the issue of indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for indigenous youth in Australia. Aims: To examine the prevalence of suicide ideation and attempt and the associated factors for a community

1The term ”community” refers specifically to Koori people affiliated with the Victorian Aboriginal Health Service.

cohort of Koori

2The term ”Koori” refers to indigenous people from the south-eastern region of Australia, including Melbourne. The term ”Aboriginal” has been used when referring to indigenous people from Australia. The term ”indigenous” has been used throughout this article when referring to the first people of a nation within an international context.

(Aboriginal) youth. Method: Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People’s Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12–26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Results: Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded five components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusions: Suicide ideation and attempt were common in this cross-section of indigenous youth with an unfavorable profile for the emotional, social, cultural, and behavioral factors.

References

  • Australian Bureau of Statistics. (1998). 1996 Census of Population and Housing: Aboriginal and Torres Strait Islander People Victoria (Catalogue. No. 2034.2). Canberra, Australia: Author. First citation in articleGoogle Scholar

  • Australian Bureau of Statistics. (2008). The Health and Welfare of Australia’s Aboriginal and Torres Strait Islander Peoples (Catalogue No. 4704.0). Canberra, Australia: Author. First citation in articleGoogle Scholar

  • Borowsky, I. W. , Resnick, M. D. , Ireland, M. , & Blum, R. W. (1999). Suicide attempts among American Indian and Alaska Native youth: Risk and protective factors. Archives of Pediatrics & Adolescent Medicine, 153(6), 573–580. First citation in articleCrossref MedlineGoogle Scholar

  • Centre for Adolescent Health. (1997). Gatehouse Survey, Term 1. Parkville, Australia: Royal Children’s Hospital. First citation in articleGoogle Scholar

  • Chandler, M. J. , Lalonde, C. E. (1998). Cultural continuity as a hedge against suicide in Canada’s First Nations. Transcultural Psychiatry, 35(2), 191–219. First citation in articleCrossrefGoogle Scholar

  • Chioqueta, A. P. , Stiles, T. C. (2007). Cognitive factors, engagement in sport and suicide risk. Archives of Suicide Research, 11(4), 375–390. First citation in articleCrossref MedlineGoogle Scholar

  • De Leo, D. , Cerin, E. , Spathonis, K. , Burgis, S. (2005). Lifetime risk of suicide ideation and attempts in an Australian community: Prevalence, suicidal process, and help seeking behaviour. Journal of Affective Disorders, 86(2–3), 215–224. First citation in articleCrossref MedlineGoogle Scholar

  • Department of Human Services. (2008). Avoidable mortality in Victoria: Trends between 1997 and 2003. Melbourne, Australia: Health Intelligence Unit.. First citation in articleGoogle Scholar

  • Else, I. R. N. , Andrade, N. N. , Nahulu, L. B. (2007). Suicide and suicidal-related behaviours among Indigenous Pacific Islanders in the United States. Death Studies, 31, 479–501. First citation in articleCrossref MedlineGoogle Scholar

  • Holmes, W. , Stewart, P. , Garrow, A. , Anderson, I. , Thorpe, L. (2002). Researching Aboriginal health: Experience from a study of urban people’s health and well-being. Social Science & Medicine, 54, 1267–1279. First citation in articleCrossref MedlineGoogle Scholar

  • King, R. A. , Schwab-Stone, M. , Flisher, A. J. , Greenwald, S. , Kramer, R. A. , Goodman, S. H. … Gould, M. S. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicide ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40(7), 837–846. First citation in articleCrossref MedlineGoogle Scholar

  • Kirmayer, L. J. , Malus, M. , & Boothroyd, L. J. (1996). Suicide attempts among Inuit youth: A community survey and risk factors. Acta Psychiatrica Scandinavia, 94(1), 8–17. First citation in articleCrossref MedlineGoogle Scholar

  • Kirmayer, L. J. , Boothroyd, L. J. , Hodgins, S. (1998). Attempted suicide among Inuit youth: Psychosocial correlates and implications for prevention. Canadian Journal of Psychiatry, 43(8), 816. First citation in articleMedlineGoogle Scholar

  • Kirmayer, L. J. , Brass, G. M. , & Tait, M. A. (2000). The mental health of Aboriginal peoples: Transformations of identity and community. Canadian Journal of Psychiatry, 45, 607–616. First citation in articleMedlineGoogle Scholar

  • Moon, L. , Meyer, P. , Grau, J. (1999). Australia’s young people: Their health and wellbeing (AIHW Cat. No. PHE 19). Canberra, Australia: Australian Institute of Health and Welfare (AIHW). First citation in articleGoogle Scholar

  • Nathan, P. (1980). A home away from home. A study of the Aboriginal Health Service in Fitzroy, Victoria. Melbourne, Australia: Preston Institute of Technology. First citation in articleGoogle Scholar

  • National Aboriginal Health Strategy Working Party. (1989). A national Aboriginal health strategy. Canberra, Australia: Department of Aboriginal Affairs. First citation in articleGoogle Scholar

  • Olson, L. M. , Wahab, S. (2006). American Indians and suicide: A neglected area of research. Trauma Violence Abuse, 7, 19–33. First citation in articleCrossref MedlineGoogle Scholar

  • Priest, N. , Paradies, Y. , Stewart, P. , Luke, J. (2011). Racism and health among urban Aboriginal young people. BMC Public Health, 11, 568. First citation in articleCrossref MedlineGoogle Scholar

  • Procter, N. G. (2005). Parasuicide, self-harm and suicide in Aboriginal people in rural Australia: A review of the literature with implications for mental health nursing practice. International Journal of Nursing Practice, 11, 237–241 First citation in articleCrossref MedlineGoogle Scholar

  • Shaffer, D. , Craft, L. (1999). Methods of adolescent suicide prevention. Journal of Clinical Psychiatry, 60, 70–74. First citation in articleMedlineGoogle Scholar

  • Smith, L. , McCalman, J. , Anderson, I. , Smith, S. , Evans, J. , McCarthy, G. , Beer, J. (2008). Fractional identities: The political arithmetic of Aboriginal Victorians. The Journal of Interdisciplinary History, 38(4), 533–555. First citation in articleCrossrefGoogle Scholar

  • Suicide Prevention Task Force. (1997). Suicide Prevention Task Force Report July 1997. Melbourne: The Taskforce. First citation in articleGoogle Scholar

  • Tagalik, S. , Joyce, M. (2006). The feasibility and applicability of the Australia (WASC-Y) model of suicide prevention/intervention for use in Nunavut. Nunavut, Canada: Centre of Excellence for Children and Adolescents with Special Needs. First citation in articleGoogle Scholar

  • Taylor, A. , Dal Grande, E. , Gill, T. , Fisher, L. , Goldney, R. (2007). Detecting determinants of suicide ideation: South Australian surveillance system results. International Journal of Public Health, 52(3), 142–152. First citation in articleCrossref MedlineGoogle Scholar

  • Thompson, S. J. , Gifford, S. M. , Thorpe, L. (2000). The social and cultural context of risk and prevention: Food and physical activity in an urban Aboriginal community. Health Education & Behavior, 27(6), 725–743. First citation in articleCrossref MedlineGoogle Scholar

  • University of Minnesota. (n.d.). Urban Indian Youth Health Survey (Indian youth resiliency impact study). Minneapolis, USA: School of Nursing. First citation in articleGoogle Scholar

  • University of Queensland. (n.d.). Don’t be shame if you play the game (Indigenous Health Program). Brisbane, Australia: University of Queensland. First citation in articleGoogle Scholar

  • Valtonen, H. M. , Suominen, K. , Sokero, P. , Mantere, O. , Arvilommi, P. , Leppamaki, S. , Isometsa, E. T. (2009). How suicide bipolar patients are depends on how suicidal ideation is defined. Journal of Affective Disorders, 118, 48–54. First citation in articleCrossref MedlineGoogle Scholar

  • Westerman, T. G. (2007). The Westerman Aboriginal Symptom Checklist – Youth Development. Perth, Australia: Indigenous Psychological Services. First citation in articleGoogle Scholar

  • Yuen, N. Y. C. , Nahulu, L. B. , Hishinuma, E. S. , Miyamoto, R. (2000). Cultural identification and attempted suicide in Native Hawaiian adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 39(3), 360–367. First citation in articleCrossref MedlineGoogle Scholar

  • Zubrick, S. R. , Silburn, S. R. , Lawrence, D. M. , Mitrou, F. G. , Dalby, R. B. , Blair, E. M. , … Li, J. (2005). The Western Australian Aboriginal Child Health Survey: The social and emotional wellbeing of Aboriginal children and young people. Perth, Australia: Curtin University of Technology and Telethon Institute for Child Health Research. First citation in articleGoogle Scholar