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Culturally responsive suicide prevention in indigenous communities: Unexamined assumptions and new possibilities

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  • Wexler, L.M.
  • Gone, J.P.

Abstract

Indigenous communities have significantly higher rates of suicide than non- Native communities in North America. Prevention and intervention efforts have failed to redress this disparity. One explanation is that these efforts are culturally incongruent for Native communities. Four prevalent assumptions that underpin professional suicide prevention may conflict with local indigenous understandings about suicide. Our experiences in indigenous communities led us to question assumptions that are routinely endorsed and promoted in suicide prevention programs and interventions. By raising questions about the universal relevance of these assumptions, we hope to stimulate exchange and inquiry into the character of this devastating public health challenge and to aid the development of culturally appropriate interventions in cross-cultural contexts.

Suggested Citation

  • Wexler, L.M. & Gone, J.P., 2012. "Culturally responsive suicide prevention in indigenous communities: Unexamined assumptions and new possibilities," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 800-806.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300432_8
    DOI: 10.2105/AJPH.2011.300432
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    Cited by:

    1. Luiza Cesar Riani Costa & Jennifer White, 2024. "Making Sense of Critical Suicide Studies: Metaphors, Tensions, and Futurities," Social Sciences, MDPI, vol. 13(4), pages 1-20, March.
    2. Wolsko, Christopher & Marino, Elizabeth & Keys, Susan, 2020. "Affirming cultural values for health: The case of firearm restriction in suicide prevention," Social Science & Medicine, Elsevier, vol. 248(C).
    3. William Affleck & Eduardo Chachamovich & Nadia Chawky & Guy Beauchamp & Gustavo Turecki & Monique Séguin, 2020. "Suicide amongst the Inuit of Nunavut: An Exploration of Life Trajectories," IJERPH, MDPI, vol. 17(6), pages 1-11, March.
    4. Jennifer L. Shaw & Julie A. Beans & Katherine Anne Comtois & Vanessa Y. Hiratsuka, 2019. "Lived Experiences of Suicide Risk and Resilience among Alaska Native and American Indian People," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    5. Viviane Josewski & Sarah de Leeuw & Margo Greenwood, 2023. "Grounding Wellness: Coloniality, Placeism, Land, and a Critique of “Social” Determinants of Indigenous Mental Health in the Canadian Context," IJERPH, MDPI, vol. 20(5), pages 1-23, February.
    6. Lisa N. Sharwood & Alison L. Calear & Philip J. Batterham & Michelle Torok & Lauren McGillivray & Demee Rheinberger & Stephanie Zeritis & Tuguy Esgin & Fiona Shand, 2023. "Exploring Sociodemographic Correlates of Suicide Stigma in Australia: Baseline Cross-Sectional Survey Findings from the Life-Span Suicide Prevention Trial Studies," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    7. Amanda Lechner & Michael Cavanaugh & Crystal Blyler, "undated". "Addressing Trauma in American Indian and Alaska Native Youth," Mathematica Policy Research Reports ed815a4a1c7946609f2fe6ede, Mathematica Policy Research.
    8. Meenakshi Richardson & Sara F. Waters, 2023. "Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies," IJERPH, MDPI, vol. 20(22), pages 1-19, November.
    9. Véronique Beaudoin & Monique Séguin & Nadia Chawky & William Affleck & Eduardo Chachamovich & Gustavo Turecki, 2018. "Protective Factors in the Inuit Population of Nunavut: A Comparative Study of People Who Died by Suicide, People Who Attempted Suicide, and People Who Never Attempted Suicide," IJERPH, MDPI, vol. 15(1), pages 1-15, January.

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