OBJECTIVES: We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. METHODS: Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents aged 12 to 17 years (n=1125) from 23 First Nations communities in Manitoba. We used bivariate logistic regression analyses to examine the relationships between a range of factors and lifetime suicidality. We conducted sex-by-correlate interactions for each significant correlate at the bivariate level. A multivariate logistic regression analysis identified those correlates most strongly related to suicidality. RESULTS: We found several variables to be associated with an increased likelihood of suicidality in the multivariate model, including being female, depressed mood, abuse or fear of abuse, a hospital stay, and substance use (adjusted odds ratio range=2.43-11.73). Perceived community caring was protective against suicidality (adjusted odds ratio=0.93; 95% confidence interval=0.88, 0.97) in the same model. CONCLUSIONS: Results of this study may be important in informing First Nations and government policy related to the implementation of suicide prevention strategies in First Nations communities.
OBJECTIVES: We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. METHODS: Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents aged 12 to 17 years (n=1125) from 23 First Nations communities in Manitoba. We used bivariate logistic regression analyses to examine the relationships between a range of factors and lifetime suicidality. We conducted sex-by-correlate interactions for each significant correlate at the bivariate level. A multivariate logistic regression analysis identified those correlates most strongly related to suicidality. RESULTS: We found several variables to be associated with an increased likelihood of suicidality in the multivariate model, including being female, depressed mood, abuse or fear of abuse, a hospital stay, and substance use (adjusted odds ratio range=2.43-11.73). Perceived community caring was protective against suicidality (adjusted odds ratio=0.93; 95% confidence interval=0.88, 0.97) in the same model. CONCLUSIONS: Results of this study may be important in informing First Nations and government policy related to the implementation of suicide prevention strategies in First Nations communities.
Authors: Lisa Wexler; Michael Chandler; Joseph P Gone; Mary Cwik; Laurence J Kirmayer; Teresa LaFromboise; Teresa Brockie; Victoria O'Keefe; John Walkup; James Allen Journal: Am J Public Health Date: 2015-03-19 Impact factor: 9.308
Authors: Janique Fortier; Mariette Chartier; Sarah Turner; Nora Murdock; Frank Turner; Jitender Sareen; Tracie O Afifi; Laurence Y Katz; Marni Brownell; James Bolton; Brenda Elias; Corinne Isaak; Roberta Woodgate; Depeng Jiang Journal: BMJ Open Date: 2018-02-15 Impact factor: 2.692