Appendix ADay 1 and 2: ASIST-Applied <strong>Suicide</strong> Intervention Skills Tra<strong>in</strong><strong>in</strong>g. The first two days are spent <strong>in</strong> theLiv<strong>in</strong>gWorks/SPTP ASIST tra<strong>in</strong><strong>in</strong>g. Participants learn to recognize and assess suicidal behaviour as wellas how to undertake the short-term management of a crisis situation.Day 3: Critical Incident Stress Debrief<strong>in</strong>g (CISD). This component of the workshop is grounded <strong>in</strong> the beliefthat caregivers work<strong>in</strong>g on the front l<strong>in</strong>e need to have a system that allows them to deal successfully with thestress of their job. Burnout, identify<strong>in</strong>g stressors, and strategies for deal<strong>in</strong>g with stress are discussed.Cultural Awareness and Traditions. In some communities, there are requests for a local Elder to come andtalk about local traditions, culture, and the <strong>Aborig<strong>in</strong>al</strong> view of life, death, suicide, and griev<strong>in</strong>g.Day 4: Talk<strong>in</strong>g Circle. It is important to understand how life experiences impact the ability to be an effectivecaregiver. The full-day talk<strong>in</strong>g circle gives participants the opportunity to explore their own feel<strong>in</strong>gs andfears about suicide <strong>in</strong> a very safe and supportive environment.Day 5: Development of a <strong>Suicide</strong> Prevention Strategy. It is essential that communities develop practicalstrategies to address their high rate of suicide behaviour. This segment <strong>in</strong>troduces the concept of communitydevelopment, and encourages groups to exam<strong>in</strong>e gaps <strong>in</strong> services and to develop a realistic plan for suicide<strong>in</strong>tervention/prevention.The workshop was evaluated by an outside source <strong>in</strong> 2000. The evaluation was designed to meet thediverse needs of <strong>Aborig<strong>in</strong>al</strong> communities. It took place <strong>in</strong> three communities that had previously hostedthe workshop. The evaluation <strong>in</strong>volved a shar<strong>in</strong>g circle <strong>in</strong> which community members were asked to discussspecific questions regard<strong>in</strong>g suicide and suicide prevention and how these related to the workshop andtheir communities. The discourse of the participants was tape recorded, transcribed, and analyzed throughcontent analysis, thus allow<strong>in</strong>g the voices of the community to speak to the effectiveness of the workshop.Summative results <strong>in</strong>dicated that the workshop goals were well met. Formative results <strong>in</strong>dicated that therewas a need for more content <strong>in</strong>volv<strong>in</strong>g youth and suggested an additional prevention program for youth.The evaluation is available on request from the Centre for <strong>Suicide</strong> Prevention.White Stone: <strong>Aborig<strong>in</strong>al</strong> Youth <strong>Suicide</strong> Prevention Tra<strong>in</strong><strong>in</strong>g for Youth EducatorsWhite Stone was developed <strong>in</strong> partnership between the RCMP National <strong>Aborig<strong>in</strong>al</strong> Polic<strong>in</strong>g Servicesand <strong>Suicide</strong> Prevention Tra<strong>in</strong><strong>in</strong>g Programs (SPTP) <strong>in</strong> response to <strong>Aborig<strong>in</strong>al</strong> community requests for aprevention program <strong>in</strong>volv<strong>in</strong>g youth. <strong>Suicide</strong> Prevention Tra<strong>in</strong><strong>in</strong>g Programs is a branch of the Centre for<strong>Suicide</strong> Prevention, a non-profit organization dedicated to provid<strong>in</strong>g <strong>in</strong>formation, research, and tra<strong>in</strong><strong>in</strong>gregard<strong>in</strong>g suicide prevention.The purpose of White Stone is to tra<strong>in</strong> participants to deliver education sessions to youth <strong>in</strong> their community.Participants are <strong>Aborig<strong>in</strong>al</strong> and Inuit youth 18–25 years of age who have been identified as leaders bytheir community and community-based service providers (youth worker, teacher, nurse, police, etc.). Whenthey return to their community they work <strong>in</strong> partnership to offer Youth Education Sessions. The YouthEducation Sessions are <strong>in</strong>tended to be presented to youth over the age of 16 who are not actively at riskof suicide. The curriculum <strong>in</strong>cludes suicide prevention and may <strong>in</strong>corporate self-esteem, problem-solv<strong>in</strong>g,goal-sett<strong>in</strong>g, communication, and cop<strong>in</strong>g skills.115
Appendix AThe Tra<strong>in</strong><strong>in</strong>g for Youth Educators was field tested <strong>in</strong> 2000 to 2001 <strong>in</strong> four locations <strong>in</strong> <strong>Canada</strong> to a totalof 85 participants from 24 communities. An <strong>in</strong>formal evaluation based upon participant feedback, tra<strong>in</strong><strong>in</strong>gteam experience, debrief<strong>in</strong>g, and reflection is ongo<strong>in</strong>g. A rigorous evaluation process was completed <strong>in</strong> 2004by an external evaluator us<strong>in</strong>g surveys, telephone and <strong>in</strong>-person <strong>in</strong>terviews, and document review. Theevaluation (available on request from the Centre for <strong>Suicide</strong> Prevention) <strong>in</strong>dicates that White Stone has apositive impact on its participants and communities. Recommendations are made for cont<strong>in</strong>ued fund<strong>in</strong>g,follow-up, and <strong>in</strong>creased front-end support for communities who br<strong>in</strong>g <strong>in</strong> White Stone.White Stone participants have access to a members-only website to provide them with ongo<strong>in</strong>g support,resources, and onl<strong>in</strong>e community. Participants are able to email questions to White Stone tra<strong>in</strong>ers, share<strong>in</strong>formation, and access additional resources provided by <strong>Suicide</strong> Prevention Tra<strong>in</strong><strong>in</strong>g Programs. Thepurpose of the Tra<strong>in</strong><strong>in</strong>g for Youth Educators component is to tra<strong>in</strong> participants to be a resource to theircommunity. The primary way for participants to be a resource is to present education sessions to youth <strong>in</strong>their community. The Youth Education Sessions are <strong>in</strong>tended to be presented to youth over the age of 16who are not known to be actively at risk of suicide. The sessions are designed to be flexible and responsiveto local needs. The sessions have a life skills development focus and it is expected they will be offered as partof a larger community suicide prevention strategy. The curriculum <strong>in</strong>cludes suicide prevention and may<strong>in</strong>corporate self-esteem, problem-solv<strong>in</strong>g, goal-sett<strong>in</strong>g, communication, and cop<strong>in</strong>g skills. Elders provideopen<strong>in</strong>g and clos<strong>in</strong>g ceremonies for the workshops when applicable. In some communities there is a requestfor a local Elder to come and talk about local traditions, culture, and the <strong>Aborig<strong>in</strong>al</strong> view of life, death,suicide, and griev<strong>in</strong>g.An example of the White Stone program <strong>in</strong> use is the New Brunswick First Nation <strong>Suicide</strong> PreventionTask Force Work Plan. The <strong>Aborig<strong>in</strong>al</strong> New Brunswick task force is comprised of approximately 12 peoplefrom 10 different First Nation communities <strong>in</strong> New Brunswick. Their objective is to:1) provide tra<strong>in</strong><strong>in</strong>g activities and establish a support network for front l<strong>in</strong>e workers and caregivers;2) sensitize the outside world to the unique issues of First Nation people of New Brunswick;3) act as a public relations board; and4) distribute <strong>in</strong>formation about suicide prevention and First Nation people of New Brunswick.The task force works with prov<strong>in</strong>cial organizations such as the New Brunswick Division of the CanadianMental Health Association and the RCMP. Tra<strong>in</strong><strong>in</strong>g programs are offered to the youth of all First Nationcommunities <strong>in</strong> New Brunswick. Recently, the task force organized a White Stone 5-day tra<strong>in</strong><strong>in</strong>g program.Community-Based <strong>Suicide</strong> Prevention Program (CBSPP)The CBSPP is a state-funded program adm<strong>in</strong>istered <strong>in</strong> participat<strong>in</strong>g communities across Alaska by theDivision of Alcoholism and Drug Abuse (ADA) of the Department of Health and Social Services that hasbeen runn<strong>in</strong>g s<strong>in</strong>ce 1988. The purpose of the program is to reduce suicide and self-destructive behaviourwhile encourag<strong>in</strong>g productive and healthy alternatives. Currently, funds are adm<strong>in</strong>istered by the Divisionof Alcoholism and Drug Abuse (ADA) <strong>in</strong> the form of grants averag<strong>in</strong>g approximately US$11,000. Grantsare awarded to organizations with<strong>in</strong> Alaskan villages, which design projects to meet the needs of their owncommunity. While projects must fit with<strong>in</strong> specific constra<strong>in</strong>ts determ<strong>in</strong>ed by the state, the function ofthe state rema<strong>in</strong>s adm<strong>in</strong>istrative, and it is the members of the villages themselves who design and run theprojects. Although changes have been made recently to the grant-writ<strong>in</strong>g and implementation process, <strong>in</strong>116
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Suicide Among Aboriginal Peoplein C
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Aboriginal Healing Foundation75 Alb
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Table of ContentsPreface...........
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Table of ContentsCultural and Lingu
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PrefaceThis report was prepared und
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GlossaryAmbivalence - Ambivalence r
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GlossaryParasuicide - Any acute, in
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Chapter 1IntroductionWhen I was 14
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Chapter 1Definitions of Suicide and
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Chapter 1Methods of Studying Suicid
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Chapter 1suicide attempts (Marttune
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Chapter 1A central problem for cros
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Chapter 2The Epidemiology of Suicid
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Chapter 2the economic status of Abo
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Chapter 2No study to date has syste
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Chapter 2Despite the overall patter
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Chapter 2Figure 2-6) Average Annual
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Chapter 2are only a portion of thos
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Chapter 2Figure 2-9) Suicide Rates
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Chapter 2Indeed, the rising rate of
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Chapter 2Figure 2-11) Number of Dea
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Chapter 2Rate per 100,000 populatio
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Chapter 2There are only a handful o
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Chapter 3Origins of Suicide: Indivi
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Chapter 3Anxiety disorders also car
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Chapter 3Many of the factors associ
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Chapter 3American Indians compared
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Chapter 3genetic and constitutional
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Chapter 3Single-parent families are
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Chapter 3Hopelessness, Problem Solv
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Chapter 3higher rates of suicidal b
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Chapter 3Physical EnvironmentSuicid
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Chapter 31990; Chandler, 1994). Thi
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Chapter 3Risk FactorsDepressionSubs
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Chapter 4Origins of Suicide: Social
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Chapter 4Reserves, Settlements, and
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Chapter 4Traditionalism versus accu
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Chapter 4are equivalent in seriousn
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Chapter 4society (Levy and Kunitz,
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- Page 149 and 150: References——— (1987). Unravel
- Page 151 and 152: ReferencesBeck, A.T., R.A. Steer, M
- Page 153 and 154: ReferencesBrent, D.A., J.A. Perper,
- Page 155 and 156: References——— (1995). The Pro
- Page 157 and 158: ReferencesDevereux, G. (1961). Moha
- Page 159 and 160: References——— (2005b). In wha
- Page 161 and 162: ReferencesGardiner, H. and B. Gaida
- Page 163 and 164: ReferencesGuo, B. and C. Harstall (
- Page 165 and 166: ReferencesHoberman, H.M. and B.D. G
- Page 167 and 168: ReferencesJong, M. (2004). Managing
- Page 169 and 170: ReferencesKouri, R. (2003). Persona
- Page 171 and 172: References——— (1997). Suicide
- Page 173 and 174: ReferencesMatheson, L. (1996). The
- Page 175 and 176: ReferencesNeimeyer, R.A., B. Fortne
- Page 177 and 178: ReferencesPirkis, J.E., C.E. Irwin,
- Page 179 and 180: ReferencesRutz, W. (2001). Preventi
- Page 181 and 182: References——— (1992). Marriag
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ReferencesTrimble, J. and B. Medici
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ReferencesWebb, J.P. and W. Willard