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Suicide Among Aboriginal People in Canada - Institut universitaire ...

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Appendix Bwere identified and recommendations generated. This report provides an exam<strong>in</strong>ation of these issues frombasic suicide data to specific factors affect<strong>in</strong>g First Nation and, based on this, presents recommendationsfor action. The recommendations fall <strong>in</strong>to four ma<strong>in</strong> themes: 1) <strong>in</strong>creas<strong>in</strong>g knowledge about what works<strong>in</strong> suicide prevention; 2) develop<strong>in</strong>g more effective and <strong>in</strong>tegrated health care services at national, regional,and local levels; 3) support<strong>in</strong>g community-driven approaches; and 4) creat<strong>in</strong>g strategies for build<strong>in</strong>g youthidentity, resilience, and culture. Available at: http://www.hc-sc.gc.ca/fnih-spni/pubs/suicide/prev_youthjeunes/<strong>in</strong>dex_e.htmlAssessment and Plann<strong>in</strong>g Tool Kit for <strong>Suicide</strong> Prevention <strong>in</strong> First Nations CommunitiesThe Assessment and Plann<strong>in</strong>g Tool Kit for <strong>Suicide</strong> Prevention <strong>in</strong> First Nations Communities was prepared <strong>in</strong>2005 for the First Nations Centre, National <strong>Aborig<strong>in</strong>al</strong> Health Organization. The tool kit was created asa framework for communities to use <strong>in</strong> determ<strong>in</strong><strong>in</strong>g and creat<strong>in</strong>g a suicide prevention plan. The kit, which<strong>in</strong>cludes research and <strong>in</strong>formation on suicide and suicide prevention recommendations, is a guide <strong>in</strong>tendedfor adaptation to the needs of each community. The tool kit is comprised of three phases:• Phase I: Pre-Assessment: Research and Information on <strong>Suicide</strong> and <strong>Suicide</strong> Prevention: <strong>in</strong>cludes<strong>in</strong>formation on understand<strong>in</strong>g suicidal behaviour among youth, <strong>in</strong>clud<strong>in</strong>g what might lead someoneto consider suicide and what the protective factors might be. This section of the tool kit also outl<strong>in</strong>esdifferent approaches to suicide prevention (prevention, <strong>in</strong>tervention, and postvention) and discussesthe importance of <strong>in</strong>volv<strong>in</strong>g all three <strong>in</strong> a prevention <strong>in</strong>itiative. A variety of prevention, <strong>in</strong>tervention,and postvention strategies are suggested. Phase I concludes by recommend<strong>in</strong>g how to develop and<strong>in</strong>corporate assessment, plann<strong>in</strong>g, and consultation <strong>in</strong>to a suicide prevention strategy.• Phase II: Community Assessment: expla<strong>in</strong>s how to gather <strong>in</strong>formation regard<strong>in</strong>g the communitypopulation and access to general programs and services. This section suggests compil<strong>in</strong>g <strong>in</strong>formationon community demographics, <strong>in</strong>frastructure, community health and social programs and services,community views and attitudes about suicide, community suicide itself, community responses tosuicide, community risk factors, other community factors, cultural cont<strong>in</strong>uity factors, and communitystrengths.• Phase III: Develop<strong>in</strong>g a Community Heal<strong>in</strong>g Plan: describes the process of plann<strong>in</strong>g community heal<strong>in</strong>gand suicide prevention through the use of local <strong>in</strong>itiatives, community members, and communityappropriatestrategies. Recommended steps <strong>in</strong>clude: analyz<strong>in</strong>g the community assessment done <strong>in</strong> PhaseII; identify<strong>in</strong>g exist<strong>in</strong>g community programs that may act <strong>in</strong> the capacity of primary prevention resources;identify<strong>in</strong>g exist<strong>in</strong>g programs that may act <strong>in</strong> the capacity of <strong>in</strong>tervention programs or secondaryprevention; identify<strong>in</strong>g exist<strong>in</strong>g programs that may act <strong>in</strong> the capacity of postvention programs; andidentify<strong>in</strong>g specific community strengths. The tool kit then provides numerous questions to help createa framework that may be used to help the community with its suicide prevention plann<strong>in</strong>g process. Thetool kit concludes by emphasiz<strong>in</strong>g the importance of evaluation and by provid<strong>in</strong>g <strong>in</strong>formation that willguide the community <strong>in</strong> develop<strong>in</strong>g an appropriate evaluation for their suicide prevention program.The appendices <strong>in</strong>clude common warn<strong>in</strong>g signs of suicide and key resources for the community to drawupon.Available at: http://www.naho.ca/firstnations/english/documents/NAHO_<strong>Suicide</strong>_Eng.pdf126

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