Chapter 2There are only a handful of studies report<strong>in</strong>g the methods used by <strong>Aborig<strong>in</strong>al</strong> people who die by suicide. Areport on un<strong>in</strong>tentional and <strong>in</strong>tentional <strong>in</strong>jury amongst First Nation people of <strong>Canada</strong> (Health <strong>Canada</strong>,2001) found that, from the period of 1991 to 1993, the most common method of suicide was hang<strong>in</strong>g.Hang<strong>in</strong>g accounted for almost half of all deaths <strong>in</strong> First Nation males (49.2%) and females (45.8%),followed by firearms <strong>in</strong> males (35.3%) and drug overdose (30%) <strong>in</strong> females. This pattern held true <strong>in</strong>an exam<strong>in</strong>ation of the general population <strong>in</strong> the Northwest Territories and Nunavut for the period of1982 to 1996 where there was an <strong>in</strong>crease <strong>in</strong> the rate of suicide by hang<strong>in</strong>g, while rates of other methodsdecl<strong>in</strong>ed slightly. Hang<strong>in</strong>g replaced gunshot wounds as the most common method chosen; among theInuit <strong>in</strong> this study who had died by suicide, 68 per cent died by hang<strong>in</strong>g and 29 per cent died by gunshotwound (Isaacs et al., 1998). Support<strong>in</strong>g this trend further, a study of suicide <strong>in</strong> Manitoba revealed similarf<strong>in</strong>d<strong>in</strong>gs, <strong>in</strong>dicat<strong>in</strong>g that the method used <strong>in</strong> more than 50 per cent of all suicides amongst <strong>Aborig<strong>in</strong>al</strong>people <strong>in</strong> Manitoba from 1988 to 1994 was hang<strong>in</strong>g or asphyxiation (Malchy et al., 1997). This methodwas the most common on- or off-reserve, and was much less common amongst non-<strong>Aborig<strong>in</strong>al</strong> people.The authors <strong>in</strong>dicated that earlier studies conducted <strong>in</strong> Manitoba found firearms to be the most commonmethod used by <strong>Aborig<strong>in</strong>al</strong> people, <strong>in</strong>dicat<strong>in</strong>g a recent <strong>in</strong>crease <strong>in</strong> hang<strong>in</strong>g (Malchy et al., 1997). In astudy of suicide among the Inuit of northern Quebec from 1982 to 1996, 54.9 per cent of those <strong>in</strong>cluded<strong>in</strong> the study died by hang<strong>in</strong>g, while 29.6 per cent shot themselves. Other methods <strong>in</strong>cluded carbonmonoxide poison<strong>in</strong>g and drown<strong>in</strong>g. For approximately 11.3 per cent of the <strong>in</strong>dividuals <strong>in</strong>cluded <strong>in</strong> thestudy the method was unspecified (Boothroyd et al., 2001).Alcohol use may <strong>in</strong>teract with the method chosen—suicide victims who use firearms are more likely tohave been dr<strong>in</strong>k<strong>in</strong>g (Brent, Perper, and Allman, 1987). In one study among Alaska Natives, 76 per centof suicides were due to gunshot wounds, and suicide by firearms was associated with elevated bloodalcohol levels (Hlady and Middaugh, 1988). A study of alcohol and suicide death amongst AmericanIndians of New Mexico from 1980 to 1998 detected alcohol <strong>in</strong> 69 per cent of completed suicides, over90 per cent of whom had a blood alcohol level that <strong>in</strong>dicated <strong>in</strong>toxication (May et al., 2002). Alcohol useprior to suicide was more common for men than for women and was less common among those who diedby overdose or who were us<strong>in</strong>g other drugs at the time of the suicide.SummaryAt present, about 4,000 people <strong>in</strong> <strong>Canada</strong> per year die by suicide, of whom between 6 to 10 per centare <strong>Aborig<strong>in</strong>al</strong>. Epidemiological <strong>in</strong>formation on suicide among <strong>Aborig<strong>in</strong>al</strong> populations <strong>in</strong> <strong>Canada</strong>rema<strong>in</strong> limited. While Health <strong>Canada</strong> and Statistics <strong>Canada</strong> have collated <strong>in</strong>formation on deaths bysuicide for periods up to 1993, only limited data are readily available for more recent periods. Basicdata on rates of suicide among non-status Indians and Métis are not available. Few data on attemptedsuicide are available for any <strong>Aborig<strong>in</strong>al</strong> group. Access to data is affected by concerns over ownership andautonomy. The development of the First Nations Regional Longitud<strong>in</strong>al Health Surveys by the National<strong>Aborig<strong>in</strong>al</strong> Health Organization and the Assembly of First Nations promises to provide better qualityand systematic <strong>in</strong>formation that will be under <strong>Aborig<strong>in</strong>al</strong> control.In recent decades, suicide rates among <strong>Aborig<strong>in</strong>al</strong> people <strong>in</strong> <strong>Canada</strong> have averaged more than three timesthe rate of the general population. <strong>Suicide</strong> occurs much more commonly among the young than theelderly, and the rates among the young <strong>in</strong> many communities are cont<strong>in</strong>u<strong>in</strong>g to rise. Although the genderdifference is smaller than among the non-<strong>Aborig<strong>in</strong>al</strong> population, males are more likely to die by suicide,while females make attempts more often. <strong>Suicide</strong>s most often occur <strong>in</strong> association with heavy alcohol31
Chapter 2consumption, and are carried out by highly lethal means (hang<strong>in</strong>g and firearms). There are wide regionalvariations <strong>in</strong> suicide rate. Compared to the general population, suicide <strong>in</strong> <strong>Aborig<strong>in</strong>al</strong> adolescents may bemore likely to occur <strong>in</strong> clusters.While suicide clusters command most of the attention of media and observers, this obscures the factthat some communities have lower than average rates while others have higher rates. As discussed atlength <strong>in</strong> Chapter 4 of this report, the wide variation <strong>in</strong> rates across communities provides importantclues to the orig<strong>in</strong>s of suicide for <strong>Aborig<strong>in</strong>al</strong> youth. Analysis of these regional and community differencesmight help uncover specific problem areas and successful strategies for prevent<strong>in</strong>g suicide <strong>in</strong> <strong>Aborig<strong>in</strong>al</strong>communities.<strong>Suicide</strong> is just one <strong>in</strong>dicator of distress <strong>in</strong> communities. For every suicide there may be many morepeople suffer<strong>in</strong>g from depression, anxiety, and other feel<strong>in</strong>gs of entrapment, powerlessness, and despair.At the same time, every suicide has a wide impact affect<strong>in</strong>g many people—family, loved ones, and peerswho f<strong>in</strong>d echoes of their own predicament, and who sometimes may be prompted to consider suicidethemselves <strong>in</strong> response to the event. The circle of loss, grief, and mourn<strong>in</strong>g after suicide spreads outward<strong>in</strong> the community. In small <strong>Aborig<strong>in</strong>al</strong> communities where many people are related, and where manypeople face similar histories of personal and collective adversity, the impact of suicide may be especiallywidespread and severe.32
- Page 1 and 2: Suicide Among Aboriginal Peoplein C
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- Page 6 and 7: Table of ContentsPreface...........
- Page 8 and 9: Table of ContentsCultural and Lingu
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- Page 14 and 15: GlossaryAmbivalence - Ambivalence r
- Page 16 and 17: GlossaryParasuicide - Any acute, in
- Page 18 and 19: Chapter 1IntroductionWhen I was 14
- Page 20 and 21: Chapter 1Definitions of Suicide and
- Page 22 and 23: Chapter 1Methods of Studying Suicid
- Page 24 and 25: Chapter 1suicide attempts (Marttune
- Page 26 and 27: Chapter 1A central problem for cros
- Page 28 and 29: Chapter 2The Epidemiology of Suicid
- Page 30 and 31: Chapter 2the economic status of Abo
- Page 32 and 33: Chapter 2No study to date has syste
- Page 34 and 35: Chapter 2Despite the overall patter
- Page 36 and 37: Chapter 2Figure 2-6) Average Annual
- Page 38 and 39: Chapter 2are only a portion of thos
- Page 40 and 41: Chapter 2Figure 2-9) Suicide Rates
- Page 42 and 43: Chapter 2Indeed, the rising rate of
- Page 44 and 45: Chapter 2Figure 2-11) Number of Dea
- Page 46 and 47: Chapter 2Rate per 100,000 populatio
- Page 50 and 51: Chapter 3Origins of Suicide: Indivi
- Page 52 and 53: Chapter 3Anxiety disorders also car
- Page 54 and 55: Chapter 3Many of the factors associ
- Page 56 and 57: Chapter 3American Indians compared
- Page 58 and 59: Chapter 3genetic and constitutional
- Page 60 and 61: Chapter 3Single-parent families are
- Page 62 and 63: Chapter 3Hopelessness, Problem Solv
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- Page 66 and 67: Chapter 3Physical EnvironmentSuicid
- Page 68 and 69: Chapter 31990; Chandler, 1994). Thi
- Page 70 and 71: Chapter 3Risk FactorsDepressionSubs
- Page 72 and 73: Chapter 4Origins of Suicide: Social
- Page 74 and 75: Chapter 4Reserves, Settlements, and
- Page 76 and 77: Chapter 4Traditionalism versus accu
- Page 78 and 79: Chapter 4are equivalent in seriousn
- Page 80 and 81: Chapter 4society (Levy and Kunitz,
- Page 82 and 83: Chapter 4those of mother and homema
- Page 84 and 85: Chapter 4Duncan Campbell Scott, Dep
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- Page 88 and 89: Chapter 4Feehan, 1996; Grant, 1996;
- Page 90 and 91: Chapter 4The Child Welfare System a
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- Page 94 and 95: Chapter 4had extremely high rates.
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Chapter 5What Works in Suicide Prev
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Chapter 5Table 5-1) Strategies of I
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Chapter 5Effective Suicide Preventi
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Chapter 5closet rods that give way
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Chapter 5The American Indian Life S
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Chapter 51) school-based and commun
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Chapter 5reduce suicides that follo
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Chapter 5Although they may visit a
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Chapter 6Conclusion: Understanding
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Chapter 6Figure 6-1) An Integrative
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Chapter 6in large urban settings th
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Chapter 6there’s like a program s
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Chapter 6Figure 6-2) Levels of Inte
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Chapter 6Planning and CoordinationA
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Chapter 62) The response to the cri
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Chapter 6Often, suicide is a respon
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Appendix AASIST participants receiv
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Appendix AThe Training for Youth Ed
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Appendix AThe program has continued
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Appendix Awith the creation and imp
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Appendix AContact Information for R
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Appendix BAdditional Resources: Man
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Appendix BAboriginal Healing and We
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Appendix CNational Aboriginal Healt
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References——— (1987). Unravel
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ReferencesBeck, A.T., R.A. Steer, M
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ReferencesBrent, D.A., J.A. Perper,
- Page 155 and 156:
References——— (1995). The Pro
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ReferencesDevereux, G. (1961). Moha
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References——— (2005b). In wha
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ReferencesGardiner, H. and B. Gaida
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ReferencesGuo, B. and C. Harstall (
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ReferencesHoberman, H.M. and B.D. G
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ReferencesJong, M. (2004). Managing
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ReferencesKouri, R. (2003). Persona
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References——— (1997). Suicide
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ReferencesMatheson, L. (1996). The
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ReferencesNeimeyer, R.A., B. Fortne
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ReferencesPirkis, J.E., C.E. Irwin,
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ReferencesRutz, W. (2001). Preventi
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References——— (1992). Marriag
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ReferencesTrimble, J. and B. Medici
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