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Title: The need for a culturally-tailored gatekeeper training intervention program in preventing suicide among Indigenous peoples: a systematic review
Contributor(s): Nasir, Bushra Farah (author); Hides, Leanne (author); Kisely, Steve (author); Ranmuthugala, Geetha  (author)orcid ; Nicholson, Geoffrey C (author); Black, Emma (author); Gill, Neeraj (author); Kondalsamy-Chennakesavan, Srinivas (author); Toombs, Maree (author)
Publication Date: 2016
Open Access: Yes
DOI: 10.1186/s12888-016-1059-3Open Access Link
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Abstract: Background: Suicide is a leading cause of death among Indigenous youth worldwide. The aim of this literature review was to determine the cultural appropriateness and identify evidence for the effectiveness of current gatekeeper suicide prevention training programs within the international Indigenous community. Method: Using a systematic strategy, relevant databases and targeted resources were searched using the following terms: 'suicide', 'gatekeeper', 'training', 'suicide prevention training', 'suicide intervention training' and 'Indigenous'. Other internationally relevant descriptors for the keyword "Indigenous" (e.g. "Maori", "First Nations", "Native American", "Inuit", "Metis" and "Aboriginal") were also used. Results: Six articles, comprising five studies, met criteria for inclusion; two Australian, two from USA and one Canadian. While pre and post follow up studies reported positive outcomes, this was not confirmed in the single randomised controlled trial identified. However, the randomised controlled trial may have been underpowered and contained participants who were at higher risk of suicide pre-training. Conclusion: Uncontrolled evidence suggests that gatekeeper training may be a promising suicide intervention in Indigenous communities but needs to be culturally tailored to the target population. Further RCT evidence is required.
Publication Type: Journal Article
Source of Publication: BMC Psychiatry, v.16, p. 1-7
Publisher: BioMed Central Ltd
Place of Publication: United Kingdom
ISSN: 1471-244X
Fields of Research (FoR) 2008: 111701 Aboriginal and Torres Strait Islander Health
111717 Primary Health Care
111714 Mental Health
Fields of Research (FoR) 2020: 420319 Primary health care
Socio-Economic Objective (SEO) 2008: 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes
970111 Expanding Knowledge in the Medical and Health Sciences
920209 Mental Health Services
Socio-Economic Objective (SEO) 2020: 200305 Mental health services
210302 Aboriginal and Torres Strait Islander health status and outcomes
280114 Expanding knowledge in Indigenous studies
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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