paradies-identifyingtheprevalance-2018.pdf (452.64 kB)
Identifying the prevalence and predictors of suicidal behaviours for indigenous males in custody
journal contribution
posted on 2018-10-04, 00:00 authored by Stephane M Shepherd, Benjamin Spivak, Kerry Arabena, Yin ParadiesYin ParadiesBACKGROUND: High rates of suicidal behaviours among Indigenous Australians have been documented. Justice-involved individuals are also at a higher risk for engaging in suicidal behaviours. This study sought to ascertain the prevalence and correlates of suicidal behaviours for 107 Indigenous adult males in custody in Victoria, Australia. METHODS: Participants undertook a structured interview comprising a psychiatric assessment. Information on suicidal behaviours (ideation and attempts), socio-demographics, environmental stressors, negative life events and mental health was obtained. RESULTS: A high proportion of Indigenous males in custody experienced lifetime suicidal ideation (63.7%) and over one-half had attempted suicide (54.5%). A smaller, yet significant number of participants experienced ideation over the past 12 months (27.9%). Having a loved one pass away within the past 12 months predicted recent ideation; lifetime ideation and a diagnosis of Post-Traumatic Stress Disorder predicted a lifetime suicide attempt. CONCLUSIONS: The prevalence of suicidal behaviours among Indigenous people in custody is remarkably high. Correlates of suicidal behaviours for Indigenous people in custody in this study likely manifest in the community, denoting an urgent public health response. Prevention must begin in communities at-risk for suicidal behaviours. The development of low intensity mental health service infrastructure in communities to promote awareness and provide accessible, least restrictive support and treatment is necessary. Correctional institutions must also continue to improve custodial suicide prevention and management initiatives.
History
Journal
BMC public healthVolume
18Issue
1Article number
1159Publisher
BioMed CentralLocation
London, Eng.Publisher DOI
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eISSN
1471-2458Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2018, The AuthorsUsage metrics
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Aboriginal and Torres Strait islander healthIndigenous populationMental illnessPrisonSuicideScience & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthRECENTLY RELEASED PRISONERSSEVERE MENTAL-ILLNESSAUSTRALIA PREVALENCENORTHERN-TERRITORYYOUNG OFFENDERSSELF-HARMRISKCOLONIZATIONVIOLENCEHEALTH
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