NACCHO Aboriginal Health and #SuicidePrevention @cbpatsisp The #WISPC18 #NISPC18Conference Report, released this week, confirms the urgent need for action in colonised countries throughout the world

Our people know the solutions, as is evidenced in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP), Solutions that work: What the evidence and our people tell us along with countless other reports and bodies of work. It’s time for all parties to work together, and with us on co-designing and implementing clinically proven culturally driven solutions.”

Professor Pat Dudgeon, a Psychologist and Project Director at the Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP), has found intergenerational trauma and suicide to be a legacy of colonisation for Indigenous peoples the world over.

Download the Report

SuicidePreventionReport_JUNE-2019_FINAL_WEB

Read over 140 Aboriginal Health and SUicide Prevention articles published by NACCHO in past 7 years 

Indigenous suicide is a global concern. The 2nd National and World Indigenous Suicide Prevention Conferences in Perth WA in November 2018 brought together Indigenous peoples from Australia, Canada, United States of America and New Zealand. The Conference Report, released today, confirms the urgent need for action in colonised countries throughout the world.

Suicide rates have been increasing worldwide and are especially high amongst Indigenous peoples. The critical importance of identifying and implementing effective suicide prevention strategies in Indigenous communities was highlighted by a report Global Overview: Indigenous Suicide Rates. Prepared for and launched at the Conferences, the report details the consistently higher rates of suicide amongst Indigenous compared to non-Indigenous people and demonstrates the urgency for action.

Indigenous Elders, policy makers, researchers and community members representing LGBTIQ+SB, Youth, and Lived Experience participants came together at the Conferences to recognise the impacts of colonisation and subsequent trauma, disadvantage, marginalisation and lack of action by government on Indigenous issues and the need for healing and recovery processes for suicide prevention.

Professor Pat Dudgeon, a Psychologist and Project Director at the Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP), has found intergenerational trauma and suicide to be a legacy of colonisation for Indigenous peoples the world over.

There’s an emerging story about people who have been colonised. Usually the takeover of their lands has been quite brutal. There were genocides and people removed from country and treated like second-class citizens, which in itself is traumatic.

Professor Dudgeon cited the work of psychologists Professor Michael Chandler and Professor Christopher Lalonde as pointing a way forward in preventing suicide in Aboriginal and Torres Strait Islander communities.

They looked at Canadian First Nation tribes and found that some communities had no suicide and others were right off the scale. So they examined the communities that had no or low suicide rates and coined the term ‘cultural continuity’. Translated into plain English, those communities had good self-determination. They had their own councils, they were in charge, they had agency over their community and their lives.

Another factor was that they were doing cultural reclamation activities. These could be simple things like building a long house or ensuring you had your cultural ceremonies happening. These issues corresponded directly to suicide rates.

Recovery from colonisation is our globally shared agenda and the conference enabled delegates to examine issues and identify solutions that are needed. Indigenous peoples from all countries who attended the conferences are calling upon their respective governments to recognise the Indigenous Rights declaration, the right to self-determination and the right for data sovereignty.

Recommendations included a dedicated National Aboriginal and Torres Strait Islander Suicide Prevention Strategy and Implementation Plan; allocation of greater levels of program funds for Aboriginal and Torres Strait Islander communities; and an Elders call on all levels of government for an immediate response to unacceptable rates of suicides of young people, including a Royal Commission or ‘Truth and Reconciliation’ as the basis for healing and moving forward, programs and services to recognise and support the restoration and maintenance of culture and identity for the younger generation.

As Professor Dudgeon says:

Our people know the solutions, as is evidenced in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP), Solutions that work: What the evidence and our people tell us along with countless other reports and bodies of work. It’s time for all parties to work together, and with us on co-designing and implementing clinically proven culturally driven solutions.

The next Conference will continue the legacy of the Calls to Actions and Recommendations. Ms Carla Cochrane who is the Regional Research Coordinator for the First Nations Health and Social Secretariat of Manitoba is coordinating and planning the 3rd World Suicide Prevention Suicide Prevention Conference that will take place in Winnipeg, Manitoba, Canada in August 2020.

Ms Cochrane stated:

The 2018 Conference allowed us to share our stories and to connect on all levels, including spirit, with the promotion of life.  Even though we come from different regions, our experiences and history are very similar and so is our strength, perseverance and resiliency to overcome the challenges we may face. Our connection to who we are as Indigenous people, our connection to the land and our languages set this foundation and this was highlighted at the conference.

Our focus at the 2020 Conference will be on continuing the legacy of the Calls to Actions and Recommendations from the 2018 Conference and on strengthening our communities through sharing our stories and our Knowledge.

  • Lifeline: 131 114
  • Kids Helpline: 1800 551 800
  • Mensline: 1300 78 99 78
  • Suicide Call Back Service 1300 659 467
  • Open Arms Veterans and Families Counselling 1800 011 046
  • Qlife – 1800 184 527
  • National Indigenous Critical Response Service 1800 805 801

NACCHO Aboriginal Health and #SuicidePrevention News Alerts : #Closethegap : #NACCHO and @TheRACP Peak Health bodies call for Prime Minister and state and territory leaders to declare Aboriginal youth #suicide crisis an urgent national health priority

The recent Aboriginal youth suicides represent a national emergency that demands immediate attention.

Aboriginal community controlled health services need to be properly resourced to ensure our children are having regular health checks and to develop community led solutions.’

NACCHO CEO, Ms Patricia Turner : See NACCHO RACP press release : see Part 1 below

See all 130 + NACCHO Aboriginal Health and Suicide Prevention articles published over last 7 years 

“Funded programs are not required to demonstrate a measurable reduction in suicide and mental health risk factors, which is staggering,

We just aren’t demanding that basic level of accountability

The first priority must be analyses of suicide mortality data to identify the causal pathways,  

Suicide risk is the most complex thing to assess and monitor … communities are crying out for specialist assistance and just not getting it. “Children as young as 10 are dying by suicide … this is no longer an Aboriginal issue, it’s a national one,

Indigenous psychologist Adjunct Professor Tracy Westerman said Australia had failed to collect crucial evidence to determine what intervention strategies work. See Part 2 below 

 ” Community driven action plans to prevent suicide are extending across the Kimberley, with four more communities implementing plans to save lives and improve health and well-being.

As part of the Kimberley Aboriginal Suicide Prevention Trial, Kununurra, Balgo, Wyndham and Halls Creek now have local plans, joining Broome, Derby and Bidyadanga.

Each community receives up to $130,000 to help roll out its action plan which reflects and responds to local issues

See Minister Ken Wyatt Press Release and Communique Part 3 and 4 Below

Part 1 RACP and NACCHO Press Release

JOINT STATEMENT

HEALTH BODIES DECLARE ABORIGINAL YOUTH SUICIDE AN URGENT NATIONAL PRIORITY

  • Health bodies call for Prime Minister and state and territory leaders to declare urgent national health priority
  • Immediate investment in Aboriginal-led mental health and wellbeing services needed to stop child deaths
  • Long-term solution of Aboriginal and Torres Strait Islander self-determination requires commitment to Uluru Statement from the Heart

The Royal Australasian College of Physicians (RACP), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) are calling on the Prime Minister to make tackling Aboriginal and Torres Strait Islander youth suicides a national health priority.

Suicide was once unknown to Aboriginal and Torres Strait Islander peoples but now every community has been affected by suicide.

In response to the recent Aboriginal youth suicides and the release of the WA Coroner’s report on the inquest into the deaths of thirteen children and young persons in the Kimberley Region, we are calling on the Prime Minister and state and territory leaders to put the issue at the top of the COAG agenda and to implement a coordinated crisis response to urgently scale up Aboriginal led mental health services before more young lives are tragically lost.

An urgent boost to Aboriginal community controlled health services is required to build on the existing range of initiatives that are being rolled out. We also call on the Government to expand upon evidence-based resilience and cultural connection programs to be adapted and attuned to local needs.

We are calling on the Federal Government to:

  • Provide secure and long-term funding to Aboriginal community controlled health services to expand their mental health, social and emotional wellbeing, suicide prevention, and alcohol and other drugs services, using best-practice traumainformed approaches
  • Increase funding for ACCHSs to employ staff to deliver mental health and social and emotional wellbeing services, including psychologists, psychiatrists, speech pathologists, mental health workers and other professionals and workers;
  • Increase the delivery of training to Aboriginal health practitioners to establish and/or consolidate skills development in mental health care and support, including suicide prevention
  • Commit to developing a comprehensive strategy to build resilience and facilitate healing from intergenerational trauma, designed and delivered in collaboration with Aboriginal and Torres Strait Islander communities

RACP spokesperson Dr Mick Creati, said: “The unspeakable child suicide tragedy that has been unfolding requires a national response and the attention of the Prime Minister. Unless we see urgent boost to investment in Aboriginal-led mental health services then the deaths will continue.”

RANZCP President Dr Kym Jenkins, said: ‘We must address the factors underlying suicidality in Aboriginal and Torres Strait Islander communities, including intergenerational trauma, disadvantage and distress. For this, we urgently need an increased capacity of mental health and wellbeing services to help people and communities recover from trauma and build resilience for the future.’

Part 2 Leaders urged to declare Aboriginal child suicides a ‘national crisis’

 Kate Aubusson From the Brisbane Times 20 March 

Prime Minister Scott Morrison must declare Indigenous child suicides a national emergency and overhaul current strategies, peak medical and health bodies have demanded.

The call comes in the wake of harrowing Aboriginal and Torres Strait Islander child suicide rates, and the WA coroner’s inquest into the deaths of 13 young people, five aged between 10 and 13 years in the Kimberley region.

A joint statement from the Royal Australasian College of Physicians (RACP), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) has urged Mr Morrison and all state and territory leaders to make Indigenous youth suicides an “urgent national health priority”.

The organisations called on the leaders to launch a “coordinated crisis response” and invest in Aboriginal-led strategies “before more young lives are tragically lost”.

In January, five Aboriginal girls aged between 12 and 15 years took their own lives.

The latest ABS data shows Indigenous children aged 10 to 14 die of suicide at 8.4 times the rate of non-Indigenous children. One in four aged under 18 who suicided were Aboriginal.

None of the 13 children who died by suicide had a mental health assessment, according to the coroner’s report.

The international journal The Lancet Child and Adolescent Health recently called Australia’s Indigenous youth suicide rate an “unmitigated crisis”.

NACCHO CEO Pat Turner said the recent Aboriginal youth suicides was “a national emergency that demands immediate attention”.

The joint statement called for Indigenous community-led solutions, long-term funding boosts to Aboriginal Community Controlled Health Services (ACCHS) for best-practice and trauma-informed mental health, suicide prevention, and drug and alcohol programs.

The organisations also pushed for more ACCHS funding to employ more psychologists, psychiatrists, speech pathologists and mental health workers, increase training for Aboriginal health practitioners to develop a comprehensive strategy focused on resilience and intergenerational trauma healing.

In September the Morrison government announced $36 million in national suicide prevention projects.

Paediatrician with Victorian Aboriginal Health Service Dr Mick Creati said Indigenous suicides could not be prevented by a “white bread psychiatry model”.

Aboriginal suicides were often radically different from those among the general population, research shows. They were more likely to be impulsive, potentially triggered by some kind of interpersonal conflict.

The crisis demanded a “different, culturally appropriate model”, Dr Creati said.

“We don’t know exactly what the right model is yet … but Aboriginal people need to be included [in their development] to make sure they are appropriate for Aboriginal populations.”

But Indigenous psychologist Adjunct Professor Tracy Westerman said Australia had failed to collect crucial evidence to determine what intervention strategies work.

“Funded programs are not required to demonstrate a measurable reduction in suicide and mental health risk factors, which is staggering,” Professor Westerman said.

“We just aren’t demanding that basic level of accountability”.

The first priority must be analyses of suicide mortality data to identify the causal pathways,  Professor Westerman said.

“Suicide risk is the most complex thing to assess and monitor … communities are crying out for specialist assistance and just not getting it. “Children as young as 10 are dying by suicide … this is no longer an Aboriginal issue, it’s a national one,” she said.

Part 3 The eighth meeting of the Kimberley Suicide Prevention Trial Working Group was held on 14 March in Broome communique

The Working Group discussed the findings of WA Coroner’s Report into suicide deaths in the Kimberley and continued its consideration of resources and strategies to support activity as part of the suicide Prevention trial.

The meeting today was chaired by the Hon Ken Wyatt, Minister for Indigenous Health (Commonwealth) and attended by the Hon Roger Cook, Deputy Premier and Minister for Health (WA State Government), Senator the Hon Patrick Dodson (Commonwealth) and Member for the Kimberley, the Hon Josie Farrer MLC (WA State Government). Apologies were received from the Hon Ben Wyatt, Minister for Indigenous Affairs (WA State Government).

The meeting was also attended by over 40 representatives from communities, organisations and government agencies.

Key messages from today’s discussion included:

  • A shared commitment to work together at all levels of government to develop place-based, and Aboriginal-led and designed responses.
  • A commitment to ongoing collaboration.
  • Acknowledgement of the good work achieved thus far – but noting more needs to be done.
  • The role of the community liaison officers on the ground across Kimberley communities was highlighted as an example of good progress – connecting services and projects with what people want.
  • The need to continue mapping services was agreed.
  • The need for holistic approaches was highlighted.
  • Community organisations are keen to work with the State and Commonwealth Governments on solutions that address the recommendations in relation to the report of the WA Coronial Inquest and all other referenced reports.

Part 4 Minister Wyatt Press release

Community driven action plans to prevent suicide are extending across the Kimberley, with four more communities implementing plans to save lives and improve health and well-being.

As part of the Kimberley Aboriginal Suicide Prevention Trial, Kununurra, Balgo, Wyndham and Halls Creek now have local plans, joining Broome, Derby and Bidyadanga.

Each community receives up to $130,000 to help roll out its action plan which reflects and responds to local issues.

However, the four new plans have a common thread – they are centred on people working and walking together on country, with a series of camps involving high-risk groups.

The camps are planned to provide a range of supports around suicide including healing and sharing and respecting cultural knowledge and traditions. They will also support close engagement with Elders.

A strong cultural framework underpins all the Trial’s activities and all the projects identified by the communities fit within the systems-based approach, guided by the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP).

Nine communities are involved in the Kimberley Aboriginal Suicide Prevention Trial, with Community Liaison Officers playing a critical role.

The outcomes will contribute to a national evaluation which aims to find the most effective approaches to suicide prevention for at-risk populations and share this knowledge across Australia.

The Morrison Government is supporting the Kimberley Aboriginal Suicide Prevention Trial with $4 million over four years, from 2016-2020.

It is one of 12 Suicide Prevention Trials being conducted across the nation, with total funding of $48 million.

NACCHO Aboriginal Health and #SuicidePrevention News Alerts : National suicide data released by @ABSStats shows a 9.1% increase as Government invests more than $36 million in #suicideprevention

 

 

” The Federal Government will invest more than $36 million in national suicide prevention projects to raise awareness of the impact of suicide and to support Australians who may be at risk.

The funding, through the National Suicide Prevention Leadership and Support Program, will help to deliver important awareness and stigma reduction activities, research, and leadership through variety of projects. These initiatives aim to reduce deaths by suicide across Australia.”.

Download Minister Greg Hunt Press Release with all Project Funding Part 1 Below

$36 million for national suicide prevention projects

The data released today indicates that men are still more than three times more likely to die by suicide than women, with the national suicide rates highest among men in the 30s, 40s and 50s. And while suicide rates increased across many age groups, the largest rise was among men 45-55 years in 2017.

While young people under 20 years have the lowest rate overall, suicide remains a leading cause of death for young people and the suicide rate among Aboriginal and Torres Strait Islander people remains unacceptably high at more than double the national suicide rate, based on the data available.

Everymind’s Director Jaelea Skehan says it is critical governments, services and the broader community come together to ensure an inclusive and proactive response to suicide. Part 2 Below

Suicide in Australia is increasing at the same time as deaths from most physical
illnesses are decreasing. We must set a target to focus Governments’ funding and the community on suicide reduction.

We should say as a nation that we want zero suicides and we are starting with a target
to reduce suicide in Australia by 25% in the next 5 years. 3,128 people died last year from a mostly preventable illness this is an outrage and it is no longer acceptable.”

Lifeline Chairman, John Brogden, today called on the Federal Government to set a
national target to achieve 25% suicide reduction over 5 years.

 ” The National Aboriginal and Torres Strait Islander Suicide Prevention and World Indigenous Suicide Prevention Conference Committee invite and welcome you to Perth for the second National Aboriginal and Torres Strait Islander Suicide Prevention Conference, and the second World Indigenous Suicide Prevention Conference.

Our Indigenous communities, both nationally and internationally, share common histories and are confronted with similar issues stemming from colonisation. Strengthening our communities so that we can address high rates of suicide is one of these shared issues. The Conferences will provide more opportunities to network and collaborate between Indigenous people and communities, policy makers, and researchers. The Conferences are unique opportunities to share what we have learned and to collaborate on solutions that work in suicide prevention.

This also enables us to highlight our shared priorities with political leaders in our respective countries and communities.

Conference Website 

” Aboriginal and Torres Strait Islander health and wellbeing combines mental, physical, cultural, and spiritual health of not only the individual, but the whole community. For this reason, the term “social and emotional wellbeing” is generally preferred and better understood than terms like “mental health” and “mental illness”.

Addressing social and emotional wellbeing for Aboriginal and Torres Strait Islander peoples requires the recognition of human rights, the strength of family, and the recognition of cultural diversity – including language, kinship, traditional lifestyles, and geographical locations (urban, rural, and remote).”

READ MORE ON THIS TOPIC HERE  

 NACCHO BACKGROUND

Read over 160 NACCHO Aboriginal Mental Health Articles published over 5 yrs

Read over 140 NACCHO Suicide Prevention Articles published over 5 yrs Including

NACCHO Aboriginal Health : #ATSISPEP report and the hope of a new era in Indigenous suicide prevention

Pat Dudgeon explains why suicide rates among young Aboriginals are so high and what can be done to stem the tide.

Young Aboriginal Australians are four times more likely to commit suicide than non-indigenous Australians and in one remote community in the country’s Kimberley region, the Aboriginal suicide rate is estimated to be seven times the national average.

Experts and Aboriginal elders believe this can be attributed in part to a feeling of disconnection from the land and traditional culture and that the solution rests in restoring that, rather than solely in combatting drug and alcohol abuse. 

See Part 3 Below 

Part 1 Minister Greg Hunt Press Release 

Fifteen highly respected organisations will receive funding including Suicide Prevention Australia who will receive $1.2 million to continue its national leadership role for the suicide prevention sector.

Suicide is a national tragedy and close to 3,000 Australians take their lives each year.

One life lost to suicide is one too many.

The support I have announced today will be vitally important in helping to reduce the number of people we lose to suicide each year.

Male suicide rates are three times greater than females and the rate among Aboriginal and Torres Strait Islander people is around twice that of non-Indigenous people.

Awareness, prevention and intervention programs for occupations where larger numbers of men typically work will be delivered by the OzHelp Foundation and MATES in Construction to give men the confidence and support to open up and seek help for themselves, and their mates, when in need.

Funding will allow the University of Western Australia to continue critical research to ensure the best support and services are being provided to Aboriginal and Torres Strait Island people in our community.

A number of organisations, including R U OK?, Everymind, and Reach Out Australia, will receive funding for communication projects such as media and online campaigns to reduce stigma, encourage conversations and provide vital support and resources to individuals and communities at risk.

Mental Health First Aid Australia and Roses in the Ocean will receive funding to provide training, education and support for medical professionals and individuals with a lived experience of suicide.

A leadership role will be provided by Suicide Prevention Australia to build partnerships across the mental health sector and the community to change behaviour and attitudes to suicide behaviour.

The National Suicide Prevention Leadership and Support Program was launched in 2017. This funding boost today brings the total funding for the program to $79.9 million.

The Morrison Government is committed to investing in mental health services for all Australians. It is a key pillar of our Long Term Health Plan.

In the 2018–19 Budget, mental health funding increased by $338.1 million to boost support for suicide prevention, research and programs for older Australians.

Part 2 Everymind Press Release

The Australian Bureau of Statistics (ABS) released the Causes of Death data for 2017, reiterating the need to renew our collective commitment to suicide prevention in Australia – as individuals, services, communities and governments.

Following a modest decrease in 2016, the latest data shows that in 2017 3,128 people died by suicide nationally, the second time that number has surpassed 3,000 in the past three years. This equates to more than eight Australians every day.

The Everymind team, through Mindframe, has worked quickly today to interpret the data and summarise it for national stakeholders, but we understand that behind every number is a person and the family and community who are grieving their loss.

The data released today indicates that men are still more than three times more likely to die by suicide than women, with the national suicide rates highest among men in the 30s, 40s and 50s. And while suicide rates increased across many age groups, the largest rise was among men 45-55 years in 2017.

While young people under 20 years have the lowest rate overall, suicide remains a leading cause of death for young people and the suicide rate among Aboriginal and Torres Strait Islander people remains unacceptably high at more than double the national suicide rate, based on the data available.

Everymind’s Director Jaelea Skehan says it is critical governments, services and the broader community come together to ensure an inclusive and proactive response to suicide.

“No government, service or individual should think that the lives lost to suicide in this country are acceptable. As someone who works nationally in suicide prevention and as someone that has lost family and friends to suicide, I don’t think they’re acceptable.

“It would be easy to point a finger at one thing that needs to change or improve, but this is a big issue that requires a big response.

“One life lost, one family impacted, one community grieving is one too many.”

Jaelea Skehan, Everymind Director

While rates are still lower than our last national peak in 1997, there has been an increase in suicide rates and the number of deaths over the past five years. In 2017 the national suicide rate was 12.7 per 100,000, compared to 11.8 per 100,000 in 2016.

Of the states and territories, QLD, the ACT and NSW recorded some of the largest increases in 2017, while the number of suicide deaths decreased in TAS, VIC and SA.

“We need to really look at addressing the social determinants that contribute to distress. We need to empower and build capacity across our community, ensure we have an accessible and responsive service system and better wrap-around supports for people who have been impacted,” Ms Skehan said.

For the first time the ABS has provided data relating to comorbidities, with 80% of suicides having comorbidities mentioned as contributing factors. Mood disorders (including depression) were reported in 43% of all suicides and drug and alcohol use disorders were mentioned in 29.5% of suicides.

“The data suggests that we need to connect our drug and alcohol strategy and service system to our national suicide prevention efforts,” Ms Skehan said.

“The Fifth National Mental Health and Suicide Prevention Plan for Australia includes most of the recommendations from the World Health Organisation, with the exception of alcohol reduction.”

Suicide Prevention Program Manager Marc Bryant says it’s important to remember that behind the data released today are people, families and communities who have all been impacted.

“Every life lost is a life that is valued and missed. Suicide is complex and the reasons people take their own life are complex. There is often no single reason why a person attempts or dies by suicide.”

Mr Bryant says it’s also essential we communicate about suicide safely and seek guidance when interpreting the data.

“Mindframe has been working to translate the data from the ABS quickly and accurately for several years now to provide national briefings for the mental health and suicide prevention sectors, as well as the media.

“Suicide and suicide prevention are both important issues of public concerns, but we need to make sure we talk about them in a way that is safe,” he said.

For a snapshot of the data and expert guidance on reporting on suicide please visit Mindframe.

To find out more about suicide prevention in Australia visit Life in Mind.

If you or someone you know needs support, contact Lifeline on 13 11 14 or the Suicide Call Back Service on 1300 659 467.

Part 3 Aboriginal youth suicide rates?

Pat Dudgeon explains why suicide rates among young Aboriginals are so high and what can be done to stem the tide.

Young Aboriginal Australians are four times more likely to commit suicide than non-indigenous Australians and in one remote community in the country’s Kimberley region, the Aboriginal suicide rate is estimated to be seven times the national average.

Experts and Aboriginal elders believe this can be attributed in part to a feeling of disconnection from the land and traditional culture and that the solution rests in restoring that, rather than solely in combatting drug and alcohol abuse.

Professor Pat Dudgeon, from the Bardi people of the Kimberley, was the first Aboriginal psychologist to graduate in Australia and is the woman behind Australia’s first national suicide prevention strategy that specifically targets Aboriginals.

She talks to Al Jazeera about the mental state of Australia’s indigenous youth and what can be done to battle the suicide rate.

Al Jazeera: You were the first Aboriginal psychologist to graduate in Australia. What inspired your career path?

Pat Dudgeon: Growing up as an Aboriginal person, I became increasingly aware of the social and historical disadvantage that my people had suffered. I became determined to help them.

WATCH

Australia’s Lost Generation: Battling Aboriginal Suicide

I wanted to help people with their mental health problems. Life at times can be very difficult – for some groups more than others. And I felt we needed to heal to become a happier, more positive and functional people.

Al Jazeera: Has anything changed since we spoke to you for our 2012 documentary “Australia’s Lost Generation”?

Dudgeon: Apparently, the national suicide averages have stabilised or even gone down. But for indigenous suicides, there’s been no change; it’s stayed the same and there’s still a lot of suicides happening.

However, I think there’s more awareness. There is a greater voice demanding more programmes, but that isn’t being provided as well as it could be. And also, it’s going to take a while. It’s taken us a long time to get to this point.

Canadian professor Michael Chandler used to say that high youth-suicide rates are, in a sense, the miner’s canary; it tells you that things aren’t good. It’s the sharp end of a very bad situation telling us that things aren’t good in a society. We need to work to turn it around. But for some communities, that might take a long time.

Al Jazeera: Are indigenous children at a greater risk of suffering from mental health issues than their non-indigenous peers?

Dudgeon: Indigenous Australians are twice more likely to commit suicide than other Australians. When you break it down by age groups, certainly our youth are more vulnerable to suicide.

We live in a society that is often very racist and doesn’t give them much opportunityBut there’s a whole range of different reasons why our youth are suffering from mental health issues and are taking their lives, among them an intergenerational trauma.

Youth suicide is not just an issue for Australian indigenous people but other indigenous people from Canada, the United States and New Zealand, as well. And the one thing that we have in common is the story of colonisation.

Al Jazeera: Do you believe that the high suicide rates are a result of this colonisation process?

Dudgeon: The difference between us and other Australian people is that we’ve gone through a process of colonisation. It was quite a brutal and horrible process that has disempowered indigenous people.

Often, there were genocides committed. People were forcibly removed from their countries, from their lands and put into reserves and missions.

Children were forcibly separated from families and put into institutions where they were trained to be menial workers, and so on. Aboriginal culture was looked down upon and discouraged. So, as well as colonising the lands, Aboriginal culture and people themselves were, in a sense, colonised psychologically.

That had a lasting impact. Certainly, if you’ve been removed from your family and culture, there’s a whole lot of trauma that goes with that. Sometimes, that trauma is carried down from one generation to the next, so that’s something we do need to heal from.

It’s only recently that Australia has accepted responsibility and we had the national apology given by the then-prime minister, Kevin Rudd. For us, that was a big healing moment, a very big healing moment.

But certainly I think that the “stolen generations”, as we call it when people were removed from their family, is a big issue that we need to grapple with and a lot more healing needs to happen.

Al Jazeera: What needs to be done to help people heal?

Dudgeon: We have a national healing foundation that supports and encourages people from all across the country to undertake healing programmes, enabling them to heal and to reinstate a strong, healthy culture.

We know from our own research that for a programme to be effective, the local Aboriginal community must be involved.

And there needs to be a range of different programmes: from clinical services, to back to country, to cultural programmes. And we need a whole range of different services.

We need to support our youth, listen to them, hear what their issues are. We need to make our cultures strong to ensure that the youth has opportunities – that they have people to speak to and show them a way to engage in our culture, as well.

I think we could see change in our generation if we put in place good systems that supported the Aboriginal community, gave them a whole range of different services – including encouraging and supporting local communities to be involved in any programmes. And to develop local healing and cultural programmes.

So it’s not insurmountable. But I think it requires the government to change the way it views Aboriginal communities and their right to self-governing.

Al Jazeera: Why is the local approach so important?

Dudgeon: For a lot of Aboriginal people, or any person really, one of the things I’ve seen as a mental health professional is the emergence of the consumer movement. People who are consumers of mental health services now have a voice.

To improve a service, those who will be using it need to be actively involved in deciding what it should be and how it should be delivered. So, if you empower people, the change will be much more effective than if they’re just receiving through some professional high up, an outsider who doesn’t really understand the issue.

This applies to either indigenous or non-indigenous people, but particularly for indigenous people because of their history of colonisation.

Al Jazeera: What’s being done to help communities and individuals tackle mental health issues?

Dudgeon: There are a lot of programmes, including Gatekeeper Training that helps people identify the signs or symptoms of possible suicide and suggest strategies on how to deal with that.

Usually, people from within the community are also asked to go and see someone if there are concerns.

I think in today’s society, both indigenous and non-indigenous, we’re much more comfortable talking about suicide, addressing it and helping each other.

It was a very taboo subject some years ago. But now it’s OK to say that you’ve got problems. It’s OK to talk about it and to go and seek help. I think it’s good that we’re moving in that direction.

Suicide isn’t just indigenous, it’s mainstream, as well. So, if we are all conscious about our mental health, acknowledge that different groups need different solutions and different approaches, and do our bit to ensure that everyone is healthy, that’s an important first step

Al Jazeera: Could you tell us more about different suicide prevention programmes that are needed?

Dudgeon: There needs to be a whole range of different projects. When we started the Aboriginal, Torres Strait Islander suicide evaluation project, we looked at the different types of services needed.

When people are very unhealthy they might need clinics that can provide urgent care, they might also need medication. So, you need programmes that can provide immediate relief.

You also need programmes that can help them build resilience and strengthen their culture.

The main message that came through at the round tables that we undertook across Australia was that people were saying, “We need to build up our resilience.” And the big thing that everyone was concerned about was self-determination. That Aboriginal people, or indigenous people themselves need to be in charge of any developments in the community.

According to some research done in Canada looking at First councils tribes, those with low suicide rates had a higher level of self-determination and cultural reclamation. So, those are important factors for indigenous suicide prevention. Feeling like you belong and you’ve got a future is important and empowering for any human being.

Al Jazeera: How do you empower communities and people?

Dudgeon: I was involved in a project called, “The National Empowerment Project”. It started in response to the suicides that were happening, so we developed a programme to help build a relationship with the communities we wanted to engage with us.

The communities chose people, we trained them as co-researchers, and then, they went and asked everyone in their community, what were the main issues and what were the solutions. And after, that we reported our findings to each of the communities.

We developed a programme from all those consultations called “the Cultural, Social and Emotional Wellbeing Project”. It’s basically from an indigenous point of view, so it’s very much about indigenous wellbeing, culture and self-awareness.

The funding is provided by the government, and it enables people to deal with mental health issues and come up with psychological strategies, as well as strategies to navigate normal challenges of life. It also stresses the importance of elders and culture in a community. So, it’s all about self-awareness and cultural strength.

Al Jazeera: Is there any specific case that has stuck with you throughout the years?

Dudgeon: Yes. When we organised a big suicide prevention conference in Alice Springs, we decided to have it in Central Australia. There was a community that had suffered a high number of suicides.

They were giving a bursary for a couple of them to go to Alice Springs and attend the conference. But instead, they used that bursary to hire a bus for 12-15 people to go from Leonora all the way to Alice Springs, and they stopped in other communities along the way to exchange stories with them.

That stuck with me and it illustrates that the community is concerned about the high suicide rate, they will take action, and they’re determined to try and address things themselves.

Al Jazeera: Do you believe that this increased awareness can reduce the suicide numbers?

Dudgeon: I do get concerned that perhaps not enough funding is being put into Aboriginal communities and that’s probably where the Centre for Best Practice in Aboriginal Torres Strait Islander Suicide Prevention comes in.

I’m the director of the centre, and we’re setting up a clearinghouse with all the best practice programmes and services for indigenous suicide prevention. There will also be a lot of advice for communities. So, if they want to develop a programme and have it evaluated, they’ll be able to come to our website for that.

We can provide good strategies and when communities do get funded, they’ll be able to look at what’s happening on our website and connect with other programmes that they might think will be useful for themselves – in their own time, in their own way.

Australia's Lost Generation: Battling Aboriginal Suicide

REWIND

Australia’s Lost Generation: Battling Aboriginal Suicide

NACCHO Aboriginal Health Alert : Coalition Government launches #ATSISPEP Community-led solutions for Indigenous suicide prevention

sussan-ley-low-res

The ATSISPEP report was commissioned by the Coalition Government to look into what is working and what is not working in the services we fund to help prevent suicide in Indigenous communities,” Minister Scullion said.

“It breaks my heart that almost every one of the communities I have visited has been touched by suicide. We know that Indigenous suicide rates are double that of non-Indigenous people, five times higher for young Indigenous Australians and the rate in the Kimberley is one of the highest nationally.

“This report is a critical first step in helping to understand what works in Indigenous communities to tackle what has become an epidemic in some places.

Minister for Indigenous Affairs, Nigel Scullion

The report was released at a ceremony in Parliament House attended by members of the project team, key stakeholders, the Minister for Indigenous Affairs, Nigel Scullion, Minister for Health and Aged Care, Sussan Ley, and Assistant Minister for Health and Aged Care, Ken Wyatt.

Picture above At launch at Parliament House with politicians from all parties and special guests the family of Norma from Leonora who lost a son not long ago and Lena from Fitzroy Crossings who lost a daughter.

Coalition Press Release

The Coalition Government today released the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP) report,

Solutions that Work: What the Evidence and Our People Tell Us.

Download

atispep-report-final-web-pdf-nov-10

atsispep

 

The report sets out a new blueprint to improve suicide-prevention services and programmes for Aboriginal and Torres Strait Islander people based on the principle of prioritising community led, culturally-appropriate services.

Minister Scullion said the Government welcomed the report, but did so with a very heavy-heart.

“It builds on the Coalition Government’s commitment to do things with Aboriginal and Torres Strait Islander communities. To this end, we recently attended a roundtable in the Kimberley to work with the local community on the report’s findings and how to trial some of the approaches it recommends.”

Minister Ley said the Government had worked closely with the report’s authors to ensure recommendations could be quickly implemented on the ground.

“The Coalition Government has committed to trialling the community-led approaches recommended in the report,” Minister Ley said.

“This is reflected in our election commitment to invest $192 million in mental health and suicide prevention, which includes the establishment of 12 suicide-prevention trial sites, including one in the Kimberley.

“The Government is also establishing a Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention to continue to build the evidence base of what works to ensure we are continuously learning and adapting to what is working on the ground.

“The report’s findings will also inform future funding decisions for suicide prevention and mental health programmes and how best to deliver them for Indigenous communities.” Assistant Minister Wyatt thanked the University of Western Australia’s School of Indigenous Studies for its work on the project.

“Your report shows that Aboriginal and Torres Strait Islander Australians want to have their health needs met in ways that are tailored to their circumstances and that recognise their unique needs, including their cultural needs,” Assistant Minister Wyatt said.

ATSISPEP is one of several Indigenous-specific suicide prevention initiatives supported by the Coalition Government. Others include the Critical Response Project which is addressing suiciderelated trauma in Western Australia and the Aboriginal and Torres Strait Islander Mental Health First Aid training which is being rolled out in more than 60 remote locations across Austra lia.

 

NACCHO SEWB News: NACCHO CEO appointed to new Aboriginal Mental Health and Suicide Prevention Advisory Group

Lisa Final

Pictured above NACCHO CEO Ms Lisa Briggs appointed to Aboriginal and Torres Strait Islander Mental Health and Suicide Prevention Advisory Group.

Please note: Official Goverment release is included below

NACCHO as a member The Close the Gap Campaign today welcomed a significant mental health milestone:  the establishment of the Aboriginal and Torres Strait Islander Mental Health and Suicide Prevention Advisory Group.

The new ministerial advisory body, co-chaired by Dr Tom Calma AO and Professor Pat Dudgeon, is the first of its kind in Australia.

The other members of the new Group are (alphabetically): Mr Tom Brideson, Ms Lisa Briggs, Mr Ashley Couzens, Ms Adele Cox, Ms Katherine Hams, Ms Victoria Hovane, Professor Ernest Hunter, Mr Rod Little, Associate Professor Peter O’Mara, Mr Charles Passi, Ms Valda Shannon and Dr Marshall Watson.

It will provide expert advice to government on Aboriginal and Torres Strait Islander social and emotional wellbeing, mental health and suicide prevention.

Close the Gap co-chair and Social Justice Commissioner, Mick Gooda, said the group will help drive reform in mental health and suicide prevention for Aboriginal and Torres Strait Islander people.

“Improving mental health and suicide prevention is fundamental to improving Aboriginal and Torres Strait Islander health overall, and to closing the health and life expectancy gap with other Australians,” Mr Gooda said.

Mr Gooda said the advisory body would help ensure Aboriginal and Torres Strait Islander people benefit from national mental health reforms and the significant investment in mental health in recent years.

He said the advisory body would also improve strategic responses to suicide and mental health by enabling partnerships between government and Aboriginal and Torres Strait Islander experts in social and emotional wellbeing, mental health and suicide prevention.

“Aboriginal and Torres Strait Islander people are experiencing mental health problems at almost double the rate of other Australians.

“Addressing difficult and entrenched challenges like this mental health gap requires long term and sustained commitment and a truly bipartisan approach.

“It is particularly important as we move into a Federal election that closing the gap remains a national project that is supported and sustained beyond electoral cycles,” Mr Gooda said.

 Commonwealth Coat of Arms

THE HON MARK BUTLER MP ,THE HON WARREN SNOWDON MP, JOINT MEDIA RELEASE

NEW HIGH-LEVEL GROUP ADVISE ON TACKLING INDIGENOUS SUICIDE

A new expert group has been set up to advise the Federal Government on improving mental health and suicide prevention programs for Aboriginal and Torres Strait Islander people.

The Aboriginal and Torres Strait Islander Mental Health and Suicide Prevention Advisory Group will be chaired by two eminent Aboriginal experts in the field, Prof Pat Dudgeon, recognised as Australia’s first Indigenous psychologist, and human rights campaigner Dr Tom Calma AO, the new chancellor of the University of Canberra.

The new Group will advise on practical and strategic ways to improve Indigenous mental health and social and emotional wellbeing.

The Group met for the first time in Canberra today to discuss its priorities, including implementation of the recently released National Aboriginal and Torres Strait Islander Suicide Prevention Strategy.

Also on the agenda for the inaugural meeting are the Aboriginal and Torres Strait Islander Health Plan and the renewed Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Framework.

Professor Dudgeon is from the Bardi people of the Kimberley and is known for her passionate work in psychology and Indigenous issues, including her leadership in higher education.  Currently she is a research fellow and an associate professor at the University of Western Australia.

Dr Calma is an elder of the Kungarakan tribal group and a member of the Iwaidja tribal group in the Northern Territory. He was appointed National Coordinator of Tackling Indigenous Smoking three years ago.

Previously, he was Aboriginal and Torres Strait Islander Social Justice Commissioner at the Australian Human Rights Commission from 2004 to 2010 and served as Race Discrimination Commissioner from 2004 until 2009.

The other members of the new Group are (alphabetically): Mr Tom Brideson, Ms Lisa Briggs, Mr Ashley Couzens, Ms Adele Cox, Ms Katherine Hams, Ms Victoria Hovane, Professor Ernest Hunter, Mr Rod Little, Associate Professor Peter O’Mara, Mr Charles Passi, Ms Valda Shannon and Dr Marshall Watson.

The Federal Labor Government’s commitment to reducing high levels of suicide within Indigenous communities was highlighted by its development and recent release of Australia’s first National Aboriginal and Torres Strait Islander Suicide Prevention Strategy.

The Strategy is supported by $17.8 million over four years in new funding to reduce the incidence of suicidal and self-harming behaviour among Indigenous people.

This builds on the Labor Government’s broad strategic investment in suicide prevention, as outlined in the Taking Action to Tackle Suicide package and the National Suicide Prevention Program which, together, include $304.2 million in vital programs and services across Australia.

Funding already allocated to Aboriginal and Torres Strait Islander programs under these two national suicide programs, includes:

  • $4.6 million for community-led suicide prevention initiatives.
  • $150,000 for enhanced psychological services for Indigenous communities in the Kimberley Region, through the Access to Allied Psychological Services program.
  • $6 million for targeted suicide prevention interventions.

Media contact: Tim O’Halloran (Butler) – 0409 059 617/Marcus Butler (Snowdon) – 0417 917 796

Funding for projects $4.5M to help prevent suicide in Aboriginal communities close 21 December

Up to $4.5 million in funding for projects to tackle the high rate of Indigenous suicide are now available for application until 21 December.

Minister for Mental Health Mark Butler said community-led projects targeting suicide prevention were an important part of addressing issue.

“Funding for projects specifically targeting suicide prevention in Aboriginal and Torres Strait Islander communities is a vital part of the Government’s suicide prevention strategy.”

“We have redoubled our efforts in suicide prevention through our $166 million Taking Action to Tackle Suicide package and $126.8 million National Suicide Prevention Program. Together these programs invest $292.8 million in vital programs and services.”

“Five community-based Indigenous suicide projects received $1.5 million last year and now a further $4.5 million is being offered to help fund further community-led projects to tackle Indigenous suicide,” Mr Butler said.

This funding compliments the Federal Government’s work on suicide prevention for indigenous communities including the establishment of an advisory group to inform the development of Australia’s first national Aboriginal and Torres Strait Islander Suicide Prevention Strategy.

“We’ve also committed $10.1 million through the National Suicide Prevention Program for activity specifically targeting Indigenous peoples and their communities.”

“As part of the governments mental health reform package $206 million was provided to double the size of the Allied Psychological Services program which includes $36.5 million for Indigenous specific psychological services which are delivered in a culturally appropriate manner which will support around 18,000 Indigenous Australians.”

Mr Butler encouraged people interested in learning more about the strategy to visit

www.indigenoussuicideprevention.org.au

Guidelines for applications to the Supporting communities to reduce the risk of suicide (Aboriginal and Torres Strait Islander component) can be downloaded via

www.health.gov.au/internet/main/publishing.nsf/Content/mental-scrrsab-guide.

 

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