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Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies

Author

Listed:
  • Meenakshi Richardson

    (Prevention Science Program, Washington State University Vancouver, Vancouver, WA 98686, USA)

  • Sara F. Waters

    (Department of Human Development, Washington State University Vancouver, Vancouver, WA 98686, USA)

Abstract

Rates of suicidality amongst Indigenous Peoples are linked to historical and ongoing settler-colonialism including land seizures, spiritual oppression, cultural disconnection, forced enculturation, and societal alienation. Consistent with decolonial practices, Indigenous voices and perspectives must be centered in the development and evaluation of suicide prevention programs for Indigenous Peoples in the United States to ensure efficacy. The current study is a meta-synthesis of qualitative research on suicide prevention among Indigenous populations in the United States. Findings reveal little evidence for the centering of participant voices within existing suicide prevention programs. Applied thematic analysis of synthesis memos developed for each article in the final sample surfaced four primary themes: (1) support preferences; (2) challenges to suicide prevention; (3) integration of culture as prevention; and (4) grounding relationships in prevention. The need for culturally centered programming and the inadequacy of ‘pan-Indian’ approaches are highlighted. Sub-themes with respect to resiliency, kinship connection, and safe spaces to share cultural knowledge also emerge. Implications of this work to further the decolonization of suicide prevention and aid in the promotion of culturally grounded prevention science strategies are discussed.

Suggested Citation

  • Meenakshi Richardson & Sara F. Waters, 2023. "Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies," IJERPH, MDPI, vol. 20(22), pages 1-19, November.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:22:p:7064-:d:1280449
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    References listed on IDEAS

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    1. Braveman, P.A. & Kumanyika, S. & Fielding, J. & LaVeist, T. & Borrell, L.N. & Manderscheid, R. & Troutman, A., 2011. "Health disparities and health equity: The issue is justice," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 149-155.
    2. Wexler, L.M. & Gone, J.P., 2012. "Culturally responsive suicide prevention in indigenous communities: Unexamined assumptions and new possibilities," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 800-806.
    3. Jennifer L. Shaw & Julie A. Beans & Katherine Anne Comtois & Vanessa Y. Hiratsuka, 2019. "Lived Experiences of Suicide Risk and Resilience among Alaska Native and American Indian People," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    4. Simonds, V.W. & Christopher, S., 2013. "Adapting western research methods to indigenous ways of knowing," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 2185-2192.
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