Department of Psychiatry and Behavioral Sciences and Department of Global Health, University of Washington, Seattle (Collins); National Science Foundation, Alexandria, Virginia (Delgado); South Central Foundation, Anchorage, Alaska (Apok, Dillard); North Star Hospital, Anchorage (Baez); National Institute of Health, University of Southern Denmark, Copenhagen, and Center for Health Research, University of Greenland, Nuuk (Bjerregaard); Institute for Circumpolar Health, Northwest Territories and School of Public Health, University of Alberta, Edmonton, Alberta, Canada (Chatwood); Alaska Native Tribal Health Consortium, Anchorage (Chipp); Department of Psychiatry, University of Toronto, Toronto (Crawford); Centers for Disease Control and Prevention, Atlanta (Crosby); University of Virginia School of Medicine, Charlottesville, Virginia (Driscoll); Utsjoki Health Care Centre, Utsjoki, Finland (Ericksen); Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, and Federation of Sovereign Indigenous Nations, Saskatchewan, Canada (Hicks); National Institute of Public Health, University of Southern Denmark, Copenhagen (Larsen); Substance Abuse and Mental Health Services Administration, Rockville, Maryland (McKeon); Saami Council, Kiruna, Sweden (Partapuoli); Department of Psychiatry and Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, Canada (Phillips); National Institute of Mental Health (NIMH), Bethesda, Maryland (Pringle); Center for Alaska Native Health Research, Institute of Arctic Biology, and College of Rural and Community Development, University of Alaska Fairbanks, Fairbanks (Rasmus); School of Health Sciences, University of Akureyri, Akureyri, Iceland (Sigurðardóttir); Centre for Sámi Health Research, Department of Community Medicine, University of Tromsø-the Arctic University of Norway, Tromsø (Silviken); Sami Norwegian National Advisory Unit on Mental Health and Substance Abuse, Finnmark County Hospital Trust, Karasjok, Norway (Silviken, Stoor); Institute of Public Health, Northern State Medical University, Arkhangelsk Region, Russian Federation (Sumarokov); School of Public Health and Health Sciences, University of Massachusetts, Amherst (Wexler). Kathleen M. Pike, Ph.D., and Pamela Scorza, Sc.D., M.P.H., are editors of this column.
Psychiatr Serv. 2019 Feb 1;70(2):152-155. doi: 10.1176/appi.ps.201700505. Epub 2018 Oct 24.
The Arctic Council, a collaborative forum among governments and Arctic communities, has highlighted the problem of suicide and potential solutions. The mental health initiative during the United States chairmanship, Reducing the Incidence of Suicide in Indigenous Groups: Strengths United Through Networks (RISING SUN), used a Delphi methodology complemented by face-to-face stakeholder discussions to identify outcomes to evaluate suicide prevention interventions. RISING SUN underscored that multilevel suicide prevention initiatives require mobilizing resources and enacting policies that promote the capacity for wellness, for example, by reducing adverse childhood experiences, increasing social equity, and mitigating the effects of colonization and poverty.
北极理事会是一个政府和北极社区之间的合作论坛,该组织强调了自杀问题及其潜在解决方案。在美国担任主席期间,北极理事会开展了一项心理健康倡议,即“通过网络增强土著群体的抗逆力以减少自杀发生率(RISING SUN)”,该倡议采用德尔菲法,并辅以利益攸关方面对面讨论,以确定评估自杀预防干预措施的结果。RISING SUN 强调,多层次的自杀预防措施需要调动资源并制定政策,以增强福祉能力,例如,减少不良的儿童经历,增加社会公平,并减轻殖民化和贫困的影响。