Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, QLD.
Griffith University, Brisbane, QLD.
Med J Aust. 2021 Jun;214(11):514-518. doi: 10.5694/mja2.51084. Epub 2021 May 13.
To examine associations between community cultural connectedness indicators and suicide mortality rates for young Aboriginal and Torres Strait Islander people.
Retrospective mortality study.
SETTING, PARTICIPANTS: Suicide deaths of people aged 10-19 years recorded by the Queensland Suicide Register, 2001-2015.
Age-standardised suicide death rates, by Indigenous status, sex, and age group; age-standardised suicide death rates for young First Nations people by area level remoteness and Index of Relative Socioeconomic Advantage and Disadvantage, and by cultural connectedness indicators (at statistical area level 2): cultural social capital index score, community Indigenous language use, and reported discrimination.
The age-specific suicide rate was 21.1 deaths per 100 000 persons/year for First Nations young people and 5.0 deaths per 100 000 persons/year for non-Indigenous young people (rate ratio [RR], 4.3; 95% CI, 3.5-5.1). The rate for Aboriginal and Torres Strait Islander young people was higher in areas with low levels of cultural social capital (greater participation of community members in cultural events, ceremonies, organisations, and community activities) than in areas classified as having high levels (RR, 1.8; 95% CI, 1.2-2.7), and also in communities with high levels of reported discrimination (RR, 2.7; 95% CI, 1.7-4.3). Associations with proportions of Indigenous language speakers and area level socio-economic resource levels were not statistically significant.
We found that suicide mortality rates for Aboriginal and Torres Strait Islander young people in Queensland were influenced by community level culturally specific risk and protective factors. Our findings suggest that strategies for increasing community cultural connectedness at the community level and reducing institutional and personal discrimination could reduce suicide rates.
探讨社区文化联系指标与年轻原住民和托雷斯海峡岛民自杀死亡率之间的关系。
回顾性死亡率研究。
地点、参与者：昆士兰州自杀登记处记录的 2001-2015 年 10-19 岁人群的自杀死亡人数。
按原住民身份、性别和年龄组划分的年龄标准化自杀死亡率；按地区偏远程度和相对社会经济优势和劣势指数以及文化联系指标（统计区域 2 级）划分的年轻第一民族人群的年龄标准化自杀死亡率：文化社会资本指数评分、社区内使用原住民语言和报告的歧视。
第一民族年轻人的特定年龄自杀率为每 100000 人/年 21.1 人，而非原住民年轻人为每 100000 人/年 5.0 人（率比[RR]，4.3；95%CI，3.5-5.1）。在文化社会资本水平较低的地区（社区成员更多地参与文化活动、仪式、组织和社区活动），澳大利亚原住民和托雷斯海峡岛民年轻人的死亡率高于文化社会资本水平较高的地区（RR，1.8；95%CI，1.2-2.7），在报告歧视程度较高的社区也是如此（RR，2.7；95%CI，1.7-4.3）。与讲原住民语言的比例和地区社会经济资源水平的关联没有统计学意义。
我们发现，昆士兰州的原住民和托雷斯海峡岛民年轻人的自杀死亡率受到社区一级特定文化的风险和保护因素的影响。我们的研究结果表明，在社区一级增加社区文化联系和减少机构和个人歧视的策略可能会降低自杀率。
