Truong Mandy, Dwyer Jeremy, Chan Jocelyn, Bugeja Lyndal
School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia; Menzies School of Health Research, Darwin, Northern Territory, Australia.
Coroners Prevention Unit, Coroners Court of Victoria, Southbank, Victoria, Australia.
Aust N Z J Public Health. 2023 Oct;47(5):100078. doi: 10.1016/j.anzjph.2023.100078. Epub 2023 Aug 14.
While people from culturally and linguistically diverse (CALD) backgrounds have been identified as a priority for suicide prevention in Australia, little is known about suicide in CALD communities. We aim to describe the availability and quality of CALD data in the Victorian Suicide Register (VSR).
A retrospective consecutive case series review of suicides reported to the Coroners Court of Victoria during 2016 was conducted. Using the VSR, we identify suicides showing evidence of CALD identity and relevant variables were extracted and coded according to an adapted Australian Institute of Health and Welfare framework.
During 2016, 126 of 652 suicides (19.3%, 95% confidence intervals 16.4-22.6) were flagged as showing evidence of CALD. The two most frequent CALD indicators for which information was recorded were country of birth and year of arrival. There was less information pertaining to citizenship, residency/visa status, preferred language, English language proficiency and religious affiliation.
This study demonstrates that the VSR, like other databases, has substantial gaps in availability and quality of CALD data.
A framework to capture richer data on cultural, religious and linguistic diversity when coding suicides is needed to inform policy on suicide prevention initiatives designed for CALD communities.
虽然来自文化和语言多元（CALD）背景的人群已被确定为澳大利亚预防自杀的重点对象，但对于CALD社区的自杀情况却知之甚少。我们旨在描述维多利亚州自杀登记册（VSR）中CALD数据的可得性和质量。
对2016年向维多利亚州死因裁判法庭报告的自杀事件进行回顾性连续病例系列审查。利用VSR，我们识别出显示CALD身份证据的自杀事件，并根据澳大利亚卫生与福利研究所的框架改编版提取和编码相关变量。
2016年期间，652例自杀事件中有126例（19.3%，95%置信区间16.4 - 22.6）被标记为显示CALD证据。记录信息的两个最常见的CALD指标是出生国家和抵达年份。关于公民身份、居住/签证状态、首选语言、英语语言能力和宗教信仰的信息较少。
本研究表明，与其他数据库一样，VSR在CALD数据的可得性和质量方面存在重大差距。
需要一个框架，以便在对自杀事件进行编码时获取关于文化、宗教和语言多样性的更丰富数据，为针对CALD社区的自杀预防举措政策提供信息。
