The need for a culturally-tailored gatekeeper training intervention program in preventing suicide among Indigenous peoples: a systematic review

Nasir, Bushra, Hides, Leanne, Kisely, Steve, Geetha Ranmuthugala, Nicholson, Geoff, Black, Emma, Gill, Neeraj, Kondalsamy Chennakes, Srinivas and Toombs, Maree (2016) The need for a culturally-tailored gatekeeper training intervention program in preventing suicide among Indigenous peoples: a systematic review. BMC Psychiatry, 16 1: 357. doi:10.1186/s12888-016-1059-3


Author Nasir, Bushra
Hides, Leanne
Kisely, Steve
Geetha Ranmuthugala
Nicholson, Geoff
Black, Emma
Gill, Neeraj
Kondalsamy Chennakes, Srinivas
Toombs, Maree
Title The need for a culturally-tailored gatekeeper training intervention program in preventing suicide among Indigenous peoples: a systematic review
Journal name BMC Psychiatry   Check publisher's open access policy
ISSN 1471-244X
Publication date 2016-10-21
Year available 2016
Sub-type Article (original research)
DOI 10.1186/s12888-016-1059-3
Open Access Status DOI
Volume 16
Issue 1
Start page 357
Total pages 7
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Abstract Background: Suicide is a leading cause of death among Indigenous youth worldwide. The aim of this literature review was to determine the cultural appropriateness and identify evidence for the effectiveness of current gatekeeper suicide prevention training programs within the international Indigenous community.
Formatted abstract
Background: Suicide is a leading cause of death among Indigenous youth worldwide. The aim of this literature review was to determine the cultural appropriateness and identify evidence for the effectiveness of current gatekeeper suicide prevention training programs within the international Indigenous community.

Method: Using a systematic strategy, relevant databases and targeted resources were searched using the following terms: ‘suicide’, ‘gatekeeper’, ‘training’, ‘suicide prevention training’, ‘suicide intervention training’ and ‘Indigenous’. Other internationally relevant descriptors for the keyword “Indigenous” (e.g. “Maori”, “First Nations”, “Native American”, “Inuit”, “Metis” and “Aboriginal”) were also used.

Results:
Six articles, comprising five studies, met criteria for inclusion; two Australian, two from USA and one Canadian. While pre and post follow up studies reported positive outcomes, this was not confirmed in the single randomised controlled trial identified. However, the randomised controlled trial may have been underpowered and contained participants who were at higher risk of suicide pre-training.

Conclusion: Uncontrolled evidence suggests that gatekeeper training may be a promising suicide intervention in Indigenous communities but needs to be culturally tailored to the target population. Further RCT evidence is required.
Keyword Gatekeeper training
Suicide
Indigenous
Suicide prevention
Suicide intervention
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID APP1076729
Institutional Status UQ
Additional Notes Open access available from http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-1059-3

Document type: Journal Article
Sub-type: Article (original research)
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Created: Mon, 24 Oct 2016, 23:46:27 EST by Jacky Cribb on behalf of Learning and Research Services (UQ Library)