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Troy Combo
Social & Emotional Well Being
Workforce Coordinator
Southern Queensland Region
Content
• Acknowledgements
Suicide in Indigenous Populations of Qld
• Between 1994 and 2007, Indigenous suicide rates were on average 2.2-
times higher than non-Indigenous suicide rates (27.2 vs. 12.6 per 100,000)
• Indigenous suicide rates by age:
– Children under 15yrs 7 times higher
– 15-24years 3.6 times higher
– 25 – 34years 2.4 times higher
– 55> no recorded female suicides
– Males 2.5 times higher and
– Females 3.4 times higher
• Hanging the most common method 86.6% comparatively 36.3%
• 16,730 Potential Life Years Lost 1990 – 2006 (n478)
Suicide in Indigenous populations in Queensland
Diego De Leo et al. 2011
Suicide in Indigenous Populations of
Queensland
• Significantly higher proportion were single or had never been married 51.7%
• A similar burden of mental illness
• Higher prevalence of alcohol and substance abuse (cannabis)
• Indigenous people are less likely to have received MH treatment:
– Ever received treatment 23.3% compared to 42.3%
– in the prior 3mths to suicide 10.1% compared to 25.6%
Suicide in Indigenous populations in Queensland
Diego De Leo et al. 2011
Suicide Risk Factors in Indigenous People
• Age <35
• Male/female ratio 3.0:1
• Lower socio economic status Particularly frequent
• Unemployment 72%
• Relationship breakdown Reported as frequent
• Bereavement Reported as frequent
• Suicide behavior in social group Particularly frequent
• Prior suicide attempt Reported as frequent
• Substance abuse Alcohol 77%
• Victim of sexual abuse Reported as frequent
• Loss of traditional culture Reported as frequent
• Social Marginalisation Reported as frequent
Suicide in indigenous populations in Queensland
Diego De Leo et al. 2011
Indigenous Protective Factors
Similar protective factors that may protect against suicide, arising from a
cultural perspective, include:
• An understanding of Indigenous concepts and experiences
• A strengthening of:
– cultural identity,
– connection to land,
– spirituality &
– ancestry
• Social cohesion
• Self determination and community governance
LTD – Preventing Aboriginal & Torres Strait
Islander Suicide DVD
• Background to the relationship
• Funding
• Concept
• Workforce development
• Community Forums
Suicide Prevention Community Forums
• TATSICHS Townsville
• Nhulundu Gladstone
• CWAATSICH Charleville
• CACH Cunnamulla
• Gurriny YMHS Yarrabah
• Wuchopperen Cairns
• ATSICHS Brisbane
• Kambu Ipswich
• Goondir Dalby
• Goondir Oakey
• Bidgerdi Rockhampton
Suicide Prevention Community Forums
• Kambu
“what is suicide – its about us”
“in a battle we cannot explain”
“the loss of people we cannot explain”
“very educational & inspiring for our people”
“we need workshops like this”
“We need leadership in Suicide Prevention”
Feedback from Paticipants at Kambu
What communities see as priorities for SP
• We need leadership in Suicide Prevention
• Need to go back to community and get them engaged.
• Need to give people a sense of purpose (to life)
• It was noted that there are a lack of services in remote and rural locations
throughout Queensland to support mob with suicide ideation
• “there is not enough awareness in communities about suicide”
• The need for safe places in communities
• A need for running programs in communities around education and awareness of
suicide prevention
• A need to continue to push government to support suicide prevention awareness in
communities
Thank You
Questions?

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Troy Combo AISRAP 2014

  • 1. Troy Combo Social & Emotional Well Being Workforce Coordinator Southern Queensland Region
  • 3.
  • 4.
  • 5. Suicide in Indigenous Populations of Qld • Between 1994 and 2007, Indigenous suicide rates were on average 2.2- times higher than non-Indigenous suicide rates (27.2 vs. 12.6 per 100,000) • Indigenous suicide rates by age: – Children under 15yrs 7 times higher – 15-24years 3.6 times higher – 25 – 34years 2.4 times higher – 55> no recorded female suicides – Males 2.5 times higher and – Females 3.4 times higher • Hanging the most common method 86.6% comparatively 36.3% • 16,730 Potential Life Years Lost 1990 – 2006 (n478) Suicide in Indigenous populations in Queensland Diego De Leo et al. 2011
  • 6. Suicide in Indigenous Populations of Queensland • Significantly higher proportion were single or had never been married 51.7% • A similar burden of mental illness • Higher prevalence of alcohol and substance abuse (cannabis) • Indigenous people are less likely to have received MH treatment: – Ever received treatment 23.3% compared to 42.3% – in the prior 3mths to suicide 10.1% compared to 25.6% Suicide in Indigenous populations in Queensland Diego De Leo et al. 2011
  • 7. Suicide Risk Factors in Indigenous People • Age <35 • Male/female ratio 3.0:1 • Lower socio economic status Particularly frequent • Unemployment 72% • Relationship breakdown Reported as frequent • Bereavement Reported as frequent • Suicide behavior in social group Particularly frequent • Prior suicide attempt Reported as frequent • Substance abuse Alcohol 77% • Victim of sexual abuse Reported as frequent • Loss of traditional culture Reported as frequent • Social Marginalisation Reported as frequent Suicide in indigenous populations in Queensland Diego De Leo et al. 2011
  • 8. Indigenous Protective Factors Similar protective factors that may protect against suicide, arising from a cultural perspective, include: • An understanding of Indigenous concepts and experiences • A strengthening of: – cultural identity, – connection to land, – spirituality & – ancestry • Social cohesion • Self determination and community governance
  • 9. LTD – Preventing Aboriginal & Torres Strait Islander Suicide DVD • Background to the relationship • Funding • Concept • Workforce development • Community Forums
  • 10. Suicide Prevention Community Forums • TATSICHS Townsville • Nhulundu Gladstone • CWAATSICH Charleville • CACH Cunnamulla • Gurriny YMHS Yarrabah • Wuchopperen Cairns • ATSICHS Brisbane • Kambu Ipswich • Goondir Dalby • Goondir Oakey • Bidgerdi Rockhampton
  • 11. Suicide Prevention Community Forums • Kambu
  • 12. “what is suicide – its about us” “in a battle we cannot explain” “the loss of people we cannot explain” “very educational & inspiring for our people” “we need workshops like this” “We need leadership in Suicide Prevention” Feedback from Paticipants at Kambu
  • 13. What communities see as priorities for SP • We need leadership in Suicide Prevention • Need to go back to community and get them engaged. • Need to give people a sense of purpose (to life) • It was noted that there are a lack of services in remote and rural locations throughout Queensland to support mob with suicide ideation • “there is not enough awareness in communities about suicide” • The need for safe places in communities • A need for running programs in communities around education and awareness of suicide prevention • A need to continue to push government to support suicide prevention awareness in communities
  • 14.