原住民对抗自杀的声音:一个转合成,推进预防策略
Meenakshi Richardson1, Sara F Waters2
1Prevention Science Program, Washington State University Vancouver, Vancouver, WA 98686, USA.
International journal of environmental research and public health
|November 24, 2023
概括
原住民自杀预防工作必须以原住民的声音和文化实践为中心. 目前的项目缺乏参与者的投入和文化相关的策略,阻碍了有效性.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 土著研究土著研究.
背景情况:
- 土著人民的自杀率与历史和正在进行的定居者殖民主义有着深刻的联系.
- 这些影响包括土地剥夺,精神压迫,文化脱节,强迫同化和社会疏远.
- 集中土著观点对于有效的,非殖民时期的自杀预防策略至关重要.
研究的目的:
- 进行美国土著人口中关于预防自杀的定性研究的元综合.
- 评估原住民的声音和观点在现有的自杀预防计划中以何种程度为中心.
- 为有效预防自杀确定关键主题和文化相关的策略.
主要方法:
- 使用了一种元合成方法,分析了美国土著社区关于预防自杀的定性研究.
- 应用主题分析是对每篇包含的文章的综合备忘录进行的.
- 出现了四个主要主题:支持偏好,预防挑战,文化融合和基于关系的预防.
主要成果:
- 现有的自杀预防计划显示,对参与者的声音进行集中的证据有限.
- 确定的主要主题包括具体的支持偏好,预防的挑战,文化融合的重要作用,以及在关系中建立预防的重要性.
- 以文化为中心的节目是必不可少的,而"泛印度"的方法往往是不够的.
结论:
- 迫切需要通过集中土著知识和经验来解除自杀预防的殖民化.
- 必须制定和实施以文化为基础的预防科学策略,尊重土著的性和亲属关系.
- 未来的计划应优先考虑安全空间,以分享文化知识,并解决土著社区的独特需求.
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