Revaluing Indigenous Models in Suicidology: A Brief Narrative Synthesis

This review uses an anti-colonial approach to explore the characteristics of Indigenous interventions and best practice relating to suicidality. Well-established interventions led by Indigenous communities exist globally, yet their prevalence in academic discussions of suicide is comparatively limited. This represents a missed opportunity for the field of suicidology to learn from Indigenous community-driven models, which have the potential to be translated across contexts. The challenges of sharing best practice Indigenous interventions in academic literature can be situated within a pervasive colonial discourse, which categorises suicide as an ‘Indigenous problem’ and creates ill-fitted evaluation and intervention methodologies. Here, we provide a brief narrative synthesis of contemporary research on Indigenous suicide intervention models in Australia, Aotearoa New Zealand, the United States and Canada, focusing on key characteristics of interventions and a selection of Indigenous community-driven projects. These characteristics are: cultural and collective approaches as protective factors; recognising social determinants of health and the impact of colonisation; community control and governance; evaluation and available research; and relationships and connection. We discuss issues of sustainability, funding, decontextualised research, and publishing and put forward recommendations for future research. Rebalancing academic discussions to centre Indigenous leadership and culturally grounded research and practice is not without its challenges and complexity but can crucially enrich the field of suicidology.