研究社区一级保护阿拉斯加原住民免于自杀的措施:根据土著知识扩展迈克尔-钱德勒和克里斯托弗-拉隆德的遗产。

IF 2.5 3区 医学 Q1 ANTHROPOLOGY Transcultural Psychiatry Pub Date : 2024-06-01 Epub Date: 2024-08-22 DOI:10.1177/13634615241255713
Stacy Rasmus, Lisa Wexler, Lauren White, James Allen
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引用次数: 0

摘要

钱德勒和拉隆德为社区、文化和历史在理解土著青年自杀和预防自杀方面的作用提供了理论基础和经验支持,从而拓宽了自杀研究的范围。他们的工作推动了该领域考虑在预防土著人自杀过程中个人和集体意义形成的交叉过程,以及文化在使这一过程随着时间的推移保持一致方面所发挥的核心作用。他们的创新将研究重点转移到了塑造个人生活和行为的共同历史、背景和意义结构上。在此,我们将介绍他们开创性研究思路的新一代研究成果。最近的工作旨在通过与来自农村社区的阿拉斯加原住民合作,描述社区保护因素如何在他们的日常生活中发挥预防资源的作用,从而确定社区层面的结构与自杀行为之间的复杂关联。社区参与和知识共同生产创建了一个防止自杀的社区保护措施。通过对阿拉斯加原住民农村社区成员进行结构化访谈,可以利用这一措施来产生相关、可获取和可操作的知识。接下来,正在进行的调查试图通过一项多层次、混合方法的社区研究,将社区层面的保护与青少年个人的保护和福祉联系起来,从而描述其影响青少年生活的机制。钱德勒和拉隆德的杰出成就启发并拓展了我们为了解社区利用自身优势、资源和实践支持原住民青少年发展并降低自杀风险的多种特定文化和文化中介途径所做的努力。
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Examining community-level protection from Alaska Native suicide: An Indigenous knowledge-informed extension of the legacy of Michael Chandler and Christopher Lalonde.

Chandler and Lalonde broadened the scope of inquiry in suicide research by providing theoretical grounding and empirical support for the role of community, culture, and history in understanding Indigenous youth suicide and reimagining its prevention. Their work pushed the field to consider the intersectional process of individual and collective meaning-making in prevention of Indigenous suicide, together with the central role culture plays in bringing coherence to this process over time. Their innovation shifted the research focus to include the shared histories, contexts, and structures of meaning that shape individual lives and behaviors. We describe here a new generation of research extending their pathbreaking line of inquiry. Recent work aims to identify complex associations between community-level structures and suicidal behavior by collaborating with Alaska Native people from rural communities to describe how community protective factors function as preventative resources in their daily lives. Community engagement and knowledge co-production created a measure of community protection from suicide. Structured interviews with rural Alaska Native community members allowed use of this measure to produce relevant, accessible, and actionable knowledge. Ongoing investigations next seek to describe their mechanisms in shaping young people's lives through a multilevel, mixed-methods community-based study linking community-level protection to protection and well-being of individual youth. These efforts to understand the multiple culture-specific and culturally mediated pathways by which communities build on their strengths, resources, and practices to support Indigenous young people's development and reduce suicide risk are inspired by and expand on Chandler and Lalonde's remarkable legacy.

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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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