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Although these two methods are feasible, routine and timely data linkage for surveillance and research on suicide among Indigenous populations has not occurred. Surveillance systems provide much needed information to decision-makers who are responsible for planning, funding, delivering, and evaluating interventions that fall under the umbrella of suicide prevention [ 313637 ]. Accessed 18 Aug A subsequent CHIRPP study on self-injury found that the form captured complete details about injuries, but suggested that youth may under report self harm due to privacy concerns related to the data collection process [ 60 ]. At the most basic level, the lack of Indigenous-specific suicide data means that communities, health systems, and governments are unable to tell if suicides are being prevented. Mental health and substance use in an urban First Nations population in Hamilton, Ontario. First Nations Information Governance Centre. Health indicators are tools used in surveillance to measure various health outcomes and risk factors, and to establish reference points for tracking health status over time and in relation to health services, public health interventions, and social conditions [ 2324 ]. The report included a synthesis of the clinical and public health evidence in suicide prevention, and provided a framework for the creation of national suicide prevention strategies.

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    The DAD includes mandatory reporting from all hospitals and health centres in the country except in Quebec [ 4658 ]. Death certificate from physician or funeral director. BMJ Open.

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    Similarly, Indigenous organizations have been absent from some key national dialogues on equity in health status and health system performance measurement [ ]. Statistics Canada releases fact sheets on Inuit regions.

    The WHO produced guidelines for prospective and standardized monitoring of suicide deaths and attempts to help countries act on the recommendation to improve surveillance [ 3744 ].

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    Turecki G, Brent DA. National except Quebec DADNational HMDB Patients admitted to acute care psychiatric hospitals; Institutionalized populations; No Hospital separations include both discharges and deaths, therefore DAD has overlap with CVSD for suicide deaths that occurred during a hospitalization related to a suicide attempt; poor sensitivity in case coding contributes to undercounting.

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    Plan for suicide prevention among the Sami people in Norway, Sweden, and Finland. Timely data access is another challenge is suicide surveillance.

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    Table 1 Recent and lifetime prevalence of suicidal thoughts and suicide attempts among Indigenous populations in Canada.

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    Unblock websites with 4everproxy! One of the major challenges in suicide surveillance and research is the lack of a shared set of definitions of suicide and non-fatal outcomes. Many Indigenous communities face concentrated and intersecting vulnerabilities for suicide due to social exclusion, economic inequality, and systemic discrimination.

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    This call gives Canadian public health organizations a specific, achievable mandate, and a role in reconciliation. The WHO estimated that of the member states have low quality or non-existent death registration systems [ 31 ]. More than half of Indigenous people in Canada live in cities where NACRS coverage is good, but the absence of Indigenous identifiers in health data is a barrier to producing estimates for provinces with large urban Indigenous populations.

    We collected incidence and prevalence data for Indigenous and non-Indigenous populations for a convenience sample of jurisdictions across four geographic scales: country Canadaprovince Albertaterritory Nunavutand health region Northwestern Ontario. The study also found severe injuries were at increased risk of being missed by the registration system, as were cases of self-injury or self-poisoning [ 69 ].

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    Indigenous suicide is no longer a mystery.

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    Accessed 14 Mar Canadian Association for Suicide Prevention. All authors had full access to all data in the study, take responsibility for the integrity and accuracy of the data, and had the final responsibility for the decision to submit for publication.

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    Indigenous peoples have the right to sovereignty over resources and decisions that impact wellbeing and Indigenous control over health information is an essential aspect of community empowerment and self-determination [ 1821 ].

    Unblock websites with 4everproxy!. Table 2 Incidence of emergency department visits for self injury, hospitalization for self injury, and suicide mortality among Indigenous and non-Indigenous populations in Canada.

    Research fatigue is a reality in small and often-studied populations — this is the case for many communities in the Arctic. A fourth step is to improve the quality, comprehensiveness, and timeliness of suicide data. Initiatives should improve data quality and coverage for other minority groups, and embed or link equity stratifiers such as age, sex, non-binary gender, income, education and geographic location, in addition to ethnicity, sexual orientation, disability, and immigration status in all datasets [].

    Accessed 20 Nov