Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children
Article
Islam, Md Irteja, Sharwood, Lisa, Chadwick, Verity, Esgin, Tuguy and Martiniuk, Alexandra. 2022. "Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children." International Journal of Environmental Research and Public Health. 19 (15). https://doi.org/10.3390/ijerph19159131
| Article Title | Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children |
|---|---|
| ERA Journal ID | 44293 |
| Article Category | Article |
| Authors | Islam, Md Irteja, Sharwood, Lisa, Chadwick, Verity, Esgin, Tuguy and Martiniuk, Alexandra |
| Journal Title | International Journal of Environmental Research and Public Health |
| Journal Citation | 19 (15) |
| Article Number | 9131 |
| Number of Pages | 17 |
| Year | 2022 |
| Publisher | MDPI AG |
| Place of Publication | Switzerland |
| ISSN | 1660-4601 |
| 1661-7827 | |
| Digital Object Identifier (DOI) | https://doi.org/10.3390/ijerph19159131 |
| Web Address (URL) | https://www.mdpi.com/1660-4601/19/15/9131 |
| Abstract | Background: Understanding and encouraging social and emotional well-being (SEWB) among Indigenous adolescents is vital in countering the impacts of colonisation and intergenerational trauma. As self-harm and suicidality are considered markers of poor SEWB among Indigenous communities, we aimed to identify the individual-level and community-level factors protecting Indigenous adolescents from self-harm and suicidality. Methods: Data came from Footprints in Time—The Longitudinal Study of Indigenous Children (waves 10 and 11), conducted among Indigenous families across Australia. A strengths-based analysis fitted multilevel logistic regression to explore associations with factors proposed as protective against self-reported self-harm and suicidality among Indigenous adolescents. Results: Our study cohort included 365 adolescents with complete data for the variables of interest. Adolescents had a mean (SD) age of 14.04 (0.45) years and a sex ratio of almost 1:1, and most were attending school (96.2%). Previous self-harm was reported by 8.2% (n = 30); previous suicidality was reported by 4.1% (n = 15). Individual-level factors protecting against self-harm and suicidality were being male, living in a cohesive family, and having low total Strengths and Difficulty Questionnaire scores (p < 0.05 for all). Residing in major cities compared with regional/remote areas was protective against self-harm (OR 5.94, 95% CI 1.31–26.81). Strong cultural identity was not found to be a protective factor against self-harm and/or suicidality in the sample. Conclusions: This study identified key individual- and community-level factors that can protect Australian Indigenous adolescents against self-harm and suicidality, particularly family cohesion. Identifying strengths for this at-risk population can inform prevention strategies, particularly for rural living adolescents with high distress. |
| Keywords | adolescent; adolescent health; health and wellbeing; indigenous peoples; self-injurious behaviour; suicide |
| Contains Sensitive Content | Contains sensitive content |
| ANZSRC Field of Research 2020 | 4203. Health services and systems |
| Funder | National Health and Medical Research Council |
| Byline Affiliations | Library Services |
| University of Sydney | |
| Centre for Health Research | |
| University of New South Wales | |
| University of Technology Sydney | |
| Department of Health, New South Wales | |
| Edith Cowan University | |
| George Institute for Global Health, Australia | |
| University of Toronto, Canada |
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