Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond

ABSTRACT For decades, Canada’s Indigenous populations have experienced high rates of suicide relative to the general population. This commentary suggests that suicide among Indigenous people cannot be explained solely through the causal effects of downstream determinants of health; upstream heal...

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Main Authors:	Max Deschner, Emilie Glanz
Format:	Article
Language:	English
Published:	University of Ottawa 2016-11-01
Series:	University of Ottawa Journal of Medicine
Subjects:	Indigenous Population Health Services Indigenous Patient Advocacy Education Medical
Online Access:	https://uottawa.scholarsportal.info/ottawa/index.php/uojm-jmuo/article/view/1554

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spelling	doaj-73f65f6742934498aeec3cb644bdfc992020-11-25T01:16:16ZengUniversity of OttawaUniversity of Ottawa Journal of Medicine2292-650X2292-65182016-11-016210.18192/uojm.v6i2.1554Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and BeyondMax Deschner0Emilie Glanz1University of OttawaUniversity of Ottawa ABSTRACT For decades, Canada’s Indigenous populations have experienced high rates of suicide relative to the general population. This commentary suggests that suicide among Indigenous people cannot be explained solely through the causal effects of downstream determinants of health; upstream health determinants such as Canada’s colonial past and cultural continuity are equally, if not more, instructive in understanding the tragedy that is taking place in many Indigenous communities across Canada. Medical trainees and physicians can contribute to improvements in Indigenous health by advocating for culturally safe healthcare access and research, as well as Indigenous-oriented medical training. RÉSUMÉ Pendant des décennies, les populations autochtones au Canada ont connu des taux élevés de suicide comparativement à la population générale. Ce commentaire suggère que le suicide chez les personnes autochtones ne peut être expliqué uniquement par les effets causaux des déterminants de la santé « en aval » ; les déterminants de la santé « en amont », tels le passé colonial du Canada et la continuité culturelle, sont tout aussi, sinon plus importants pour comprendre la tragédie se déroulant dans plusieurs communautés autochtones à travers le Canada. Les médecins et étudiants en médecine peuvent contribuer à l’amélioration de la santé autochtone en plaidant pour de la recherche et un accès aux soins de santé qui sont culturellement sécuritaires, et pour des formations médicales axées sur la santé autochtone. https://uottawa.scholarsportal.info/ottawa/index.php/uojm-jmuo/article/view/1554Indigenous PopulationHealth ServicesIndigenousPatient AdvocacyEducationMedical
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Max Deschner Emilie Glanz
spellingShingle	Max Deschner Emilie Glanz Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond University of Ottawa Journal of Medicine Indigenous Population Health Services Indigenous Patient Advocacy Education Medical
author_facet	Max Deschner Emilie Glanz
author_sort	Max Deschner
title	Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond
title_short	Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond
title_full	Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond
title_fullStr	Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond
title_full_unstemmed	Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond
title_sort	preventing the tragedy of suicide among indigenous people in canada: physician advocacy through the training pipeline and beyond
publisher	University of Ottawa
series	University of Ottawa Journal of Medicine
issn	2292-650X 2292-6518
publishDate	2016-11-01
description	ABSTRACT For decades, Canada’s Indigenous populations have experienced high rates of suicide relative to the general population. This commentary suggests that suicide among Indigenous people cannot be explained solely through the causal effects of downstream determinants of health; upstream health determinants such as Canada’s colonial past and cultural continuity are equally, if not more, instructive in understanding the tragedy that is taking place in many Indigenous communities across Canada. Medical trainees and physicians can contribute to improvements in Indigenous health by advocating for culturally safe healthcare access and research, as well as Indigenous-oriented medical training. RÉSUMÉ Pendant des décennies, les populations autochtones au Canada ont connu des taux élevés de suicide comparativement à la population générale. Ce commentaire suggère que le suicide chez les personnes autochtones ne peut être expliqué uniquement par les effets causaux des déterminants de la santé « en aval » ; les déterminants de la santé « en amont », tels le passé colonial du Canada et la continuité culturelle, sont tout aussi, sinon plus importants pour comprendre la tragédie se déroulant dans plusieurs communautés autochtones à travers le Canada. Les médecins et étudiants en médecine peuvent contribuer à l’amélioration de la santé autochtone en plaidant pour de la recherche et un accès aux soins de santé qui sont culturellement sécuritaires, et pour des formations médicales axées sur la santé autochtone.
topic	Indigenous Population Health Services Indigenous Patient Advocacy Education Medical
url	https://uottawa.scholarsportal.info/ottawa/index.php/uojm-jmuo/article/view/1554
work_keys_str_mv	AT maxdeschner preventingthetragedyofsuicideamongindigenouspeopleincanadaphysicianadvocacythroughthetrainingpipelineandbeyond AT emilieglanz preventingthetragedyofsuicideamongindigenouspeopleincanadaphysicianadvocacythroughthetrainingpipelineandbeyond
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Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy Through the Training Pipeline and Beyond

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