Depression and Suicide: A Concern in Aboriginal Health
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This article discusses the impact of depression and suicide on the health of aboriginals in Canada. It explores the causes, symptoms, and traditional healing practices used to address this issue.
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Running head: DEPRESSION AND SUICIDE DEPRESSION AND SUICIDE Name of the student: Name of the university: Author note:
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1DEPRESSION AND SUICIDE Canada is considered to be a failure when the health of aboriginals are discussed and taken under consideration. The health of indigenous people in Canada is certainly a big embarrassment to the country. It is known that aboriginal people of Canada are faced with harsh challenges on daily basis (Boyer, 2019). The unique set of challenges makes them go through mental health issues and illnesses. Depression is one of the major disorders that comes under the common and serious medical illness. Therefore, aboriginals are certainly more in numbers when depression and suicide is considered in Canada. The paper will discuss depression and suicide is a profound factor of concern in the area of aboriginal health. The paper will discuss the concept of depression and suicide, its condition, relation to the aboriginal group, the history of the disease along with traditional healing practices. The paper will provide description of depression and suicide followed by epidemiology of the condition. The history of depression and suicide among aboriginal people along with the historical events that have contributed to the development of it followed by the traditional healing practices used in order to address the issue of depression and suicide. Depression and suicide Depression is one of the major disorders that come under the common and serious medical illness. Depression has serious negative impacts on the way a person feel, the way a person think and the way a person act. However, depression is treatable and a person with depression can overcome it through appropriate medical approaches (Miller & Hen, 2015). Depression can lead to several problems including emotional and physical problems that may decrease a person’s ability function at home as well as work. The signs of depression are: Lack of energy or feelings of fatigue
2DEPRESSION AND SUICIDE Loss of pleasure in virtually every activities Frequent tearfulness Change in sleep pattern Difficulty with appetite memory or concentration Unrealistic ideas and worries Changes in appetite along with corresponding change in weight Feeling of worthlessness and self-blame and no hope about future Thoughts of suicide (Schwartz et al., 2014) One of the major leading causes of death in young people is suicide. The cause of suicide is mental illness among which depression is the most common one. People feeling suicidal are overwhelmed by painful emotions and during this time death seems to be the escape for them. People who overcome depression leave the tendency of committing suicide (Dazzi et al., 2014). They are also found being regretful of attempting suicide after overcoming depression. The signs and symptoms of suicide are: Talking about suicide Withdrawing from social contact Mood swings such as emotionally high and deeply one day and discouraged the other day Increased use of alcohol or drugs Feeling trapped and hopeless Performing self-destructive things Developing personality changes Feeling anxious and agitated (Schilling et al., 2014.)
3DEPRESSION AND SUICIDE Epidemiology of the condition The tragic reality of First Nations and Inuit communities is suicide and depression. The communities experience much higher suicide rates compared to the Canadian population as whole. The rate of depression and suicides among the aboriginals are certainly a matter of concern. They are faced with societal challenges that force them to become depressed then lead to suicide (Ridani et al., 2015). The issues such as housing, employment and education through the battle of racism it is not surprising that aboriginal people in Canada are more likely to experience depression and suicide than non-aboriginals. They are faced with traumatic events in their lifetimes including individual, collective and historical traumas (Walls, Hautala & Hurley, 2014). Aboriginal Determinants of Health Aboriginals are certainly more in numbers when depression and suicide is considered in Canada. While suicide is the 14thleading cause of death for non-indigenous people in Australia, it is ranked fifth for the indigenous people. It number should not come as a surprise, as the struggle of aboriginals is often witnessed very commonly. The suicide is not the outcome of only mental disorders. There are many other factors that play role. There are specific cultural, historical, political considerations (Boksa, Joober & Kirmayer, 2015). These factors heavily influence the increasing suicide rates of suicide among Aboriginals and Torres straits Islander people. The suicide rate among the aboriginals includes several aspects. There are several factors that act as determinants of health for aboriginals however the major underlying factor is racism. Racism is acknowledged as a determinant of health for aboriginal population. Racism impacts on aboriginals people in the way that is similar to a traumatic event with at least 30 per cent of depression being accounted for by racism alone. According to researches racism has the potential
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4DEPRESSION AND SUICIDE of impacting in-utero disrupting the basic brain stem developed since racism impacts on aboriginal people as a traumatic event. It can be stated as the result of policies that restrict human choice which contribute to established risk factors for suicide, depression and being hopeless. These factors force the individual to find suicide as the way of escaping. The social isolation that aboriginals feel in the society is another leading cause of growing suicide among the indigenous people. Beginning from the education, universities do not require any minimum standards of cultural competence for taking degrees. However, there is a huge discrimination on the basis of race that makes the indigenous students feel isolated in the field of education. Children have the basic right to education. Yet there is large number of aboriginal children who do not get to access their right to education and therefore later make them socially backward group. Unemployment, family conflict, poverty, incarceration, hopelessness, childhood abuse and homelessness are some of the common factors that create mental stress for the aboriginals and resulting to depression and suicide. Historical events may have contributed to the development of this disease or condition The idea of aboriginals as the inferior group, backward and barbaric can trace its footprint back to those justifying slavery in the 18thcentury. This has resulted stereotyping over the continent even today. Aboriginals have been on the land of Africa for many years. Yet today they are the backward group who are faced with severe social challenges. When investigated, it certainly drew examples from the colonial period. For most of the period in the history, Europe and African have been connected through trade, empire and migration which are both forced as well as voluntary. It is not unknown that people of Europe have viewed people from Africa through the distorting veil of racism and racial theory. Much of the racial discrimination and racism arose from the political battles fought over the first few decades of 19thcentury. The
5DEPRESSION AND SUICIDE European used racism for the purpose of dominating the African people with the help of slavery and slave trade. During the end of the 18thcentury and the initial years of the 19thcentury racism was seen as an extreme measure. However, the practice of injustice for the centuries in the colonial period have sustained in the society and remained to continue (Snelgrove, Dhamoon & Corntassel, 2014). Traditional healing practices used to address this health concern Many a times, aboriginal clients do not feel comfortable and confident with the standard treatment offered by the mental health environment. Some of the traditional healing methods are dream work, pipe ceremonies, energy healing circles, self care, sweat lodge, smudging and other traditional learning. These are the culturally sensitive believes that aboriginal and first nation clients feels comfortable. Dreamwork is a broad term that can be used to describe the exploration and incorporation of dreams in psychotherapy. Healing circle is another therapy that would help stepping out of ordinary time into safe and accepting environment. It helps in healing from negative thoughts by opening mind that explores together by deepening human capacity to heal alleviating the suffering and finding meaning in both joy and challenges (Pan et al., 2014). As discussed above, Canada is considered to be a failure when the health of aboriginals are discussed and taken under consideration. The health of indigenous people in Canada is certainly a big embarrassment to the country. Depression is one of the major disorders that come under the common and serious medical illness. Depression leads to range of emotional, psychological and physical problems that can hamper a person’s capability of functioningat home and work. The cause of suicide is mental illness among which depression is the most common one. Much of the racial discrimination and racism arose from the political battles fought
6DEPRESSION AND SUICIDE over the first few decades of 19thcentury. Aboriginal clients may not feel comfortable and confident with the standard treatment offered by the mental health environment. Therefore, the traditional healing methods are used for the aboriginals.
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7DEPRESSION AND SUICIDE References: Boyer, Y. (2019).Moving Aboriginal health forward: Discarding Canada’s legal barriers. Purich Publishing. Dazzi, T., Gribble, R., Wessely, S., & Fear, N. T. (2014). Does asking about suicide and related behaviours induce suicidal ideation? What is the evidence?.Psychological Medicine, 44(16), 3361-3363. Miller, B. R., & Hen, R. (2015). The current state of the neurogenic theory of depression and anxiety.Current opinion in neurobiology,30, 51-58. Ridani, R., Shand, F. L., Christensen, H., McKay, K., Tighe, J., Burns, J., & Hunter, E. (2015). Suicide prevention in Australian Aboriginal communities: a review of past and present programs.Suicide and Life‐Threatening Behavior,45(1), 111-140. Schilling, E. A., Lawless, M., Buchanan, L., & Aseltine Jr, R. H. (2014). “Signs of Suicide” shows promise as a middle school suicide prevention program.Suicide and Life‐ Threatening Behavior,44(6), 653-667. Schwartz, H. A., Eichstaedt, J., Kern, M. L., Park, G., Sap, M., Stillwell, D., ... & Ungar, L. (2014).Towardsassessingchangesindegreeofdepressionthroughfacebook.In Proceedings of the Workshop on Computational Linguistics and Clinical Psychology: From Linguistic Signal to Clinical Reality(pp. 118-125). Walls, M. L., Hautala, D., & Hurley, J. (2014). “Rebuilding our community”: hearing silenced voices on aboriginal youth suicide.Transcultural psychiatry,51(1), 47-72.
8DEPRESSION AND SUICIDE Boksa, P., Joober, R., & Kirmayer, L. J. (2015). Mental wellness in Canada’s Aboriginal communities: striving toward reconciliation.Journal of psychiatry & neuroscience: JPN,40(6), 363. Snelgrove, C., Dhamoon, R. K., & Corntassel, J. (2014). Unsettling settler colonialism: The discourse and politicsof settlers, and solidarity with Indigenous nations.Decolonization: Indigeneity, Education & Society,3(2). Pan, S. Y., Litscher, G., Gao, S. H., Zhou, S. F., Yu, Z. L., Chen, H. Q., ... & Ko, K. M. (2014). Historical perspective of traditional indigenous medical practices: the current renaissance and conservation of herbal resources.Evidence-Based Complementary and Alternative Medicine, 2014.