文化中的心理健康:加拿大原住民社区青少年自杀率调查及公共政策建议

M. Turner
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引用次数: 6

摘要

本文认识到加拿大原住民青年自杀率高,需要采取干预策略。根据统计,高自杀率并不适用于所有原住民社区。有些地区的青少年自杀是不存在的,因此,一种笼统的假设,例如所有土著青年都有较高的风险,只会使污名永久化。主流保健的生物医学重点和其他服务的殖民观点往往没有认识到土著社区内青年自杀背后的决定因素。文献显示,青少年自杀率低的健康社区拥有共同的身份,实践文化连续性,并具有自决权。为了促进土著青年的健康环境,加拿大人必须超越从治疗症状的角度考虑健康问题。相反,我们必须审查和处理种族主义和文化灭绝的历史和当代构成,并努力制定促进文化安全进程的公共政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental Wellness through Culture: An Examination of Youth Suicide Rates in Canada's Aboriginal Communities and Recommendations for Public Policy
This paper recognizes the high rate of Aboriginal youth suicide in Canada and the need for an intervention strategy. According to statistics, the high rate of suicide cannot be applied to all Aboriginal communities. There are areas where youth suicide is nonexistent, thus a blanket assumption, such as all Aboriginal youth are at an elevated risk, only perpetuates stigmatization. The biomedical focus of mainstream health care and colonial perspective of other services often fail to acknowledge the determinants behind youth suicide within Aboriginal communities. The literature reveals that healthy communities, with low rates of youth suicide, share a common identity, practice cultural continuity and are self-determining. In order to facilitate healthy environments for Aboriginal youth, Canadians must go beyond thinking of health in terms of treating symptoms. We must instead examine and address the historical and contemporary constructions of racism and cultural genocide and work toward developing public policy promoting culturally safe processes.
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