Components of risk communication in mental health and suicide in Indigenous peoples: A scoping review

Objective

To determine the main components for mental health risk communication and suicide prevention in Indigenous peoples.

Methods

A scoping review was conducted, searching databases such as Cochrane, PubMed, and Google Scholar, as well as gray literature, from 1990 to 2024. Studies were included if they reported components for mental health risk communication and suicide prevention in Indigenous populations. Data were extracted and analyzed using a content analysis approach.

Results

Key components identified include mental health education, social communication built with the community, specific actions for each territory and culture, a community approach to suicidal behavior, articulation of sectors and disciplines, and strategies that strengthen care and intergenerational dialogue. These components were associated with outcomes such as stigma reduction, symptom reduction, sensitive media coverage, spaces for discussing mental health, increased community agency, and greater involvement of various sectors in mental health.

Conclusion

Effective communication strategies are crucial for preventing suicidal behavior and other mental health risks in Indigenous populations. These strategies should be culturally tailored and involve Indigenous communities as key partners in the communication process.