Suicide Prevention in Australian Aboriginal Communities: A Review of Past and Present Programs

A review of Aboriginal suicide prevention programs were conducted to highlight promising projects and strategies. A content analysis of gray literature was conducted to identify interventions reported to have an impact in reducing suicidal rates and behaviors. Most programs targeted the whole community and were delivered through workshops, cultural activities, or creative outlets. Curriculums included suicide risk and protective factors, warning signs, and mental health. Many programs were poorly documented and evaluations did not include suicidal outcomes. Most evaluations considered process variables. Results from available outcome evaluations suggest that employing a whole of community approach and focusing on connectedness, belongingness and cultural heritage may be of benefit. Despite the challenges, there is a clear need to evaluate outcomes if prevention is to be progressed.     

Resolving the small-pockets problem helps clarify the role of education and political ideology in shaping vaccine scepticism

Understanding the factors associated with vaccine scepticism is challenging because of the ‘small-pockets’ problem: The number of highly vaccine-sceptical people is low, and small subsamples such as these can be missed using traditional regression approaches. To overcome this problem, the current study (N = 5,200) used latent profile analysis to uncover six profiles, including two micro-communities of vaccine-sceptical people who have the potential to jeopardize vaccine-led herd immunity. The most vaccine-sceptical group (1.14%) was highly educated and expressed strong liberal tendencies. This group was also the most sceptical about genetically modified crops and nuclear energy, and most likely to receive news about science from the Internet. The second-most vaccine-sceptical group (3.4%) was young, poorly educated, and politically extreme (both left and right). In resolving the small-pockets problem, the current analyses also help reconcile competing theoretical perspectives about the role of education and political ideology in shaping anti-vaccination views.