Manual of Resources for Aboriginal & Torres Strait Islander Suicide Prevention

Clinicians & Front-line Workers

Resources for Clinicians & Front-line Workforces

Clinicians, including psychologists, psychiatrists, emergency medicine specialists, GPs and nurses, have important roles to play in supporting the mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander people, and in preventing suicide.

Other front-line workers who provide services to Indigenous people can also make essential contributions. Social workers, youth workers, and any staff who support community programs and services, need to understand how Indigenous people may exhibit distress and how to respond to individuals, families and whole communities.

For some professionals, supporting Aboriginal and Torres Strait Islander people’s mental health and social and emotional wellbeing will be part of their education, training and supervision. For many others, their development in these domains will occur in the workplace, with limited formal oversight.

All workforces need to understand how to work with Indigenous people in a culturally responsive and safe way that supports positive and trusting relationships.

This section of the Manual includes resources that apply in all these situations.

Resources

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The toolkit was intended for use to support suicide prevention and postvention responses in schools. It includes fact sheets to help teachers respond to Aboriginal and Torres Strait Islander students, that may also be valuable to other service providers: Grief: how Aboriginal and Torres Strait Islander young people might respond to suicide Remembering a young person: memorials and important events in Aboriginal and Torres Strait Islander communities Suicide in schools: information for Aboriginal and Torres Strait Islander families Self-care for school staff working with Aboriginal and Torres Strait Islander young people in remote areas Suicide contagion for Aboriginal and Torres Strait Islander young people Source: beyondblue

Human Services Standards Evidence Guide

Let's yarn about something that can hurt us, our mob and community. Let's talk about the misuse of alcohol and other drugs. It can be a hard thing to talk about and the journey can be long and challenging, but remember with the right support, together we can heal. Source: 13YARN

We Were Just Little Boys describes the stories of survivors of the Kinchella Boys Home, where an estimated 400 to 600 Aboriginal children were exposed to routine acts of cultural genocide. Source: Kinchela Boys Home Aboriginal Corporation YouTube Channel

Suicide is a difficult topic to talk about. Recognising any signs, struggle, and understanding how to help a loved one can be an important part of supporting our mob. Source: 13YARN

iBobbly is a social and emotional wellbeing self-help app for young Aboriginal and Torres Strait Islander people aged 15 years and over. Using iBobbly for six weeks has been shown to reduce depression, distress and suicidal thinking. Based on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy, and co-designed with young people in the Kimberley, the app helps people to recognise troubling thoughts and responses, and apply more positive thinking and behaviours. Source: Black Dog Institute

This clinical protocol aims to reduce deliberate self-harm and suicidal behaviour by ensuring that people at risk are able to access consistent levels of support across the Kimberley, including: Appropriate screening and assessment Effective follow-up and safety planning. The protocol recognises the role in suicide and self-harm of historical and current trauma, grief and loss, racism, child abuse and neglect, cultural breakdown, family and domestic violence, homelessness, poverty and sexual assault. It provides additional guidance on drug or alcohol dependence, acknowledging the complexities of supporting Indigenous people who experience these issues after an episode of self-harm. Source: Kimberley Aboriginal Health Planning Forum

Nathan Sutherland - one of only two hundred psychologists in Australia who identify as Aboriginal - talks about how to seek support from friends, family, community and healthcare professionals. Source: Desert Pea Media/WNSWPHN

Policies & Position Statements

From Clinical and Peak Groups

This section of the Manual outlines the policies and positions of key groups in relation to Aboriginal and Torres Strait Islander people’s mental health and social and emotional wellbeing, highlights the commitments of these groups to improving outcomes for Indigenous people, and describes the expectations on their members.

Professional bodies and sector peak organisations have a strong influence on how their members practise. This is true at an individual level, in terms of professional standards and continuing professional development. It also applies at an organisational level, as service providers influence and are influenced by the collective decisions of peak groups.

Australia has multiple Indigenous organisations which focus holistically on the health, mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander people, and/or on the education and employment of Indigenous people in health professions.

Mainstream clinical professional representative organisations may be less focused on and/or less capable in supporting Aboriginal and Torres Strait Islander people. The intersection between clinical and cultural support may sometimes be a particular challenge for mainstream clinicians.

Published policies and positions with regard to the mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander people from both groups are summarised here.

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