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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Resources for teaching Indigenous and non-Indigenous students from kindergarten to Year 9 about the Stolen Generations and the continuing consequences of colonisation and intergenerational trauma, including: Video interviews with Stolen Generations survivors Lesson plans A home learning kit for students to work with their families Posters and visuals Source: Healing Foundation

Wiyi Yani U Thangani (Women’s Voices) project builds on the legacy of the 1986 Women’s Business Report. The Australian Human Rights Commission (the ‘Commission’) and the National Indigenous Australians Agency (NIAA) have partnered on a national conversation to elevate the voices of Aboriginal Torres Strait Islander women and girls. Led by the Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar AO, Wiyi Yani U Thagani (Women's Voices) is a multi-year initiative set out to capture what Aboriginal and Torres Strait Islander women and girls consider to be their strengths, challenges and aspirations for change. Throughout 2018, the Commissioner and her team travelled to 50 locations in urban, regional and remote areas across every state and territory. They conducted 106 engagements and met with 2,294 women of all ages. Over 100 submissions and 300 survey responses were also received. Informed by the findings from engagements and submissions, the Wiyi Yani U Thangani (Women's Voices): Securing our Rights, Securing our Future 2020 report was prepared, and published in December 2020. The report is an extensive whole-of-life report that captures the needs of Aboriginal and Torres Strait Islander women and girls, the principles they think ought to be enshrined in the design of policy and programs, and the measures they recommend ought to be taken to effectively promote the enjoyment of their human rights in the future.

Short resource describing the role of the coroner, including after a suicide. The resource covers identification, autopsy, funeral planning, death certification and Aboriginal family liaison. While it relates to Victoria, most content is general in nature and relevant in other states. Source: Coroner’s Court Victoria

This toolkit helps people to recognise and take action where there is a risk of suicide. Source: Lifeline Information Services

A series of resources that adapt the Mental Health First Aid guidelines for Aboriginal and Torres Strait islander people, including guidelines on: Depression Psychosis suicidal thoughts, behaviour and self-harm trauma and loss alcohol and drug use culturally appropriate communication Source: Mental Health First Aid

One hour e-learning course for practitioners who work with Aboriginal and Torres Strait Islander children, families and communities. It has been developed with the support and guidance of Aboriginal and Torres Strait Islander peoples, to develop the knowledge and skills required to support families’ resilience. Source: Emerging Minds

This short resource gives advice about how to start an inclusive conversation in a community about preventing suicide. Source: Everymind

Continuing professional development webinar for mental health and other clinicians featuring: Marshall Watson – Noongar man and psychiatrist Louis Peachey – Djabugay man and rural generalist Jeff Nelson – Indigenous psychologist Source: Mental Health Professionals Network

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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AIPA provides leadership on issues related to the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples.

The AMA has an extensive body of policy statements and submissions in relation to the health of Aboriginal people.

The Australian College of Emergency Medicine, which represents emergency department doctors, notes that Indigenous people use Emergency Departments almost twice as frequently as non-Indigenous people - representing 3 per cent of the population but 5.6 per cent of ED visits.

Gayaa Dhuwi (Proud Spirit) Australia is a national Aboriginal and Torres Strait Islander social and emotional wellbeing, mental health and suicide prevention leadership body. It is governed and controlled by Indigenous experts and peak bodies working in these areas, promoting collective excellence in mental health care.

The Royal Australian College of General Practitioners has a Faculty of Aboriginal and Torres Strait Islander Health. Its Council is chaired by Wiradjuri man Associate Professor Peter O’Mara and includes GPs and representatives from NACCHO and AIDA.

Guidelines for Best Practice Psychosocial Assessment of Aboriginal and Torres Strait Islander People Presenting to Hospital with Self-harm and Suicidal Thoughts

Coroner's Court Resources

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