ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2017
Suicide Ideation and Attempts among First Nations Peoples Living On-Reserve in Canada: The Intergenerational and Cumulative Effects of Indian Residential Schools.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.
- Global incidence of suicide among Indigenous peoples: a systematic review.BMC medicine · 2018Pooled it
- Comparing enhanced versus standard Diabetes Prevention Program among indigenous adults in an urban setting: a randomized controlled trial.BMC public health · 2020Trial
- Employing a sequential multiple assignment randomized trial (SMART) to evaluate the impact of brief risk and protective factor prevention interventions for American Indian Youth Suicide.BMC public health · 2019Trial
- Beyond Personal Pathology: Disability and Suicidality among Indigenous Peoples in Canada.Canadian review of sociology = Revue canadienne de sociologie · 2026Article
- Intergenerational Impacts of Historical Trauma on Contemporary Depression Symptoms Among Indigenous Communities.Journal of the American Academy of Child and Adolescent Psychiatry · 2025Article
- Addressing epistemic injustice in the mental healthcare of Indigenous people in Bangladesh: Implications for global mental health.Global mental health (Cambridge, England) · 2025Review
- Connecting to Community: A Social Identity Approach to Neighborhood Mental Health.Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc · 2024Review
- Relations between bullying and distress among youth living in First Nations communities: Assessing direct and moderating effects of culture-related variables.Transcultural psychiatry · 2024Article
- Historical trauma and oppression: Associations with internalizing outcomes among American Indian adults with type 2 diabetes.Transcultural psychiatry · 2024Article
- Culturally responsive assessment of suicidal thoughts and behaviors in youth of color.The American psychologist · 2023Article
- The Contribution across Three Generations of Mercury Exposure to Attempted Suicide among Children and Youth in Grassy Narrows First Nation, Canada: An Intergenerational Analysis.Environmental health perspectives · 2023Article
- The Pre-implementation Process of Adapting a Culturally Informed Stress Reduction Intervention for Native American Head Start Teachers.Global implementation research and applications · 2023Article
- Ke ala i ka Mauliola: Native Hawaiian Youth Experiences with Historical Trauma.International journal of environmental research and public health · 2022Article
- Adverse Childhood Experiences (ACEs) and Health Histories Among Clients in a First Nations-Led Treatment for Substance Use.International journal of mental health and addiction · 2022Article
- Parent-Child Separations and Mental Health among First Nations and Métis Peoples in Canada: Links to Intergenerational Residential School Attendance.International journal of environmental research and public health · 2022Article
- Sex Differences in Determinants of Suicide Risk Preceding Psychiatric Admission: An Electronic Medical Record Study.Frontiers in psychiatry · 2022Article
- Intergenerational residential school attendance and increased substance use among First Nation adults living off-reserve: An analysis of the aboriginal peoples survey 2017.Frontiers in public health · 2022Article
- Spiritual connectedness through prayer as a mediator of the relationship between Indigenous language use and positive mental health.Cultural diversity & ethnic minority psychology · 2021Article
- Transdiagnostic biomarker approaches to mental health disorders: Consideration of symptom complexity, comorbidity and context.Brain, behavior, & immunity - health · 2021Article
- Manitoba First Nation peoples' use of hospital-based mental health services: trends and solutions.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveSuicide rates among Indigenous peoples in Canada are at least twice that of their non-Indigenous counterparts. Although contemporary stressors contribute to this increased risk, historical experiences such as the Indian Residential School (IRS) system may also have continuing links with the risk for suicidal thoughts and behaviors. The current investigation examined the intergenerational and cumulative links between familial IRS attendance in relation to lifetime suicide ideation and attempts among First Nations adults living on-reserve.
methodData from the 2008-2010 First Nations Regional Health Survey were analyzed, and participants comprised a representative sample of First Nations adults older than 18 years (weighted N = 127,338; IRS attendees were excluded). Of those who knew their familial IRS history, 38.0% had no history of attendance, 19.3% had a grandparent who attended, 16.2% had a parent who attended, and 26.5% had a parent and grandparent who attended.
resultsExposure of one previous familial generation to the IRS experience was associated with increased risk for lifetime suicide ideation (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.16 to 1.84; P = 0.001) and attempts (OR, 1.44; 95% CI, 1.07 to 1.94; P < 0.016) compared with those with no IRS history. Having 2 generations of IRS familial history was associated with greater odds of reporting a suicide attempt compared with having one generation (OR, 1.35; 95% CI, 1.05 to 1.75; P = 0.022), which was reduced when current levels of distress and ideation were accounted for.
conclusionFindings support the existence of linkages between intergenerational exposure to IRS and risk for suicidal ideation and attempts and for a potential cumulative risk in relation to suicide attempts across generations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.