ArticleCMAJ open
Explaining the gaps in psychological distress and suicidal behaviours between non-Indigenous and Indigenous adults living off-reserve in Canada: a cross-sectional study.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 16 citations in OpenAlex.
- Sex as a predictor and moderator of psychosocial determinants of cardiometabolic risks for Métis People in Canada.Frontiers in stroke · 2026Article
- Prevalence of depression among adolescents in rural communities of Mexico.Journal of global health · 2025Observational
- Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Unpacking Indigenous Social Mobility: Entrepreneurs, Social Networks, and Connections to Culture.Business and society · 2025Article
- Food insecurity as a mediator and moderator in the association between residential mobility and suicidal ideation among Indigenous adults in Canada.Social psychiatry and psychiatric epidemiology · 2024Article
- A national-level examination of First Nations peoples' mental health data: Predicting mental well-being from social determinants of health using the 2017 Aboriginal Peoples Survey.Frontiers in public health · 2023Article
- "International journal of environmental research and public health · 2022Article
- Income Gap Equalization Based on PSO Algorithm in Edge Computing Environment.Journal of environmental and public health · 2022Article
- Using an Intersectional Approach to Explore the Lived Mental Health Experiences of Traveller Men Affected by Suicide in Ireland.American journal of men's healthArticle
- Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndigenous people are disproportionately affected by mental health issues in Canada. We investigated factors underlying the difference in psychological distress and suicidal behaviours between non-Indigenous and Indigenous populations living off-reserve in Canada.
methodsWe conducted a cross-sectional study using data from the 2012 Canadian Community Health Survey - Mental Health. Respondents were aged 18 years and older. We measured the variation in psychological distress (10-item Kessler Psychological Distress Scale scores, ranging from 10 [no distress] to 50 [severe distress]) and the prevalence of lifetime suicidal ideation and suicide plan between the Indigenous and non-Indigenous populations and explained these differences using the Blinder-Oaxaca approach.
resultsThe overall response rate for the survey was 68.9%, comprising 18 300 respondents (933 Indigenous and 17 367 non-Indigenous adults). We found lower mean psychological distress scores among non-Indigenous people than among Indigenous people (15.1 v. 16.1,
interpretationSocioeconomic factors account for a considerable proportion of the variation in mental health outcomes between non-Indigenous and Indigenous populations in Canada. Improving socioeconomic status among Indigenous people through plans like income equalization may reduce the gap in mental health outcomes between the 2 populations in Canada.
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