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Socioeconomic inequalities in psychological distress and suicidal behaviours among Indigenous peoples living off-reserve in Canada

TitleSocioeconomic inequalities in psychological distress and suicidal behaviours among Indigenous peoples living off-reserve in Canada
Year of Publication2019
AuthorsHajizadeh, M., Bombay A., and Asada Y.
JournalCanadian Medical Association Journal
Volume191
PagesE325 - E336
Abstract

{BACKGROUND: Indigenous peoples in Canada have high rates of psychological distress and suicide. We sought to assess the socioeconomic inequalities in psychological distress and suicidal behaviours, and the factors that explain them within Indigenous peoples living off-reserve. METHODS: Using the nationally representative 2012 Aboriginal Peoples Survey collected from Indigenous adults living off-reserve in Canada, we measured income-related inequalities in psychological distress (measured on the 10-item Kessler Psychological Distress Scale) and suicidal behaviours (suicidal ideation and suicide attempt) and identified factors contributing to these inequalities using the concentration index (C) approach. RESULTS: Among 14 410 individuals representing 600 750 Indigenous adults (aged => 18 yr) living off-reserve in Canada, the mean score of psychological distress was 16.1; 19.4% reported lifetime suicidal ideation and 2.2% reported a lifetime suicide attempt. Women had higher psychological distress scores (mean score 16.7 v. 15.2, p

URLhttps://www.cmaj.ca/content/191/12/E325
DOI10.1503/cmaj.181374
Document URLhttps://www.cmaj.ca/content/cmaj/191/12/E325.full.pdf