{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:15:27Z","timestamp":1790072127873,"version":"4.0.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The Inuit population in Canada's North has suffered from high rates of death by suicide. We report on the first large-scale, controlled, epidemiologically representative study of deaths by suicide in an Indigenous population, which investigates risk factors for suicide among all Inuit across Nunavut who died by suicide during a 4-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We identified all suicides by Inuit ( n = 120) that occurred between January 1, 2003, and December 31, 2006, in Nunavut. For each subject, we selected a community-matched control subject. We used proxy-based procedures and conducted structured interviews with informants to obtain life histories, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Axis I and II diagnoses, and measures of impulsive and (or) aggressive traits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compared with control subjects, subjects who died by suicide were more likely to have experienced childhood abuse (OR 2.38; 95% CI 1.39 to 4.08), have family histories of major depressive disorder ( P = 0.002) and suicide completion ( P = 0.02), and have been affected by major depressive disorder (OR 13.00; 95% CI 6.20 to 27.25), alcohol dependence (OR 2.90; 95% CI 1.59 to 5.24), or cannabis dependence (OR 3.96; 95% CI 2.29 to 6.8) in the last 6 months. In addition, subjects who died by suicide were more likely to have been affected with cluster B personality disorders (OR 10.18; 95% CI 3.34 to 30.80) and had higher scores of impulsive and aggressive traits ( P &lt; 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>At the individual level, clinical risk factors for suicide among Inuit are similar to those observed in studies with the general population, and indicate a need for improved access to mental health services. The high rate of mental health problems among control subjects suggests the need for population-level mental health promotion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674371506000605","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T05:41:17Z","timestamp":1484199677000},"page":"268-275","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":75,"title":["Suicide among Inuit: Results from a Large, Epidemiologically Representative Follow-Back Study in Nunavut"],"prefix":"10.1177","volume":"60","author":[{"given":"Eduardo","family":"Chachamovich","sequence":"first","affiliation":[{"name":"Psychiatrist, McGill Group for Suicide Studies, Department of Psychiatry, McGill University, Montreal, Quebec; Assistant Professor, Department of Psychiatry, McGill University, Montreal, Quebec"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence J","family":"Kirmayer","sequence":"additional","affiliation":[{"name":"Psychiatrist, James McGill Professor, and Director, Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University, Montreal, Quebec; Senior Investigator, Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M","family":"Haggarty","sequence":"additional","affiliation":[{"name":"Psychiatrist and Professor, Northern Ontario School of Medicine, Division of Clinical Sciences, Thunder Bay, Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Cargo","sequence":"additional","affiliation":[{"name":"Future Fellow, School of Population Health, University of South Australia, Adelaide, South Australia, 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