{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:54:32Z","timestamp":1777521272157,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"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":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Suicide is disproportionately common among Aboriginal people in Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Life stories were collected from 54 Aboriginal suicide attempters in northern Saskatchewan. Constant comparison techniques and modified grounded theory identified common themes expressed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three common plots\/themes preceded suicide attempts: 1) relationship breakup, usually sudden, unanticipated, involving a third person; 2) being publicly humiliated by another person(s), accompanied by high levels of shame; and 3) high levels of unremitting, chronic life stress (including poverty) with relative isolation. We found 5 common purposes for suicide attempts: 1) to \u201cshow\u201d someone how badly they had hurt the attempter, 2) to stop the pain, 3) to save face in a difficult social situation, 4) to get revenge, and 5) don\u2019t know\/don\u2019t remember\/made sense at the time, all stated by people who were under the influence of alcohol and\/or drugs at the time of their suicide attempt. We found 5 common beliefs about death: 1) you just cease to exist, and everything just disappears; 2) you go into the spirit world and can see and hear everything that is happening in this world; 3) you go to heaven or hell; 4) you go to a better place; and 5) don\u2019t know\/didn\u2019t think about it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The idea of personal and cultural continuity is essential to understanding suicide among First Nations youth. Interventions targeted to the individual\u2019s beliefs about death, purpose for suicide, and consistent with the life story (plot) in which they find themselves may be more successful than one-size-fits-all programs developed outside of aboriginal communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743716659247","type":"journal-article","created":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T19:02:40Z","timestamp":1476385360000},"page":"696-699","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Indigenous Knowledge Approach to Successful Psychotherapies with Aboriginal Suicide Attempters"],"prefix":"10.1177","volume":"61","author":[{"given":"Lewis","family":"Mehl-Madrona","sequence":"first","affiliation":[{"name":"Coyote Institute, Orono, Maine"},{"name":"Eastern Maine Medical Center Family Medicine Residency, Bangor, Maine"},{"name":"Acadia Hospital, Bangor, Maine"},{"name":"University of New England, Biddeford, Maine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0706743716659247","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302517"},{"key":"bibr2-0706743716659247","unstructured":"Canada Health. Acting on what we know: preventing youth suicide in First Nations [Internet] [2010 June 30; cited 2016 May 30]. Available from: http:\/\/www.hc-sc.gc.ca\/fniah-spnia\/pubs\/promotion\/_suicide\/prev_youth-jeunes\/index-eng.php-tphp"},{"key":"bibr3-0706743716659247","doi-asserted-by":"publisher","DOI":"10.1016\/j.cogdev.2007.02.001"},{"key":"bibr4-0706743716659247","unstructured":"Kirmayer L. Suicide among Aboriginal people in Canada. Ottawa, Ontario (Canada): Aboriginal Healing Foundation; 2007."},{"key":"bibr5-0706743716659247","first-page":"52","author":"Centre for Suicide Prevention","year":"2003","journal-title":"Alert"},{"key":"bibr6-0706743716659247","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.01.026"},{"issue":"1","key":"bibr7-0706743716659247","first-page":"191","volume":"17","author":"Lindeman MA","year":"2015","journal-title":"Int J Emerg Mental Health Hum Resilience"},{"key":"bibr8-0706743716659247","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2008.10.003"},{"key":"bibr9-0706743716659247","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.46.4.422"},{"key":"bibr10-0706743716659247","doi-asserted-by":"publisher","DOI":"10.14713\/pcsp.v8i4.1797"},{"key":"bibr11-0706743716659247","unstructured":"McAdams D. The person: an introduction to the science of personality psychology. 5th ed. New York: Wiley; 2009."},{"key":"bibr12-0706743716659247","doi-asserted-by":"publisher","DOI":"10.14713\/pcsp.v5i3.973"},{"issue":"4","key":"bibr13-0706743716659247","doi-asserted-by":"crossref","first-page":"529","DOI":"10.14713\/pcsp.v7i4.1115","volume":"74","author":"Gray MA","year":"2011","journal-title":"Pragmatic Case Studies Psychother"},{"key":"bibr14-0706743716659247","doi-asserted-by":"publisher","DOI":"10.14713\/pcsp.v7i4.1114"},{"key":"bibr15-0706743716659247","doi-asserted-by":"publisher","DOI":"10.1007\/s12124-015-9301-y"},{"issue":"1","key":"bibr16-0706743716659247","first-page":"26","volume":"21","author":"Olson JD","year":"2016","journal-title":"Qualitative Rep"},{"key":"bibr17-0706743716659247","first-page":"1","volume":"18","author":"Fram SM","year":"2013","journal-title":"Qualitative Rep"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0706743716659247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0706743716659247","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0706743716659247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:13:58Z","timestamp":1777392838000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0706743716659247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,11]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1177\/0706743716659247"],"URL":"https:\/\/doi.org\/10.1177\/0706743716659247","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,11]]}}}