August 15, 2003
Suicide prevention:
it's up to the people, expert says
Community-based prevention
need not be expensive
JANE
GEORGE
People - not money - make
or break successful suicide prevention programs in communities where suicides
occur, says a visiting social worker from Alaska.
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PHOTO TO ENLARGE
Susan
Soule of Alaska doing a presentation for Nunavut officials at a luncheon in
Iqaluit. (PHOTO BY JANE GEORGE)
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Susan Soule of Alaska's
department of health and social services shared that observation last week in
Iqaluit, at a meeting organized by the Government of Nunavut (GN).
"Money helps, but
it's not the key. People are the key," Soule said.
Soule's comments could
be good news to the cash-strapped GN, as an internal working group starts an
informal review of the government's suicide prevention efforts.
Alaska has decentralized
its suicide prevention efforts, and communities now play a large role.
"Basic services should
be provided by the State," Soule said. But communities and their residents
can and should take responsibility for suicide prevention, she says.
Alaska's suicide statistics
are almost as bad as Nunavut's - they are the highest in the U.S. and several
times the national average.
Alaska's suicide prevention
plan, which was recently tabled, aims to reduce suicide through education and
working with communities.
"Each community needs
to develop its own suicide prevention plan that is tailored to meet local needs
and built on local strengths," says the draft plan.
Public awareness of gun
safety, and partnerships with other communities are among the low-cost methods
outlined in this plan. Communities in Alaska generally get about $15,000 U.S.
a year to run their own locally-based suicide prevention activities.
"Community suicide
programs bring youth and elders together," Soule said.
Communities with strong
traditions and sober leadership seem to have the best results, but Soule said
it's almost impossible to evaluate success on what statistics say - because
the raw number of suicides are so few per community.
To measure success, she
recommends looking at those communities where suicide isn't a problem to see
why.
Soule was in Nunavut, visiting
Clyde River, Resolute and Igloolik, to help the GN evaluate the success of the
North Baffin Personal Initiative project, which is run by the non-profit Ilisaqsivik
Society in Clyde River.
Ilisaqsivik's program is
part of a strategy to bring the North Baffin region's current suicide rate of
133.5 per 100,000 people down to Nunavut's rate of 74 per 100,000, or even to
the Canadian national average of 20 per 100,000.
This program is also based
on building and improving connections between people - involving the communities
of Clyde River, Pond Inlet, Arctic Bay, Grise Fiord, Resolute Bay, Igloolik
and Hall Beach - through local counselling efforts and group activities such
as winter gatherings and summer youth camps.
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