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The purpose of this paper is to calculate the rate of suicide in different religious groups in people of South Asian origin in the UK.

A cross-sectional, secondary analysis of a national data set. A name recognition algorithm was used to identify people of South Asian origin and their religion. Standardized mortality ratios (SMRs) were calculated using this data and data from the national census. Setting: a population study of all those who died by suicide in England and Wales in 2001. Participants: all cases of suicide and undetermined intent identified by the Office for National Statistics for England and Wales.

There were 4,848 suicides in the UK in 2001 of which 125 (2.6 percent) were identified as people of South Asian origin by the algorithm. The suicide rate for all people of South Asian origin was 5.50/100,000 compared to 9.31/100,000 for the population of England and Wales. The age SMR for those whose names were of Hindu, Muslim or Sikh origin were 0.88, 0.47 and 0.85, respectively. Female South Asians have lower rates of suicide, than their South Asian male counterparts.

Religious classification by the computerized program does not guarantee religious affiliation. The data set were confined to one year because religion was not collected prior to the 2001 census.

The rates of suicide for South Asian sub-populations in the UK differ by gender and religion.

The interpersonal theory of suicide (ITS; Joiner, 2005) has gained empirical support as a framework for understanding why people die by suicide in the general population, and more recently, among American Indians (AIs). The purpose of this paper is to examine two key constructs of the theory, perceived burdensomeness and thwarted belongingness as mediators of depression and suicidal ideation within an AI sample.

In all, 156 self-identified AI students completed measures of depression symptoms, thwarted belongingness, perceived burdensomeness, and suicidal ideation online. Non-parametric bootstrapping procedures were conducted.

Results of bootstrapping analyses indicated that perceived burdensomeness had an indirect effect on the relationship between symptoms of depression and suicidal ideation; however, thwarted belongingness did not demonstrate an indirect effect between symptoms of depression and suicidal ideation. Findings suggest that the ITS construct of perceived burdensomeness may be relevant for the study of AI suicide. Implications for targeting perceptions of burdensomeness in preventative efforts against suicide among AIs are discussed.

This is the first study to examine perceived burdensomeness and thwarted belongingness as mediators of symptoms of depression and suicidal ideation in a sample of AI participants.

The purpose of this paper is to describe culture- and context-specific suicidal behaviours among Korean-Canadian immigrants as a means to guiding the development of targeted culturally sensitive suicide prevention programmes.

Fifteen Korean-Canadian immigrants who had experiences with suicidal behaviours (e.g. suicidal ideation, suicide attempts) participated in this qualitative research study. Semi-structured interviews were conducted for 30-90 minutes individually and constant comparison analysis methods were used to inductively derive recurrent prevailing themes from the interview data.

The study findings reveal that causes and triggers for suicidal behaviours among Korean-Canadians most often emerged from academic and work pressures, estranged family and altered identities. Permeating these themes were deeply embedded cultural values, which according to the participants, could afford protection or heighten the risk for suicide.

By focussing only on first-generation Korean-Canadian immigrants, the results are limited in what they can reasonably say about other Canadian immigrant sub-groups.

In light of the current research findings, mental health care providers should be cognizant of immigrant patients’ cultural backgrounds and life circumstances as a means to further understanding what underpins their risk for suicide.

Notwithstanding the aforementioned limitation, this study contributes important empirical insights about Korean-Canadian immigrants’ suicidal ideation and risk/protective factors. This not only adds to the wider literature connecting culture and suicidality, it affirms the need for culture-specific research as a means to developing culturally sensitive mental health services.

The purpose of this paper is to present some results of a qualitative study exploring people's memories of the pathways to the first episode of self-wounding. Specifically it will focus on the issue of “suicidality”.

In total, 11 participants, aged between 19 and 50, were described. They were asked to describe their first episode of self-wounding. The interviews were conducted using a semi-structured topic guide. An initial thematic and a subsequent narrative analysis were used to explore the participants’ stories.

The narratives of self-wounding show that the first episode occurs in a complex landscape of interactions between events and emotions. Even when participants were aware of suicidal feelings before self-wounding, the suicidal intention was abandoned as the self-wounding was shown to be an effective method for dealing with distress. For most of the participants the self-wounding was not associated with suicidality but with a strong need to gain or regain control of an emotionally charged and chaotic environment.

Focusing on the first episode of self-harm holds the key to a better appreciation of the underlying meanings of self-wounding as a complex and dynamic experience. It can provide health care practitioners with a new direction to understanding people's individual motivations rather than focusing relying on behaviour generalised assumptions.

This study provides a rare insight into the first episode of self-harm as a unique event. It is also a rare example of publicly funded service-user research with a focus on issues which are meaningful to them.

Hispanic female (Latina) adolescents have high rates of suicidal behavior. Latinas face suicide risks common to all adolescents, but also face unique risks, including family and acculturation struggles. Life is Precious (LIP), a community-based organization operating in Brooklyn and the Bronx, has developed a comprehensive suicide prevention intervention for Latinas that has been well-received by adolescents, their parents, and the community. The purpose of this paper is to describe an academic-community partnership that has been created to evaluate the program and develop an evidence-based practice (EBP) that can be replicated in other settings.

A quantitative and qualitative research design has been developed to evaluate the current program and identify how it can be scaled into an EBP.

To date, 55 participants have completed the baseline interview. All participants are Latinas age 12-18. In total, 84 percent were born in the USA and 89 percent report fluency in English. About one-third report having repeated a grade in school and over a quarter report a history of sexual abuse. Preliminary findings indicate the effectiveness of LIP. Since the program's inception in 2008, only three participants have been hospitalized for mental health reasons and none have attempted suicide. Participants report improvements in school and family functioning.

Findings may be useful in design of programs (not necessarily suicide prevention) serving immigrant, low income, and urban populations.

LIP is an innovative program that addresses the unique risk factors facing Latina adolescents. LIP's success makes it a promising avenue to learn about preventing suicidal behavior in this vulnerable population.

The purpose of this paper is to propose that black churches in the USA are best suited to curtail the rising incidence of suicide, and suicide ideation among African-American adolescents. Presently, little is known about the best preventive practices and mental healthcare interventions for the black adolescents assailed by suicide and suicidal ideation.

A review of the extant literature was conducted to understand and synthesize the current knowledge base about suicide rates among African-American adolescents. To retrieve and review relevant literature that focussed on suicide among African-American adolescents and the preventive roles of black churches the authors searched the following databases: PsychINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Social Work abstracts, and Google Scholar.

Findings indicate that black churches could implement, and profusely replicate the lay health advisors and HAVEN models to successfully mitigate the rate of suicide among black adolescents. In addition it was found that the gatekeeper suicide prevention program model also holds promise for suicide prevention among black adolescents in black churches.

The result of this research synthesize is limited to African-American adolescents and may not be generalizable to other minority adolescents’ experiencing suicidal challenges. Furthermore, future research should utilize qualitative research methodologies to document lived experiences of African-American adolescents who are survivors of suicide attempts with a view to preventing suicide and suicidal ideation among black adolescents.

Healthcare professionals, and policy makers, are provided a panoramic view of culturally competent and spiritually sensitive prevention interventions within black churches that are most appropriate for reducing suicide rates among minority black adolescents.

This paper aims to describe Caribbean traditional medicine and to consider whether and how it could be integrated into health systems in Canada.

This paper employs a literature review and synthesis.

Caribbean traditional healing takes a variety of forms reflecting the diversity of histories of the people of the Caribbean. A number of arguments including quality, equity, cost, and social climate will be important factors in facilitating or hindering the expansion of these complementary therapies. However, linking an expansion of therapies to other policy imperatives such as developing stronger communities and expansion of trade may make success more likely.

This is a narrative and document review. It is an argument which aims to produce discussion rather than empirical research.

Taking a discursive narrative approach to difficult policy issues may help in considering strategies for promoting change.

This is the first study which has attempted to consider traditional Caribbean medicine in the Canadian context. It is also the first to consider the strategies for convincing health systems to adopt this form of complementary medicine.

This paper aims to print 3D structures from polymers that resist bacterial attachment by reactive jetting of acrylate monomers.

The first step towards printing was ink development. Inks were characterised to carry out an estimation of their potential printability using the Z parameter to predict stable jetting conditions. Printability conditions were optimised for each ink using a Dimatix DMP-2800, which enabled 3D structures to be fabricated.

UV photo-initiated polymers, which resist bacterial attachment, were found to be printable using piezo-based inkjet printers. The waveform required for each ink depends on the value of the Z parameter. Once the waveform and the printability parameters were optimised, 3D objects were fabricated.

This methodology has been confirmed as an effective method to 3D print materials that have been demonstrated to be bacteria resistant. However, ink curing depends on modification of some parameters (such as photoinitiator concentration or UV exposure time) which would result in an improvement of the curing process post jetting.

The combination of inkjet based 3D printing with new materials resistant to bacterial attachment means the possibility of building customised medical devices with a high level of complexity and bespoke features can be fully realised. The scope and variability of the devices produced will exceed what can be achieved using standard fabrication methodologies and can be applied to reduce the incidence of device associated infections and to address increased morbidity, mortality and health care costs associated with nosocomial infections.

In this paper, the novel use of materials that resist bacterial attachment has been described to build 3D structures using material jetting. Its value lies on the potential impact this methodology could produce in the biomedical device and research fields.