Cultural Competence

The Substance Abuse and Mental Health Services Administration (SAMHSA) supports campuses, states, and tribal communities to support suicide prevention work, as authorized by the Garrett Lee Smith Memorial Act. This publications provides eight examples of suicide prevention initiatives by Garrett Lee Smith (GLS) grantees that emphasize preventing suicide among Asian Americans and Pacific Islanders (AA/PI).

This tool provides a series of questions to guide the cultural adaptation of gatekeeper traning programs and so improve the community ownership, utilization, and effectiveness of the training. Questions in the areas of training delivery, shared group considerations, and follow-up and referral network are included.

From February 2009 to February 2012, the Office of Refugee Resettlement (ORR) of the United States
Department of Health and Human Services reported 16 suicides among Bhutanese refugees who resettled in the United States. ORR requested that the Refugee Health Technical Assistance Center (RHTAC) of the Massachusetts Department of Public Health and the Centers for Disease Control and Prevention (CDC) conduct an investigation of the multi-state cluster of suicides in this population.
The main objectives of the investigation were to 1) describe suicides that have occurred; 2) identify factors associated with suicidal ideation; and 3) formulate recommendations for stakeholders to prevent additional suicides. Key recommendations are made for local resettlement networks, community mental health providers, ORR and other partners.
 

The purpose of the Resource Guide is to highlight the work of the 14 Healthy Indian Country Initiative Tribal grantees’ prevention projects/programs, including suicide prevention programs, and to provide information for other Tribal communities to examine these community-based prevention practices and learn strategies and lessons for effective implementation of prevention programs. The long-term goal of this work is to inform and improve prevention programs and services in Indian Country by providing information that other Tribal communities can use to make their Tribal programs more effective and continue the replication of these “promising prevention programs.” 
 

Presenters discuss the importance of changing perceptions, practices, and culture to address the needs of underserved LGBTQI youth. Webinars in the series include "Understanding and overcoming the challenges faced by lesbian, gay, bisexual, transgender, questioning and intersex youth in schools and communities”, “The critical role of families in reducing risk and promoting well-being for lesbian, gay, bisexual, transgender, questioning and intersex youth” and Understanding the importance of implementing an effective justice system response for lesbian, gay, bisexual, transgender, questioning, and intersex youth in custody”

This article discusses how culture can affect patients’ perceptions of health issues and interactions with health care providers, and the issues that EMS providers need to consider in interacting with people from different cultures.
 

This training is designed to support proactive planning to ensure an integrated community response with other key service providers after a suicide death. Participants also learn steps for reducing the risk of suicide contagion. It is six hours and can be tailored for specific audiences. The intended audience includes EMS providers/first responders and fire and safety, search and rescue, and disaster response teams. Participants may include administrative staff, chiefs, superintendents, dispatch, and other responders in a department or facility.
 

This report presents a holistic examination of suicide in regional and remote Australia. It predominantly focused on the Queensland experience and has investigated a wide range of psychological, environmental and cultural factors, within this bound geographical context. Includes a review of suicidal behavior in rural/remote areas of Australia, individual-level factors related to suicide and suicide prevention initiatives in rural and remote areas of Australia

This webinar presents an overview of the challenges that Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex (LGBTQI) youth face in their schools and communities. Presenters will discuss the importance of changing perceptions, practices, and culture to address the needs of these underserved youth. Slides are attached and a transcript of the webinar is available by following the link.

This document seeks to strengthen partnerships with researchers by providing insight about how culture, sovereignty, and experience matter in research with Native communities. It was produced with insights from those involved with tribal research in Montana and elsewhere.