The Cedar Project: Relationship between child apprehension and attempted suicide among young Indigenous mothers impacted by substance use in two Canadian cities.

PloS One
Lisa RitlandCedar Project Partnership

Abstract

Indigenous leaders are gravely concerned over disproportionate representation of Indigenous children in Canada's child welfare systems. Forced separation from children is deeply traumatizing for mothers and detrimental to the wellbeing of Indigenous families, communities and Nations. This study examined relationships between child apprehension and suicide attempt within a cohort of young Indigenous women impacted by substance use. We utilized data collected every 6 months (2008-2016) by the Cedar Project, an Indigenous-governed cohort study involving young Indigenous people who use drugs in British Columbia, Canada. Recent child apprehension was defined as having a child apprehended by the Ministry of Child and Family Development since last visit. Recurrent event Cox proportional hazards models estimated the independent effect of child apprehension on maternal suicide attempt. Among 293 participants, 78 (27%) reported 136 child apprehensions; incidence of first apprehension was 6.64 (95%CI: 5.25-8.29) per 100 person-years. Forty-seven (16%) participants reported 75 suicide attempts with an incidence of 4.00 (95%CI: 2.94-5.33) per 100 person-years. Participants who reported recent child apprehension (HR: 1.88, 95%CI: 1.00-3.55),...Continue Reading

References

May 8, 2003·Journal of Psychoactive Drugs·Maria Yellow Horse Brave Heart
Jun 19, 2003·Journal of Clinical Epidemiology·Ewout W SteyerbergKarel G M Moons
Jun 24, 2004·American Journal of Community Psychology·Les B WhitbeckXiaojin Chen
Jul 7, 2009·Lancet·Michael Gracey, Malcolm King
Aug 27, 2009·International Journal of Circumpolar Health·Akm MoniruzzamanUNKNOWN Cedar Project Partnership
Jul 13, 2016·Qualitative Health Research·Sana Z ShahramUNKNOWN Cedar Project Partnership
Nov 8, 2017·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kate JongbloedUNKNOWN Cedar Project Partnership
Dec 6, 2017·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Elizabeth Wall-WielerDeepa Singal
Mar 27, 2018·Substance Use & Misuse·Katie SchultzCynthia Pearson

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