Image - Gerry Georgatos

Image – Gerry Georgatos

Suicide prevention should be one of the most urgent priorities of our times – globally and nationally. The rates of suicide should be known, disaggregated and unmasked as the humanitarian crisis that in effect it really is – though little known, suicide is one of the issues of our times. Annually, suicide takes more lives on average than wars, civil strife, all violence combined. It takes more lives annually than most diseases do. In Australia, suicides exceed road fatalities. Why then is not suicide prevention one of the national priorities?

The contributing factors need to be understood, they vary demographically and from people to people – culturally and ‘racially’. In Australia, the majority of suicides have been linked to various stressors – including mental health, various trauma, cost of living pressures, a sense of failure, depression, and among the elderly there are underlying factors such as pain. However for Australia’s First Peoples the contributing factors are markedly different – they are linked to extreme poverty and disadvantage from the beginning of life, intergenerational trauma, cultural identity, racialisation and racism. Often alcohol and substance abuse are considered by many as underlying causes but these are not underlying causes and rather they are at best contributing factors borne symptomatically of the above.

For non-Aboriginal Australians who have suicided the average estimated loss of life is about 30 years per person however for the First Peoples of this continent who take their lives the average loss per person in years is more than 50 years. To put average loss of life years per person into context, we can compare this to cancer – the estimated loss of life years per person dying of cancer is 8 years. Therefore suicide not only takes more lives but more life years. The majority of suicides by First Peoples are below the age of 35 years, with the most at-risk age category the 25 to 30 year olds.

There are other high risk groups – LGBTQI with Aboriginal LGBTQI up to four times more at-risk than their non-Aboriginal counterparts; those who have experienced prison – in the first year post-release they are up to ten times more likely to intentionally self-harm and suicide than while in prison and up to 40 times more likely than the rest of the national population; those with Acquired Brain Injury are also at between ten to twenty times more likely to endure suicidal ideation.

On average one in 20 of Australia’s First Peoples will die by suicide, this is catastrophic, but the real rate is more likely one in 10 – there are under-reporting issues. Wholesale suicide prevention for First Peoples can only succeed if it includes the redressing of inequalities in reference to the social determinants – homelessness, housing, social infrastructure, education – the elimination of extreme poverty. Without the strengthening of social health, far too many will lapse under pressures culminating in depression, clinical disorders and violence. Substance abuse are merely dangerous relief from the various personal dysfunction and sense of hopelessness.

The radical reduction in suicide rates among this continent’s First Peoples will not be achieved without social inequalities redressed, without degraded communities and towns of predominant Aboriginal and/or Torres Strait Islander populations at long last brought to parity with the rest of the nation in terms of their social conditions.

Suicide prevention workshops, suicide prevention ambassadors and reductionist policies dealing with symptoms rather than causality will not only go nowhere but will more than likely ensure suicide rates increase, and that attempted suicides and intentional self-harm rates continue. Any strategy that suggests or claims it can achieve radical reductions with Aboriginal and/or Torres Strait Islander suicide rates without an investment in social infrastructure is lying. By now everyone should know better.

Western Australia is the wealthiest jurisdiction in Australia. Australia is the world’s 12th largest economy. Western Australia has the world’s highest median wage. But far too many of the State’s First Peoples live impoverished, live in third-world akin conditions. Western Australia’s suicide rate is higher than the national rate. From 2007 to 2012 it had a suicide rate of 13.9 per 100,000 population but if you subtract the State’s Aboriginal and/or Torres Strait Islander population, which is less than 3 per cent of the State’s total population, the State’s suicide rate would be significantly lower. In the same period the State’s suicide rate for First Peoples was nearly 40 per 100,000 population.

Suicide is the tip of the iceberg, the worst culmination. Nearly 400,000 Australians each year contemplate suicide, with thereabouts 70,000 suicide attempts annually.

Though the underlying issues to suicide for non-Aboriginal and to First Peoples, and the contributing and protective factors are different, there is no more pressing issue that our Governments should focus on – bona fide suicide prevention.

Western Australia has the highest rate of Aboriginal and/or Torres Strait Islander suicide in the nation, and especially so since 2005. The Kimberley region has the nation’s highest rate of suicide of First Peoples, and is only matched sadly by Far North Queensland’s First Peoples.

Mental illness is generally slated as the predominant contributing factor to suicides – Aboriginal and/or Torres Strait Islander and non-Aboriginal however it is not the predominant factor, but something cumulative or consequent, particularly for the majority of First Peoples.

The only way forward to bring about radical reductions in the rates are through transformational ideologues – for First Peoples and their rates of intentional self-harms, attempted suicides and suicides will only be brought at least in line with non-Aboriginal rates when equality is dished out; by equality I mean the investment in the social infrastructure of communities, towns, urban masses predominately populated by First Peoples but for too long degraded by one Government after another.

Anything else is mindless hogwash, more neglect, endless racism.

 

– Gerry Georgatos is a researcher suicide prevention and in racism

Lifeline’s 24-hour hotline, 13 11 14

Crisis Support and Suicide Prevention Beyond Blue – 1300 22 4636

Other articles and media on the suicide crisis and suicide prevention by Gerry Georgatos:

Plato said engage with our politicians or risk being governed by the dumb – the suicide crises

Another misguided reductionist plan to reduce rates of suicide self-harm

The leading cause of death – for 15 to 44 year old Australians – is suicide | The Stringer

People strengthening people focus on suicide prevention

Understanding difference and unfairness is a first step in suicide prevention | The Stringer

Taboo, stigma and shame need to get out of the way for suicide prevention | The Stringer

Suicide is heading to a humanitarian crisis – it is a leading cause of death | The Stringer

Suicides are preventable – here is what we must begin to do | The Stringer

The extensiveness of Aboriginal & Torres Strait Islander suicides – 1 in 20 | The Stringer

Preventing suicide – “no greater legacy” | The Stringer

Understanding Australia’s suicide crises

Suicides, high among overseas born and second generation Australians

Child suicidal ideation on the increase

It is racism killing our people – suicides born of racism

Kimberley suicide rate – one of the world’s highest – Yiriman is the way to go

My Country – But look how I am forced to live

What will it take to end Aboriginal disadvantage, the inequalities and the various crises?

What sort of Australia is this? Seven homeless children in an asbestos slum

Six homeless children fighting for a better tomorrow

Quality of life for Australians 2nd only to Norway but for Aboriginal Peoples 122nd

Dumbartung convenes suicide crisis summit

Suicide attempts among women on the rise

Australia’s Aboriginal children detained at the world’s highest rates

Culture should not be denied – change needs unfolding, not impost

Everyone in the Territory doing well, except for Aboriginal Peoples

Australia’s Aboriginal children, the world’s highest suicide rate

Wes Morris slams government suicide prevention programs

How many more suicides will it take? How many more deaths?

Hopelessness in suicide riddled communities

More government neglect of Aboriginal children

In identity lay the answers – ATSI suicides

$25.4 billion spent on Aboriginal disadvantage is a lie

Beagle Bay to State Parliament – Farrer speaks out on suicides

Government to address Aboriginal suicides

Empowerment

996 Aboriginal deaths by suicide – another shameful Australian record

996 deaths by suicide – one in 24 die by suicide

Australia’s Aboriginal suicide epidemic – whose child will be the next to die?

77 Aboriginal suicides in South Australia alone

Kimberley’s Aboriginal peoples old at 45 years

Australia, the mother of all jailers of Aboriginal people

Close the gap failed

Despite what’s being reported, life expectancy not improving for ATSI peoples – 1 in 3 dead by 45 years of age

Tumult of death – 400 suicides in last three years

30 suicides in the last three months as we wait for promises to be kept

Suicide crisis – genocidal numbers

Suicide crisis – from tragic to catastrophic

Suicide crisis needs real funding and actions

Hundreds more will suicide if we wait for 2015

Nothing will be done about suicides crisis

Scullion bent on saving lives

Elders across Australia say governments need to listen to them on how to address youth suicide

Suicides – western society and ancient cultures clash

If we are serious about suicide prevention

Australia’s suicide crisis should not be played down – the media must highlight it

From my father’s death bed to the must-do to end the suicides

Governments promise on ending suicides must come good now

More confirmation of what everyone knows, was suicide prevention inadequate

The must-do need to listen and trust if suicides crisis is to end

Working together – mental health and suicide prevention roundtable

Break the taboo around suicides, we reduce suicides

Suicide crises born of Australia’s inhumanity

Suicides – children

Suicides crisis linked to incarceration

Wes Morris urges funding for cultural methodologies

The betrayal of our children – the Northern Territory

New project offers hope to reduce Aboriginal and Torres Strait Islander suicides

Depression and suicide prevention must be top of the agenda this century

World Suicide Prevention Day – suicide takes more lives than war

Western Australia – 1 in 13 in a jail, a bullshit state of affairs

Forgotten children of the promised land – the fight to save rural Aboriginal and Torres Strait Islander communities

Yiriman saving lives in the midst of the Kimberley’s suicide crises

Healing Halls Creek

The smaller a community, the less likely a suicide

Overcoming disadvantage report shows disadvantage not overcome

600 Black deaths in custody by 2025 – jail numbers to soar

Get out of the way – Aboriginal suicide rates will drop

A nation shamed when the solution for its children is homelessness

Christmas, a period of vulnerability for many

Stop peddling lies $30 billion spent on Indigenous disadvantage is a lie

To end our trauma government must stop the assault on our people and our culture

In Australia there is the Aboriginal rights struggle

Kirstie Parker, Mick Gooda say enough of fine words – close the gap a big fat lie

Highest child removal rates in the world worse than Stolen Generations

Other media:

A nation shamed when child sees suicide as the solution

Families urged to look after each other as suicide rates soar

Response to rash of suicides in remote WA regions

ABC 7:30 Report – Deaths in custody and jail rates

Radio:

Tiga Bayles and Gerry Georgatos discuss the suicide crises

The Wire – The suicide crisis

Unpaid fines leading Indigenous over representation