“Selvmordsproblema=kk blant samer – fokus på reindriftsamer i
“Selvmordsproblema.kkblantsamer– fokuspåreindri8sameriSverige” Samiskhelseforskning Tromsø/Romssa,19.–20.november2015 JonPeIerStoor,psykolog SANKS:Samisknasjonaltkompetansesenter-psykiskhelsevernogrus SÁNAG:Sáminašuvnnalašgealboguovddáš– psykalašdearvvasvuođasuddjenjagárrendilledikšu RiskofsuicideamongSamirela.vetononSamiinSweden,NorwayandFinland Young,Revich&Soininen,2015 Cohort M F Northern Sweden Total cohort 1.17a 0.76a Non-herding 1.05 0.67 Herding 1.50 1.12 Total cohort 1.27 1.27 Finnmark 1.50a 1.55 Troms 0.74 1.00 Nordland 0.42 3.17 Core area 1.54a 1.31 Coast 1.24 1.21 South 0.41 1.51 1970–1980 1.17 1.14 1981–1990 1.36 1.92 1991–1998 1.20 0.81 Non-herding 1.30a 1.34 Herding 1.06 0.66 Northern Finland Total cohort 1.78a 1.26 1979–1987 1.83 No case 1988–1996 1.07 1.93 1997–2005 2.55a 1.2 2006–2010 2.32 1.2 Northern Norway SelfreportedsuicidalexpressionsamongSámi reindeerherdingwomen(allages)inSweden Kaiser&SalanderRenberg,2012 SwedishfemalereferencepopulaCon(n=702) Reindeerherdingfemales(n=148) 44% 48% 42% 31% 41% 27% 20% 12% 5,6%4,8% Lifeweariness Deathwishes Suicidal ideaCon Suicidalplans SuicideaOempt SelfreportedsuicidalexpressionsamongSámi reindeerherdingmen(allages)inSweden Kaiser&SalanderRenberg,2012 SwedishmalereferencepopulaCon(n=652) Reindeerherdingmales(n=167) 52% 36% 36% 21% 36% 22% 20% 9% Lifeweariness Deathwishes Suicidal ideaCon 3,5%4,8% Suicidalplans SuicideaOempt "Haveyoueverseriouslyconsideredor evenplannedtotakeyourownlife?” SwedishreferencepopulaCon(18-28) Sámireindeerherder(18-28) SámilivinginsouthSámicounCes(18-28) SámiwhohaveexperiencesofethnicdiscriminaCon(18-28) 31% 18% Omma,Sandlund&Jacobsson(2013) 26% 25% We'relikelemmings’: Makingsenseoftheculturalmeaning(s)of suicideamongtheindigenousSámiinSweden Stoor,Kaiser,Jacobsson,SalanderRenberg,&Silviken(2015). " SyVe:“UYorskeogförstådenkulturelle betydningenavselvmordblantsamerI Sverige” Enkvalita.vstudie " 5fokusgrupperIsvenskeSápmi(2012) " 22Samiskedeltakere " RekruOering:Snöbollsmetode " ÅpnespörsmålIfokusgruppene(ingen intervjuguide) " -’Nårvisnakkeromselvmordblantsamer, hvasynsdereärvik'gstatvisnakkerom da?’ E.kk " SensiCvttema " MisCllitClforskersamfunnet " “Åfinneenvägmellomkulturell sikkerhetogforskningsmessigekrav” Kulturell sikkerhet Deltakeretörå snakkeåpent Godkvalitépå forskningsdata Analyse " Innehållsanalyse(Graneheim&Lundman,2004) " Kulturellbetydningär“inbäddat”i,og reflekteresgjennom,meningsmönstrei fokusgruppene Resultater–4temaer “The Sami are fighting for their culture and the herders are in the middle of the fight” “Suicide as a consequence of Sami losing (or having lost) their identity” “Difficult to get help as a Sami” “A wildfire in the Sami world” ‘TheSamiarefigh4ngfortheircultureand theherdersareinthemiddleofthefight’ B3:”jagtroraKsamerna,aKvisameräreK väldigtsegtfolktrorjagalltså.Alltsåjagtror aKdetär,viärvanvidmångaumbäranden ochjagtrorintevigeruppsåläK.(…) B5:”ärdetsegtellerdumdris'gt?”[skraK] ‘TheSamiarefigh4ngfortheircultureand theherdersareinthemiddleofthefight’ B4:”renskötarnasiKerfasti eKkulturelltfängelse./…/De ärfängsladeisinkultur.” B2:”jagvetinteomjaghåller meddig./…/jagleverimin kulturochjagvillintehärifrån sådärförärdetinget fängelse.” ‘SuicideasaconsequenceofSamilosing(or havinglost)theiriden4ty’ E4:”jagkanpånågotvisändåförstådet (...)vadäralterna'vethärilivet?Ärdet såfrestande?FöraK–omdethärärmiK livochjaginteharden[renskötseln]nå mer–varförskajaginteklivaöver?” ‘SuicideasaconsequenceofSamilosing(or havinglost)theiriden4ty’ E1:-”detärförknippatmedrenskötseln– detärdetverkligen,ochrenskötseln(…)är såförknippadmediden'tetockså.Omdå valetstårmellanaKläggaifrånsigsin egeniden'tet–detärhelaensliv egentligen–föraKgöranågon'ngannat, dåkanskedetinteåterstårsåmycket? Alltsåavensjälvdå.” ‘AwildfireintheSamiworld’ C4:-“detblevjunärmastenmasshysteri blandungasamer(…)påfacebookfickdet därenormapropor'oner.(…)detvarsom engräseldsombaraspredsigochmånga blevjugivetvisoerhörtberördaavdet också.” “DifficulttogethelpasaSami” E4:detharjagfak'skthörtaKdethargåKbra[E2 ochE3:mm]ochdåharmanjufunderathurihela [skraO]detgick'll?Hurkundedefåhjälpdär?Men jagvetaKdetockså- PS:mendetkännssomeKundantagomdetärså? E4:jadetkännskons'gt.Detkännskons'gtmendå trorjag[skraO]–detgårjuinteaKsäga[allmänt skraO]–mendåtrorjagaKdetharvaritnåtannat fel![allmäntskraO]nämendåtrorjagaKfeletär mereKvälkäntfelomjagsägerså.EKvälkäntfel somhänderen–somhardrabbatävenensvensk. Dåtrorjagmanfårhjälp. Aprevailingnarra.ve… Asuicide wildfirewithin theSámiworld Toodifficultto gethelp LossofSámi idenCty Conflict Defeat ExistenCalvoid Power inequality Entrapment duetoinability toflee Suicide (Stooretal,2015) …ofSámiaslemmings Musikkvideo:SofiaJannok– «áhpi» hOps://www.youtube.com/ watch?v=hr13WV7UkgA Suicidality understood as struggle with Sami identity Struggle with preserving Sami identity Suicidality paradoxically strengthen Sami identity Mental health problems “The Sami are fighting for their culture and the herders are in the middle of the fight” “Suicide as a consequence of Sami losing (or having lost) their identity” “Difficult to get help as a Sami” “A wildfire in the Sami world” Difficult to get help outside network Suicide occurs within Sami network Sami are affected and bereaved Elevated risk for suicidal behavior through contagion Overflooding of Sami network Normalization of suicidal behaviour among Sami (Stooretal,2015) Acknowledgments Thepar.cipants NiclasKaiser,DepartmentofPsychology,UmeåUniversity,Sweden LarsJacobsson,DepartmentofClinicalSciences,DivisionofPsychiatry, UmeåUniversity,Sweden EllinorSalanderRenberg,DepartmentofClinicalSciences,Divisionof Psychiatry,UmeåUniversity,Sweden AnneSilviken,CentreforSamiHealthResearch,Departmentof CommunityMedicine,UiT-TheArc'cUniversityofNorway/Sami NorwegianNa'onalAdvisoryBoardonMentalHealthandSubstance Abuse(SANKS),FinnmarkHospitalTrust,Norway
© Copyright 2024