ABSTRACT BACKGROUND: The legacies of colonization and of policies of forced assimilation continue to be a cause of intergenerational trauma, manifested through feelings of marginality, depression, anxiety and confusion, which place indigenous peoples at increased risk of suicide. OBJECTIVES: To assess the quality, content, delivery and effectiveness of interventions for preventing suicides among indigenous adolescents. DESIGN AND SETTING: Systematic review conducted with Cochrane methodology, Campo Grande, Mato Grosso do Sul, Brazil. METHODS: The Cochrane library, MEDLINE, EMBASE, CINAHL, LILACS and PsycINFO databases were searched for studies published up to February 2021. The following inclusion criteria were used: published in any language; interventions that aimed to prevent suicides among indigenous adolescents; randomized or non-randomized study with a control or comparative group; and validated measurements of mental health problems. RESULTS: Two studies were identified: one on adolescents in the remote Yup’ik community in south-western Alaska, and the other on Zuni adolescents in New Mexico. Both studies showed evidence of effectiveness in interventions for reducing some of the risk factors and increasing some of the protective factors associated with suicide. High levels of community engagement and culture-centeredness were key anchors of both studies, which ensured that the intervention content, delivery and outcome measurements aligned with the beliefs and practices of the communities. Both studies were judged to have a moderate risk of bias, with biases in sample selection, attrition and inadequate reporting of results. CONCLUSIONS: The current evidence base is small but signaled the value of culturally appropriate interventions for prevention of suicide among indigenous adolescents. REGISTRATION DETAILS: The study protocol is registered in the international prospective register of systematic reviews (PROSPERO); no. CRD42019141754.

RESUMO Objetivos: discutir a aplicabilidade do mapa conceitual e suas subjacentes ancoragens teóricas; e analisar os desafios e potencialidades desse método no que tange à participação dos povos indígenas. Métodos: relato de experiência da utilização do mapa conceitual como instrumento de coleta de dados. Resultados: o estudo permitiu discutir as aproximações e distanciamentos epistêmicos, assim como analisar em que medida o mapa conceitual favoreceu o processo de produção conjunta de conhecimento com os povos indígenas. A experiência com esse tipo de delineamento de pesquisa também revelou desafios epistemológicos que refletem as relações históricas estabelecidas, cuja superação implica a construção de novas formas de relações científicas igualitárias e interculturais. Considerações Finais: o mapa conceitual compõe, teoricamente, uma metodologia participativa estruturada, que possibilita a coleta de dados e a construção coletiva de saberes, desde que sejam levadas em consideração as diversidades culturais, epistêmicas, sociais e políticas de todos os atores sociais envolvidos.

ABSTRACT Objectives: to discuss the applicability of the conceptual map and its underlying theoretical anchors and analyze the challenges and potentialities of this method concerning the participation of Indigenous Peoples. Methods: experience report of the use of the conceptual map as a data collection instrument. Results: the study allowed us to discuss the epistemic approaches and distances, as well as to analyze to what extent the conceptual map favored the process of joint production of knowledge with Indigenous Peoples. The experience with this type of research design also revealed epistemological challenges that reflect the established historical relationships, whose overcoming implies the construction of new forms of egalitarian and intercultural scientific relations. Final Considerations: the conceptual map theoretically composes a structured participatory methodology, which enables data collection and the collective construction of knowledge, provided that the cultural, epistemic, social, and political diversities of all the social actors involved are considered.

RESUMEN Objetivos: discutir aplicabilidad del mapa conceptual y sus subyacentes ancorajes teóricos; y analizar desafíos y potencialidades de ese método en lo que tange la participación de los pueblos indígenas. Métodos: relato de experiencia de la utilización del mapa conceptual como instrumento de recolecta de datos. Resultados: el estudio permitió discutir las aproximaciones y alejamientos epistemológicos, así como analizar en que medida el mapa conceptual favoreció el proceso de producción conjunta de conocimiento con los pueblos indígenas. La experiencia con ese tipo de delineamiento de investigación también reveló desafíos epistemológicos que reflejan las relaciones históricas establecidas, cuya superación implica la construcción de nuevas maneras de relaciones científicas igualitarias e interculturales. Consideraciones Finales: el mapa conceptual compone, teóricamente, una metodología participativa estructurada, que posibilita la recolecta de datos y la construcción colectiva de saberes, desde que tengan en cuenta las diversidades culturales, epistemológicas, sociales y políticas de todos los atores sociales involucrados.