This article provides an overview of the nature and adequacy of culturally appropriate health services within Western Australian prisons based on coroner findings on Aboriginal deaths in custody between 2019 to 2023. The findings reported substandard quality of supervision, care and treatment. The article calls for implementation of recommendations from Australian government inquiries.

Aboriginal and Torres Strait Islander peoples experience disproportionally high rates of suicide and other health inequities. This report outlines the requirements of an Aboriginal and Torres Strait Islander systems approach to suicide prevention and proposes a framework and implementation guidelines for such an approach.

The findings outlined in this review demonstrate the widespread uptake and influence of ATSISPEP report findings and recommendations across primary health networks and Aboriginal and Torres Strait Islander suicide prevention policy and practice at local, state and national levels.