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What is the purpose of this information Highlights • This review examined evidence of using digital technology to improve Indigenous mental health. • It included 27 studies that used both qualitative and quantitative methods. • An array of digital technologies was used to address Indigenous mental health issues. • e-Mental health interventions reported encouraging measurable outcomes. • Indigenous people’s perspective indicated acceptability of e-Mental health. Abstract Mental health issues in Indigenous communities have been increasingly documented by media, research, and government reports. High rates of suicide, depression, and substance abuse are prevalent among Indigenous people, especially youth. Research has reported that many Indigenous communities have adopted and are keen to adopt digital technologies, which have shown potential to provide e-mental health (eMH) resources for Indigenous people. By conducting a systematic literature review, this article examines the impact of Indigenous people’s interactions with digital media on their mental health and wellbeing. The twenty-seven empirical studies included in this review were conducted with Indigenous participants primarily across four countries. We analyzed the studies’ research objectives and respective instruments to measure the impact of an array of digital technologies adopted by Indigenous people for their mental health needs or used in Indigenous-specific eMH programs. This paper reports on themes found in the peer-reviewed literature, including Indigenous people and other stakeholders’ perspectives on eMH and the viability of its implementation. The findings suggest that digital technologies can be effective in aiding the provision and improvement of Indigenous mental health services, particularly when applying decolonizing, culturally appropriate approaches. This review provides insights for researchers, health professionals, and educators to develop and implement innovative eMH resources for Indigenous communities. Previous article in issueNext article in issue Keywords Indigenous perspectivesMental healthMental wellbeingDigital technologye-mental health 1. Introduction 1.1. Mental health and wellbeing of Indigenous people High rates of suicide, depression, substance abuse, and violence are prevalent among Indigenous people globally (Black et al., 2015; Kisely et al., 2017; Pan American Health Organization, 2016; Pollock, Naicker, Loro, Mulay, & Colman, 2018). Historical displacement from tribal lands, treaty abuse, residential school attendance, and destruction of families have contributed to Indigenous mental health challenges, along with other adverse intergenerational biological consequences, economic disparity, and geographical isolation (Brave Heart & DeBruyn, 1998; Brown, Dickerson, & D’Amico, 2016; Duran & Duran, 1995; Moon-Riley, Copeland, Metz, & Currie, 2019; Elias et al., 2012). Indigenous people—defined on page eight—are especially vulnerable to mental health problems (Carlson, Farrelly, Frazer, & Borthwick, 2015; Elias et al., 2012; Stewart, 2008). After a systematic review that included 99 studies examining suicide rates among Indigenous people across 30 countries and territories, Pollock et al. (2018) found “evidence of suicide rate parity between Indigenous and non-Indigenous populations in some contexts, while elsewhere rates were more than 20 times higher among Indigenous peoples” (p. 1). Further, alcohol consumption rates are higher among American Indian/Alaska Native (AI/AN) youth than that of youth nationwide (Stanley, Harness, Swaim, & Beauvais, 2014). A study in Western Australia revealed that Aboriginal youth were at significantly higher risks of mental health difficulties than non-Aboriginal youth, but Aboriginal youth were less likely to seek mental health services (De Maio et al., 2005). Research has shown that mental health services are rarely sought by Indigenous people due to the inaccessibility of mental health care pr
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