No Indians to spare: Depression and suicide in Indigenous American children and youth

This article summarizes current knowledge and consensus about depression and suicide among the indigenous young people of the United States. American Indians represent more than 500 tribes and also vary among settings-reservations, urban, suburban, and rural-but as a group, remain at high risk for suicide and possibly for depressive syndromes. Particular risk factors and correlates,[…]

Attempted suicide in American Indian and Alaska Native populations: A systematic review of research on protective factors

American Indian and Alaska Native (AIAN) populations contend with disproportionately high rates of suicide. The study of protective factors is essential for highlighting resilience and formulating potential interventions for suicide. We systematically review factors that are posited to protect against suicide attempts for AIAN peoples. Seventeen (12 journal articles, five theses/dissertations) articles met inclusion criteria.[…]

Suicide among American Indian and Alaska Native veterans who use Veterans Health Administration care 2004–2018

Background: American Indian and Alaska Natives (AI/ANs) veterans may be at elevated risk for suicide, but little is known about suicide among this population. Methods: We conducted a retrospective cohort analysis of AI/AN veterans who received health care services provided or paid for by the Veterans Health Administration (VHA) between October 1, 2002, and September 30, 2014,[…]

The state of state, territorial, and tribal suicide prevention: Findings from a web-based survey

Despite many important accomplishments, suicide rates have increased 33% since 1999. CDC conducted an environmental scan to gain a better understanding of the current infrastructure and suicide prevention landscape among states, territories, and tribes/tribal organizations (STT), to identify resource levels, and to inform comprehensive prevention in the future. The scan objectives and methods are outlined[…]

Beliefs about causal factors for suicide in rural Alaska Native communities and recommendations for prevention

Rural Indigenous communities in Alaska suffer staggeringly high rates of suicide. In close-knit Alaska Native villages, each suicide leaves a trail of affected family and community members in its wake. This research aimed to understand community perceptions of what causes suicide in rural Alaska Native villages and generate recommendations for prevention strategies. In-depth interviews were[…]

Sustaining suicide prevention programs in American Indian and Alaska Native communities and tribal health centers

Research on sustaining community-based interventions is limited. This is particularly true for suicide prevention programs and in American Indian and Alaska Native (AIAN) settings. Aiming to inform research in this area, this paper sought to identify factors and strategies that are key to sustain suicide prevention efforts in AIAN communities.

Prevalence of moderate and acute suicidal ideation among a national sample of tribal college and university students 2014-2015

To examine the relationship between suicide risk and hazardous drinking, depression, and anxiety, adjusting for demographics, among tribal college students across the United States. Methods. We invited tribal college students enrolled in 22 tribal colleges from fall 2014 and 2015 to participate in the Creating Campus Change study, a cross-sectional online/paper survey assessing alcohol use[…]