Predicting suicidal ideation among Native American high schoolers in California

Suicide is the leading cause of non-accidental death for Native American young people ages 15-24 years old. Concerningly, suicide rates have continued to rise over the past decade despite a myriad of prevention efforts. This shortcoming has urged some scholars to (re)examine key theoretical constructs to better direct suicide prevention efforts in tribal communities. Using […]

New collaborative research on suicide prevention, practice, and policy with American Indian and Alaska Native communities holds promise for all peoples

Youth suicide is increasing in the United States, with deaths among younger people of color driving this upward trend. For more than four decades, American Indian and Alaska Native (AIAN) communities have suffered disproportionate rates of youth suicide and years of productive life lost compared to other U.S. Races. The National Institute of Mental Health […]

Evaluating the effectiveness of suicide prevention gatekeeper trainings as part of an American Indian/Alaska Native youth suicide prevention program

According to the Centers for Disease Control suicide rates in 2022 for American Indian/Alaska Native youth are 2.5 times higher than the national average. An Urban Indian Health Organization’s response to this crisis was to provide community and State-wide Gatekeeper trainings between 2012 and 2019 to teach trainees (N = 810) to respond appropriately to youth at-risk of […]

New collaborative research on suicide prevention, practice, and policy with American Indian and Alaska Native communities holds promise for all peoples

Youth suicide is increasing in the United States, with deaths among younger people of color driving this upward trend. For more than four decades, American Indian and Alaska Native (AIAN) communities have suffered disproportionate rates of youth suicide and years of productive life lost compared to other U.S. Races. The National Institute of Mental Health […]

Poor self-reported sleep quality associated with suicide risk in a community sample of American Indian adults

Study Objectives Although American Indian/Alaska Native (AI/AN) have high suicide rates few studies have systematically investigated sleep quality and its association with suicidal behaviors in AI/AN. This study is a cross-sectional investigation of self-reported sleep quality and suicidal behaviors in an adult AI population. Methods A semi-structured interview was used to collect data on suicidal […]

Strength-based approaches to suicide prevention with Native American youth

Learning Objectives At the end of this presentation, participants will be able to: • Describe racial/ethnic differences in AIAN Youth suicide ideation, suicide attempts, and suicide deaths in order to assess co-occurring and risk and protective factors. • Define strength-based approaches to suicide assessment/prevention. • Understand how strength-based practices can be applied within individual, family, […]

Evaluation of the risk identification for suicide and enhanced care model in a Native American community

Objective  To prospectively validate a statistical risk model implemented in a community setting and evaluate whether use of this model was associated with improved reach of evidence-based care and reduced subsequent suicide-related behavior among high-risk individuals. Design, Setting, and Participants  This prognostic study, done in partnership with the White Mountain Apache Tribe, used data collected by the […]

The association between resiliency factors and suicide indicators among American Indian/Alaska Native middle school students in New Mexico: A strength-based analysis

Objective: Suicide is a leading cause of death among American Indian/Alaska Native (AI/AN) young people aged 10-19 years in the United States, but data collection and reporting in this population are lacking. We examined results of an oversample project in New Mexico to determine the association between resiliency factors and suicide-related behaviors among AI/AN middle […]

SPRC 2021 Tribal suicide prevention needs assessment: Aggregate technical report

Between December 7, 2021, and January 28, 2022, the Suicide Prevention Resource Center (SPRC) and its partners at Social Science Research and Evaluation, Inc., (SSRE) conducted a Tribal Suicide Prevention Needs Assessment (TNA) with 200 suicide prevention coordinators or other individuals most knowledgeable about the suicide prevention efforts of tribes and tribal health boards (Area […]

Culturally adapting caring contacts for suicide prevention in four Alaska Native and American Indian communities

Aim Despite substantial tribal, state, and federal effort, American Indian and Alaska Native (AI/AN) suicide rates have changed little in the last 30 years, prompting attention to new and innovative approaches to this persistent health disparity. Suicide prevention interventions with demonstrated success in other populations may be useful in AI/AN communities. Caring Contacts is a suicide […]

Trauma, historical trauma, PTSD and suicide in an American Indian community sample

Aims To study the associations between perceived historical trauma, current traumatic events, diagnoses of post-traumatic stress disorder (PTSD), and suicidal behaviors in an American Indian community sample. Methods Participants were American Indians recruited from reservations who were assessed with the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA), as well as the Historical Loss Scale, Historical Loss […]

Risk factors for suicidal behaviors in American Indian and Alaska Native peoples: A systematic review

American Indian/Alaska Natives (AI/ANs) experience disproportionate rates of suicide, but current strategies for suicide prevention have not reduced these health disparities. Therefore, to gain insight into factors that may affect risk trajectories for suicide attempts (SAs) among AI/ANs, we conducted a systematic review of the literature. Forty-five articles met inclusion criteria for the final corpus. […]

Planning for implementation and sustainability of a community‑based suicide surveillance system in a Native American community

Background Native American youth, primarily living on reservations, suffer the highest burden of suicide of any racial group in the USA. Implementation and sustainability of culturally grounded, evidence-based interventions are needed to address suicide in Native American populations. For nearly 40 years, Montana has ranked at or near the top nationwide for suicide. Fort Peck […]

Reaching those at highest risk for suicide: Development of a model using machine learning methods for use with Native American communities

Objective Suicide prevention is a major priority in Native American communities. We used machine learning with community-based suicide surveillance data to better identify those most at risk. Method This study leverages data from the Celebrating Life program operated by the White Mountain Apache Tribe in Arizona and in partnership with Johns Hopkins University. We examined […]

Caring texts, a strength-based, suicide prevention trial in 5 Native communities: Research design and methods

Background Despite their intrinsic strengths and resilience, some American Indian and Alaska Native (AI/AN) communities experience among the highest rates of suicide of any racial and ethnic group. Caring Contacts is one of the only interventions shown to reduce suicide in clinical trials, but it has not been tested in AI/AN settings. Objective To compare […]

The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based Native American adolescents and young adults

Adverse childhood experiences (ACEs) are associated with numerous risk behaviors and mental health outcomes among youth. This study examines the relationship between the number of types of exposures to ACEs and risk behaviors and mental health outcomes among reservation-based Native Americans. In 2011, data were collected from Native American (N = 288; 15-24 years of […]

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. […]

Culture forward: A strengths and culture based tool to protect our native youth from suicide

CULTURE FORWARD was developed through an iterative, collective effort to include as many Native voices as possible across Indian Country. We spent six months conducting listening sessionswith more than 60 Native stakeholders, including tribal leaders, Native youth leaders, grassroots leaders working to prevent suicide in their communities, two-spirit leaders, Elders, traditional healers, and Native veterans/military service members. […]

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 […]

Social network differences between American Indian youth who have attempted suicide and have suicide ideation

Suicide is a crucial public health concern for American Indian and Alaska native (AIAN) communities. AIANs have the highest suicide rate compared to all other ethnic groups in the United States. Social relations are a salient fixture of AIAN culture. The primary aims of this study were to describe the personal networks of AI youth […]

Community perspectives on social influences on suicide within a Native American reservation

Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a […]