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 […]

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 […]

Designing a clinical decision support tool that leverages machine learning for suicide risk prediction: Development study in partnership with Native American care providers

Background: Machine learning algorithms for suicide risk prediction have been developed with notable improvements in accuracy. Implementing these algorithms to enhance clinical care and reduce suicide has not been well studied. Objective: This study aims to design a clinical decision support tool and appropriate care pathways for community-based suicide surveillance and case management systems operating […]

Suicide ideation and depression quality of life ratings in a reservation-based community of Native American youths and young adults

Suicide among adolescents is a significant public health concern in the U.S., especially within American Indian and Alaska Native (AIAN) communities. Lack of quality of life (QoL) estimates for both suicide ideation and depression specific to the AIAN population hinders the ability to compare interventions in cost-effectiveness analysis. We surveyed 200 AI youth and young […]

Suicide and the opioid overdose crisis among American Indian and Alaska Natives: A storm on two fronts demanding swift action

The opioid crisis in the United States has received national attention and critical resources in the past decade. However, what has been overlooked is the effect the opioid crisis may be having on a three-decade suicide crisis among American Indian and Alaska Native (AIAN) communities that already have too few resources to address behavioral and […]

Protective factors as a unifying framework for strength-based intervention and culturally responsive American Indian and Alaska Native suicide prevention

The ongoing challenge of American Indian and Alaska Native (AIAN) youth suicide is a public health crisis of relatively recent historical origin inadequately addressed by contemporary prevention science. A promising development in AIAN suicide prevention highlights the role of protective factors. A protective factor framework adopts a social ecological perspective and community-level intervention paradigm. Emphasis […]

Telehealth during COVID-19: Suicide prevention and American Indian communities in Montana

Background: Public health measures that prevent the spread of COVID-19, such as social distancing, may increase the risk for suicide among American Indians due to decreased social connectedness that is crucial to wellbeing. Telehealth represents a potential solution, but barriers to effective suicide prevention may exist. Materials and Methods: In collaboration with Tribal and Urban Indian Health […]

Suicide-related behaviors among American Indian and Alaska Native veterans: A population-based analysis

American Indian and Alaska Native (AI/AN) Veterans are at elevated risk for suicide, but currently, no population-based research exists on precursors, including ideation, plans, or attempts. We employed two large national surveys to investigate the occurrence of suicide-related behaviors among AI/AN Veterans. Using cross-sectional data from the Behavioral Risk Factor Surveillance System (BRFSS, 2010–2012) and […]

Meditations with Native American Elders: The four seasons

Meditations with Native American Elders: The Four Seasons is a day-at-a-time book offering a quotation by a Native Elder at the top of each page in separate entries over an entire year. Each quote is followed by a reflection by author Don Coyhis, Mohican Nation. At the bottom of each page is a space for […]

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

Objectives. 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 […]

Suicide surveillance strategies for American Indian and Alaska Native communities

This report summarizes findings and recommendations from SPRC’s exploration of suicide surveillance among American Indian and Alaska Native (AI/AN) communities across the country. Each section describes challenges and provides strategies and resources to help AI/AN communities gather data on suicide to inform and evaluate their prevention efforts. The report was developed with input from national […]

Suicide clusters within American Indian and Alaska Native communities: A review of the literature and recommendations

The purpose of this report is to examine what is known about suicide clusters within American Indian and Alaska Native (AI/AN) populations and to use that information to develop recommendations for stakeholders working to prevent and contain suicide clusters within AI/AN communities. This paper provides the results of the review based on: (1) the research on […]

Demographic, clinical, and service utilization factors associated with suicide-related visits among Alaska Native and American Indian adults.

Alaska Native and American Indian people (AN/AIs) are disproportionately affected by suicide. Within a large AN/AI health service organization, demographic, clinical, and service utilization factors were compared between those with a suicide-related health visit and those without. Cases had higher odds of a behavioral health diagnosis, treatment for an injury, behavioral health specialty care visits, […]

An examination of historical loss thinking frequency and rumination on suicide ideation in American Indian young adults.

Journal copy held in CSP Library.

Testing the efficacy of a brief sexual risk reduction intervention among high-risk American Indian adults: Study protocol for a randomized controlled trial.

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