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 […]

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. […]

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 […]

Adolescent suicide prevention program manual: A public health model for Native American communities

This manual describes the Adolescent Suicide Prevention Program, why the Program was developed, how it was created, and how it was maintained for sixteen (16) years, from 1989 to 2005. Based on the principles of community involvement, ownership, culturally framed, and public health approaches, the Adolescent Suicide Prevention Program emphasized community, school, outreach, surveillance, innovative […]

Project HOPE: Implementing sensory experiences for suicide prevention in a Native American community

Suicide remains a significant problem for Native American populations; however, culturally appropriate interventions are lacking (Suicide Prevention Resource Center, 2011Suicide Prevention Resource Center . ( 2011 ). Suicide Among American Indians/Alaska Natives. Retrieved from [Google Scholar]). Occupational therapy practitioners can aid in suicide prevention and intervention (American Occupational Therapy Association, 2005). This study presents a culturally appropriate program and research […]

Exploring risk and protective factors with a community sample of American Indian adolescents who attempted suicide.

American Indian adolescents are at disproportionate risk for suicide, and community-based studies of this population, which allow a deeper understanding of risks and resilience to inform interventions, are rare. This is a cross-sectional study of N = 71 Apache adolescents. Strengths include the role of the community and American Indian paraprofessionals in the design, implementation, […]

Suicide in Indian Country: The continuing epidemic in rural Native American communities.

Suicide continues to be an epidemic in Indian Country, especially among young American Indians and Alaska Native (AI/AN) individuals. In Indian Country, suicide must be seen within the context of how historical and ongoing present-day trauma has impacted Native communities. The disparities in health, education, and employment opportunities, coupled with the high prevalence of violence […]

Uncovering a missing demographic in trauma registries: Epidemiology of trauma among American Indians and Alaska Natives in Washington State.

The objectives of this study were to evaluate racial misclassification in a statewide trauma registry and to describe the epidemiology of trauma among the Washington American Indian and Alaska Native (AI/AN) population. We performed probabilistic record linkage between the Washington Trauma Registry (2005Ð2009) and Northwest Tribal Registry, a dataset of known AI/AN. AI/AN patients were […]

Emergency department utilization among American Indian adolescents who made a suicide attempt: A screening opportunity.

Reservation-based American Indian adolescents are at significant risk for suicide. Preventive approaches have not focused on medical service utilization patterns on reservations, which are typically limited to one local emergency department (ED). Patterns of ED utilization before suicide attempts were evaluated to identify opportunities for screening and intervention. A total of 1,424 ED visits from […]

Suicide prevention in rural, tribal communities: The intersection of challenge and possibility.

Suicide prevention in rural areas presents unique challenges, including isolation and lack of support services. In rural Indian Country, suicide continues to be a cause for community concern and can be viewed as one outcome of historical trauma. In light of this, a paradigm shift is needed that honors indigenous perspectives more fully regarding etiology, […]

Advancing suicide prevention research with rural American Indian and Alaska Native populations.

As part of the National Action Alliance for Suicide PreventionÕs American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to […]

The role of hope and optimism in suicide risk for American Indians/Alaska Natives.

Results showed that hope and optimism negatively predicted thwarted belongingness, perceived burdensomeness, and suicidal ideation. However, these results were not found for acquired capability. Overall, this study suggests that higher levels of hope and optimism are associated with lower levels of suicidal ideation, thwarted belongingness, and perceived burdensomeness in this American Indian/Alaska Native sample.

Patterns of injury mortality among Athabascan Indians in Interior Alaska 1977-1987.


Feasibility of a community intervention for the prevention of suicide and alcohol abuse with Yup’ik Alaska native youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa Studies.

The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies evaluated the feasibility of a community intervention to prevent suicide and alcohol abuse among rural YupÕik Alaska Native youth in two remote communities. The intervention originated in an Indigenous model of protection, and its development used a community based participatory research process. Feasibility assessment aimed to assess the […]

The globalization of addiction: A study in the poverty of the spirit.

The Globalization of Addiction presents a radical rethink about the nature of addiction. Scientific medicine has failed when it comes to addiction. There are no reliable methods to cure it, prevent it, or take the pain out of it. There is no durable consensus on what addiction is, what causes it, or what should be […]

Seeking Mino-pimatasiwin (the Good Life): an Aboriginal approach to social work practice.

Aboriginal peoples have been utilizing their own approaches to helping one another for centuries. Many Aboriginal social workers have incorporated these approaches or aspects of them in their professional practice. However, such approaches have not always been respected on their own merits by the social work profession. In recognition of this concern, the Canadian Association […]

Aboriginal healing.

Series: The Sharing Circle. Season 13 Show 13.

Aboriginal youth suicide in Quebec: the contribution of public policy for prevention.


Residential schools and Aboriginal parenting: voices of parents.

One of the authors participated in a series of talking circles in a First Nation community in northern Canada in which Aboriginal adults explored their experiences with the child welfare system. As the participants shared their concerns about this system, the theme shifted over time to the effect that residential schools had on their parenting. […]

The lost children.

Series: The Sharing Circle. Season 12, Show 4.

A path forward: BC First Nations and Aboriginal people’s mental wellness and substance use – 10 year plan.


Aboriginal youth risk and resilience.

In 1996, the Royal Commission On Aboriginal Peoples (RCAP) discussed the need for role models, mentorship, community programs and family support of Aboriginal youth. Many Aboriginal communities, both urban and rural, identified psycho-social factors (among the physical) within their adult populations that produced ability issues to cope within the family environment. In this paper I […]