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 […]

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 […]

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 […]

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 […]

Trauma and suicide behaviour histories among a Canadian indigenous population: An empirical exploration of the potential role of Canada’s residential school system.


Social capital and aboriginal communities: a critical assessment.

The social capital paper consists of four sections. Synthesis and Assessment of the Body of Knowledge on Social Capital with Emphasis on Aboriginal Communities provides a general background and overview of the concept of social capital, discussing its intellectual history and examining the areas of study where the notion of social capital has been applied […]

Pathways to healing: a mental health toolkit for First Nations people.


Suicidal expressions in young Swedish Sami, a cross-sectional study.

Objectives To investigate the experience of suicidal expressions (death wishes, life weariness, ideation, plans and attempts) in young Swedish Sami, their attitudes toward suicide (ATTS), and experience of suicidal expressions and completed suicide in significant others and to compare with Swedes in general. Methods A cross-sectional study comprising 516 Swedish Sami, 18Ð28 years of age […]

Resilience and indigenous spirituality: a literature review.

Indigenous spirituality is a more complex phenomenon than the term spirituality alone, as generally understood, implies. Spirituality is closely bound up with culture and ways of living in Indigenous communities and requires a more holistic or comprehensive research approach. Two conceptual frameworks could help to orient Indigenous resilience research. One is the enculturation framework. Enculturation […]

Canadian Aboriginal context: a post-colonial perspective.

A post-colonial approach to Aboriginal mental health. Contact us for a copy of this article, or view online at

Mental disorders and communication of intent to die in indigenous suicide cases, Queensland, Australia.

In comparing Indigenous to non-Indigenous suicide in Australia, this study focussed on the frequency of the association between some psychiatric conditions, such as depression and alcohol abuse, and some aspect of suicidality, in particular communication of suicide intent. Logistic regression was implemented to analyze cases of Indigenous (n = 471) versus non-Indigenous suicides (n = […]

The CIET Aboriginal youth resilience studies: 14 years of capacity building and methods development in Canada.

CIET started supporting Canadian Aboriginal community-based researchers of resilience in 1995. An evolving approach to Aboriginal resilience used a combination of standard instruments and questionnaires of local design. Over the years, CIET measured personal assets like sense of coherence, spirituality, knowledge, pride in oneÕs heritage, mastery or self-efficacy, self-esteem, low levels of distress, involvement in […]

The four paths and four steps of healing.


A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand.