Development of “CULTURE FORWARD: A strengths and culture-based tool to protect our native youth from suicide”

Objective: Indigenous knowledge and practices promote American Indian/Alaska Native (AI/AN; Native) communities’ health and well-being. Historical losses and continued oppression have resulted in disproportionately higher AI/AN youth suicide rates. This article describes the development of a new national resource guide titled “CULTURE FORWARD” for tribal leaders and stakeholders to support youth suicide prevention efforts through […]

Characteristics of substance use and self-injury among American Indian adolescents who have engaged in binge drinking

Binge drinking appears to be a risk factor, facilitator, and method of suicidal and non-suicidal self-injury for some American Indian (AI) youth. We examined characteristics, patterns, and motivations for binge use among AI adolescents (N = 69; 10-19 years-old) who recently engaged in binge drinking. The majority used alcohol alone (53.7%) or a combination of […]

Understanding opioid use within a Southwestern American Indian Reservation Community: A qualitative study

Purpose Morbidity and mortality due to nonprescription use of opioids has been well documented following the significant increase in the availability of prescription opioids in the early 2000s. The aim of this paper is to explore community beliefs about correlates of opioid risk, protective factors, and behavioral functions of opioid misuse among American Indian youth […]

Wakȟáŋyeža (Little Holy One): An intergenerational intervention for Native American parents and children: a protocol for a randomized controlled trial with embedded single-case experimental design

Background Trauma within Native American communities compromises parents’ parenting capacity; thus, increasing childrens’ risk for substance use and suicide over the lifespan. The objective of this manuscript is to describe the Wakȟáŋyeža (Little Holy One) intervention and evaluation protocol, that is designed to break cycles of intergenerational trauma, suicide, and substance use among Fort Peck […]

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 fromhttp://www.sprc.org/library/ai.an.facts.pdf [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.

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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 […]

Correlates of Suicidality: Investigation of a Representative Sample of Manitoba First Nations Adolescents.

Objectives. We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. Methods. Data came from the 2002Ð2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents aged 12 to 17 years (n = 1125) from 23 First Nations communities in […]

Speaking my truth: reflections on reconciliation & residential school.

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From the inside out: spirituality as the heart of Aboriginal helping in spite of? western systems.

The degree of reclamation of culturally-based spiritual practices varies by and within communities and families, but appears to be gathering momentum. From the anecdotes provided by clients it appears that healing takes its firmest roots when the spiritual aspects of the individualÕs life are attended to. More clients and helpers are recognizing the need to […]

Patrick’s story.

Patrick Bird was “a casualty of colonialism”, having walked a dark boyhood journey of sexual abuse, neglect, foster homes, detention centres, loss, abandonment, drugs, alcohol and self-mutilation. Through no fault of his own, Patrick was disconnected from his family, his childhood and his Cree culture and left with few resources to cope with the pain […]