Exploring binge drinking and drug use among American Indians: Data from adolescent focus groups.

Participants reported substance use most commonly with ÒfamilyÓ and Òfriends,Ó Òat a house,Ó or Òaround the community.Ó Substance use was not confined to a particular time of day, and often occurred Òat school.Ó Commonly endorsed reasons fell into two main categories: Òto avoid problemsÓ or Òto reduce negative feelings,Ó versus Òto be coolÓ or Òto[…]

Culturally responsive suicide prevention in indigenous communities: unexamined assumptions and new possibilities.

Indigenous communities have significantly higher rates of suicide than non-Native communities in North America. Prevention and intervention efforts have failed to redress this disparity. One explanation is that these efforts are culturally incongruent for Native communities. Four prevalent assumptions that underpin professional suicide prevention may conflict with local indigenous understandings about suicide. Our experiences in[…]

Factors associated with Alaska Native fatal and nonfatal suicidal behaviors 2001-2009: trends and implications for prevention.

Suicide rates among American Indian and Alaska Native (AI/AN) young people are significantly higher than other ethnic groups in the United States. Not only are there great differences when comparing AI/AN rates and those of other Americans, some tribal groups have very low rates of suicide while other Native communities have much higher rates. Despite[…]

Bad medicine: a judge’s struggle for justice in a First Nation’s community.

Early in his career, Judge John Reilly did everything by the book. His jurisdiction included a First Nations community plagued by suicide, addiction, poverty, violence and corruption. He steadily handed out prison sentences with little regard for long-term consequences and even less knowledge as to why crime was so rampant on the reserve in the[…]

Mamow Ki-ken-da-ma-win: a Partnership Approach to Child, Youth, Family and Community Wellbeing

Mamow-Sha-way-gi-kay-win: North-South Partnership for Children represents a coalition of individuals & organizations from southern Ontario who have partnered with First Nations communities in 30 remote northern locations. This paper draws on the experiences of the Partnership in the development of a unique approach to improving life conditions of northern First Nations peoples in Ontario. A[…]

To Live to see the Great Day That Dawns: Preventing Suicide by American Indian and Alaska Native Youth and Young Adults DHHS Publication SMA (10)-4480, CMHS-NSPL-0196

The purpose of this guide is to support American Indian/Alaska Native communities & those who serve them in developing effective, culturally appropriate suicide prevention plans. The guide: 1) explores some of the cultural issues around prevention; 2) describes approaches that respectfully address these issues as part of prevention planning; & 3) provides practical tools &[…]

Aboriginal Youth Suicide Prevention Strategy (AYSPS): Summative Evaluation

The Aboriginal Youth Suicide Prevention Strategy is an initiative established in response to the Government of Alberta’s Children & Youth Initiatives. This report outlines the results of a summative evaluation conducted in 2007-2008 of 9 initial pilot sites & 7 new sites. The focus was to determine to what degree the Strategy had reached its[…]

Protecting Urban American Indian Young People From Suicide

This study examined the likelihood of a past suicide attempt for urban American Indian youth, given salient risk & proective factors. Survey data from 569 urban in-school youths, ages 9-15, was used. Logistic regression determined probabilities of past suicide attempts. For girls, suicidal histories were associated with substance use (risk) & positive mood (protective). For[…]

Self-Destructive Behaviors in American Indian and Alaska Native High School Youth

Analysis of responses to 10,251 high school students surveyed in the 1997 National School-Based Youth Risk Survey indicated that American Indian & Alaska Native youths engaged more often in risk behaviours, including attempted suicide, than White or Black youths. The pattern of involvement in risk behaviour was different for youths from the three ethnic groups.[…]

Ethnic Differences in Suicidal Ideation and Attempts

This article provides an update on the relationship between ethnicity & suicide ideation & attempts. It reviews the rates of suicide ideation & attempts across ethnic groups in the Untied States as well as the risk factors associated with suicide attempts in each ethnic group. Findings from published studies underscore the need to conduct large[…]