Fetal Alcohol Spectrum Disorders and Suicidality in a Healthcare Setting

This paper presents a clinical case report & provides a review of the available literature on fetal alcohol syndrome & the fetal alcohol spectrum disorders & suicidality to highlight important implications for providers. Almost 6% of adolescents evaluated by the fetal alcohol spectrum disorders diagnostic clinic at the Alaska Native Medical Center had been seen […]

Correlates of Alaska Native Fatal and Nonfatal Suicidal Behaviors 1990-2001

Factors correlated with suicidal behaviour in a predominantly Alaska Native region of Alaska are described, & the correlates relating to fatal & nonfatal suicide behaviours in this indigenous population are distinguished. Suicide data from the region (1990-2001) are aggregated & compared to 2000 American census data using chi-squared tests. Multivariable logistic regression was used to […]

Youth and Adult Community Member Beliefs About Inupiat Youth Suicide and its Prevention

A 5-item, open-ended survey focussing on community members’ perceptions of suicide causes, warning signs, & protective factors was administered in the 12 Native Alaskan villages served by the Maniilaq Association. A total of 382 surveys were completed. The results showed villagers believe a community-based approach is most beneficial. Many risk factors for suicide were associated […]

Suicide in Alaska From 1978 to 1985: Updated Data From State Files

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Alaska Suicide Follow-Back Study Final Report

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Screening for Depression and Thoughts of Suicide: a Tool for use in Alaska’s Village Clinics

Depression occurs at a significant rate in the U.S. population. Untreated depressive symptoms are a primary risk factor for suicide. Studies show that a significant percentage of individuals who commit suicide had visited their health care providers in the months before their deaths. Alaska ranks number one in the nation for suicide. Routine screening for […]

Book Review-Where Time is Round and Ravens Ride the Wind: a Novel by M Berendes

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Alaska Suicide Prevention Plan

This document presents the Alaska Suicide Prevention Plan. After a summary of the epidemiology of suicide in Alaska, the 13 goals of the Plan, along with developed approaches for achieving these, are laid out. Resources for prevention are provided, along with a glossary of terms & sample templates & draft plans.

From Respect to Rights to Entitlement, Blocked Aspirations and Suicidal Behavior

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Criteria Intervention: the Provision of Services to Alaskan Bush Communities

This paper presents a brief history of Alaskan natives, discussing concerns regarding the mental health & emotional values of the Inupiat people caught in a conflict between traditional cultural values & the demands of the present modern society, & reviewing methods of intervention presently being utilized to assist the Inupiat people in moving along with […]

Violent Death in Alaska: who is Most Likely to die?

This article describes how rates of violent death, including deaths from accidents, suicides, & homicides, vary among Alaskans by race, sex, age, marital status, & place of residence. Data is based on a computer file of death certificates of Alaskans who died between 1980 & 1990. To improve the comparisons of Alaska & U.S. average […]

Physician-Assisted Suicide; Terminal Illness; State Constitutions

This article presents the Alaska Supreme Court ruling that denied that the state’s constititution’s gurarantees of privacy & liberty implied a right to physician-assisted suicide. Several similar American legal judgments are presented & discussed. (SC)

Alcohol and Suicide in Alaska Natives

A retrospective review of hospital records from the Alaska Native Medical Center is presented for 33 Alaska Native suicide completers who died between 1980 & 1984. Suicide rates for Alaska Natives were twice the national average during the study period. The only significant difference between the suicide & control groups was the history of a […]

Report of the Workshop on Best Practices in Suicide Prevention and the Evaluation of Suicide Prevention Programs in the Arctic

Workshop held in Iqaluit, Nunavut, March 14 & 15, 2003.

Boarding Schools: Effects on the Mental Health of Eskimo Adolescents

The authors examined the effects of four representative boarding schools on 132 Alaskan Eskimo adolescents during their freshman & sophomore years. Forty-nine percent of the freshmen developed school-related social & emotional disturbances; 25% of these problems were judged serious. High levels of emotional disturbance were also found during the students’ sophomore year. The findings and […]

Draft: Alaska Suicide Prevention Plan

This publication presents a draft version of the Alaska Suicide Prevention Plan designed by the Statewide Suicide Prevention Council. The themes, goals, methods, strategies, & mission of the plan are outlined with the goal of making this report a resource that can be used by anyone concerned about the health & well being of Alaskans.

Statewide Suicide Prevention Council F Y 2003 Annual Report

This report summarizes the Alaska Statewide Suicide Prevention Council’s accomplishments related to its central work priorities for FY ’02-03 in the 10 months since the last report to the Legislature, April 2002. Specific findings & additional activities of the Council are detailed throughout the report. Council goals for 2003 are also presented, which build upon […]

Five Miles From Tomorrow

Includes a comment on the article by M D Swenson, entitled “A Story About Suicide in the Arctic,” published in Jama, v.286, no.8, (22-29 August 2001), p.919

A Matter of Pride

This article discusses an innovative suicide prevention program which has young Alaska Natives in the village of Brevig Mission learning to build & paddle sea kayaks.

Kelengakutelleghpat: an Arctic Community-Based Approach to Trauma (IN: Secondary Traumatic Stress: Self-Care Issues for Clinicians, Researchers, and Educators, edited by B H Stamm Second Edition)

This unique paper, which details the story of an Arctic Alaska Native community, reframes the traditional white western perception of treatment- both physical & mental. In ‘Kelengakutelleghpat’, Michael J. Terry offers us a window into a world where entire communities can come together to address issues of trauma. This paper saddens us because it brings […]

Suicide Prevention in American Indian and Alaska Native Communities: a Critical Review of Programs

This article provides a critical review of selected preventive intervention programs that address suicide within American Indian & Alaska Native populations. For each intervention included in the review, a description of its targeted population group, risk & protective factors addressed, intervention method, research design, program implementation, & outcomes is provided. Implications for practice & policy […]

Community-Based Suicide Prevention Programs in Rural Alaska: Self Determination as a new Approach

The Psychological Repercussions of the Sociocultural Oppression of Alaska Native Peoples

Issues of the mental health of arctic & subarctic Alaska Natives are explored. Their sociopolitical history is described demonstrating how intervention by European Americans in Alaska has prompted a self-alienation of Native peoples that has contributed to exorbitant suicide rates & other problems. These developments are contrasted with traditional lifestyles. Recommendations are made about the […]