Purpose-Health care providers face challenges in rural service delivery due to the unique circumstances of rural living. The intersection of rural living and health care challenges can create barriers to care that providers may not be trained to navigate, resulting in burnout and high turnover. Through the exploration of experienced rural providers' knowledge and lessons learned, this study sought to inform future practitioners, educators, and policy makers in avenues through which to enhance training, recruiting, and maintaining a rural workforce across multiple health care domains.Methods-Using a qualitative study design, 18 focus groups were conducted, with a total of 127 health care providers from Alaska and New Mexico. Transcribed responses from the question, "What are the 3 things you wish someone would have told you about delivering health care in rural areas?" were thematically coded.Findings-Emergent themes coalesced into 3 overarching themes addressing practice-related factors surrounding the challenges, adaptations, and rewards of being a rural practitioner.Conclusion-Based on the themes, a series of recommendations are offered to future rural practitioners related to community engagement, service delivery, and burnout prevention. The recommendations offered may help practitioners enter communities more respectfully and competently. They can also be used by training programs and communities to develop supportive programs for new practitioners, enabling them to retain their services and help practitioners integrate into the community. Moving toward an integrative paradigm of health care delivery wherein practitioners and communities collaborate in service delivery will be the key to enhancing rural health care and reducing disparities.

A commonly used screening tool for psychopathology, the Brief Symptom Inventory, provides normative data for assessing current mental functioning across multiple domains. Using data from 654 psychiatric inpatients, receiver operating characteristic (ROC) analyses were conducted for three scales, Depression, Paranoid Ideation, and Psychoticism. t ratios identified significant group differences on the Depression scale between patients diagnosed with or without depression but no differences on the Paranoid Ideation and Psychoticism scales between patients diagnosed with or without schizophrenia. Area under the curve for Depression was .65, indicating that the scale improved diagnostic prediction somewhat beyond chance; for Paranoid Ideation, the area was .52 and for Psychoticism, the area was .53, indicating that these two scales did not significantly improve diagnostic prediction beyond chance.

Suicide rates among Indigenous people in the circumpolar north typically exceed national averages. Over the past decade, the Arctic Council has become a forum for collaborative efforts among governments and Arctic communities to highlight the problem of suicide and its potential solutions. The mental health initiative under the United States chairmanship of the Arctic Council, Reducing the Incidence of Suicide in Indigenous Groups: Strengths United through Networks (RISING SUN), established community-based outcomes to evaluate suicide prevention interventions using a Delphi methodology complemented by stakeholder discussions at face-toface meetings. The RISING SUN outcomes and stakeholder input underscore suicide risk and protection as multifactorial and shaped by influences at the levels of the society, community, family, and individual. Implementation of multilevel suicide prevention initiatives requires mobilization of resources and enactment of policies, including those that reduce adverse childhood experiences, increase social equity, and mitigate against the impacts of colonization and poverty.