We examined racial/ethnic and gender-specific associations between suicide ideation/attempts and risky behaviors, sadness/hopelessness, and victimization in Montana American Indian and White youth using 1999-2011 Youth Risk Behavior Survey data. Logistic regression was used to calculate odds ratios and 95% confidence intervals in stratified racial/ethnic-gender groups. The primary results of this study show that although the American Indian youth had more statistically significant suicidal thoughts and attempts than the White youth, they had fewer statistically significant predictors compared to the White youth. Sadness/hopelessness was the strongest, and the only statistically significant, predictor of suicide ideation/attempts common across all four groups. The unhealthy weight control cluster was a significant predictor for the White youth and the American Indian/Alaska Native girls; the alcohol/tobacco/marijuana cluster was a significant predictor for the American Indian boys only. Results show important differences across the groups and indicate directions for future research targeting prevention and intervention.

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BACKGROUND Our aim was to identify sex-and location-specific risk factors for suicide ideation/planning and attempts among American Indian youth.METHODS Biennial data for 6417 American Indian high school students attending reservation and urban schools were extracted from the Montana volunteer sample Youth Risk Behavior Survey data for pooled years 2003 to 2011. Logistic regression was used to identify sex-and school location-specific risk behaviors and psychosocial factors for past 12-month ideation/planning and past 12-month attempts. RESULTSContrary to our hypothesis, the prevalence of ideation/planning and attempts did not significantly differ between reservation/urban location; however, risk factors associated with suicidality did. Sadness/hopelessness was associated with both outcomes for all groups. However, violent victimization was associated with both outcomes only among girls. Lack of school safety was associated with attempts but not ideation/planning among all students. There were distinct differences in risk factors associated with both outcomes among boys. CONCLUSIONSThe results indicate differences and similarities in risk behaviors and psychosocial factors associated with suicidality by sex and reservation/urban setting. Implications include screening potentially at-risk students for depression, violent victimization, substance use, and school safety and use of the findings by tribal and school programs in designing prevention and intervention programs.Citation: Manzo K, Hobbs GR, Gachupin FC, Stewart J, Knox SS. Reservation-urban comparison of suicidal ideation/planning and attempts in American Indian youth.

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AimTo explore knowledge and reported safety practices of parents of preschool children in relation to thermal injuries.BackgroundIn the UK, unintentional injury is an important cause of death and leading cause of Emergency Department attendance and hospital admissions in 1–4 year olds. The burden of injury is highest for children who live in poverty. Children's Centres provide community-based co-ordinated services, information and support for families with preschool children.Methods200 structured interviews will take place in Children's Centres with parents of preschool children (10 parents at 5 Children's Centres in 4 Study Centres: Bristol, Nottingham, Norwich, Newcastle). Interviews will cover: fire-safety practices for example, smoke alarm ownership and use, risk factors for injury (smokers in the household), knowledge of first-aid.ResultsResults will describe fire-safety practices and contribute to the design of a randomised controlled trial of an Injury Prevention Briefing for fire-related injuries to be implemented in Children's Centres, and will provide detailed information about fire safety and data to inform sample size calculations.ConclusionsThe Keeping Children Safe at Home programme aims to develop a better understanding of how to prevent unintentional injuries in preschool children. It aims to apply this knowledge, working with Children's Centres to implement effective approaches with families served by the Centres. The findings of the interview study will inform the development of Injury Prevention Briefings which will be implemented and evaluated in Children's Centres.