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This study examines suicide ideation, plans, and attempts by youth in two juvenile justice settings: incarcerated youth (n = 83) and youth with community service sentences (n = 144). The incarcerated sample reported 51% suicide ideation while the community sample reported 22%. For both samples, suicide contemplators were quite likely (60-70%) to have a suicide plan, while about 35% reported a suicide attempt in the past 12 months. Contemplators were distinguishable from noncontemplators on scores for external problems of delinquency and aggression, internal problems of anxiety, depression, withdrawal and somatic complaints, general depression, and general health status. The results have implications for assessment, triage, and brief treatment in juvenile justice settings. [Brief Treatment and Crisis Intervention 2: 233-239 (2002)]

Hard copies of monographs and back issues (Volume 1, Issue 1 through Volume 8, Issue 3) are available for purchase. Prices and ordering information can be found at http://www. uchsc.edu/ai/ncaianmhr/journal/pdf_fi les/Journal_Order_Form.pdf. American Indian/Alaska Native (AI/AN) populations are affl icted disproportionately with a number of chronic illnesses (Indian Health Service [IHS], 2001). Specifi cally, the rates of Type 2 Diabetes, alcohol abuse, and suicide have consistently been higher in these populations for many years (IHS). To date the majority of research has focused on these three disorders alone or in dyads; little attention has been given to the co-occurrence of all three simultaneously in AI/AN populations. The Behavioral Risk Factor Surveillance System (BRFSS) provides annual data on estimates of risk factors and health-related behavior in state populations across the nation. This article reports an analysis of the prevalence and correlates of diabetes and associated risk factors for depression and alcohol abuse in AI/AN adults sampled in the fi fty states as part of the 2003 BRFSS survey.

Mental health needs of Native American youth in the Oregon juvenile justice system are compared to those of Euro-American youth. The comparison is between 109 Euro-American youth and 22 Native American youth drawn from two samples of youth adjudicated to community service and incarcerated. The youth completed a mental health history and indices of mental health and health status. Native American youth are disproportionately represented in the Oregon juvenile justice system. Mental health profiles of Native American youth reflect problems at least as severe as those of Euro-American youth, and both Native American and Euro-American youth in the juvenile justice system had profiles different from those of youth not referred for clinical services. More Native American youth (42.5%) compared to Euro-American youth (27.5%) reported considering suicide in the past 12 months. Mental health screenings for both Native American and Euro-American youth are indicated.

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