Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations

Wexler, Lisa; Chandler, Michael J.; Gone, Joseph P.; Cwik, Mary; Kirmayer, Laurence J.; LaFromboise, Teresa D.; Brockie, Teresa; O’Keefe, Victoria M.; Walkup, John T.; Allen, James

doi:10.2105/ajph.2014.302517

Cited by 110 publications

(139 citation statements)

References 84 publications

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“…Wexler and others emphasize that conventional prevention and intervention efforts to reduce the American Indian suicide rate disparity have failed and propose culturally appropriate approaches that emphasize enhancing individual‐ and community‐level protective factors. To achieve success, prevention and intervention efforts could include implementation of evidence‐based programs developed specifically for American Indian youth, such as the American Indian Life Skills Development curriculum .…”

Section: Implications For School Healthmentioning

confidence: 99%

“…American Indian youth suicide is costly in terms of the loss of young lives and hope for the future, as well as the disruption it causes families and communities and the related economic costs . Future research that focuses on multilevel risk and protective factors is essential for our ability to design meaningful prevention and intervention programs …”

Section: Implications For School Healthmentioning

confidence: 99%

See 1 more Smart Citation

Reservation‐Urban Comparison of Suicidal Ideation/Planning and Attempts in American Indian Youth

Manzo

Hobbs

Gachupin

et al. 2020

Journal of School Health

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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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Section: Implications For School Healthmentioning

confidence: 99%

Section: Implications For School Healthmentioning

confidence: 99%

Reservation‐Urban Comparison of Suicidal Ideation/Planning and Attempts in American Indian Youth

Manzo

Hobbs

Gachupin

et al. 2020

Journal of School Health

View full text Add to dashboard Cite

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“…[10][11][12][13] Little attention has been paid to protective factors or to community contexts as determinants of mental health, or to positive dimensions of mental wellness. This phenomenon is not specific to research involving Inuit: a recent review 14 of the scope of research on Indigenous mental health and wellness emphasized the need to include community-level perspectives in epidemiological research, as well as a focus on resilience and well-being. Such studies can be useful in guiding and supporting mental wellness promotion efforts for Inuit youth, and in directing research attention towards key dimensions of the complex community dynamics that give rise to variations in mental wellness among communities.…”

mentioning

confidence: 99%

Individual- and community-level determinants of Inuit youth mental wellness

Gray¹,

Richer

Harper³

2016

Can J Public Health

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OBJECTIVES: Following the onset of intensive colonial intervention and rapid social change in the lives of Inuit people, youth in Nunavik have experienced high rates of mental health problems and suicide. Inuit people describe a broad range of contextual influences on mental wellness based on lived experience, but most epidemiological studies have focused on individual risk factors and pathologies. This study aimed to assess the influence of multiple determinants of mental wellness among Inuit youth in Nunavik, including culturally meaningful activities, housing and community social characteristics. METHODS:Mental wellness was measured in the form of two primary outcomes: self-esteem and suicidal ideation. Using cross-sectional data from the 2004 Nunavik Inuit Health Survey and multilevel regression modelling, we estimated associations between these two outcomes and various independent individual-and community-level explanatory factors among Inuit youth. All variables were selected to reflect Inuit perspectives on determinants of mental wellness. The study design and interpretation of results were validated with Inuit community representatives. RESULTS:Pride in Inuit identity, traditional activities, community-level social support and community-level socio-economic status were found to be protective. Barriers to participating in traditional activities, household crowding and high community rates of violence were risk factors.CONCLUSION: These findings support Inuit perspectives, expand the scope of epidemiological analysis of Inuit mental wellness and reinforce the need for locally informed, community-wide approaches to mental wellness promotion for Inuit youth.KEY WORDS: Community psychiatry; Inuits; mental health; multilevel analysis; social conditions; social determinants of health La traduction du résumé se trouve à la fin de l'article.

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“…The exploration and integration of local ways of knowing result in interventions that build on community strengths and are specific to local conditions rather than attempting to produce standardized interventions (Donatuto, Satterfield, and Gregory, 2011; Mohatt et al, 2004; Smith, 1999; Stewart, 2009; Wexler et al, 2015; Wilson, 2008). …”

Section: Discussionmentioning

confidence: 99%

What Touched Your Heart? Collaborative Story Analysis Emerging From an Apsáalooke Cultural Context

et al. 2016

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Community-based participatory research and decolonizing research share some recommendations for best practices for conducting research. One commonality is partnering on all stages of research; co-developing methods of data analysis is one stage with a deficit of partnering examples. We present a novel community-based and developed method for analyzing qualitative data within an Indigenous health study and explain incompatibilities of existing methods for our purposes and community needs. We describe how we explored available literature, received counsel from community Elders and experts in the field, and collaboratively developed a data analysis method consonant with community values. The method of analysis, in which interview/story remained intact, team members received story, made meaning through discussion, and generated a conceptual framework to inform intervention development, is detailed. We offer the development process and method as an example for researchers working with communities who want to keep stories intact during qualitative data analysis.

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Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations

Cited by 110 publications

References 84 publications

Reservation‐Urban Comparison of Suicidal Ideation/Planning and Attempts in American Indian Youth

Reservation‐Urban Comparison of Suicidal Ideation/Planning and Attempts in American Indian Youth

Individual- and community-level determinants of Inuit youth mental wellness

What Touched Your Heart? Collaborative Story Analysis Emerging From an Apsáalooke Cultural Context

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