“Togetherness:” the role of intergenerational and cultural engagement in urban American Indian and Alaskan Native youth suicide prevention

Doria, Celina M.; Momper, Sandra L.; Burrage, Rachel L.

doi:10.1080/15313204.2020.1770648

Cited by 18 publications

(11 citation statements)

References 30 publications

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“…These pandemic conditions are particularly problematic for behavioral health and medical care providers for whom best practices dictate that they focus on the strengths of American Indian communities, including connectedness with family, spirituality, environment, and community, as an approach to reduce suicide risk. [30][31][32][33][34][35][36][37] In response to this increased risk, this study found that respondents are willing to provide suicide prevention services through telehealth, consistent with other studies regarding telehealth during the pandemic. 11,15 Older generations are just as willing to use telehealth during the pandemic, contrary to the resistance sometimes found among Baby Boomers.…”

Section: Discussionsupporting

confidence: 84%

Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana

Pruitt

Chapin

Eakin

et al. 2022

Telemedicine and e-Health

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Background: Public health measures that prevent the spread of COVID-19, such as social distancing, may increase the risk for suicide among American Indians due to decreased social connectedness that is crucial to wellbeing. Telehealth represents a potential solution, but barriers to effective suicide prevention may exist. Materials and Methods: In collaboration with Tribal and Urban Indian Health Center providers, this study measured suicide prevention practices during COVID-19. A 44-item Likert-type, web-based survey was distributed to Montanabased professionals who directly provide suicide prevention services to American Indians at risk for suicide. Descriptive statistics were calculated for survey items, and Mann-Whitney U tests examined the differences in telehealth use, training, skills among Montana geographic areas, and barriers between providers and their clients/patients. Results: Among the 80 respondents, two-thirds agreed or strongly agreed that American Indians experienced greater social disconnection since the COVID-19 pandemic began. Almost 98% agreed that telehealth was needed, and 93% were willing to use telehealth for suicide prevention services. Among current users, 75% agreed telehealth was effective for suicide prevention. Over one-third of respondents reported using telehealth for the first time during COVID-19 pandemic, and 30% use telehealth at least ''usually'' since the COVID-19 pandemic began, up from 6.3%. Compared with their own experiences, providers perceive their American Indian client/patients as experiencing greater barriers to telehealth. Discussion: Telehealth was increasingly utilized for suicide prevention during the COVID-19 pandemic. Opportunities to improve telehealth access should be explored, including investments in telehealth technologies for American Indians at risk for suicide.

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Section: Discussionsupporting

confidence: 84%

Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana

Pruitt

Chapin

Eakin

et al. 2022

Telemedicine and e-Health

View full text Add to dashboard Cite

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“…Suicide among American Indians is double the rate of non-American Indians in the US and is a clear public health crisis [ 184 ]. The most promising programs directly addressing single issues are the mental health/suicide interventions today that center on Indigenous culture [ 185 – 187 ]. The feeling of connectedness to community and pride in cultural heritage are enhanced by learning or maintaining an Indigenous language.…”

Section: Discussionmentioning

confidence: 99%

Health effects of Indigenous language use and revitalization: a realist review

Whalen

Lewis

Gillson³

et al. 2022

Int J Equity Health

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Background Indigenous populations across the world are more likely to suffer from poor health outcomes when compared to other racial and ethnic groups. Although these disparities have many sources, one protective factor that has become increasingly apparent is the continued use and/or revitalization of traditional Indigenous lifeways: Indigenous language in particular. This realist review is aimed at bringing together the literature that addresses effects of language use and revitalization on mental and physical health. Methods Purposive bibliographic searches on Scopus were conducted to identify relevant publications, further augmented by forward citation chaining. Included publications (qualitative and quantitative) described health outcomes for groups of Indigenous people who either did or did not learn and/or use their ancestral language. The geographical area studied was restricted to the Americas, Australia or New Zealand. Publications that were not written in English, Spanish, French, Portuguese or German were excluded. A realist approach was followed to identify positive, neutral or negative effects of language use and/or acquisition on health, with both qualitative and quantitative measures considered. Results The bibliographic search yielded a total of 3508 possible publications of which 130 publications were included in the realist analysis. The largest proportion of the outcomes addressed in the studies (62.1%) reported positive effects. Neutral outcomes accounted for 16.6% of the reported effects. Negative effects (21.4%) were often qualified by such issues as possible cultural use of tobacco, testing educational outcomes in a student’s second language, and correlation with socioeconomic status (SES), health access, or social determinants of health; it is of note that the positive correlations with language use just as frequently occurred with these issues as the negative correlations did. Conclusions Language use and revitalization emerge as protective factors in the health of Indigenous populations. Benefits of language programs in tribal and other settings should be considered a cost-effective way of improving outcomes in multiple domains.

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“…5 Cultural practices and traditions have helped protect both Black and Indigenous children from the effects of toxic stress but have lacked resources for broader scaling. 8 Traditional surveillance efforts typically ignore these interventions.…”

Section: Structural Racismmentioning

confidence: 99%

Epidemic Rates of Child and Adolescent Mental Health Disorders Require an Urgent Response

2022

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A new Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention (CDC) documents the high prevalence of mental health disorders among America’s children even before the pandemic.1 Pandemic era reports recently led the American Academy of Pediatrics (AAP), the American Academy of Child and Adolescent Psychiatry (AACAP), and the Children’s Hospital Association (CHA) to issue a joint declaration of a national emergency in child and adolescent mental health.2 This new MMWR represents remarkable work compiling diverse information from nine nationally-representative data sets. Findings indicate high rates of mental health disorders among US children and youth, including evidence that even very young children experience mental health conditions. Twenty percent of all children have an identified mental health condition annually while forty percent of all children will meet criteria by age 18. MMWR findings show that children living in poverty and minoritized children fare worse than their peers in access to care, identifiable risk factors, and prevalence of certain mental health conditions. Despite high rates of mental health conditions, the MMWR documents low rates of treatment (about 11.4% annually for White, 9.8% for Black, and 8.7% for LatinX children).

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“Togetherness:” the role of intergenerational and cultural engagement in urban American Indian and Alaskan Native youth suicide prevention

Cited by 18 publications

References 30 publications

Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana

Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana

Health effects of Indigenous language use and revitalization: a realist review

Epidemic Rates of Child and Adolescent Mental Health Disorders Require an Urgent Response

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