Citation

Cwik M, Barlow A, Tingey L, Goklish N, Larzelere-Hinton F, Craig M, Walkup JT. Arch. Suicide Res. 2015; 19(2): 172-189.

Affiliation

a Johns Hopkins University , Baltimore , MD.

Copyright

(Copyright © 2015, International Academy of Suicide Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/13811118.2015.1004472

PMID

25909321

Abstract

OBJECTIVES: American Indian adolescents are at disproportionate risk for suicide, and community-based studies of this population, which allow a deeper understanding of risks and resilience to inform interventions, are rare.

METHODS: This is a cross-sectional study of N = 71 Apache adolescents. Strengths include the role of the community and American Indian paraprofessionals in the design, implementation and interpretation of findings.

RESULTS: Participants were M = 16.0 years old, 65% female, and 69% multiple attempters. Risks included suicidal behavior among peers and family (68%), caregivers with substance problems (62%), and participant substance use history namely alcohol (91%) and marijuana (88%). Areas of resiliency included lower depression scores (M = 23.1) and cultural activity participation.

CONCLUSIONS: A multi-tiered intervention at individual, family, and community levels is needed.

Language: en