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Journal Article

Citation

Cwik MF, Tingey L, Maschino A, Goklish N, Larzelere-Hinton F, Walkup J, Barlow A. Am. J. Public Health 2016; 106(12): 2183-2189.

Affiliation

Mary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.

Copyright

(Copyright © 2016, American Public Health Association)

DOI

10.2105/AJPH.2016.303453

PMID

27736202

Abstract

OBJECTIVES: We evaluated the impact of a comprehensive, multitiered youth suicide prevention program among the White Mountain Apache of Arizona since its implementation in 2006.

METHODS: Using data from the tribally mandated Celebrating Life surveillance system, we compared the rates, numbers, and characteristics of suicide deaths and attempts from 2007 to 2012 with those from 2001 to 2006.

RESULTS: The overall Apache suicide death rates dropped from 40.0 to 24.7 per 100 000 (38.3% decrease), and the rate among those aged 15 to 24 years dropped from 128.5 to 99.0 per 100 000 (23.0% decrease). The annual number of attempts also dropped from 75 (in 2007) to 35 individuals (in 2012). National rates remained relatively stable during this time, at 10 to 13 per 100 000.

CONCLUSIONS: Although national rates remained stable or increased slightly, the overall Apache suicide death rates dropped following the suicide prevention program. The community surveillance system served a critical role in providing a foundation for prevention programming and evaluation. (Am J Public Health. Published online ahead of print October 13, 2016: e1-e7. doi:10.2105/AJPH.2016.303453).


Language: en

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