@article{ref1,
title="Suicide mortality among American Indians and Alaska Natives, 1999-2009",
journal="American journal of public health",
year="2014",
author="Herne, Mose A. and Bartholomew, Michael L. and Weahkee, Rose L.",
volume="104",
number="Suppl 3",
pages="S336-42",
abstract="OBJECTIVEs. We assessed national and regional suicide mortality for American Indian and Alaska Native (AI/AN) persons. <br><br>METHODS. We used 1999 to 2009 death certificate data linked with Indian Health Service (IHS) patient registration data to examine death rates from suicide in AI/AN and White persons. Analysis focused primarily on residents of IHS Contract Health Service Delivery Area counties; Hispanics were excluded. We used age-adjusted death rates per 100 000 population and stratified our analyses by age and IHS region. <br><br>RESULTS. Death rates from suicide were approximately 50% higher among AI/AN persons (21.2) than Whites (14.2). By region, rates for AI/AN people were highest in Alaska (rates = 65.4 and 19.3, for males and females, respectively) and in the Northern Plains (rates = 41.6 and 11.9 for males and females, respectively). Disparities between AI/AN and White rates were also highest in these regions. <br><br>CONCLUSIONS. A coordinated, multidisciplinary effort involving federal, state, local, and tribal health officials is needed to address this important public health issue. (Am J Public Health. Published online ahead of print April 22, 2014: e1-e7. doi:10.2105/AJPH.2014.301929).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2014.301929",
url="http://dx.doi.org/10.2105/AJPH.2014.301929"
}