@article{ref1,
title="Exploring risk and protective factors with a community sample of American Indian adolescents who attempted suicide",
journal="Archives of suicide research",
year="2015",
author="Cwik, Mary and Barlow, Allison and Tingey, Lauren and Goklish, Novalene and Larzelere-Hinton, Francene and Craig, Mariddie and Walkup, John T.",
volume="19",
number="2",
pages="172-189",
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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: A multi-tiered intervention at individual, family, and community levels is needed.<p /> <p>Language: en</p>",
language="en",
issn="1381-1118",
doi="10.1080/13811118.2015.1004472",
url="http://dx.doi.org/10.1080/13811118.2015.1004472"
}