@article{ref1,
title="Suicides among American Indian/Alaska Native firefighters: data from the National Violent Death Reporting System, 2003 - 2017",
journal="Psychiatry research",
year="2023",
author="Pennington, Michelle L. and Ylitalo, Kelly R. and Thomas, Katharine L. and Coe, Elizabeth and Humphries, Mariah and Gulliver, Suzy B.",
volume="330",
number="",
pages="e115593-e115593",
abstract="Suicide is a significant public health problem in the United States and disproportionally affects male American Indian/Alaska Natives (AI/AN). Suicide is particularly problematic among AI/AN firefighters who are more likely to report suicide ideation, planning, attempts, and risk compared to non-Hispanic white (NHW) firefighters. The aim of the current study was to compare non-Hispanic AI/AN firefighter and NHW firefighter suicide decedents by demographics and risk/precipitating factors using National Violent Death Reporting System data for 45 male non-Hispanic AI/AN firefighter and 588 male NHW firefighter decedents who died by suicide. Compared to NHW firefighter decedents, AI/AN firefighter decedents were significantly younger and had significantly higher odds of experiencing alcohol use problems and a recent death/suicide of a family member/friend. AI/AN firefighter decedents had significantly lower odds of documented mental health problems, documented diagnosis of depression/dysthymia, receipt of mental health treatment, or leaving a suicide note compared to NHW firefighter decedents. <br><br>RESULTS from this study may inform tailored suicide prevention and screening efforts among first responders with the goal of lowering suicide mortality among AI/AN firefighters and fire service as a whole.<p /> <p>Language: en</p>",
language="en",
issn="0165-1781",
doi="10.1016/j.psychres.2023.115593",
url="http://dx.doi.org/10.1016/j.psychres.2023.115593"
}