@article{ref1,
title="Relationship between family history of mandatory boarding school experiences and suicide risk in US reservation-based Native American youth: a cross-sectional analysis",
journal="Injury prevention",
year="2024",
author="Brockie, Teresa and Wissow, Lawrence and Campbell, Jacquelyn C. and Ivanich, Jerreed and Nelson, Katie and Wallen, Gwenyth and Wetsit, Lawrence and Wilcox, Holly",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Suicide is a leading cause of death among Native American youth and adolescents in the USA. A myriad of factors have been correlated with risk for suicide ideation (SI)/suicide attempt (SA), including historical trauma; however, accurate measurement of historical trauma has been inconsistent. <br><br>OBJECTIVE: To examine the association of family history of a negative mandatory boarding school experience with SI and SAs. <br><br>METHODS: An anonymous online survey was conducted with 288 Native youth aged 15-24 years from the Fort Peck Reservation in Montana. Multinomial regression was applied adjusting for other known risk and protective factors of SI and SAs. <br><br>RESULTS: Thirty-five percent reported past SAs and 15% reported ideation without prior attempt. Of the 129 (45%) reporting a family history of mandatory boarding school experiences, 28% perceived the experience as positive while 22% as negative. After adjusting for risk and protective factors, both SI and SAs were associated with a family history of negative mandatory boarding school experiences (adjusted OR (AOR)=4.8 and 4.3, respectively) and polydrug use (AOR=3.6 and 2.3). SAs were also associated with post-traumatic stress disorder (AOR=2.6) and depressive symptoms (AOR=3.6). <br><br>CONCLUSION: The association between family history of negative mandatory boarding school experiences and SI and SAs implies that culturally responsive interventions are needed to reduce the intergenerational impacts of historical trauma.<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/ip-2023-045095",
url="http://dx.doi.org/10.1136/ip-2023-045095"
}