TY  - JOUR
PY  - 2005//
TI  - Outcome evaluation of a public health approach to suicide prevention in an American Indian tribal nation
JO  - American journal of public health
A1  - May, P. A.
A1  - Serna, P.
A1  - Hurt, Lance
A1  - DeBruyn, L. M.
SP  - 1238
EP  - 1244
VL  - 95
IS  - 7
N2  - OBJECTIVES: We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. METHODS: All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. RESULTS: Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P=.001). CONCLUSIONS: Data from this community-based approach document a remarkable downward trend-measured by both magnitude and temporal trends in the specifically targeted age cohorts-in suicidal acts. The sequential decrease in age-specific rates of suicide attempts and gestures is indicative of the program's success.
LA  - 
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2004.040410
ID  - ref1
ER  -