TY  - JOUR
PY  - 2014//
TI  - Suicide mortality among American Indians and Alaska Natives, 1999-2009
JO  - American journal of public health
A1  - Herne, Mose A.
A1  - Bartholomew, Michael L.
A1  - Weahkee, Rose L.
SP  - S336
EP  - 42
VL  - 104
IS  - Suppl 3
N2  - 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>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2014.301929
ID  - ref1
ER  -