TY  - JOUR
PY  - 2024//
TI  - Connected for life: How social connectedness can help prevent suicide in American Indian and Alaska Native communities
JO  - Archives of psychiatric nursing
A1  - Bogic, Marija
A1  - Hebert, Luciana E.
A1  - Evanson, Anna
A1  - Wright, Barbara
A1  - Fruhbauerova, Martina
A1  - Petras, Anthippy
A1  - Jansen, Kelley
A1  - Shaw, Jennifer
A1  - Bradshaw, Sam
A1  - O'Leary, Marcia
A1  - Zacher, Tracy
A1  - Smoker, Kenny
A1  - Comtois, Katherine Anne
A1  - Nelson, Lonnie
SP  - 259
EP  - 267
VL  - 51
IS  - 
N2  - Enhancing social support and connectedness can reduce suicide risk, yet few studies have examined this effect in American Indian and Alaska Native (AI/AN) adults. We assessed suicidal ideation and behavior, thwarted belongingness, social support, enculturation, historical trauma, and traumatic life events in 709 AI/AN adults at high risk of suicide from five AI/AN communities. Suicidal ideation was associated with thwarted belongingness and protected against by social support and engaging in AI/AN ceremonies. Among those who made lifetime suicide attempts, traumatic life events, symptoms of depression/anxiety due to historical trauma, and thwarted belongingness were linked to more attempts. More engagement in cultural practices was associated with fewer suicide attempts. Higher levels of social support were associated with more suicide attempts, an observation potentially attributable to the cross-sectional nature of the study. Interventions should focus on protective factors and context-specific interventions emphasizing community history, values, and strengths.<p />  <p>Language: en</p>
LA  - en
SN  - 0883-9417
UR  - http://dx.doi.org/10.1016/j.apnu.2024.06.006
ID  - ref1
ER  -