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. 2023 Sep;24(5):841-851.
doi: 10.1177/15248399221116630. Epub 2023 Mar 2.

New Collaborative Research on Suicide Prevention, Practice, and Policy With American Indian and Alaska Native Communities Holds Promise for All Peoples

A Barlow  1 , E E Haroz  1 , V M O'Keefe  1 , T Brockie  1   2 , S M Manson  3 , J Allen  4 , L Wexler  5 , D Buchwald  6 , S Rasmus  7 , N Goklish  1   8 , J Ivanich  3 , M Stifter  1 , M Cwik  1
Affiliations

New Collaborative Research on Suicide Prevention, Practice, and Policy With American Indian and Alaska Native Communities Holds Promise for All Peoples

A Barlow et al. Health Promot Pract. 2023 Sep.

Abstract

Youth suicide is increasing in the United States, with deaths among younger people of color driving this upward trend. For more than four decades, American Indian and Alaska Native (AIAN) communities have suffered disproportionate rates of youth suicide and years of productive life lost compared to other U.S. Races. The National Institute of Mental Health (NIMH) recently funded three regional Collaborative Hubs to carry out suicide prevention research, practice, and policy development with AIAN communities in Alaska and rural and urban areas of the Southwestern United States. The Hub partnerships are supporting a diverse array of tribally-driven studies, approaches, and policies with immediate value for increasing empirically driven public health strategies to address youth suicide. We discuss unique features of the cross-Hub work, including: (a) long-standing Community-Based Participatory Research processes that led to the Hubs' innovative designs and novel approaches to suicide prevention and evaluation, (b) comprehensive ecological theoretical approaches that contextualize individual risk and protective factors in multilevel social contexts; (c) unique task-shifting and systems of care approaches to increase reach and impact on youth suicide in low-resource settings; and (d) prioritization of strengths-based approaches. The work of the Collaborative Hubs for AIAN youth suicide prevention is generating specific and substantive implications for practice, policy, and research presented in this article at a time when youth suicide prevention is a dire national priority. Approaches also have relevance for historically marginalized communities worldwide.

Keywords: Alaska Native; American Indian; CBPR; cultural strengths; ecological approach; prevention; resilience; suicide; task-shifting.

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Figures

FIGURE 1
FIGURE 1. Bronfenbrenner’s Ecological Systems Model for Youth Development
Source: Guy-Evans (2020).
See this image and copyright information in PMC

References

    1. Alaska Native Epidemiology Center. (2021). Alaska Native mortality: 1980–2018. anthc.org/epicenter/publications.html
    1. Allen J, Wexler L, & Rasmus S (2022). Protective factors as a unifying framework for strengths-based intervention and culturally responsive American Indian and Alaska Native suicide prevention. Prevention Science, 23(1), 59–72. 10.1007/s11121-021-01265-0 - DOI - PubMed
    1. Centers for Disease Control and Prevention, National Center for Health Statistics. 1999–2020 wide ranging online data for epidemiological research (WONDER), multiple cause of death files [Data file]. https://wonder.cdc.gov/
    1. Chandler MJ, & Lalonde C (1998). Cultural continuity as a hedge against suicide in Canada’s First Nations. Transcultural Psychiatry, 35(2), 191–219. 10.1177/136346159803500202 - DOI
    1. Comtois K, Kerbrat AH, DeCou CR, Atkins DC, Maleres JJ, Baker JC, & Ries RK (2019). Effect of augmenting standard care for military personnel with brief caring text messages for suicide prevention: A randomized clinical trial. JAMA Psychiatry, 76(5), 474–483. 10.1001/jamapsychiatry.2018.4530 - DOI - PMC - PubMed

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