Slide 1

Report
Suicide Prevention Strategies for
American Indian/
Alaska Native Youth:
Understanding the Importance
of Culture
Teresa LaFromboise, PhD
[email protected]
Community-Driven Approach:
American Indian Life Skills
24
-
20
16
Pueblo of Zuni
12
8
4
0
Males
Females
Risk Factors
Intervention
Mediating Factors Outcome Variables
Acculturation
Stress
Ineffective
Problem Solving
Historical Trauma
Pervasive Poverty
Avoidant
Coping
Negative
Thinking
Community
Violence
Family Disruption
Suicide
Stress
AILS
Intervention
Interpersonal
Problems
Effective
Problem Solving
Depression
Substance Abuse
Psychological
Disorder
Age/Gender
Resilient
Adaptation
Approach
Coping
Positive
Thinking
LaFromboise & Fatima, 2011
Historical Trauma
Loss stemming from HT (daily or more thoughts about
their tribe’s loss of land) is often on the minds of
20.5% of Native adolescents in the 11 to 13-yr. old age
group .
Whitbeck et al., 2009
Acculturation Stress
Vulnerable negative mental health outcomes: anxiety,
depression, feelings of marginality, heightened
psychosomatic symptom levels, and identity confusion
Suicide rates were positively associated with acculturation
stress and negatively associated with traditional integration
in 18 tribes (Lester, 1999).
Substance Abuse
Of the 10 leading causes of death among Native
adolescents, at least 3 are related to heavy alcohol
use: Accidents, suicide, and homicide (Indian Health
Service, 2002).
Community Violence
•Meichenbaum reported on 85 Inuit youth sexually
abused by a teacher: suicide rate of Inuit males was
119/100,000. Suicide rate among the cohort of sexually
abused Inuit male youth: 200/100,000.
American Indian Life Skills
Target Skills
Positive thinking / Problem solving
•
•
•
•
•
•
Open communication
Handling depression
Stress management
Anger regulation
Suicide prevention
Goal setting
Effectiveness of the American
Indian Life Skills (N=128)
Student Posttest Survey
• Hopelessness
• Confidence in ability to manage anger
Behavioral Role Play Study
• Peer suicide intervention skills
• Peer problem solving skills
Effectiveness of Public Health
Approach for Suicide Prevention
May et al., 2005
San Juan County Partnership
Evaluation of AILS (N=90)
Effect of Time on Outcomes at Post-Test Controlling for Pretest
Scores
Hopelessness*
Suicide Risk *
Public Collective Esteem* (What participants believe others think
about their race/ethnicity)
Self-Efficacy**
Self-Awareness***
Thank You
*p<.05, **p<.01. ***p<.001

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