Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001-2012.
Objectives. We evaluated the impact of a comprehensive, multitiered youth suicide prevention program among the White Mountain Apache of Arizona since its implementation in 2006. Methods. Using data from the tribally mandated Celebrating Life surveillance system, we compared the rates, numbers, and c...
| Published in: | American Journal of Public Health Vol. 106; no. 12; pp. 183 - 190 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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American Public Health Association
Dec2016
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=119428782&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 119428782 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec2016 vid: 106 iid: 12 pid: 44 pub: American Public Health Association artinfo: ui: 119428782 10.2105/AJPH.2016.303453 ppf: 183 ppct: 7 formats: tig: atl: Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001-2012. aug: au: Cwik, Mary F. Tingey, Lauren Maschino, Alexandra Goklish, Novalene Larzelere-Hinton, Francene Walkup, John Barlow, Allison affil: Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY su: United States Arizona Social conditions of Native Americans Evaluation of human services programs Suicide prevention Rural conditions Age distribution Interviewing Suicidal behavior Sex distribution White people Twenty-first century Confidence intervals Research methodology Comparative studies Descriptive statistics Medical care of Indigenous peoples Algorithms sug: subj: Social conditions of Native Americans Evaluation of human services programs Suicide prevention Rural conditions Age distribution Interviewing Suicidal behavior Sex distribution White people United States Arizona Twenty-first century Confidence intervals Research methodology Comparative studies Descriptive statistics Medical care of Indigenous peoples Algorithms ab: Objectives. We evaluated the impact of a comprehensive, multitiered youth suicide prevention program among the White Mountain Apache of Arizona since its implementation in 2006. Methods. Using data from the tribally mandated Celebrating Life surveillance system, we compared the rates, numbers, and characteristics of suicide deaths and attempts from 2007 to 2012 with those from 2001 to 2006. Results. The overall Apache suicide death rates dropped from 40.0 to 24.7 per 100 000 (38.3% decrease), and the rate among those aged 15 to 24 years dropped from 128.5 to 99.0 per 100 000 (23.0% decrease). The annual number of attempts also dropped from 75 (in 2007) to 35 individuals (in 2012). National rates remained relatively stable during this time, at 10 to 13 per 100 000. Conclusions. Although national rates remained stable or increased slightly, the overall Apache suicide death rates dropped following the suicide prevention program. The community surveillance system served a critical role in providing a foundation for prevention programming and evaluation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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