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Suicide Prevention Strategies for American Indian/ Alaska Native Youth: Understanding the Importance of Culture . Teresa LaFromboise, PhD [email protected]. 24. 20. 16. 12. 8. 4. 0. Males. Females. Community-Driven Approach: American Indian Life Skills . -. Pueblo of Zuni. - PowerPoint PPT Presentation
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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
-
Pueblo of Zuni
24
20
16
12
8
4
0
Males Females
Acculturation
Stress
Historical Trauma
Pervasive Poverty
Community
Violence
Family Disruption
Interpersonal Problems
Depression
Substance Abuse
Psychological Disorder
Age/Gender
Indi
vidu
al F
acto
rsSo
cial
Fac
tors
Ecol
ogic
al F
acto
rs
AILS Intervention
ResilientAdaptation
Effective Problem Solving
Positive Thinking
Ineffective Problem Solving
Negative Thinking
Suicide
ApproachCoping
AvoidantCoping
Stress
LaFromboise & Fatima, 2011
Risk Factors Intervention Mediating Factors Outcome Variables
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 SkillsTarget Skills
• Open communication • Handling depression • Stress management• Anger regulation• Suicide prevention• Goal setting
Positive thinking / Problem solving
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 PartnershipEvaluation 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*** *p<.05, **p<.01. ***p<.001
Thank You